Search results for ‘Subject term:"mental health problems"’ Sort:
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Seriousness and lethality of attempted suicide: a systematic review
- Authors:
- LIOTTA Marco, MENTO Carmela, SETTINERIC Salvatore
- Journal article citation:
- Aggression and Violent Behavior, 21, 2015, pp.97-109.
- Publisher:
- Elsevier
The concepts of seriousness and lethality of suicide attempts are essential to the assessment of suicide risk and, therefore, to prevent suicidal behaviour. A review of the literature was conducted in order to identify the most important factors that increase the seriousness and potential lethality of attempted suicide. The factors identified were incorporated into four main categories: progression along the suicide continuum; age and gender; mental disorders and method of suicide. Although each category contains independent risk factors for the severity of the suicide attempt, their combination both within and, above all, between them, has emerged as the most important predictor of suicidal behaviour. (Publisher abstract)
Risk of suicide after suicide attempt according to coexisting psychiatric disorder: Swedish cohort study with long term follow-up
- Authors:
- TIDEMALM Dag, et al
- Journal article citation:
- British Medical Journal, 6.12.09, 2008, pp.1328-1330.
- Publisher:
- British Medical Association
This study aimed to investigate the impact of coexistent psychiatric morbidity on risk of suicide after a suicide attempt. Participants were 39,685 people (53% women) admitted to hospital for attempted suicide during 1973-82. A high proportion of suicides in all diagnostic categories took place within the first year of follow-up (14-64% in men, 14-54% in women); the highest short term risk was associated with bipolar and unipolar disorder (64% in men, 42% in women) and schizophrenia (56% in men, 54% in women). The strongest psychiatric predictors of completed suicide throughout the entire follow-up were schizophrenia (adjusted hazard ratio 4.1, 95% confidence interval 3.5 to 4.8 in men, 3.5, 2.8 to 4.4 in women) and bipolar and unipolar disorder (3.5, 3.0 to 4.2 in men, 2.5, 2.1 to 3.0 in women). Increased risks were also found for other depressive disorder, anxiety disorder, alcohol misuse (women), drug misuse, and personality disorder. The highest population attributable fractions for suicide among people who had previously attempted suicide were found for other depression in women (population attributable fraction 9.3), followed by schizophrenia in men (4.6), and bipolar and unipolar disorder in women and men (4.1 and 4.0, respectively). Type of psychiatric disorder coexistent with a suicide attempt substantially influences overall risk and temporality for completed suicide. To reduce this risk, high risk patients need aftercare, especially during the first two years after attempted suicide among patients with schizophrenia or bipolar and unipolar disorder.
Young people's experience of recovery and wellbeing following a suicide attempt
- Authors:
- COGGAN Carolyn, BENNETT Sara
- Journal article citation:
- Social Work Now: the Practice Journal of Child, Youth and Family, 23, December 2002, pp.15-22.
- Publisher:
- Child, Youth and Family (Department of Child, Youth and Family Services, Te Tari Awhina I te Tamaiti, te Rangatahi, tae atu ki te Whanau)
Discusses evidence that young people (15-24) in New Zealand are at increased suicide risk compared with other OECD countries. Describes analysis of interviews with young people who had attempted suicide. Findings showed most intended to end their lives, though some sought to attract attention. Extracts express the sense of the impact and the enormous change in sense of self and relationships. Concludes developing a sense of resistance to future suicidal behaviours is complex and time-consuming.
Exploring suicide risk history among youth in residential care
- Authors:
- HURLEY Kristin Duppong, et al
- Journal article citation:
- Residential Treatment for Children and Youth, 31(4), 2014, pp.316-327.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Adolescents in residential care settings have double the national average of suicide risk histories (attempts, threats, and ideation). However, little is known about youth with specific suicide-risk histories. This study explored differences in demographic characteristics and mental health variables for 509 youth in residential care with high and low suicide-risk histories. Overall, nearly 40% of participants had a high suicide-risk history, and significant differences between low and high suicide-risk history groups were found for multiple variables (e.g., gender, ethnicity, number of diagnoses). This study highlights a need for research into areas associated with suicide-risk history in residential care. (Publisher abstract)
The burden of living with and caring for a suicidal family member
- Author:
- McLAUGHLIN Columba
- Journal article citation:
- Journal of Mental Health, 23(5), 2014, pp.236-240.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Aim: This study explores the lived experiences of participants who cared for suicidal family members. Methods: Eighteen participants were interviewed using a short topic guide. Responses were digitally recorded and transcripts were analysed using thematic analysis. Results: One overarching theme: “Hard work for the whole family” and four sub-themes: (i) Family burden, (ii) competing pressures, (iii) secrecy and shame and (iv) helplessness and guilt. Conclusions: Caring for a suicidal family member may be euphemistically summarised as “hard work” that impacts heavily on the day-to-day tasks of other family members. Participants spent much time worrying and ruminating about the risk of suicide in their family member. Mental health care professionals ought to acknowledge and address the impact that suicidal behaviour has on family carers. (Edited publisher abstract)
A review of risk factors associated with suicide in adults with intellectual disability
- Authors:
- MOLLISON Emma, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(5), 2014, pp.302-308.
- Publisher:
- Emerald
Purpose: As recently as the 1980's it was still a widely held belief that individuals with intellectual disability (ID) did not have the cognitive capacity to experience mental health problems and this acted as a “buffer” against suicidal behaviour. The literature review examines the evidence relating to risk factors for individuals with intellectual disabilities. Design/methodology/approach: The literature review covered the time period 1993-2013 and returned 117 studies, 77 of which related to individuals with ID, 37 of which related to adults. Following screening titles and abstracts 28 articles were removed. A total of nine studies were found to be eligible for inclusion in the review. A further two studies examining suicide in adolescents (up to adulthood) with ID were also considered. From the eligible studies the following information was considered: study design, sample size, strengths, limitations and the risk factors associated with an increased risk of suicide. Findings: The suicide risk factors identified during the review were found to be in keeping with the general population and included a diagnosis of clinical depression, history of self-harm, unemployment, loneliness, unemployment, an increased need for support from others, early onset mental illness and being treatment resistive. (Edited publisher abstract)
The prevalence of suicide attempts among community-dwelling US Chinese older adults – findings from the PINE study
- Authors:
- DONG XinQi, et al
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 7(1), 2014, pp.23-35.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the prevalence of suicide attempts and explore the suicide methods among community-dwelling Chinese older adults. Design/methodology/approach: Data were drawn from the Population Study of Chinese Elderly in Chicago (PINE) study, a population-based epidemiological study of Chinese older adults aged 60 years and above in the greater Chicago area. Guided by the community-based participatory research (CBPR) approach, the study enrolled 3,159 community-dwelling Chinese older adults from 2011 to 2013. Findings: The lifetime prevalence of suicide attempts is 791 per 100,000 and the past 12-month prevalence of suicide attempts is 285 per 100,000. Medication overdose is the most common suicide method both in the group of lifetime suicide attempts and 12-month suicide attempts. Lower income is positively correlated with lifetime suicide attempts and 12-month suicide attempts. Living with fewer household members is positively correlated with lifetime suicide attempts but not with 12-month suicide attempts. Research limitations/implications: The findings emphasise the needs for improved understanding of suicidal behaviour among minority older adults and to develop culturally and linguistically sensitive prevention and intervention strategies. Practical implications: Community stakeholder should improve the accessibility and availability of culturally sensitive mental health services and extend timely and effective suicide interventions in the Chinese community. Originality/value: This study represents the first and largest population-based epidemiological study to investigate the suicide attempts and methods among US Chinese older adults. In addition, the implementation of the CBPR approach allows us to minimise the cultural barriers associated with suicide investigation. The study emphasises the need for improved understanding on suicidal behaviour among minority older adults to inform culturally and linguistically sensitive prevention and intervention strategies. (Edited publisher abstract)
Relating to self-harm and suicide prevention: psychoanalytic perspectives on practice, theory and prevention
- Editors:
- BRIGGS Stephen, LEMMA Alessandra, CROUCH William, (eds.)
- Publisher:
- Routledge
- Publication year:
- 2008
- Pagination:
- 272p.
- Place of publication:
- London
Based on the papers and dialogue that took place at the 2nd International Suicidality and Psychoanalysis Congress in 2006, this book presents studies and research from psychoanalysts, therapists and academics. It focuses on the psychoanalytic understanding of suicide and self-harm and how this can be applied to clinical work and policy. Its three sections cover: a theoretical overview, examples of psychoanalytic practice with self-harming and suicidal patients, and applications of psychoanalytic thinking to suicide and self-harm prevention.
Suicidal behaviour in nursing homes: a survey in a region of north-east Italy
- Authors:
- SCOCCO Paolo, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(4), April 2006, pp.307-311.
- Publisher:
- Wiley
The complete list of Nursing Homes was provided by the Regional Department of Health for the Veneto region, in the North-East of Italy. Structured interviews were completed with nursing home managers, inquiring about nursing home, staff and management characteristics, mental health care available and the number of completed and attempted suicides (AS) in 2001 made by residents older than 65 years, occurring either inside or outside nursing homes. All facilities which reported suicidal events were asked additional information. In the study period, five completed suicides and eight AS were reported. All but one suicides and one AS had a history of mental disorders. Seven subjects had been living in a nursing home for less than one year. There were no significant differences in the frequency of suicidal events between the facilities which employed or did not employ mental health workers. The suicide rate found in this facility sample is much higher than the rate reported by the Italian National Statistic Institute for the over-65-year-old population of the Veneto Region in 2001, and is similar to the rate reported in a previous study conducted in another country. It is concluded that in Veneto nursing homes behavioural control of residents, lack of access to a variety of means used for suicidal purposes and medical supervision does not seem to have protected the nursing home population from suicidal risks.
Teenage suicide and self-harm
- Author:
- PIPER Dorothy Eddi
- Publisher:
- Trust for the Study of Adolescence
- Publication year:
- 1996
- Pagination:
- 19p.
- Place of publication:
- Brighton
Aimed at parents and carers, this book covers issues concerning suicide and self-harm such as recognising the risk, a suicide in the family, and helping distressed young people. It features a list of organisations at the back of the booklet.