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611.
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
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Helping Callers to the National Suicide Prevention Lifeline Who Are at Imminent Risk of Suicide: Evaluation of Caller Risk Profiles and Interventions Implemented
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Madelyn S. Gould PhD MPH Alison M. Lake MA Jimmie Lou Munfakh BA Hanga Galfalvy PhD Marjorie Kleinman MS Caitlin Williams BA Andrew Glass MS Richard McKeon PhD MPH 《Suicide & life-threatening behavior》2016,46(2):172-190
Crisis lines are settings where identifying individuals at imminent risk of suicidal behavior and intervening to keep them safe are critical activities. We examined clinical characteristics of crisis callers assessed by telephone crisis helpers as being at imminent risk of suicide, and the interventions implemented with these callers. Data were derived from 491 call reports completed by 132 helpers at eight crisis centers in the National Suicide Prevention Lifeline network. Helpers actively engaged the callers in collaborating to keep themselves safe on 76.4% of calls and sent emergency services without the callers' collaboration on 24.6% of calls. Four different profiles of imminent risk calls emerged. Caller profiles and some helper characteristics were associated with intervention type. Our findings provide a first step toward an empirical formulation of imminent risk warning signs and recommended interventions. 相似文献
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Jason M. Holland PhD Jesse Malott MA MDiv Joseph M. Currier PhD 《Suicide & life-threatening behavior》2014,44(2):218-231
Meaning made of stress has been shown to be a unique predictor of mental and physical health. In this study, we examined the unique associations between two facets of meaning made of stress (comprehensibility and footing in the world) and suicide risk and life‐threatening behavior among military veterans who have transitioned to college were examined, controlling for demographic factors, religiousness, combat‐related physical injury, combat exposure, depressive symptoms, and posttraumatic stress symptoms. Findings suggest that comprehensibility (having “made sense” of a stressor) is uniquely associated with lower suicide risk and a lower likelihood of driving under the influence of drugs or alcohol and engaging in self‐mutilating behaviors. 相似文献
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Jodi J. Frey PhD Philip J. Osteen PhD Tanya L. Sharpe PhD Amanda O. Mosby MA Thomas Joiner PhD Brian Ahmedani PhD Derek Iwamoto PhD Boyoung Nam PhD Sally Spencer-Thomas PsyD Jungyai Ko PhD Orrin D. Ware MSW Rachel Imboden MSW Michelle M. Cornette PhD Jon Gilgoff MSW 《Suicide & life-threatening behavior》2023,53(1):137-153
619.
马景鑑 《医学与哲学(人文社会医学版)》2009,30(4)
应该注重培训年轻医生在临床中学会应用哲学思想和思维方式,真正认识事物的本质.这对于诊断、治疗、科研、创新有事半功倍的作用,可避免片面性、盲目性,减少医源性偏差与失误,提高治愈率和生活质量.一般通过三种思维方式即理论、工程及评价思维思考疾病,如蛛网膜下腔出血的病因、临床特点、检查方法、诊疗思路、预后和转归,最终达到预期的疗效. 相似文献
620.
Suicidal Ideation in Gay Men and Lesbians in South Korea: A Test of the Interpersonal‐Psychological Model
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Gay men and lesbians in South Korea are alienated and stigmatized due to the country's low tolerance of social differences, resulting in distress and suicidal impulses. This study investigated the predictors of suicidal ideation in a gay and lesbian group in South Korea based on the interpersonal‐psychological theory of suicide. Differences between the gay and lesbian group and the heterosexual group were found in the direct path between perceived burdensomeness and suicidal ideation. The relationship was significant for both groups, but the path coefficient was greater for lesbians and gay men than for heterosexuals. These findings imply that perceived burdensomeness may be a more critical factor in suicidal ideation of lesbians and gay men. 相似文献