Search results for ‘Subject term:"mental health problems"’ Sort:
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A study of self-harm in older people: mental disorder, social factors and motives
- Authors:
- DENNIS M. S., et al
- Journal article citation:
- Aging and Mental Health, 11(5), September 2007, pp.520-525.
- Publisher:
- Taylor and Francis
Data was collected on seventy-six older people who presented to a specialist self-harm team. Data included: diagnosis, suicide intent, motives for self-harm, social contacts and life events and difficulties. The majority of elderly who harmed themselves had high suicide intent and 69% were depressed. Patients were frequently living alone with an isolated life-style and poor physical health. Depressed self-harm subjects had higher suicide intent scores than non-depressed and to gain relief from an unbearable state of mind was a frequently recorded motive for these patients. Other motives for self-harm appear to be similar between depressed and non-depressed self-harmers. It is important that older people who self-harm receive an appropriate assessment of both risk and need by an experienced mental-health professional skilled at recognising depression in later life. The need for adequate recognition and management of depression in older people in primary care is also highlighted.
The relationship between problem-solving ability and self-harm amongst people with mild intellectual disabilities
- Authors:
- REES Joanna, LANGDON Peter E.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 29(4), 2016, p.387–393.
- Publisher:
- Wiley
Background: The purpose of this study was to investigate the relationship between depression, hopelessness, problem-solving ability and self-harming behaviours amongst people with mild intellectual disabilities (IDs). Methods: Thirty-six people with mild IDs (77.9% women, Mage = 31.77, SD = 10.73, MIQ = 62.65, SD = 5.74) who had a history of self-harm were recruited. Participants were asked to complete measures of depression, hopelessness and problem-solving ability. Results: Cutting was most frequently observed, and depression was prevalent amongst the sample. There was a significant positive relationship between depression and hopelessness, while there was no significant relationship between self-harm and depression or hopelessness. Problem-solving ability explained 15% of the variance in self-harm scores. Conclusions : Problem-solving ability appears to be associated with self-harming behaviours in people with mild IDs. (Publisher abstract)
Risks and opportunities in adolescence: understanding adolescent mental health difficulties
- Author:
- BRIGGS Stephen
- Journal article citation:
- Journal of Social Work Practice, 23(1), March 2009, pp.49-64.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In order to explore the current state of knowledge regarding adolescent mental health, and relate this knowledge to practice, this paper explores three key questions: are adolescent mental health problems increasing, are adolescents dislocated by new and different contexts, and what are the levels of mental health difficulties in adolescence? The paper suggests that evidence that adolescents are 'getting worse' is not convincing, but it is clear that the contexts for adolescence have changed radically and this affects adolescent developmental processes. Adolescent mental health difficulties require a current, developmentally relevant and oriented approach to enhance effective understanding and intervention. Adults in general and professionals in particular need to be able to engage with and not take flight from the impact of adolescent emotionality.
Thought-changing cards for people who self-injure
- Author:
- INISTANT HELP
- Publisher:
- Instant Help
- Publication year:
- 2006
- Pagination:
- Cards, booklet, CD ROM
- Place of publication:
- Norwalk, CT
People who self-injure have a variety of thought distortions. They typically believe that they need to be punished for past transgressions, that their bodies are ugly and unacceptable, and that the only way they can control their lives is through self-mutilation. This set of cards helps self-injuring clients understand how to correct their distorted view of themselves and their world, and how changing their thoughts can be an integral part of changing their behaviours. The set contains 50 cards that have common examples of dysfunctional thoughts relating to the disorder. On the back of each card is a rational response to the dysfunctional thought, as well as a behavioural assignment to reinforce rational thinking and responsible actions. The set also includes 50 write-in cards for clients to identify their own specific dysfunctional thoughts, as well as a rational response to each thought. Comes with a CD that contains copies of the cards to print out as worksheets, and also 12 Thought-Changing Forms to further treatment.
Reasons for living in a clinical sample of adolescents
- Authors:
- PINTO Aureen, WHISMAN Mark A., CONWELL Yeates
- Journal article citation:
- Journal of Adolescence, 21(4), August 1998, pp.397-405.
- Publisher:
- Academic Press
The psychometric properties and validity of the Reasons for Living (RFL) Inventory are examined in a sample of psychiatrically hospitalised adolescents, aged 13 to 18 years, identified as suicide ideators, suicide attempters, and psychiatric controls. Correlational analyses indicated that RFL factors were associated with suicidal ideation, depression, and hopelessness, and predicted unique variance in suicidal ideation over that accounted for by depression and hopelessness. The findings provide support for the RFL as a sound measure for clinical and research assessment in adolescents.
Young people at breaking out
- Author:
- BORTON Emma
- Journal article citation:
- Nursing Times, 21.5.97, 1997, pp.32-33.
- Publisher:
- Nursing Times
The suicide rate for young people is increasing. The author examines a worrying trend.
Adolescent mental health evidence brief 1: prevalence of disorders
- Authors:
- CLARKE Aleisha, POTE Ines, SORGENFREI Miriam
- Publisher:
- Early Intervention Foundation
- Publication year:
- 2020
- Pagination:
- 9
- Place of publication:
- London
This briefing provides data on the prevalence of mental disorders among adolescents, aged 11–19 years, in England, including data gathered during the Covid-19 national lockdown. Key points include: more than one in seven young people (15.3%) aged 11–19 in England had at least one mental disorder in 2017; a follow-up survey carried out during the Covid-19 lockdown (July 2020) indicates that one in six young people (17.6%) aged 11–16 years were identified as having a probable mental disorder – this figure increases to one in five (20.0%) among young adults aged 17–22; emotional disorders such as anxiety and depression are the most common mental disorders experienced by young people; the rate of mental disorders among 11–15-year-olds in England seems to be increasing, having risen from 11.4% in 1999 to 13.6% in 2017 – the latest data from 2020 suggest that young people’s mental health has further deteriorated; similar to mental disorders, rates of self-harm and attempted suicide among the adolescent population are increasing, with reported self-harm having increased from 5.3% in 2000 to 13.7% in 2014 (11–16-year-olds); while these increases over the last two decades may reflect more accurate reporting, they may also represent an increase in prevalence rates; the increasing concern around young people’s mental health, particularly in relation to the Covid-19 pandemic, highlight the need for immediate action to support young people most at risk; early intervention, including promotion and prevention strategies, has the potential to produce the greatest impact on young people’s mental health and wellbeing by taking action before mental health problems worsen and preventing the onset of mental disorders. (Edited publisher abstract)
Preventing and responding to depression, self-harm, and suicide in older people living in long term care settings: a systematic review
- Authors:
- GLEESON Helen, et al
- Journal article citation:
- Aging and Mental Health, 23(11), 2019, pp.1467-1477.
- Publisher:
- Taylor and Francis
Objective: The well documented demographic shift to an aging population means that more people will in future be in need of long term residential care. Previous research has reported an increased risk of mental health issues and suicidal ideation among older people living in residential care settings. However, there is little information on the actual prevalence of depression, self-harm, and suicidal behavior in this population, how it is measured and how care homes respond to these issues. Method: This systematic review of international literature addressed three research questions relating to; the prevalence of mental health problems in this population; how they are identified and; how care homes try to prevent or respond to mental health issues. Results: Findings showed higher reported rates of depression and suicidal behavior in care home residents compared to matched age groups in the community, variation in the use of standardised measures across studies and, interventions almost exclusively focused on increasing staff knowledge about mental health but with an absence of involvement of older people themselves in these programmes. Conclusion: The research discusses the implications of these findings in the context of addressing mental health difficulties experienced by older people in residential care and future research in this area. (Edited publisher abstract)
Examining the association between suicidal behaviors and referral for mental health services among children involved in the child welfare system in Ontario, Canada
- Authors:
- BAIDEN Philip, FALLON Barbara
- Journal article citation:
- Child Abuse and Neglect, 79, 2018, pp.115-124.
- Publisher:
- Elsevier
Although various studies have investigated factors associated with mental health service utilization, few studies have examined factors associated with referral for mental health services among maltreated children. The objective of this study was to examine the association between suicidal thoughts and self-harming behavior and referral for mental health services among children involved in the Child Welfare System in Ontario, Canada. Data for this study were obtained from the Ontario Incidence Study of Reported Child Abuse and Neglect 2013. An estimate 57,798 child maltreatment investigations was analysed using binary logistic regression with referral for mental health service as the outcome variable. Of the 57,798 cases, 4709 (8.1%), were referred for mental health services. More than seven out of ten maltreated children who engaged in self-harming behaviour and two out of three maltreated children who expressed suicidal thoughts were not referred for mental health services. In the multivariate logistic regression model, children who expressed suicidal thoughts had 2.39 times higher odds of being referred for mental health services compared to children with no suicidal thoughts (AOR = 2.39, 99% C.I. 2.05–2.77) and children who engaged in self-harming behaviour had 1.44 times higher odds of being referred for mental health services compared to children who did not engage in self-harming behaviour (AOR = 1.44, 99% C.I. 1.24–1.67), both after controlling for child demographic characteristics, maltreatment characteristics, and child functioning concerns. Given that referral is the initial step towards mental health service utilisation, it is important that child welfare workers receive the necessary training so as to carefully assess and refer children in care who expressed suicidal thoughts or engaged in self-harming behaviour for appropriate mental health services. The paper discusses the results and their implications for child welfare policy and practice. (Edited publisher abstract)
School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study
- Authors:
- RAHMAN Muhammad A., et al
- Journal article citation:
- British Journal of Psychiatry, 212(4), 2018, pp.215-221.
- Publisher:
- Cambridge University Press
Background: Mental disorders in children and adolescents have an impact on educational attainment. Aims: To examine the temporal association between attainment in education and subsequent diagnosis of depression or self-harm in the teenage years. Method: General practitioner, hospital and education records of young people in Wales between 1999 and 2014 were linked and analysed using Cox regression. Results: Linked records were available for 652 903 young people and of these 33 498 (5.1%) developed depression and 15 946 (2.4%) self-harmed after the age of 12 but before the age of 20. Young people who developed depression over the study period were more likely to have achieved key stage 1 (age 7 years) but not key stage 2 (age 11) (hazard ratio (HR) = 0.79, 95% CI 0.74–0.84) milestones, indicating that they were declining in academic attainment during primary school. Conversely, those who self-harmed were achieving as well as those who did not self-harm in primary school, but showed a severe decline in their attainment during secondary school (HR = 0.72, 95% CI 0.68–0.78). Conclusions: Long-term declining educational attainment in primary and secondary school was associated with development of depression in the teenage years. Self-harm was associated with declining educational attainment during secondary school only. Incorporating information on academic decline with other known risk factors for depression/self-harm (for example stressful life events, parental mental health problems) may improve risk profiling methods. (Edited publisher abstract)