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111.
Simon Hatcher MD Cynthia Sharon MSc Carol Coggan PhD 《Suicide & life-threatening behavior》2009,39(4):396-407
There is a lack of evidence about what is the best treatment for people who present to hospital after self harm. Most treatment trials have been small and involved unrepresentative groups of patients which result in inconclusive findings. Here we note some of the characteristics of attempted suicide which make it a difficult subject to study. We describe the problems of doing randomized controlled trials in attempted suicide and outline the advantages and difficulties of randomized controlled trials, Zelen designs, patient preference designs, and cluster randomized trials in attempted suicide intervention trials. Researchers and consumers should consider other research designs when asking what is effective after self harm. 相似文献
112.
Marion Becker RN PhD Lisa Brown PhD Ezra Ochshorn MSW Ronald Diamond MD 《Suicide & life-threatening behavior》2009,39(2):172-181
Demographic, diagnostic, and service expenditure characteristics of Florida Medicaid enrollees who died by suicide were investigated. Among persons receiving Medicaid and Supplemental Security Income (SSI), findings indicate the most powerful predictors of suicide were involuntary psychiatric examination, mental health hospitalization, and high mental health service use. Among Medicaid enrollees not receiving SSI, strongest suicide predictors were mental health hospitalization, high expenditures for physical health medications, and involuntary psychiatric examination. Findings suggest reducing involuntary psychiatric examinations and mental health hospitalizations while improving physical health may reduce suicide in the Medicaid population. Comprehensive hospital discharge planning, adherence monitoring with follow‐up care, training mental health providers in assessing suicide lethality, and providing adequate assessment time are all crucial to achieve these objectives. 相似文献
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Julie Cerel PhD Jason H. Padgett MPA Yeates Conwell MD Gerald A. Reed PhD MSW 《Suicide & life-threatening behavior》2009,39(3):269-281
Support groups for suicide survivors (those individuals bereaved following a suicide) are widely used, but little research evidence is available to determine their efficacy. This paper outlines the pressing public health need to conduct research and determine effective ways to identify and meet the needs of suicide survivors, particularly through survivor support groups. After describing the various approaches to survivor support groups, we explain the need for further research, despite the inherent challenges. Finally, we pose several questions for researchers to consider as they work with survivors to develop a research agenda that sheds more light on the experiences of survivors and the help provided by survivor support groups. 相似文献
115.
Susan S.F. Gau MD PhD Chin‐Hung Chen MD Charles T.C. Lee PhD Jung‐Chen Chang PhD Andrew T.A. Cheng MD PhD DSc FRCPsych 《Suicide & life-threatening behavior》2009,39(3):332-342
This study established the psychometric properties of the Chinese version of the Suicide Intent Scale (SIS) in a clinic‐ and community‐based sample of 36 patients and 592 respondents, respectively. Results showed that the Chinese SIS demonstrated good inter‐rater and test‐retest reliability. Factor analysis generated three factors (Precautions, Planning, and Seriousness) explaining 92.9% of the total variance with high internal consistency. It was moderately correlated with depressive symptoms. Results suggest that the Chinese SIS is a reliable and valid instrument for use in assessing the extent of suicidal intention among subjects with deliberate self‐harm in ethnic Chinese populations. 相似文献
116.
Christopher Merchant MS Anne Kramer LMSW Sean Joe MSW PhD Sanjeev Venkataraman MD Cheryl A. King PhD 《Suicide & life-threatening behavior》2009,39(2):115-124
Psychopathology, social support, and interpersonal orientation were studied in relation to suicide attempt status in acutely suicidal, psychiatrically hospitalized Black adolescents and a matched sample of White adolescents. In the total sample, multiple attempters were differentiated by lower perceived support. Within the Black youth subsample, social comparison and positive stimulation from others differentiated multiple attempters from single attempters/ideators. Only suicidal ideation predicted multiple attempts among White youth and only higher interpersonal orientation predicted multiple suicide attempts within Black adolescents. 相似文献
117.
John M. Haggarty MD Zack Cernovsky PhD Michel Bedard PhD Harold Merskey MD 《Suicide & life-threatening behavior》2008,38(6):699-707
We investigated the association of suicidal ideation and behavior with depression, anxiety, and alcohol abuse in a Canadian Arctic Inuit community. Inuit (N = 111) from a random sample of households completed assessments of anxiety and depression, alcohol abuse, and suicidality. High rates of suicidal ideation within the past week (43.6%), and suicide attempts within last 6 months (30%), were reported. Ideation was more frequent among younger persons, whereas those favoring local native language were less likely to report a wish to die. Higher overall suicidality scores were associated with higher anxiety, and alcohol abuse, but not with depression or gender. Implications for future research are discussed. 相似文献
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