Search results for ‘Subject term:"mental health problems"’ Sort:
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Severity of hospital-treated self-cutting and risk of future self-harm: a national registry study
- Authors:
- LARKIN Celine, et al
- Journal article citation:
- Journal of Mental Health, 23(3), 2014, pp.115-119.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Risk assessment forms a key component in self-harm management. Among self-harm presentations generally, lethality of an index act is a poor predictor of future non-fatal repetition. However, no study has examined whether severity of an index self-cutting episode is associated with prospective repetition. Aims: To examine factors associated with severity of self-cutting and in particular the association between severity of self-cutting and prospective repetition of self-harm. Methods: All index self-cutting presentations to emergency departments in Ireland over 5 years were grouped by treatment received and compared on the basis of demographic and clinical characteristics. Results: Receiving more extensive medical treatment was associated with male gender, being aged more than 15 years, and not combining self-harm methods. Receiving less extensive treatment conferred a higher risk of prospective 12-month repetition, even after controlling for demographic and clinical characteristics. Repeat self-harm presentations by those with more severe self-cutting in an index act were less prevalent but were more likely to involve high-lethality methods of self-harm. Discussion: The results indicate that the already-elevated repetition risk among self-cutting patients is further increased for those receiving less extensive wound closure treatment. Severity of self-cutting might also affect suicide risk but such an association has yet to be examined. (Publisher abstract)
The Wessex Recent In-Patient Suicide Study 2: case-control study of 59 in-patient suicides
- Authors:
- KING Elizabeth A., et al
- Journal article citation:
- British Journal of Psychiatry, 178, June 2001, pp.537-542.
- Publisher:
- Cambridge University Press
Psychiatric patients have an elevated risk of suicide while in hospital. Article aims to compare social, clinical and health-care delivery factors in in-patient and out-patient suicides and their controls. Finds that there were seven independent increased-risk factors: history of deliberate self-harm, admission under the Mental Health Act, involvement of the police in admission, depressive symptoms, violence towards property, going absent without leave and a significant care professional being on leave. When compared with out-patient suicides, in-patients were more often female and male in-patients had a psychotic illness. Unlike the out-patient suicides, social factors were not found to be significant. Concludes that the characteristics of in-patient and out-patient suicides differ. Identified risk factors have relatively low sensitivity and specificity
Risk of suicide in relation to income level in people admitted to hospital with mental illness: nested case-control study
- Authors:
- AGERBO E., et al
- Journal article citation:
- British Medical Journal, 10.2.01, 2001, pp.334-335.
- Publisher:
- British Medical Association
Reports on Danish study investigating the association between socio-economic position and suicide risk.
Suicide in psychiatric hospital in-patients: risk factors and their predictive power
- Authors:
- POWELL John, et al
- Journal article citation:
- British Journal of Psychiatry, 176, March 2000, pp.266-272.
- Publisher:
- Cambridge University Press
Psychiatric hospital in-patients are known to be at high risk of suicide, yet there is little reliable knowledge of risk factors or their predictive power. This article identifies risk factors for suicide in psychiatric hospital in-patients and evaluates their predictive power in detecting people at risk of suicide.
Managing risk of difficult behaviors in the hospital emergency department: the use of cigarette breaks with mental health patients
- Author:
- DONLEY Euan R.
- Journal article citation:
- Social Work in Mental Health, 12(1), 2014, pp.36-51.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Hospital Emergency Departments (EDs) are challenged by increasing numbers of people with mental health problems presenting with complex suicide or psychiatric risk. Social workers are often on the front line of initial assessment of persons in mental health crisis presenting to EDs. Many mental health patients are smokers and experience poorer health and mortality. Public health policy has seen hospitals become smoke-free, which poses challenges for managing the complexities of risk associated with mental health patients who smoke. ED clinical staff were randomly selected to anonymously complete a mixed method analysis questionnaire. Findings reveal participants regularly allowed cigarette breaks for mental health patients when considered safe to manage risk associated with difficult behaviours. Participants agree with the philosophy of hospitals being smoke-free, and would prefer to provide further education and support on smoking cessation to mental health patients. However, participants report barriers to this including being time limited, having limited resources, poor compliance from mental health patients, and citing that a personal crisis for the mental health patient is not an appropriate moment to enforce smoking bans. Further resources for staff and mental health patients are recommended if a blanket ban on smoking is to remain policy. (Publisher abstract)
Safeguard under threat?
- Author:
- LAURENT Claire
- Journal article citation:
- Community Care, 9.8.01, 2001, p.12.
- Publisher:
- Reed Business Information
Reports on how plans to end the role of approved social workers in consenting to a patient's company admission to hospital have provoked fears that an important safety net will be removed.
Compulsory treatment in anorexia nervosa
- Authors:
- RAMSAY Rosalind, et al
- Journal article citation:
- British Journal of Psychiatry, 175, August 1999, pp.147-153.
- Publisher:
- Cambridge University Press
Anorexia nervosa is a mental disorder with a high long-term mortality. Patients are ambivalent about treatment and often avoid it. Of necessity, compulsory treatment sometimes needs to be considered. This research tests the long- and short-term effectiveness of this treatment strategy. Concludes that compulsory treatment is effective in the short term.
A critical appraisal of violent incident measures
- Author:
- BOWERS Len
- Journal article citation:
- Journal of Mental Health, 8(4), August 1999, pp.339-349.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Instrumentation for the recording of violence incidents in psychiatric wards for the purpose of research remain rudimentary and underdeveloped. This article provides a critical review of the currently available research tools. All have potentially fatal handicaps which have not been identified in previous reviews, the most serious of which is the conflation of severity of a violent incident with the outcome in terms of injury.
The untreatables?
- Author:
- COOPER Kristiina
- Journal article citation:
- Community Care, 3.9.98, 1998, p.7.
- Publisher:
- Reed Business Information
Reports on the problem of prison over hospital for criminals with mental disorders. Some patients are falling between the two because they are regarded as being "untreatable".
Close observation: how to improve assessments
- Author:
- DENNIS Sharon
- Journal article citation:
- Nursing Times, 11.6.97, 1997, pp.54-56.
- Publisher:
- Nursing Times
The author argues that close observation on an acute psychiatric ward can be therapeutic rather than custodial and should be underpinned by systematic nursing assessment and cognitive and behavioural interventions.