Search results for ‘Subject term:"mental health problems"’ Sort:
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The association of physical illness and self-harm resulting in hospitalisation among older people in a population-based study
- Authors:
- MITCHELL Rebecca, et al
- Journal article citation:
- Aging and Mental Health, 21(3), 2017, pp.279-288.
- Publisher:
- Taylor and Francis
Objectives: This research aims to identify the association of physical illness with hospitalisations following self-harm compared to non-self-harm injury among older people. Method: A population-based cohort study of individuals aged 50+ years admitted to hospital either for a self-harm or a non-self-harm injury using linked hospital admission and mortality records during 2003–2012 in New South Wales, Australia was conducted. Logistic regression and survival plots were used to examine the association of 21 physical illnesses and mortality at 12 months by injury intent, respectively. Age-adjusted health outcomes, including length of stay, readmission and mortality were examined by injury intent. Results: There were 12,111 hospitalisations as a result of self-harm and 474,158 hospitalisations as a result of non-self-harm injury. Self-harm compared to non-self-harm hospitalised injury was associated with higher odds of mental health conditions (i.e. depression, schizophrenia, bipolar and anxiety disorders), neurological disorders (excluding dementia), other disorders of the nervous system, diabetes, chronic lower respiratory disease, liver disease, tinnitus and pain. Tinnitus, pain, malignancies and diabetes all had a higher likelihood of occurrence for self-harm compared to non-self-harm hospitalisations even after adjusting for mental health conditions, number of comorbidities and alcohol and drug dependency. Conclusion: Older people who are experiencing chronic health conditions, particularly tinnitus, malignancies, diabetes and chronic pain may be at risk of self-harm. Targeted screening may assist in identifying older people at risk of self-harm. (Edited publisher abstract)
Mental health in Northern Ireland: overview, strategies, policies, care pathways, CAMHS and barriers to accessing services
- Authors:
- BETTS Jennifer, THOMPSON Janice
- Publisher:
- Northern Ireland Assembly. Research and Information Service
- Publication year:
- 2017
- Pagination:
- 54
- Place of publication:
- Belfast
This paper provides an overview of mental health and illness in Northern Ireland, including the issues of self-harm and suicide. It highlights the relevant overarching strategies and policies and those specific to mental health, mental illness and suicide for Northern Ireland; describes the care pathway for treating mental health problems, including an overview of the stepped care model and recovery model; looks at provision of child and adolescent mental health services (CAMHS); and discusses evaluations of mental health service provision in NI in terms of accessing services and barriers to access. It also highlights relevant initiatives in England, Wales, Scotland and the Republic of Ireland relating to accessing mental health services. (Edited publisher abstract)
Suicide prevention: interim report: fourth report of session 2016-17. Report, together with formal minutes relating to the report
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Health Committee
- Publisher:
- Great Britain. House of Commons
- Publication year:
- 2016
- Pagination:
- 26
- Place of publication:
- London
Interim findings of an inquiry into suicide prevention, drawing on over 150 submissions and oral evidence from a range of organisations and individuals, including those bereaved by suicide or with lived experience of suicidal ideation. The report argues that the scale of the avoidable loss of life from suicide is unacceptable, with 4820 people recorded as having died by suicide in England in 2015 but with the true figure likely to be higher. The report outlines five key areas for consideration by the Government before the refreshed suicide prevention strategy is finalised: implementation—a clear implementation programme underpinned by external scrutiny is required; services to support people who are vulnerable to suicide—this includes wider support for public mental health and wellbeing alongside the identification of and targeted support for at risk groups, early intervention services, access to help in non-clinical settings, and improvements in both primary and secondary care, and services for those bereaved by suicide; consensus statement on sharing information with families—professionals need better training to ensure that opportunities to involve families or friends in a patient’s recovery are maximised, where appropriate; data—timely and consistent data is needed to enable swift responses to suspected suicides and to identify possible clusters, in order to prevent further suicides and to identify possible clusters, in order to prevent further suicides; and media—media guidelines relating to the reporting of suicide are being widely ignored and greater attention must be paid to dealing with breaches by the media, at national and local level. Consideration should also be given to what changes should be made to restrict access to potentially harmful internet sites and content. (Edited publisher abstract)
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)
Perceptions of family functioning in adolescents who self-harm
- Authors:
- PALMER Elizabeth, WELSH Patrick, TIFFIN Paul Alexander
- Journal article citation:
- Journal of Family Therapy, 38(2), 2016, p.257–273.
- Publisher:
- Wiley
This study compares the self-reported family functioning of 21 adolescents presenting at four UK medical wards with self-harming behaviour with those obtained from a sample of adolescents drawn from the local community. Adolescents hospitalised for self-harm reported that their families were more dysfunctional than healthy controls on the family perceptions scale. However, this difference was not observed when covariates such as emotional and behavioural distress were controlled for. Poor levels of agreement between adolescents and adult family members in relation to family perceptions were also observed. The findings suggest that adolescents who engage in significant self-harm perceive impairments in their family functioning. These reported impairments may be the result of concurrent emotional and behavioural distress or some form of interaction between family functioning and distress. A comprehensive family assessment to detect absolute changes and disparities in perceived family functioning may therefore help guide family interventions in this context. (Publisher abstract)
“Knowing that I’m not alone”: client perspectives on counselling for self-injury
- Authors:
- LONG Maggie, MANKTELOW Roger, TRACEY Anne
- Journal article citation:
- Journal of Mental Health, 25(1), 2016, pp.41-46.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Self-injury is an increasingly common phenomenon among clinical and non-clinical populations. Health care providers generally recommend behavioural interventions that address coping skills for people who self-injure despite a lack of a consistent evidence base about their effectiveness. There is limited understanding about experiences of counselling for self-injury from the perspectives of clients. Aim: To understand clients’ experiences of counselling for self-injury. Method: Ten interviews were conducted, audio-recorded and transcribed. Data were analysed using Grounded Theory (GT). Results: One central category, “Developing a healing reconnection with self and others” and four categories: (i) Building trust; (ii) seeing beyond the cutting; (iii) human contact and (iv) integrating experiences. Conclusions: Overcoming self-injury is possible within the context of a trusting and accepting therapeutic relationship. Participants perceived counselling to be helpful when counsellors were willing to work with underlying issues rather than focus primarily on the cessation of self-injury. Counsellors and mental health practitioners must look beyond the behaviour to meet with the person and facilitate the development of a therapeutic relationship, which promotes a healing reconnection with self and others. (Publisher abstract)
The perceptions of adolescents who self-harm on stigma and care following inpatient psychiatric treatment
- Authors:
- MITTEN Nicole, et al
- Journal article citation:
- Social Work in Mental Health, 14(1), 2016, pp.1-21.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Stigma within the context of mental illness has been conceptualised as problematic or negative knowledge, attitudes, and behaviour held against someone with mental illness. Perceptions of stigma and care receipt have been explored in adult clinical populations; however, these experiences have not been widely explored with adolescent clinical populations who self-harm. The purpose of this study was to explore youths’ perceptions of stigma. Using a cross-sectional design, open-ended interviews were conducted with 12 adolescents (14–19 years, 83% female). Data were examined with content analysis. Results indicated that youth reported experiences of stigma from both clinicians and other patients, and some of these youth reported stigmatising others with mental health disorders. Youth reported varied experiences with stigma and varied experiences with care receipt. Implications for practice include attention to perceived stigma in healthcare settings. (Edited publisher abstract)
Supporting individuals with autism who self-harm: attributions, emotional response and willingness to help
- Author:
- WILKINSON Jodie
- Journal article citation:
- Good Autism Practice, 16(1), 2015, pp.61-69.
- Publisher:
- British Institute of Learning Disabilities
The author, an educational psychologist, examines how support workers view self-harming behaviour in people with and without autism and how this then affects their emotional response and willingness to help. Her results suggest that support workers are likely to see individuals with autism as having more control over their self-harming behaviour and perceive it as being more stable. Staff were also less likely to prioritise, allocate time and refer a person to other services, to address their self-harm if they had autism. Support staff who attribute self-harm solely to the autism may miss signs that a person also has an accompanying mental health problem. The author suggests that staff are trained in mental health issues and autism and are made aware of attribution theory and how this can impact on how they view and respond to people with autism. (Edited publisher abstract)
Statistical update on suicide
- Author:
- OFFICE FOR NATIONAL STATISTICS
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2015
- Pagination:
- 11
- Place of publication:
- London
Key statistical data on suicide in England, highlighting trends and rates by gender, number of suicides by people in contact with mental health services, inpatient suicides, self-inflicted deaths in prison, apparent suicides following police custody, and deaths mentioning helium poisoning. There were 4,727 suicides recorded in 2013, a rise of 214 since 2012. The overall trend in the suicide rates has been decreasing since 1998 until 2008 but has been rising slightly since. The three-year average rate for 2011-13 was 8.8 suicides per 100,000 general population. (Edited publisher abstract)
Starting from scratch: an exploration of the narratives of the first episode of self-wounding
- Authors:
- DONSKOY Anne-Laure, STEVENS Rosemarie
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 6(2/3), 2013, pp.62-76.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present some results of a qualitative study exploring people's memories of the pathways to the first episode of self-wounding. Specifically it will focus on the issue of “suicidality”. Design/methodology/approach – In total, 11 participants, aged between 19 and 50, were described. They were asked to describe their first episode of self-wounding. The interviews were conducted using a semi-structured topic guide. An initial thematic and a subsequent narrative analysis were used to explore the participants’ stories. Findings: The narratives of self-wounding show that the first episode occurs in a complex landscape of interactions between events and emotions. Even when participants were aware of suicidal feelings before self-wounding, the suicidal intention was abandoned as the self-wounding was shown to be an effective method for dealing with distress. For most of the participants the self-wounding was not associated with suicidality but with a strong need to gain or regain control of an emotionally charged and chaotic environment. Practical implications: Focusing on the first episode of self-harm holds the key to a better appreciation of the underlying meanings of self-wounding as a complex and dynamic experience. It can provide health care practitioners with a new direction to understanding people's individual motivations rather than focusing relying on behaviour generalised assumptions. Originality/value: This study provides a rare insight into the first episode of self-harm as a unique event. It is also a rare example of publicly funded service-user research with a focus on issues which are meaningful to them. (Publisher abstract)