Victoria P. Schindler PhD OTR BCMH FAOTA 《Occupational Therapy in Mental Health》2013,29(2):135-153

People with severe and persistent mental illness often experience a disruption in the development of social roles, and the skills within these roles. Role Development, a set of guidelines for practice, is an intervention to develop roles and skills. The purpose of this study was to continue to examine the efficacy of this intervention. Ten people attending two community mental health programs participated in evaluation and treatment based on Role Development. Quantitative pretest and posttest measures were used. Qualitative components were incorporated to get a sense of the experience involved in developing roles and skills. Quantitative results indicated statistical significance (p < .05) in the development of roles and skills. Qualitative data revealed multiple trends experienced by the participants. This study contributes to the evidenced-based knowledge regarding development of roles and skills for persons living with severe and persistent mental illness.  相似文献   

    

Drs. Diana E. Clarke PhD  William W. Eaton PhD  Kenneth R. Petronis Phd  Jean Y. Ko PhD  Anjan Chatterjee MD  MPH  Dr. James C. Anthony PhD 《Suicide & life-threatening behavior》2010,40(4):307-318

The incidence rate of suicidal ideation among current and former smokers versus never smokers is not known. In this study, the age‐adjusted incidence of suicidal ideation was highest among current smokers, followed by former, then never smokers. The adjusted hazard for suicide ideation was 2.22 (95%CI = 1.48, 3.33) and 1.19 (95%CI = 0.78, 1.82) for current and former smokers, respectively, compared to never smokers. Results indicate that current smokers have increased risks of suicidal ideation above and beyond the risk for never and former smokers regardless of age, gender, history of depressive disorder or anxiety symptoms, and alcohol abuse/dependence. Smoking cessation might be beneficial for some suicide prevention efforts.  相似文献   

    

Keith M. Harris PhD  John P. McLean PhD  Jeanie Sheffield PhD  David Jobes PhD  ABPP 《Suicide & life-threatening behavior》2010,40(2):181-192

Researchers and theorists (e.g., Shneidman, Stengel, Kovacs, and Beck) hyothesized that suicidal people engage in an internal debate, or struggle, over whether to live or die, but few studies have tested its tenability. This study introduces direct assessment of a suicidal debate, revealing new aspects of suicidal ideation. Results, from an online survey (N = 1,016), showed nearly all suicide‐risk respondents engaged in the debate. In addition, debate frequency accounted for 54% of the variance in suicidality scores, and showed significant associations with other indicators of suicide risk. Likely factors of the debate, reasons for living and dying, showed significant differences by suicidality, and most suicide‐risk participants reported going online for such purposes, demonstrating a behavioral component of the debate.  相似文献   

    

Sylvia Y.C. Lai Kwok PhD  Daniel T.L. Shek PhD 《Suicide & life-threatening behavior》2010,40(3):224-233

Based on the responses of 5,557 Chinese secondary students in Hong Kong, the relationships among perceived hopelessness, family functioning, and suicidal ideation were examined. Results showed that suicidal ideation was positively related to hopelessness, but negatively related to parent‐adolescent communication. Compared with father‐adolescent communication, mother‐adolescent communication generally had a stronger association with adolescent suicidal ideation. It was further found that the linkage between hopelessness and adolescent suicidal ideation was stronger under a low parent‐adolescent communication condition, thus suggesting the moderating effect of parent‐adolescent communication on the effect of hopelessness on suicidal ideation. The theoretical and practical implications of the findings are discussed.  相似文献   

    

David B. Goldston PhD  Christine M. Walrath PhD  MHS  Richard McKeon PhD  Richard W. Puddy PhD  MPH  Keri M. Lubell PhD  Lloyd B. Potter PhD  MPH  Michael S. Rodi PhD 《Suicide & life-threatening behavior》2010,40(3):245-256

In response to calls for greater efforts to reduce youth suicide, the Garrett Lee Smith (GLS) Memorial Act has provided funding for 68 state, territory, and tribal community grants, and 74 college campus grants for suicide prevention efforts. Suicide prevention activities supported by GLS grantees have included education, training programs (including gatekeeper training), screening activities, infrastructure for improved linkages to services, crisis hotlines, and community partnerships. Through participation in both local‐ and cross‐site evaluations, GLS grantees are generating data regarding the local context, proximal outcomes, and implementation of programs, as well as opportunities for improvement of suicide prevention efforts.  相似文献   

    

Matthew O. Howard PhD  Brian E. Perron PhD  Paul Sacco PhD  Mark Ilgen PhD  Michael G. Vaughn PhD  Eric Garland MSW  Stacey Freedentahl PhD 《Suicide & life-threatening behavior》2010,40(3):276-286

Few studies have examined associations of inhalant use and inhalant use disorders (IUDs) to suicide ideation and attempts. We investigated these relationships in the largest comorbidity survey conducted in the United States. Suicidal ideation was significantly more prevalent among inhalant users than nonusers and severity of inhalant use problems was positively related to suicidal ideation. Among persons with IUDs, 67.4% had thought about committing suicide and 20.2% had attempted suicide. Multivariate logistic regression analyses indicated that respondents with IUDs reported significantly higher levels of suicide ideation than inhalant nonusers. Inhalant use is associated with significantly increased risk for suicide ideation, especially among women and persons with DSM‐IV IUDs.  相似文献   

    

Koen Luyckx  Seth J. Schwartz  Bart Soenens  Maarten Vansteenkiste  Luc Goossens 《Journal of counseling and development : JCD》2010,88(1):52-60

The present study focused on motivational underpinnings of identity commitments and mediating mechanisms underlying their effects on well‐being and distress in a sample of college freshmen (N = 399). Using a path model in a structural equation modeling approach, the authors found that causality orientations appeared to serve as motivational antecedents of identity commitments. Identity integration mediated the pathway from identity commitments to adjustment (i.e., well‐being and absence of distress). Suggestions for future research and implications for counseling are provided.  相似文献   

    

Gert Scheerder PhD  Alexandre Reynders MA  Karl Andriessen MA  Chantal Van Audenhove PhD 《Suicide & life-threatening behavior》2010,40(2):115-124

Health and community professionals have considerable exposure to suicidal people and need to be well skilled to deal with them. We assessed suicide intervention skills with a Dutch version of the SIRI in 980 health and community professionals and psychology students. Suicide intervention skills clearly differed among professional groups and were strongly related to experience, especially suicide‐specific experience. Some community professionals scored below acceptable levels on their ability to respond appropriately to suicidal people they encounter, and tended to overestimate their skills level. Training is therefore indicated for these groups, and may be useful to more highly experienced groups too.  相似文献   

    

Kirsten Windfuhr PhD  Harriet Bickley BA  David While PhD  Alyson Williams PhD  Isabelle M. Hunt PhD  Louis Appleby MD  FRCPsych  Navneet Kapur MD  FRCPsych 《Suicide & life-threatening behavior》2010,40(2):151-158

Little is known about the numbers and characteristics of people who travel away from home before dying by suicide. Therefore, this studied attempts to identify the sociodemographic characteristics, location, and method of suicide in people who died distant from home, in a national sample. Data were collected on all English suicides and a patient population; nonresident suicides resided in one Health Authority but died in a different one. Twelve percent of suicides were nonresident and features of these included: young age, social adversity, and severe mental illness. In conclusion, both individual‐ and area‐based factors are likely to contribute to suicide away from home.  相似文献   

    

Helen Batey MSC  Jon May PhD  Jackie Andrade PhD 《Suicide & life-threatening behavior》2010,40(1):35-49

Relationships between self‐harm and vulnerability factors were studied in a general population of 432 participants, of whom 30% reported some experience of self‐harm. This group scored higher on dissociation and childhood trauma, had lower self‐worth, and reported more negative intrusive thoughts. Among the non‐harming group, 10% scored similarly to the self‐harmers on the dissociation and self‐worth scales, and engaged in potentially maladaptive behaviors that are not defined as indicating clinical self‐harm, but experienced fewer negative intrusive thoughts. This group may be at risk of future self‐harm if they begin to experience negative intrusive thoughts. If negative intrusive thoughts are playing a causal role, then therapeutic approaches tackling them may help those who are currently self‐harming.  相似文献