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561.
Assessing the Adherence to Guidelines of Media Reporting of Suicide Using a Novel Instrument—the “Risk of Imitative Suicide Scale” (RISc) 下载免费PDF全文
Rachel Nutt MSc MA Brian Kidd MBChB FRCPsych Keith Matthews MD PhD MRCPsych 《Suicide & life-threatening behavior》2015,45(3):360-375
Media guidelines for reporting of suicide are considered important in suicide prevention because of the risk of “imitative” suicide. There are currently no established tools for the quantification of quality of reporting. We sought to develop and validate a quality assessment instrument—the Risk of Imitative Suicide Scale (RISc). The RISc appears capable of discriminating reliably between adherent and nonadherent articles. Our data suggest that adherence to guidelines is inconsistent, and there are major differences between web‐based and print media. The RISc could be used to evaluate effectiveness and consistency of media engagement with suicide prevention strategies. 相似文献
562.
Michael H. Allen MD Beau W. Abar PhD Mark McCormick MD Donna H. Barnes PhD Jason Haukoos MD MSc Gus M. Garmel MD FACEP FAAEM Edwin D. Boudreaux PhD 《Suicide & life-threatening behavior》2013,43(3):313-323
Joint Commission National Patient Safety Goal 15 calls for organizations “to identify patients at risk for suicide.” Overt suicidal behavior accounts for 0.6% of emergency department (ED) visits, but incidental suicidal ideation is found in 3%–11.6%. This is the first multicenter study of suicide screening in EDs. Of 2,243 patients in six diverse emergency settings, 1,068 (47.7%) were screened with a brief instrument. Depression was endorsed by 369 (34.5%); passive suicidal ideation by 79 (7.3%); and active suicidal ideation by 24 (2.3%). One hundred thirty‐seven (12.8%) reported prior attempts, including 35 (3.3%) with current suicidal ideation. Almost half of those with current ideation had a prior attempt (43.8%) versus those without current ideation, 10.3%, χ2 (1) = 75.59, p < .001. Twenty cases (25%) were admitted to medical services, but only 10 (12.5%) received mental health assessment; none were admitted directly to a psychiatry service. The prevalence of suicidal ideation here is similar to previous studies but the frequency of prior attempts has not been reported. The 35 cases with current ideation and prior attempt are at risk. As they did not present psychiatrically, they would likely have gone undetected. Despite reporting these cases to clinical staff, few received risk assessment. 相似文献
563.
Suicidal Behavior in Relatives or Associates Moderates the Strength of Common Risk Factors for Suicide 下载免费PDF全文
Yongsheng Tong MD PhD Michael R. Phillips MD MA MPH Paul Duberstein PhD Weihai Zhan PhD 《Suicide & life-threatening behavior》2015,45(4):505-517
The prevalence and odds ratios of different suicide risk factors were compared in three pairs of decedents: 80 suicides and 25 injury decedents with blood relatives with suicidal behavior history (biologically exposed); 259 suicides and 126 injury decedents with unrelated acquaintances with suicidal behavior history (socially exposed); and 471 suicides and 523 injury decedents with neither relatives nor acquaintances with suicidal behavior history (unexposed). Negative life events and high psychological stress were more common in socially exposed suicides than in other suicides. The adjusted odds ratios of most established suicide risk factors were higher in unexposed decedents than in biologically or socially exposed decedents, suggesting that the predictive value of established risk factors wanes in individuals who have been exposed to suicidal behavior in family or friends. 相似文献
564.
Looking Back on Self‐Poisoning: The Relationship between Depressed Mood and Reporting of Suicidal Intent in People Who Deliberately Self‐Poison 下载免费PDF全文
Bergljot Gjelsvik DClinPsych Fridtjof Heyerdahl MD PhD Jane Holmes PhD Daniel Lunn MA DPhil Keith Hawton FMedSci DSc 《Suicide & life-threatening behavior》2017,47(2):228-241
Lifetime worst‐point suicidality is associated with risk of subsequent death by suicide. Yet little is known about how people who deliberately self‐poison (DSP) change their appraisal of suicidal intent of a single DSP episode over time. We assessed whether suicidal intent for a single index episode of DSP changed over time and factors associated with such change. We studied 202 patients admitted for DSP (66.3% female, all Caucasian), 18–85 years old (M = 37.8, SD = 14.8), using a longitudinal design (0, 3, and 12 months). The primary outcome measure was change in suicidal intent for a single index DSP episode, analyzed using multilevel modeling. Wish to die and whether the episode was considered a suicide attempt increased significantly with depressed mood. Wish to die associated with the index episode also increased over time independently of depressed mood. No association with time or depressed mood was found for perceived likelihood of dying. Depressed mood was strongly associated with appraisal of suicidal intent associated with a DSP episode. In suicide risk assessment, reports of the nature and severity of past DSP should be interpreted in light of current mood. 相似文献
565.
Jasper E. Palmier‐Claus PhD Peter J. Taylor PhD DClinPsych John Ainsworth MSc Matthew Machin MIET Graham Dunn PhD Shon W. Lewis MD FMedSci 《Suicide & life-threatening behavior》2014,44(1):101-110
The relationship between psychotic symptoms and self‐injurious thoughts (SITs) remains unclear. The short‐term temporal associations between psychotic symptoms and SITs were explored. A sample of 36 people with a diagnosis of a psychotic disorder or at‐risk mental state completed mobile phone‐based measures at multiple times each day for 1 week. Clustered regression with time‐lagged variables supported a relationship between paranoia and subsequent SITs. Hallucinations did not predict these thoughts when controlling for paranoia. The role of specific psychotic symptoms in triggering SITs is highlighted and the importance of considering these factors in risk management is discussed. 相似文献
566.
567.
Suicide Prevention in Australian Aboriginal Communities: A Review of Past and Present Programs 下载免费PDF全文
Rebecca Ridani BSc Psych Fiona L. Shand PhD Helen Christensen PhD Kathryn McKay PhD Joe Tighe BSc Psych Jane Burns PhD Ernest Hunter MD 《Suicide & life-threatening behavior》2015,45(1):111-140
A review of Aboriginal suicide prevention programs were conducted to highlight promising projects and strategies. A content analysis of gray literature was conducted to identify interventions reported to have an impact in reducing suicidal rates and behaviors. Most programs targeted the whole community and were delivered through workshops, cultural activities, or creative outlets. Curriculums included suicide risk and protective factors, warning signs, and mental health. Many programs were poorly documented and evaluations did not include suicidal outcomes. Most evaluations considered process variables. Results from available outcome evaluations suggest that employing a whole of community approach and focusing on connectedness, belongingness and cultural heritage may be of benefit. Despite the challenges, there is a clear need to evaluate outcomes if prevention is to be progressed. 相似文献
568.
569.
Samara McPhedran PhD Diego De Leo MD PhD DSc 《Suicide & life-threatening behavior》2013,43(6):589-597
It has long been argued that suicide prevention efforts in rural locations face not only structural barriers, such as a lack of accessible health care and specialized mental health services, but also a range of cultural barriers. A commonly discussed cultural factor that may contribute to higher rural suicide rates is low levels of help‐seeking behavior, which in turn act as a barrier to accessing and receiving care. However, the assumption that suicide by rural men is more likely to be accompanied by low help‐seeking behavior, relative to urban men, has not been well tested. Using data from the Queensland Suicide Register, this study evaluates one form of help‐seeking behavior—communication of suicidal intent—among men who died by suicide. Contrary to the expectation that suicide in rural areas would be associated with lower levels of help‐seeking behavior than suicide in urban areas, it was found that communication of suicidal intent was broadly comparable across rural and urban settings. The implications for suicide prevention policies and service delivery strategies are discussed. 相似文献
570.
Jean Baker Miller MD 《Women & Therapy》2013,36(2-4):145-161
SUMMARY In this culture, those in power do not usually talk about it and the rest of us tend not to recognize it either. A similar situation exists in therapy, where the therapist herself may not be aware of her own power-over tactics. This article suggests methods that may help therapists to acknowledge their power and also to change from power-over actions to mutually empowering relationships. From this line of thinking, there follows an exploration of altering the concept of boundaries in therapy into mutually constructed agreements between patient and therapist. This article was presented at the Summer Training Institute of the Jean Baker Miller Training Institute, June, 2003. 相似文献