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Suicidal Intent and Method of Self‐Harm: A Large‐scale Study of Self‐Harm Patients Presenting to a General Hospital 下载免费PDF全文
Camilla Haw MRCPsych Deborah Casey BSc Jane Holmes PhD Keith Hawton DSc FMedSci 《Suicide & life-threatening behavior》2015,45(6):732-746
Data from the Oxford Monitoring System for Attempted Suicide (2004–2011) were used to study hospital presentations for self‐harm in which Suicidal Intent Scale (SIS) scores were obtained (N = 4,840). Regression of medians was used to control for the confounding effect of age and gender. Higher estimated median SIS scores were associated with increasing age, male gender, self‐poisoning versus self‐injury, multiple methods of self‐harm versus self‐injury alone, use of gas (mainly carbon monoxide), dangerous methods of self‐injury (including hanging, gunshot), and use of alcohol as part of the act. For self‐poisoning patients, there was a correlation between the number of tablets taken and the total SIS score. Compared with self‐poisoning with paracetamol and paracetamol‐containing compounds, self‐poisoning with antipsychotics was associated with a lower median SIS score while antidepressants had the same estimated median as paracetamol. Use of alcohol within 6 hours of self‐harm was associated with lower SIS scores. In conclusion, certain methods of self‐harm, particularly dangerous methods of self‐injury and self‐poisoning with gas, were associated with high intent and should alert clinicians to potential higher risk of suicide. However, apart from use of gas, suicidal intent cannot be inferred from type of drugs used for self‐poisoning. 相似文献
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Carman S. Gill Casey A. Barrio Minton Jane E. Myers 《Journal of counseling and development : JCD》2010,88(3):293-302
A study including measures of spirituality, religiosity, and wellness was conducted to identify coping strategies for the multiple challenges to wellness faced by low‐income, rural women. Total spirituality and religiosity accounted for 39% of the variance in wellness, with purpose and meaning in life, unifying interconnectedness, and private religious practices composing the main contributions. Implications for counselors working with these women are discussed, as is the need for further research. 相似文献
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This study investigated strategy and performance differences between right-handed boys and girls on a mental rotation task. Based on predictions from Casey and Brabeck's (1990) theory of sex differences, the study was also designed to identify a target group of right-handed girls with the optimal combination of genetic and environmental factors (high math/science achievers with nonright-handed immediate relatives). They were predicted to show strategies and performance more similar to those of the boys than to those of both the low math/science achieving girls and the high math/science girls with all right-handed immediate relatives (predicted to have the nonoptimal genotype). Strategy preference was measured using selective interference, whereby subjects solved mental rotation items concurrently with either verbal or visual-spatial interference tasks. Group comparisons were made on the amount of decrement in mental rotation performance as a result of the two types of interference tasks. This provided a basis for comparing the groups on the use of visual-spatial or verbal strategies on the mental rotation task. The boys: (1) did not show a significant advantage over the girls on the mental rotation items, but (2) did depend more on visual-spatial strategies than the girls, and (3) depended less on verbal strategies than the girls. The target girls: (1) outperformed the low math/science achieving girls on the mental rotation items and did not show a significant advantage over the other high math/science group, (2) depended more on visual-spatial strategies than both the other two groups of girls, and (3) depended less on verbal strategies than the low math/science girls, while showing no significant difference compared to the nonoptimal high math/science girls. Examining within-group differences, the boys preferred visual-spatial strategies, while the girls in both the nontarget groups preferred verbal ones. However, for the target girls, no within-subject strategy differences were found. The present findings support the theory that, like the boys, the target girls depend more on visual-spatial strategies than do other girls. It is possible that the target girls use a combination of visual-spatial and verbal strategies when solving mental rotation tasks. 相似文献
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