Search results for ‘Subject term:"mental health problems"’ Sort:
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Patient suicide: the impact of service changes: a UK wide study
- Author:
- NATIONAL CONFIDENTIAL INQUIRY INTO SUICIDE AND HOMICIDE BY PEOPLE WITH MENTAL ILLNESS
- Publisher:
- University of Manchester
- Publication year:
- 2013
- Pagination:
- 18
- Place of publication:
- Manchester
The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH) aimed to examine the relationship between mental health service changes and patient suicide rates in the UK. The specific objectives were to investigate: the take up of service changes over time; the association between the number of service changes implemented and suicide rates; the association between service changes and suicide rates before and after their implementation; and the effect of individual service changes on specific patient sub-groups. A detailed service questionnaire was sent to all mental health services in the UK. Questions related to whether specific policies or service changes had been implemented. 17 recommendations and service changes were selected for consideration, reflecting their clinical and policy importance. (Edited publisher abstract)
The national confidential inquiry into suicide and homicide by people with mental Illness. Annual report: England, Northern Ireland, Scotland and Wales
- Authors:
- APPLEBY Louis, et al
- Publisher:
- University of Manchester. Centre for Mental Health and Risk. National Confidential Inquiry into Suicide and Homicide by People with Mental Illness
- Publication year:
- 2013
- Pagination:
- 135
- Place of publication:
- Manchester
It is reported that suicide by mental health patients had risen, to 1,333 deaths in 2011 (England), following a previous fall. The rise probably reflected the rise in suicide in the general population, which had been attributed to existing economic difficulties. The proportion of patients dying by suicide who were unemployed had risen in England and Northern Ireland. An apparent rise in Scotland was largely explained by a coding change, but the adjusted figure for patient suicide was still comparatively high. Increases in Wales and Northern Ireland were based on small numbers and should be treated with caution. (Edited publisher abstract)
“Talk” about male suicide? learning from community programmes
- Authors:
- ROBINSON Mark, BRAYBROOK Debbie, ROBERTSON Steve
- Journal article citation:
- Mental Health Review Journal, 18(3), 2013, pp.115-127.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the contribution of public awareness campaigning in developing community capacity toward preventing male suicide and explores emerging considerations for suicide prevention programme development. Design/methodology/approach: The paper draws on campaign evaluation data, specifically qualitative discussion groups with the general public, to report results concerning campaign processes, and “interim” effectiveness in changing public awareness and attitudes, and then discusses how progress is to be lasting and transformational. Findings: The campaign raised the awareness of a substantial proportion of those targeted, and affected attitudes and behaviour of those who were highly aware. The community settings approach was effective in reaching younger men, but there were challenges targeting the public more selectively, and engaging communities in a sustained way. Practical implications: The paper discusses emerging considerations for suicide prevention, focusing on gender and approaches and materials for engaging with the public as “influencers”. There are challenges to target audiences more specifically, provide a clear call to action, and engage the public in a sustained way. Social implications: The paper discusses emerging considerations for suicide prevention, focusing on gender and approaches and materials for engaging with the public as “influencers”. There are challenges to target audiences more specifically, provide a clear call to action, and engage the public in a sustained way. Originality/value: The paper adds fresh evidence of gendered communication processes, including their effects on public awareness, attitudes and engagement. Application of a theory of change model leads to systems level findings for sustaining programme gains. (Publisher abstract)
Career counsellors and suicide risk assessment
- Journal article citation:
- British Journal of Guidance and Counselling, 41(4), 2013, pp.363-374.
- Publisher:
- Taylor and Francis
Recent discussions suggest that career counsellors need to be trained in more holistic frameworks in order to deal with the career and psychological issues of their clients. In particular, research shows a strong connection between employment and suicidality, including changes in socioeconomic status, disruption in employment, sudden unemployment, learning disabilities, occupational stress, difficulties at work and interpersonal conflicts. Many people struggling with work-related issues are likely to suffer from anxiety, depression, isolation or substance misuse, all significant risk factors associated with suicidal ideation. Therefore, by becoming competent in dealing with both vocational and personal issues, career counsellors might be in a unique position to be effective in assessing suicidal risk due to their less stigmatised role in the field. (Publisher abstract)
Independent Commission on Mental Health and Policing report
- Author:
- INDEPENDENT COMMISSION ON MENTAL HEALTH AND POLICING
- Publisher:
- Independent Commission on Mental Health and Policing
- Publication year:
- 2013
- Pagination:
- 80
- Place of publication:
- London
Reports on the findings of the Independent Commission on Mental Health and Policing, which was set up in September 2012 to review the work of the Metropolitan Police Service with regard to people who have died or been seriously injured following police contact or in police custody. It focuses on their responsibilities in dealing with issues of mental health: In custody; at street encounter; and in response to calls made to police, including call handling processes when dealing with members of the public where there is an indication of mental health. The Commission examined 55 Metropolitan Police Service cases covering a five-year period (2007 - 2012) and interviewed the families of those involved; people with mental health problems; their families, police officers and NHS and social services staff. The report identified failings of the Metropolitan Police in a number of areas, including: a lack of mental health awareness amongst staff and officers; lack of training and policy guidance in suicide prevention; failure of procedures to provide adequate care to vulnerable people in custody; problems of interagency working; disproportionate use of force and restraint; and discriminatory attitudes and behaviour. The Commission makes 28 recommendations for change in the areas of: leadership, frontline policing, and inter-agency working. (Edited publisher abstract)
Culture and suicide: Korean-Canadian immigrants’ perspectives
- Authors:
- HAN Christina S.E., OLIFFE John L., OGRODNICZUK John S.
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 6(2/3), 2013, pp.30-42.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe culture- and context-specific suicidal behaviours among Korean-Canadian immigrants as a means to guiding the development of targeted culturally sensitive suicide prevention programmes. Design/methodology/approach: Fifteen Korean-Canadian immigrants who had experiences with suicidal behaviours (e.g. suicidal ideation, suicide attempts) participated in this qualitative research study. Semi-structured interviews were conducted for 30-90 minutes individually and constant comparison analysis methods were used to inductively derive recurrent prevailing themes from the interview data. Findings: The study findings reveal that causes and triggers for suicidal behaviours among Korean-Canadians most often emerged from academic and work pressures, estranged family and altered identities. Permeating these themes were deeply embedded cultural values, which according to the participants, could afford protection or heighten the risk for suicide. Research limitations/implications: By focussing only on first-generation Korean-Canadian immigrants, the results are limited in what they can reasonably say about other Canadian immigrant sub-groups. Practical implications: In light of the current research findings, mental health care providers should be cognizant of immigrant patients’ cultural backgrounds and life circumstances as a means to further understanding what underpins their risk for suicide. Originality/value: Notwithstanding the aforementioned limitation, this study contributes important empirical insights about Korean-Canadian immigrants’ suicidal ideation and risk/protective factors. This not only adds to the wider literature connecting culture and suicidality, it affirms the need for culture-specific research as a means to developing culturally sensitive mental health services. (Publisher abstract)
Suicidal thoughts/behaviors in sexually abused children
- Authors:
- WHERRY Jeffrey N., et al
- Journal article citation:
- Journal of Child Sexual Abuse, 22(5), 2013, pp.534-551.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examined the frequency of suicidality based on self-report and parent report in 430 sexually abused outpatient youth ages 3 to 17. Thirty-four percent of youth experienced suicidal ideation or behaviour. However, when both parent and child completed measures, the rate of suicidality increased to 45.3%. The prevalence of suicidal thoughts and behaviour was not higher based on relationship to the perpetrator, race, or previous placement outside the home. Suicidal youth rated themselves as more depressed, anxious, and angry on self-reports. Child self-reports of post-traumatic stress disorder were greater among the suicidal youth. Parent reports of depression and post-traumatic stress disorder were greater among suicidal youth. A logistic regression model including Trauma Symptom Checklist for Children Depression and Anger scores correctly classified 74.2% of suicidal and nonsuicidal children and adolescents, but not self-criticism, was predicted by depression and anger. These findings support the need for formal multi-informant evaluations of suicidality in sexually abused youth. (Publisher abstract)
‘Rabone’ and four unresolved problems in mental health law
- Authors:
- SZMUKLER George, RICHARDSON Genevra, OWEN Gareth
- Journal article citation:
- Psychiatrist (The), 37(9), 2013, pp.297-301.
- Publisher:
- Royal College of Psychiatrists
In a landmark decision, the Supreme Court of the UK ruled that the state has a special operational duty to protect the right to life in informal psychiatric in-patients (‘Rabone case’), in sharp distinction to general medical or surgical patients. In the case, 24 year-old Melanie Rabone died by hanging on 20 April 2005. The previous day she had been allowed home leave from a psychiatric unit where she had been admitted on 11 April. She had previous history of self-harm and attempted suicide. This article examines the implications of this decision for mental health law and for understandings of the nature of mental healthcare. The authors argue that the significance of this case is general, not just local, and that it exposes four important unresolved problems in mental health law: the place of decision-making capacity; the meaning of ‘informal’ admission; parity between mental and physical health; and the accuracy of risk assessment. (Edited publisher abstract)
A human right to be detained? Mental healthcare after ‘Savage’ and ‘Rabone’
- Authors:
- RAHMAN Mohmmad Shaiyan, WOLFERSTAN Nadya
- Journal article citation:
- Psychiatrist (The), 37(9), 2013, pp.294-296.
- Publisher:
- Royal College of Psychiatrists
The UK courts have recently considered the management of suicidal patients in the cases of Savage and Rabone. In the Rabone case, the Supreme Court of the UK ruled that the state had a special operational duty to protect the right to life in informal psychiatric patients. As a result of these judgments, the case law has extended significantly the responsibilities of mental healthcare providers. This article discusses the repercussions of these landmark decisions which are likely to have significant consequences for mental health service providers in the UK. (Edited publisher abstract)
Suicidal ideation and resilience in family carers of people with dementia: a pilot qualitative study
- Authors:
- O'DWYER Siobhan, MOYLE Wendy, van WYK Sierra
- Journal article citation:
- Aging and Mental Health, 17(6), 2013, pp.753-760.
- Publisher:
- Taylor and Francis
Family carers of people with dementia have higher than average rates of depression, anxiety and hopelessness. This pilot study conducts an initial exploration of carers’ experiences of suicidality and identifies factors associated with risk and resilience. A descriptive qualitative approach was taken. In-depth interviews were conducted with nine carers of people with dementia (four male, five female) from Brisbane, Australia and surrounding areas and transcripts were analysed thematically. Three themes were identified in the data: ‘experiences of suicidal ideation’, ‘risk factors’ and ‘resilience’. Four of the nine participants had experienced suicidal thoughts and two had made preparations for a suicidal act. Risk factors included pre-existing mental health problems, physical health conditions, and conflict with other family or care staff. Factors positively associated with resilience included the use of positive coping strategies, faith, social support and personal characteristics. Some people contemplate suicide while caring for a family member with dementia. Further research is required to confirm the rate of suicidal ideation in the caring population and the relative contribution of factors associated with risk and resilience. In the meantime, service providers and health professionals should be taking steps to identify and support carers currently experiencing suicidal thoughts. (Edited publisher abstract)