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Christine Dunkley, Alan Borthwick, Ruth Bartlett, Laura Dunkley, Stephen Palmer, Stefan Gleeson, David Kingdon
BACKGROUND: Escaping from emotional pain is a recognized driver in suicidal patients' desire to die. Formal scales of emotional pain are rarely used during routine contact between patients and their care team. No study has explored facilitators and inhibitors of emotional pain communication between staff and suicidal patients during regular care. AIMS: To identify factors impeding or facilitating emotional pain communication between patients at risk of suicide and mental health professionals...
December 19, 2017: Crisis
Myfanwy Maple, Tania Pearce, Rebecca Sanford, Julie Cerel, Dolores Angela Castelli Dransart, Karl Andriessen
BACKGROUND: Suicide may have disruptive and/or devastating effects on family, friends, and the broader community. Of late, increased interest from suicide researchers has given rise to an upsurge in research productivity addressing suicide bereavement and postvention. At this critical juncture, the establishment of an agenda will help guide the direction of future scholarly research in this field. AIMS: To conduct an exhaustive systematic mapping review and bibliometric analysis of peer-reviewed suicide bereavement and postvention research published over the past 50 years...
December 19, 2017: Crisis
Barbara Stanley, Glenn W Currier, Megan Chesin, Sadia Chaudhury, Shari Jager-Hyman, Hanga Gafalvy, Gregory K Brown
BACKGROUND: External causes of injury codes (E-codes) are used in administrative and claims databases for billing and often employed to estimate the number of self-injury visits to emergency departments (EDs). AIMS: This study assessed the accuracy of E-codes using standardized, independently administered research assessments at the time of ED visits. METHOD: We recruited 254 patients at three psychiatric emergency departments in the United States between 2007 and 2011, who completed research assessments after presenting for suicide-related concerns and were classified as suicide attempters (50...
December 19, 2017: Crisis
Rahel Eynan, Ravi Shah, Marnin J Heisel, David Eden, Reuven Jhirad, Paul S Links
BACKGROUND AND AIMS: Given the effectiveness of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCI) in the UK, the present study evaluated this approach in Southwestern Ontario. A systematic confidential examination of suicides in Ontario was developed to guide quality improvement of services and suicide prevention. METHOD: A 3-year case series of consecutive suicides in Southwestern Ontario identified by the Office of the Chief Coroner was compiled...
December 19, 2017: Crisis
(no author information available yet)
No abstract text is available yet for this article.
December 19, 2017: Crisis
Supria K Gill, Ricardo F Muñoz, Yan Leykin
BACKGROUND AND AIMS: Suicidality research in developing countries, including India, faces logistical and cultural challenges. Technology may help address these challenges and offer data to providers treating a diverse clientele. METHOD: The relationship between perceived stress and suicide-related beliefs was examined in two populations: Indians in India (n = 374) and Caucasians in English-speaking countries (n = 326); the influence of depression on that relationship was also explored...
December 8, 2017: Crisis
Avigal Snir, Alan Apter, Shira Barzilay, Dana Feldman, Eshkol Rafaeli, Vladimir Carli, Camilla Wasserman, Gergö Hadlaczky, Christina W Hoven, Marco Sarchiapone, Danuta Wasserman
BACKGROUND: Self-injurious behaviors in adolescence are a serious public health concern. AIMS: The current study aims to expand our understanding of motives for direct self-injurious behaviors (D-SIB). We examined the explicit motives but also the actual antecedents and consequences of D-SIB over time. METHOD: As part of the Saving and Empowering Young Lives in Europe (SEYLE) study, adolescents between the ages of 14 and 18 years from Israel completed self-report questionnaires at baseline, 3-month, and 12-month follow-ups...
December 8, 2017: Crisis
Chi Leung Kwok, Paul S F Yip
BACKGROUND: A surveillance system for self-harm has not been established in Hong Kong. The existing data source has an unknown degree of underreporting, and therefore a capture-recapture method has been proposed to correct for the incompleteness. AIMS: To assess the underestimation of the incidence of self-harm cases presenting to hospital in Hong Kong using a capture and recapture method. METHOD: Two different yet overlapping hospital administrative datasets of self-harm were obtained from all public hospitals in Hong Kong...
December 8, 2017: Crisis
Jess Zonana, Jessica Simberlund, Paul Christos
BACKGROUND: Safety plans are recommended as tools to mitigate suicide risk; however, their effectiveness remains unclear. AIM: To evaluate the impact of safety plans on patient care at an outpatient mental health clinic. METHOD: In this retrospective chart review, patients' treatment engagement, health-care utilization, and risk behaviors were measured. Patients served as their own historical controls, and we compared outcomes in the 6 months before and 6 months after creation of safety plans...
December 8, 2017: Crisis
Taneile A Kitchingman, Coralie J Wilson, Alan Woodward, Peter Caputi, Ian Wilson
BACKGROUND: Empathic engagement with distressed others can lead to elevated symptoms of psychological distress and functional impairment, which preclude helping professionals' delivery of optimal patient care. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. AIMS: This study examined the relationship between functional impairment and intentions to use recommended support skills in a representative national sample of 210 telephone crisis support workers...
November 29, 2017: Crisis
Karen James, Duncan Stewart
BACKGROUND: There is no commonly accepted definition of the term self-harm, and there is an ongoing debate about whether or not it should include acts of attempted suicide. The use of this language in clinical practice has not previously been explored. AIMS: To investigate if, and how, practitioners distinguish between acts of self-harm and attempted suicide, and present any implications for practice. METHOD: We conducted semistructured interviews with a random sample of 18 frontline practitioners from 10 mental health wards and completed a thematic analysis of interview data...
November 29, 2017: Crisis
Celine Larkin, Eve Griffin, Paul Corcoran, Carmel McAuliffe, Ivan J Perry, Ella Arensman
BACKGROUND: Alcohol misuse and alcohol consumption are significant risk factors for suicidal behavior. AIMS: This study sought to identify factors associated with alcohol consumption in cases of suicide and nonfatal self-harm presentations. METHOD: Suicide cases in Cork, Ireland, from September 2008 to June 2012 were identified through the Suicide Support and Information System. Emergency department presentations of self-harm in the years 2007-2013 were obtained from the National Self-Harm Registry Ireland...
November 29, 2017: Crisis
Molly Adrian, Aaron R Lyon, Semret Nicodimos, Michael D Pullmann, Elizabeth McCauley
BACKGROUND: The knowledge base surrounding how to most effectively prepare and sustain practitioner knowledge and skills for suicide risk assessment and management is limited. AIMS: This study examined the impact of a 6-hr continuing education training, and the effect of a posttraining reminder system, on mental health practitioners' knowledge, attitudes, and behavior surrounding suicide assessment and intervention. METHOD: Data were obtained prior to the training, immediately after the training, and at the 3-month follow-up...
November 29, 2017: Crisis
(no author information available yet)
No abstract text is available yet for this article.
November 2017: Crisis
Audrey Couillet, Jean-Louis Terra, Nassima Brochard, Nicolas Chauliac
BACKGROUND: The suicide rate in older people is high. Gatekeeper training is recommended for at-risk populations in the detection and management of suicidal residents in nursing homes. AIMS: This study focuses on how caregivers in nursing homes consider suicide in older people from a social perspective, and to what extent these social representations are an obstacle to the prevention of suicide. METHOD: This study is both observational and qualitative, and is based on semi-directed one-to-one interviews with caregivers...
November 2017: Crisis
Diego De Leo, Kairi Kõlves
No abstract text is available yet for this article.
November 2017: Crisis
Siobhan O'Neill, Edel Ennis, Danielle McFeeters, Lia Gallagher
BACKGROUND: Financial sector workers interface with indebted clients, who may be distressed and have heightened vulnerability to suicidality. AIM(S): This study examined the experiences of 10 Irish financial sector workers who had experiences of encountering distressed clients who discuss suicide. METHOD: Semistructured interviews (open-ended questions) were used. RESULTS: Interpretative phenomenological analysis (IPA) identified four themes, namely: (1) avoidance versus confrontation of reality (management of the debt); (2) role conflict (recovering the debt vs...
October 20, 2017: Crisis
Heather A Love, David P Nalbone, Lorna L Hecker, Kathryn A Sweeney, Prerana Dharnidharka
BACKGROUND: The termination of a romantic relationship is an established predictor of suicide attempt. Severing a relationship with a romantic figure can feel life-ending, based on attachment theory. AIMS: The primary goal of this study was to determine if specific risk markers for suicide are related to an individual's commitment level to the romantic relationship prior to its dissolution. METHOD: The purpose of this study was to examine if commitment and investment are linked with suicidal risk in a sample of adults (n = 208) in the United States ages 18-64 who experienced the break-up of a significant romantic relationship within the past 3 months...
October 20, 2017: Crisis
Jin Han, Philip J Batterham, Alison L Calear, Rebecca Randall
BACKGROUND: Evidence suggests that the majority of people with suicidality do not seek help. Little systematic evaluation of factors influencing professional help-seeking has been done. AIMS: To systematically evaluate the factors that influence professional help-seeking for suicidality. METHOD: Published quantitative and qualitative studies in Medline and PsycInfo databases were reviewed following PRISMA. RESULTS: In all, 55 relevant studies were identified...
October 20, 2017: Crisis
Hajime Sueki, Jiro Ito
BACKGROUND: Gatekeeper training is an effective suicide prevention strategy. However, the appropriate targets of online gatekeeping have not yet been clarified. AIM: We examined the association between the outcomes of online gatekeeping using the Internet and the characteristics of consultation service users. METHOD: An advertisement to encourage the use of e-mail-based psychological consultation services among viewers was placed on web pages that showed the results of searches using suicide-related keywords...
October 20, 2017: Crisis
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