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Suicide prevention: the challenge confronted; a manual of guidance for the purchasers and providers of mental health care
- Editors:
- MORGAN H. Gethin, WILLIAMS Richard
- Publisher:
- HMSO/Great Britain. National Health Advisory Service
- Publication year:
- 1994
- Pagination:
- 145p.,bibliog.
- Place of publication:
- London
Part A sets out some important basic facts about suicide. Part B outlines the various practical tasks involved in evaluating and managing suicide risk. Part C looks in more detail at vulnerable groups, including adolescents, depressed people and prisoners, as well as at non-fatal deliberate self harm. Part D looks at the implications of the preceding sections for commissioning and provider managers.
The relationship between self-destructive behaviour and nursing home environment
- Authors:
- LOW L-F, DRAPER B., BRODATY H.
- Journal article citation:
- Aging and Mental Health, 8(1), January 2004, pp.29-33.
- Publisher:
- Taylor and Francis
The aim of this study was to explore the relationship between self-destructive behaviour and nursing home environment. We performed a cross-sectional study comprising 647 residents in 11 nursing homes in Sydney, Australia using the Harmful Behaviours Scale (HBS), Abbreviated Mental Test Scale and the Resident Classification Index. The Directors of Nursing completed a questionnaire that rated physical design, staff and resident characteristics and demographics were obtained from nursing home records. On regression analysis a greater number of design features for frail and residents with dementia in general, and increased security measures were associated with greater HBS total score and risk-taking and passive self-harm subscales. A residential environment in which the residents were more functionally dependent and more likely to be in a shared room, managerial policies less geared towards managing difficult behaviour and less staff availability and training were associated with the 'uncooperativeness' factor. There were no significant predictors of the other two factors. The relationship between nursing home environment and self-destructive behaviours and the environment is complex and there needs to be an individualized approach to placement.
Clinical management of women who self-wound: a survey of mental health professionals' preferred strategies
- Authors:
- HUBAND Nick, TANTAM Digby
- Journal article citation:
- Journal of Mental Health, 8(5), October 1999, pp.473-487.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This study aimed to evaluate professional opinion on various strategies for the clinical management of self-wounding in female patients. The strategies of maintaining regular discussion amongst involved staff and of encouraging the client to ventilate unexpressed feelings were seen as the most helpful, with medication and hospital admission regarded as unhelpful.
Psychiatric staff as attachment figures: understanding management problems in psychiatric services in the light of attachment theory
- Author:
- ADSHEAD Gwen
- Journal article citation:
- British Journal of Psychiatry, 172, January 1998, pp.64-69.
- Publisher:
- Cambridge University Press
Attachment theory argues that psychological development and functioning are affected by our earliest attachments to care-givers. Failed or pathological attachment in childhood may give rise to repetition of maladaptive attachment patterns in adulthood. This article provides an analysis of therapeutic relationships in the light of attachment theory. Concludes that an attachment perspective may be useful for understanding common behavioural disturbances in general psychiatric settings, and supports the use of clinical strategies which focus on containment of arousal and the management of anxiety states.
Improving the care of elderly people with mental health problems: clinical audit project examples
- Authors:
- STEEL Kirsty Maclean, PALMER Claire
- Publisher:
- Gaskell
- Publication year:
- 1999
- Pagination:
- 78p.
- Place of publication:
- London
Contains a selection of clinical audit projects within old age mental health services, all of which have been carried out in practice, with some still in progress. The projects are divided into topics: referrals; assessment; care plans; medication; clinical care; depression, deliberate self harm and suicide; organisational and management processes; and discharge.