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371.
Peter Fonagy PhD DipPsych Anna Higgitt BSc MB BS MRCPsych MD 《Psychoanalytic Psychotherapy》2013,27(2):121-153
Conceptual and practical issues which surround attempts at assessing the efficiency of psychotherapy departments are surveyed and the advantages and disadvantages associated with performance indicators reviewed. The issues of assessing efficiency in general and the selection of appropriate indicators at both national and local levels are discussed. It is concluded that it is possible to find indicators which reflect the value of a psychotherapeutic service to the community within which it is based, and that the identification of a generally agreed set of such parameters is a matter of priority. 相似文献
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Donald S. Shepard PhD Deborah Gurewich PhD Aung K. Lwin MBBS MS Gerald A. Reed PhD MSW Jr Morton M. Silverman MD 《Suicide & life-threatening behavior》2016,46(3):352-362
The national cost of suicides and suicide attempts in the United States in 2013 was $58.4 billion based on reported numbers alone. Lost productivity (termed indirect costs) represents most (97.1%) of this cost. Adjustment for under‐reporting increased the total cost to $93.5 billion or $298 per capita, 2.1–2.8 times that of previous studies. Previous research suggests that improved continuity of care would likely reduce the number of subsequent suicidal attempts following a previous nonfatal attempt. We estimate a highly favorable benefit–cost ratio of 6 to 1 for investments in additional medical, counseling, and linkage services for such patients. 相似文献
374.
Jelena Karanović MSc Maja Ivković PhD Vladimir M. Jovanović PhD Maja Pantović MD Nataša Pavlović‐Janković MSc Aleksandar Damjanović PhD Goran Brajušković PhD Stanka Romac PhD Dušanka Savić‐Pavićević PhD 《Suicide & life-threatening behavior》2016,46(6):664-668
Tryptophan hydroxylase 1 (TPH1) gene, coding for serotonin synthesizing enzyme, and recent stressful life events (SLEs) have been commonly associated with suicidal behavior. TPH1 has been also hypothesized to be involved in stress–response mechanisms. The aim of this study was to assess TPH1 variant rs1800532 and its possible interaction with recent SLEs as risk factors for suicide attempt (SA) in Serbian psychiatric patients, including 165 suicide attempters and 188 suicide nonattempters. rs1800532 and recent SLEs were independently associated with SA, while rs1800532 did not moderate the effect of recent SLEs on SA vulnerability among Serbian psychiatric patients. 相似文献
375.
Rohan Borschmann DClinPsy Carolyn Coffey PhD Paul Moran MD Stephen Hearps PGDipPsych Louisa Degenhardt PhD Stuart A. Kinner PhD George Patton MD 《Suicide & life-threatening behavior》2014,44(6):641-652
The prevalence and correlates of self‐harm and suicidal behavior in 515 young offenders (mean age 17.3 years, SD = 1.7) serving community‐based orders (CBOs; n = 242) or custodial sentences (n = 273) in Victoria, Australia, are described. Results from structured interviews showed that 83 (16.1%) participants reported self‐harming in the previous 6 months, and this was more common among those serving custodial sentences than those serving CBOs (19.4% vs. 12.4%; OR 3.10, 95% CI: 1.74–5.55). Multiple incidents were more common in females and 24% (95% CI: 19–39) of participants who had self‐harmed reported having done so with suicidal intent. Self‐harm was associated with recent bullying victimization, expulsion from school, past year violent victimization, cannabis dependence, and risk‐taking behavior in the preceding year. The epidemiological profile of self‐harm in this population appears to be distinct from that seen in the general population. Young offenders who self‐harm are a vulnerable group with high rates of psychiatric morbidity, substance misuse problems, and social risk factors. They may benefit from targeted psychological interventions designed specifically to address impulsivity, delivered both within–and during the transition from–the youth justice system. 相似文献
376.
John Kasckow MD PhD Shasha Gao PhD Barbara Hanusa PhD Armando Rotondi PhD Matthew Chinman PhD Susan Zickmund PhD John Gurklis MD Lauren Fox BS Jack Cornelius MD Ira Richmond DNP RN Gretchen L. Haas PhD 《Suicide & life-threatening behavior》2015,45(5):600-611
A telehealth system was developed to monitor risk following hospitalization for suicidal ideation. We hypothesized that 3 months of telehealth monitoring will result in a greater reduction in suicidal ideation. Veterans with schizophrenia admitted with recent suicidal ideation and/or a suicidal attempt were recruited into a discharge program of VA Usual Care with daily Health Buddy© monitoring (HB) or Usual Care (UC) alone. Fifteen of 25 were randomized to HB and 10 received UC. Daily adherence in the use of the HB system during months 1–3 was, respectively, 86.9%, 86.3%, and 84.1%. There were significant improvements in Beck Scale for Suicide Ideation scores in HB participants. There were no changes in depressive symptoms. Telehealth monitoring for this population of patients appears to be feasible. 相似文献
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This study examined the relations of physical education teachers' burnout with some individual variables, including teachers' self-perceived physical fitness and the perceived influence of personal fitness on teaching. Participants were 219 Italian physical education teachers in secondary school. Demographic and professional information, ratings of self-perception of physical condition, and the Italian version of the Maslach Burnout Inventory were recorded. Compared to the data of a normative sample, average scores on the three dimensions of the Maslach Burnout Inventory (Emotional Exhaustion, Depersonalisation, and Reduced Personal Accomplishment) were found. There were statistically significant associations among Reduced Personal Accomplishment, the self-perception of physical fitness, and the perception of the influence of personal fitness on teaching. Women reported scores on Emotional Exhaustion and Reduced Personal Accomplishment indicative of greater severity than men. No significant differences appeared to be related to the years of teaching. Recommendations for further studies are discussed. 相似文献