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921.
Dr. Anoop Sankaranarayanan MD Gregory Carter PhD Terry Lewin 《Suicide & life-threatening behavior》2010,40(4):376-382
Rural versus urban rates of suicide in current patients of a large area mental health service in Australia were compared. Suicide deaths were identified from compulsory root cause analyses of deaths, 2003–2007. Age‐standardized rates of suicide were calculated for rural versus urban mental health service and compared using variance of age‐standardized rates with 95% confidence intervals. There were 44 suicides and the majority (62%) were rural. Only urban patients used jumping from heights as a method of suicide (4/17; p = 0.02). Rural patients had 2.7 times higher rates of suicide, similar to findings for rural versus urban community suicides and may reflect the underlying community rates, differences in mental health service delivery, or socioeconomic disadvantage. 相似文献
922.
923.
An Examination of Historical Loss Thinking Frequency and Rumination on Suicide Ideation in American Indian Young Adults
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Raymond P. Tucker MS LaRicka R. Wingate PhD Victoria M. O'Keefe MS David W. Hollingsworth MS Ashley B. Cole MS 《Suicide & life-threatening behavior》2016,46(2):213-222
No research has empirically investigated whether frequency of historical loss thinking is a potential risk factor for suicide ideation in American Indians. Results of this study demonstrated that the frequency of historical loss thinking was positively associated with brooding and reflection at a small magnitude, but was not directly related to suicide ideation. Bootstrapping analyses indicated small indirect effects of historical loss thinking frequency on suicide ideation through brooding and reflection individually, but only through brooding when analyzed in a parallel mediation model. These findings suggest that American Indians who more frequently engage in historical loss thinking may be susceptible to suicide ideation via an increase in ruminative tendencies, specifically brooding. 相似文献
924.
David C. R. Kerr PhD Brandon Gibson MS Leslie D. Leve PhD David S. DeGarmo PhD 《Suicide & life-threatening behavior》2014,44(2):113-129
This study focused on the reliability and validity of the Columbia Suicide Severity Scale (C‐SSRS). Severely delinquent adolescent girls (n = 166) participated in a treatment trial and repeated assessments over time. Lifetime suicide attempt history was measured using the C‐SSRS in early adulthood (n = 144; 7–12 years postbaseline). Nonclinician raters showed strong interrater reliability using the C‐SSRS. Self‐reports, caseworker reports, and caregiver reports of girls' suicide attempt histories collected at baseline correlated with adult participants' recollections of their baseline attempt histories. Suicidal ideation measured prospectively across a 7‐ to –12‐year period was associated with retrospectively reported suicide attempt across the same period. 相似文献
925.
Changing Rates of Suicide Ideation and Attempts Among Inuit Youth: A Gender‐Based Analysis of Risk and Protective Factors
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Sarah L. Fraser PhD Dominique Geoffroy MA Eduardo Chachamovich MD PhD Laurence J. Kirmayer MD 《Suicide & life-threatening behavior》2015,45(2):141-156
Inuit in Canada currently suffer from one of the highest rates of suicide in the world. The objective of this study was to explore the prevalence of suicide ideations and attempts among 15–24 year olds living in Nunavik, Québec, and to explore risk and protective factors of suicide attempts as a function of gender. A cross‐sectional survey was conducted in 2004 across Nunavik. Univariate and multivariate logistic regressions were conducted. A total of 22% of young males and 39% of females adults reported past suicidal attempts. Gender differences were observed in relation to associated risk and protective factors as well as degree of exposure to risk factors. Suicide prevention must include alcohol and drug prevention programs and rehabilitation services, interventions to reduce physical and sexual violence and their long‐term impacts on Inuit youth, as well as exposure to culturally meaningful activities. 相似文献
926.
927.
Heather Booth PhD 《Suicide & life-threatening behavior》2010,40(1):1-13
Thirty years of suicide rates for Guam were analyzed by age, sex, period, and cohort. Youth suicide increased rapidly in the 1990s; certain cohorts have higher rates. Four explanatory factors are discussed, including ecological factors and migration from the Federated States of Micronesia. Direct and indirect suicide contagion followed the death by suicide of a respected politician, strongly influencing period and cohort patterns. Suicide pacts inflated suicide among young people. These factors acted in combination to produce epidemic levels of suicide in the 1990s. 相似文献
928.
929.
Paige G. Lancaster PhD J. Taylor Moore PhD Stefanie E. Putter PhD Peter Y. Chen PhD Konstantin P. Cigularov PhD Aaron Baker PsyD Paul Quinnett PhD 《Suicide & life-threatening behavior》2014,44(5):510-523
Web‐based training programs have advantages such as increased scheduling flexibility and decreased training costs. Yet the feasibility of applying them to injury prevention programs such as suicide prevention gatekeeper training has not been empirically verified. Two studies were conducted to assess the feasibility and effectiveness of a web‐based version of the Question, Persuade, and Refer (QPR) gatekeeper training program. Results of Study 1 revealed that participants in a web‐based training demonstrated significant gains in knowledge of suicide prevention, self‐efficacy for suicide prevention, and behavioral intentions to engage in suicide prevention, as compared to those in a control group. Results of Study 2 further showed that the web‐based training may be as effective as the face‐to‐face QPR training across pre‐ (T1) and post training (T2); however, knowledge, self‐efficacy, and behavioral intentions in both groups generally declined from T2 to 6‐months after the training. Overall, these results provide initial evidence to support the feasibility of adopting web‐based media to deliver gatekeeper training. Moreover, the present findings suggest the need to understand how to maintain gatekeepers’ knowledge, confidence, motivation, and skills after training. 相似文献
930.
Maureen Walker PhD 《Women & Therapy》2013,36(2-4):129-144
SUMMARY Relational-Cultural Theory provides a straightforward and elegant definition of power; it is the capacity to produce change. The implication of this framework is that power is the energy of competence in everyday living. However, in a culture stratified along multiple dimensions-race, class, and sexual orientation to name a few–power is associated with hyper-competitiveness and deterministic control. The article begins by examining the “protective illusions” of the power-over paradigm, where humanity is rank ordered according to perceived cultural value and is stratified into groups of greater than and less than. In addition to exposing the false dichotomies of power-over arrangements, the article examines the destructive consequences of cultural disconnection, on both the putative winners and the losers. Examples from organizational practice, clinical relationships, and socio-political contexts are used to illustrate the Relational-Cultural Model in action. Specifically, scenarios are presented from the standpoint of the politically disempowered to demonstrate the relational competencies of empathic attunement, authenticity, and accountability that foster healing, resilience, and mutual empowerment. This article was originally presented at the 2002 Spring Training Institute sponsored by the Jean Baker Miller Training Institute at Wellesley College. 相似文献