Search results for ‘Subject term:"mental health problems"’ Sort:
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The prevalence of suicide attempts among community-dwelling US Chinese older adults – findings from the PINE study
- Authors:
- DONG XinQi, et al
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 7(1), 2014, pp.23-35.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the prevalence of suicide attempts and explore the suicide methods among community-dwelling Chinese older adults. Design/methodology/approach: Data were drawn from the Population Study of Chinese Elderly in Chicago (PINE) study, a population-based epidemiological study of Chinese older adults aged 60 years and above in the greater Chicago area. Guided by the community-based participatory research (CBPR) approach, the study enrolled 3,159 community-dwelling Chinese older adults from 2011 to 2013. Findings: The lifetime prevalence of suicide attempts is 791 per 100,000 and the past 12-month prevalence of suicide attempts is 285 per 100,000. Medication overdose is the most common suicide method both in the group of lifetime suicide attempts and 12-month suicide attempts. Lower income is positively correlated with lifetime suicide attempts and 12-month suicide attempts. Living with fewer household members is positively correlated with lifetime suicide attempts but not with 12-month suicide attempts. Research limitations/implications: The findings emphasise the needs for improved understanding of suicidal behaviour among minority older adults and to develop culturally and linguistically sensitive prevention and intervention strategies. Practical implications: Community stakeholder should improve the accessibility and availability of culturally sensitive mental health services and extend timely and effective suicide interventions in the Chinese community. Originality/value: This study represents the first and largest population-based epidemiological study to investigate the suicide attempts and methods among US Chinese older adults. In addition, the implementation of the CBPR approach allows us to minimise the cultural barriers associated with suicide investigation. The study emphasises the need for improved understanding on suicidal behaviour among minority older adults to inform culturally and linguistically sensitive prevention and intervention strategies. (Edited publisher abstract)
Dangerousness: key facts
- Author:
- STEWART George
- Publisher:
- MIND
- Publication year:
- 2000
- Pagination:
- 26p.
- Place of publication:
- London
The aim of this booklet is to explore the nature of dangerousness in all its forms. The most common perception is of one person presenting a danger to others, but often people are a danger to themselves, either through suicide or deliberate self harm. Also looks at the different ways in which dangerousness is perceived by literature and the media and explores the way in which public perceptions of dangerousness can impact upon different groups of people, particularly those with mental health problems or from minority ethnic groups. Concludes with a review of current research.
Factors that influence suicidal ideation among elderly Korean immigrants: focus on diatheses and stressors
- Authors:
- KIM Bum Jung, AHN Joonhee
- Journal article citation:
- Aging and Mental Health, 18(5), 2014, pp.619-627.
- Publisher:
- Taylor and Francis
Objectives: The study examined major diatheses and stressors directly related to suicidal ideation among elderly Korean immigrants. The study also explored the significant interactions among these factors.Method: Data were collected from a cross-sectional survey of 220 elderly Korean immigrants (age ≥ 65) in Los Angeles County.Results: Using a robust hierarchical regression, the study found that neuroticism and hopelessness were significantly associated with suicidal ideation. In addition, two interaction terms – neuroticism by hopelessness and neuroticism by acculturation – were both significant predictor variables with strong explanatory power.Conclusion: The theoretical implications as well as the practical implications for developing and implementing late-life suicide prevention strategies are discussed. (Publisher abstract)
Culture and suicide: Korean-Canadian immigrants’ perspectives
- Authors:
- HAN Christina S.E., OLIFFE John L., OGRODNICZUK John S.
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 6(2/3), 2013, pp.30-42.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe culture- and context-specific suicidal behaviours among Korean-Canadian immigrants as a means to guiding the development of targeted culturally sensitive suicide prevention programmes. Design/methodology/approach: Fifteen Korean-Canadian immigrants who had experiences with suicidal behaviours (e.g. suicidal ideation, suicide attempts) participated in this qualitative research study. Semi-structured interviews were conducted for 30-90 minutes individually and constant comparison analysis methods were used to inductively derive recurrent prevailing themes from the interview data. Findings: The study findings reveal that causes and triggers for suicidal behaviours among Korean-Canadians most often emerged from academic and work pressures, estranged family and altered identities. Permeating these themes were deeply embedded cultural values, which according to the participants, could afford protection or heighten the risk for suicide. Research limitations/implications: By focussing only on first-generation Korean-Canadian immigrants, the results are limited in what they can reasonably say about other Canadian immigrant sub-groups. Practical implications: In light of the current research findings, mental health care providers should be cognizant of immigrant patients’ cultural backgrounds and life circumstances as a means to further understanding what underpins their risk for suicide. Originality/value: Notwithstanding the aforementioned limitation, this study contributes important empirical insights about Korean-Canadian immigrants’ suicidal ideation and risk/protective factors. This not only adds to the wider literature connecting culture and suicidality, it affirms the need for culture-specific research as a means to developing culturally sensitive mental health services. (Publisher abstract)
Suicide and alcohol use among American Indians: toward a transactional-ecological framework
- Authors:
- AGUIRRE Regina T. P., WATTS Thomas D.
- Journal article citation:
- Journal of Comparative Social Welfare, 26(1), February 2010, pp.3-11.
- Publisher:
- Taylor and Francis
Noting that American Indian/Native Alaskan suicide rates are 72% higher than in the general US population, and that current estimates indicate that over 90% of people in the US who suicide have a mental illness and/or alcohol and substance issues, this article examines suicide and chronic alcohol use among American Indians/Alaska Natives. It covers the importance of understanding cultural and social traditions, prevalence of American Indian/Alaska Native suicide and alcohol use and mental illness, alcohol and suicide, theories of suicide, the contribution of crisis to a desire for escape through suicide, community traumatic events as a possible antecedent for suicide, hopelessness and understanding suicide among American Indians/Alaska Natives, suicide prevention and intervention strategies with American Indians/Alaska Natives, and the use of a transactional-ecological framework, understanding "person in environment", to guide prevention and intervention efforts.
'They would rather die than live their lives like this'
- Author:
- GOULD Mark
- Journal article citation:
- Young Minds Magazine, 93, March 2008, pp.32-34.
- Publisher:
- YoungMinds
London's Kurdish and Turkish communities have lost 17 young men to suicide. The author reports on how mental health services are failing to reach these groups.
New approaches to preventing suicide: a manual for practitioners
- Editors:
- DUFFY David, RYAN Tony
- Publisher:
- Jessica Kingsley
- Publication year:
- 2004
- Pagination:
- 382p.,bibliogs.
- Place of publication:
- London
Written by front line professionals in the fields of nursing, mental health, prison services and the law, this text is an essential companion to the government's new suicide prevention strategy. The contributors offer a practical guidance on issues such as risk assessment and management in a range of settings, policy and the legal framework around suicide. Exploring the links between self-harm and suicide, the authors present international approaches to training in suicide prevention for professionals and preventative initiatives targeting wider communities. They debate the legality and morality of assisted self-harm and analyse the rate and causes of suicide among specific groups, including Black and minority ethnic groups, people in custody and people with mental illnesses. This manual provides health, social care and criminal justice professionals with information needed to make a positive contribution to suicide prevention in institutional and community settings.
Gender in elderly suicide: analysis of coroners inquests of 200 cases of elderly suicide in Cheshire 1989-2001
- Authors:
- SALIB Emad, GREEN Laura
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(12), December 2003, pp.1082-1087.
- Publisher:
- Wiley
The aim of this study is to review gender differences in elderly suicide in relation to specific social aspects of the suicidal process and health care contact before death. Such information may have practical value in identifying and targeting vulnerable elderly in whom suicide may be potentially preventable. Data were extracted from the records of coroner's inquests into all reported suicide of persons aged 60 and over, in Cheshire over a period of 13 years 1989-2001. The Coroner's office covers the whole county of Cheshire (population 1 000 000). Men were less likely to have been known to psychiatric services (Odds Ratio [OR] 0.4 95% 0.2-0.6) and with less frequently reported history of previous attempted suicide compared to women (OR 0.5 95% Confidence Intervals [CI] 0.2-1). All deceased from ethnic minorities were men, none of whom had been known to psychiatric services. There was no significant difference between women and men in relation to, physical or psychiatric morbidity, GP contact prior to suicide, intimation of intent or living alone. Of suicide victims not known to services a surprisingly high proportion of 38% and 16% were found to have psychiatric morbidity in men and women respectively.
Clinical gerontology: a guide to assessment and intervention
- Editor:
- BRINK T.L
- Publisher:
- Haworth Press
- Publication year:
- 1986
- Pagination:
- 517p., bibliogs.
- Place of publication:
- New York
Covers a wide range of methods of assessment and intervention with the elderly : psychodynamic, cognitive, group therapy, pet-facilitated and family therapy.
Intersection of suicidality and substance abuse among young Asian-American women: implications for developing interventions in young adulthood
- Authors:
- HAHM Hyeouk Chris, et al
- Journal article citation:
- Advances in Dual Diagnosis, 7(2), 2014, pp.90-104.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide a review of the current literature uncovering specific factors associated with self-harm and suicidality among this population. Design/methodology/approach: Of an original 32 articles, 12 were chosen for in-depth empirical review due to relevance to the topics at hand, quality of research, and significance of findings. Out of 12, six articles examined the barriers of mental health utilisation among this population. Findings: The literature review revealed that the limited research only aims to understand the intersection of suicidality, mental health, and substance abuse among this population. The paper also found that there are few existing interventions specifically tailored to this population. Research limitations/implications: Six articles examined substance use and mental health/suicidality. Among these articles, only three examined the relationship between substance use and mental health, while the other three studied suicidality/mental health alone. This shows a gap in existing literature investigating the comorbid relationship between mental health issues and substance use issues among Asian-American women. Given the extensive research on the correlation between substance use and suicidality, or substance use and mental illness among other ethnic/racial groups, it is imperative to address this comorbid relationship among Asian Pacific Islander women as well. Practical implications: It is imperative for professionals in the fields of public health, mental health, medicine, and substance abuse to proactively combat the “model minority” myth and to design and implement interventions targeting family dynamics, coping with immigration/acculturative stresses, mental illnesses, suicidal behaviours, and substance abuse among Asian-American populations across the developmental lifespan. Social implications: The pernicious effects of the “model minority” myth must be recognised as a public health problem, as it contributes to the under-diagnosis and under-treatment of Asian-Americans in general, and young Asian-American women in particular, as they are often suffering mental illnesses and comorbid substance abuse problems alone. Future studies should include large-scale sampling of various Asian ethnic subgroups, in order to investigate potential differences in suicidal behaviours and comorbid substance abuse among Asian subpopulations. Originality/value: The paper has provided specific suggestions for interventions to adequately respond to the mental health needs of young Asian-American women. These include addressing the cultural stigma and shame of seeking help, underlying family origin issues, and excessive alcohol and drug use as unsafe coping, as well as incorporating empowerment-based and mind-body components to foster an intervention targeting suicidality among Asian-American women in early adulthood. (Edited publisher abstract)