Search results for ‘Subject term:"mental health problems"’ Sort:
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Suicide and self-harm
- Authors:
- BIRD Lisa, FAULKNER Alison
- Publisher:
- Mental Health Foundation
- Publication year:
- 2000
- Pagination:
- 30p.,list of orgs.,bibliog.
- Place of publication:
- London
Discusses incidence of, and risk factors for, suicide and self harm.
Seeing through the symptoms
- Author:
- ADAMS Ian
- Journal article citation:
- Nursing Times, 16.11.00, 2000, p.29.
- Publisher:
- Nursing Times
A psychiatric nurse talks to the author about his innovative and controversial approach to helping people who self harm.
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.
Gender differences in risk factors for suicide in Denmark
- Authors:
- QIN Ping, et al
- Journal article citation:
- British Journal of Psychiatry, 177, December 2000, pp.546-550.
- Publisher:
- Cambridge University Press
Gender is one of the most frequently replicated predictors for suicide. This Danish study aims to identify risk factors for suicide among males and females and to investigate whether risk factors for suicide differ by gender. A history of hospitalised mental illness was the most marked risk factor for suicide for both genders. Unemployment, retirement, being single and sickness absence were significant risk factors for men, whereas having a child 2 years old was significantly protective for women. The relative risks for suicide differed significantly between genders according to psychiatric admission status and being the parent of a child 2 years. However, adjustment for these factors did not eliminate the gender difference in suicide risk.
Deliberate self-harm and antidepressant drugs: investigation of a possible link
- Authors:
- DONOVAN Stuart, et al
- Journal article citation:
- British Journal of Psychiatry, 177, December 2000, pp.551-556.
- Publisher:
- Cambridge University Press
It is not clear if the frequency of deliberate self-harm (DSH) is the same in patients taking different pharmacological classes of antidepressant drugs. This study compares the frequency of DSH in patients who had been prescribes a tricyclic antidepressant (TCA) or a selective serotonin reuptake inhibitor (SSRI) prior to the DSH event. This was a prospective study in 2776 consecutive DSH cases attending an accident and emergency department. Significantly more DSH events occurred following the prescription of an SSRI than that of a TCA. The occurrence of DSH was highest with fluoxetine and lowest with amitriptyline. Merely prescribing safer-in-overdose antidepressants is unlikely to reduce the overall morbidity from DSH.
Addressing health workers' education and training needs in self- harm
- Authors:
- KINMOND Kathryn, KINMOND Robert
- Journal article citation:
- International Journal of Mental Health Promotion, 2(4), December 2000, pp.23-28.
- Publisher:
- Taylor and Francis
Self harm (SH) is common, and its frequency makes it a major public health concern. The majority of people who SH and seek medical treatment attend accident and emergency departments, but standard of care for this client group vary. This article reviews the knowledge and training needs of workers in one West Midlands hospital and details a recently validated study module in SH, aimed at raising awareness and addressing some of the identified training and education needs.
Crisis telephone consultation for deliberate self-harm patients: How the study groups used the telephone and usual health-care services
- Authors:
- EVANS Mark O., MORGAN Gethin, HAYWARD Alan
- Journal article citation:
- Journal of Mental Health, 9(2), April 2000, pp.155-164.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
In this study eight hundred and twenty-seven deliberate self-harm (DSH) patients admitted to medical wards were randomly allocated to either control or intervention (Green Card) groups. In addition to treatment as usual the intervention group was offered crisis telephone support. Analyses are presented on the way the telephone help-line was used as well as both groups' utilisation of primary and secondary healthcare services. Concludes that an urgent telephone consultation service for DSH patients is feasible to run and may result in a reduced requirement for other health-care services. On present evidence such a service should be confined to patients with no previous history of DSH.
Whose crisis?: responding to children and young people in an emergency
- Author:
- STREET Cathy
- Journal article citation:
- Young Minds Magazine, 49, November 2000, pp.14-18.
- Publisher:
- YoungMinds
Reports on recent research to examine the views of professionals working in social services, education and health on the provision for children and young people who present in a emergency with acute mental health problems. The findings reveal not only a shortage of beds, but a widespread perception of serious mis-match between what many young people need and the kinds of services that are currently available.
The care programme approach and risk assessment of borderline personality disorder: clinical validation of the CORE risk sub-scale
- Authors:
- WHEWELL P., BONANNO D.
- Journal article citation:
- Psychiatric Bulletin, 24(10), October 2000, pp.381-384.
- Publisher:
- Royal College of Psychiatrists
Article describes the validation of self-report of risk by patients with borderline personality disorder (BPD) as compared with the judgement of experienced psychotherapists in regular contact with them. The aim was to validate the Clinical Outcomes in Routine Evaluation System (CORE) self-report in order to be able to use it monitor risk change for patients with BPD in psychotherapy and general psychiatric settings. There was significant separation correlation between CORE risk sub-scales for self-harm, suicide and risk to others and therapists' estimation of significant risk v. no significant risk.
Psychiatric patients at greatest risk and in greatest need: impact of the Supervision Register Policy
- Authors:
- BINDMAN Jonathan, et al
- Journal article citation:
- British Journal of Psychiatry, 177, July 2000, pp.33-37.
- Publisher:
- Cambridge University Press
Mental health provider trusts in England were required in 1994 to establish local Supervision Registers of patients at risk. This research aimed to identify the factors associated with registration, and obtain clinicians' views on its effectiveness. Findings show that the Supervision Register policy has not resulted in the identification of a well-defined group. Its effectiveness is limited by the lack of operationalised measures of risk.