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Deliberate Self-Harm

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https://www.readbyqxmd.com/read/28535842/general-practitioners-clinical-expertise-in-managing-suicidal-young-people-implications-for-continued-education
#1
Maria Michail, Lynda Tait, Dick Churchill
Aim To examine general practitioners' (GPs) clinical expertise in assessing, communicating with, and managing suicidal young people aged 14-25 to inform the development of an educational intervention for GPs on youth suicide prevention. BACKGROUND: Suicide is the second leading cause of death for young people worldwide. GPs are ideally suited to facilitate early identification and assessment of suicide risk. However, GPs' levels of competence, knowledge, and attitudes towards suicidal young people have not yet been explored...
May 24, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28498584/risk-of-suicide-deliberate-self-harm-and-psychiatric-illness-after-the-loss-of-a-close-relative-a-nationwide-cohort-study
#2
Mai-Britt Guldin, Maiken Ina Siegismund Kjaersgaard, Morten Fenger-Grøn, Erik Thorlund Parner, Jiong Li, Anders Prior, Mogens Vestergaard
The loss of a close relative is a common event, yet it is associated with increased risk of serious mental health conditions. No large-scale study has explored up to now the importance of the bereaved person's relation to the deceased while accounting for gender and age. We performed a nationwide Danish cohort study using register information from 1995 through 2013 on four sub-cohorts including all persons aged ≥18 years exposed to the loss of a child, spouse, sibling or parent. We identified 1,445,378 bereaved persons, and each was matched by gender, age and family composition to five non-bereaved persons...
June 2017: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/28492576/-mental-capacity-and-capacity-to-consent-multicentric-study-in-a-involuntary-psychiatric-hospitalized-patients-sample
#3
Felice Carabellese, Gabriele Mandarelli, Donatella La Tegola, Giovanna Parmigiani, Stefano Ferracuti, Roberto Quartesan, Antonello Bellomo, Roberto Catanesi
BACKGROUND: The purpose of this longitudinal observational study is to evaluate the course and impact of clinical, social, and behavioral variables on the involuntary readmission of psychiatric patients, during a 6-months follow-up after discharge from a prior involuntary hospitalization. METHODS: N=131 involuntarily committed psychiatric patients were enrolled in three university hospitals (Bari n=57; Perugia n=42; Rome n=32). At the first assessment cognitive functioning (MMSE), psychiatric symptoms severity (BPRS-E), capacity to consent to treatment (MacCAT-T) as well as principal socio-demographic and clinical variables were collected...
March 2017: Rivista di Psichiatria
https://www.readbyqxmd.com/read/28483086/suicide-and-deliberate-self-harm-in-afghanistan
#4
REVIEW
Mohammad Akbar Paiman, Murad Moosa Khan
BACKGROUND: Suicide and deliberate self-harm (DSH) are major public health problems globally. There is limited information on suicide and DSH from Afghanistan. AIMS: To review available literature on suicide and DSH in Afghanistan. METHODS: Using online resources and literature on suicidal behavior (suicide, DSH and suicidal ideation) was searched. RESULTS: There were only seven published studies identified on suicidal behavior in Afghanistan...
April 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28468644/self-injury-and-externalizing-pathology-a-systematic-literature-review
#5
Gergely Meszaros, Lili Olga Horvath, Judit Balazs
BACKGROUND: During the last decade there is a growing scientific interest in nonsuicidal self-injury (NSSI). The aim of the current paper was to review systematically the literature with a special focus on the associations between self-injurious behaviours and externalizing psychopathology. An additional aim was to review terminology and measurements of self-injurious behaviour and the connection between self-injurious behaviours and suicide in the included publications. METHODS: A systematic literature search was conducted on 31st December 2016 in five databases (PubMed, OVID Medline, OVID PsycINFO, Scopus, Web of Science) with two categories of search terms (1...
May 3, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28468565/-mentalization-based-treatment-of-an-adolescent-girl-with-conduct-disorder
#6
Melanie Reiter, Astrid Bock, Marie-Luise Althoff, Svenja Taubner, Kathrin Sevecke
Mentalization Based Treatment of an Adolescent Girl with Conduct Disorder This paper will give a short overview on the theoretical concept of mentalization and its specific characteristics in adolescence. A previous study on Mentalization based treatment for adolescents (MBT-A) demonstrated the effectiveness of MBT-A for the treatment of adolescents with symptoms of deliberate self-harm (Rossouw u. Fonagy, 2012). Based on the results of this study Taubner, Gablonski, Sevecke, and Volkert (in preparation) developed a manual for mentalization based treatment for adolescents with conduct disorders (MBT-CD)...
May 2017: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/28465843/hypercapnea-and-acidemia-despite-hyperventilation-following-endotracheal-intubation-in-a-case-of-unknown-severe-salicylate-poisoning
#7
Shannon M Fernando, Valérie Charbonneau, Hans Rosenberg
Salicylates are common substances for deliberate self-harm. Acute salicylate toxicity is classically associated with an initial respiratory alkalosis, followed by an anion gap metabolic acidosis. The respiratory alkalosis is achieved through hyperventilation, driven by direct stimulation on the respiratory centers in the medulla and considered as a compensatory mechanism to avoid acidemia. However, in later stages of severe salicylate toxicity, patients become increasingly obtunded, with subsequent loss of airway reflexes, and therefore intubation may be necessary...
2017: Case Reports in Critical Care
https://www.readbyqxmd.com/read/28457093/deliberate-self-harm-in-older-adults-a-general-hospital-emergency-department-survey
#8
Irina Briskman, Assaf Shelef, Uri Berger, Yehuda Baruch, Gali Bar, Jack Asherov, Artur Lvovski, Alan Apter, Yoram Barak
BACKGROUND: Deliberate self-harm (DSH) increases the danger of future suicide death and the risk increases with age. Self-harm in older adults is often associated with greater suicidal intent and lethality. OBJECTIVES: To investigate clinical and psychosocial variables of older patients (age ≥ 65 years) assessed due to DSH, compared with younger adults. METHODS: Patients admitted to the Emergency Department following DSH during an 8 year period were included...
March 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28400690/transient-distal-renal-tubular-acidosis-in-organophosphate-poisoning
#9
Ram Narayan, Mansoor C Abdulla, Jemshad Alungal
Renal complications due to organophosphate poisoning are very rare. We are presenting a unique case of transient distal renal tubular acidosis due to organophosphate poisoning, which to the best of our knowledge is the first of its kind. An elderly female after deliberate self-harm with ingestion of chlorpyrifos had multiple ventricular arrhythmias due to hypokalemia secondary to distal renal tubular acidosis which improved completely after treatment.
March 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28384711/association-between-deliberate-self-harm-and-violent-criminality
#10
Hanna Sahlin, Ralf Kuja-Halkola, Johan Bjureberg, Paul Lichtenstein, Yasmina Molero, Mina Rydell, Erik Hedman, Bo Runeson, Jussi Jokinen, Brjánn Ljótsson, Clara Hellner
Importance: Individuals who self-harm may have an increased risk of aggression toward others, but this association has been insufficiently investigated. More conclusive evidence may affect assessment, treatment interventions, and clinical guidelines. Objective: To investigate the association between nonfatal self-harm and violent crime. Design, Setting, and Participants: This population-based longitudinal cohort study, conducted from January 1, 1997, through December 31, 2013, studied all Swedish citizens born between 1982 and 1998 who were 15 years and older (N = 1 850 252)...
April 5, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28380107/biting-myself-so-i-don-t-bite-the-dust-prevalence-and-predictors-of-deliberate-self-harm-and-suicide-ideation-in-azorean-youths
#11
Célia Barreto Carvalho, Carolina da Motta, Marina Sousa, Joana Cabral
Objective: To characterize non-suicidal self-injury (NSSI) behaviors, methods, and functions as well as suicide ideation in the adolescent population of a Portuguese community in São Miguel Island, Azores. Increasing rates of NSSI behaviors among adolescents have been observed globally, while suicidal behavior has been pointed as a major cause of death during adolescence. Methods: A sample of 1,763 adolescents, aged 14 to 22, was randomly drawn from public and private schools and administered a set of self-report questionnaires...
March 30, 2017: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/28350146/-a-girl-with-self-harm-treated-with-n-acetylcysteine-nac
#12
C P Rus
Deliberate and recurrent self-harm could be regarded as addictive behaviour that can be treated with medication. In addiction, the dopaminergic mesolimbic reward system is activated. Pain caused by cutting stimulates the reward system through the opioid system. Glutamatergic neurotransmission follows the same pathway and plays a role in addiction as well. In this case-study a 17-year-old girl was successfully treated with N-acetylcysteine (nac) in order to reduce the frequency of self-cutting. In addition, in this case nac reduced the symptoms of attention deficit/hyperactivity disorder and depression...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28347932/the-impact-of-child-maltreatment-on-the-risk-of-deliberate-self-harm-among-adolescents-a-population-wide-cohort-study-using-linked-administrative-records
#13
Nan Hu, Catherine L Taylor, Jianghong Li, Rebecca A Glauert
Adolescents exposed to maltreatment have an elevated risk of deliberate self-harm (DSH). The aim of this study was to investigate longitudinally the effects of the number, timing, and type of maltreatment allegations on adolescent risk of having a DSH-related hospital admission, using linked data in Western Australia. A total of 351,372 children born between 1986 and 2000 were followed from birth up to the year 2010. Cox regression models were utilized, while controlling for a range of psychosocial covariates...
March 24, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28320225/suicide-following-deliberate-self-harm
#14
Mark Olfson, Melanie Wall, Shuai Wang, Stephen Crystal, Tobias Gerhard, Carlos Blanco
OBJECTIVE: The authors sought to identify risk factors for repeat self-harm and completed suicide over the following year among adults with deliberate self-harm. METHOD: A national cohort of Medicaid-financed adults clinically diagnosed with deliberate self-harm (N=61,297) was followed for up to 1 year. Repeat self-harm per 1,000 person-years and suicide rates per 100,000 person-years (based on cause of death information from the National Death Index) were determined...
March 21, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28257103/risk-estimates-and-risk-factors-related-to-psychiatric-inpatient-suicide-an-overview
#15
REVIEW
Trine Madsen, Annette Erlangsen, Merete Nordentoft
People with mental illness have an increased risk of suicide. The aim of this paper is to provide an overview of suicide risk estimates among psychiatric inpatients based on the body of evidence found in scientific peer-reviewed literature; primarily focusing on the relative risks, rates, time trends, and socio-demographic and clinical risk factors of suicide in psychiatric inpatients. Psychiatric inpatients have a very high risk of suicide relative to the background population, but it remains challenging for clinicians to identify those patients that are most likely to die from suicide during admission...
March 2, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28238609/epidemiology-of-coronial-deaths-from-pesticide-ingestion-in-australia
#16
Nicholas J Osborne, Rose Cairns, Andrew H Dawson, Kate M Chitty, Nicholas A Buckley
Pesticides in Australia are tightly regulated but it is unknown how this may affect the distribution of misuse and self-harm across Australia, both spatially and within subgroups in the population. We performed an observational study to examine spatial differences in suicide/deliberate poisonings with pesticides in Australia. We examined Coronial inquest cases of self-harm by pesticide ingestion for the years 2001-2013 (n=209). Coronial cases were older, more likely to be male, have lower SES status and live in outer regional areas as opposed to cities when compared to the general population...
February 4, 2017: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/28206785/relationships-among-traumatic-experiences-ptsd-and-posttraumatic-growth-for-police-officers-a-path-analysis
#17
Brian A Chopko, Patrick A Palmieri, Richard E Adams
OBJECTIVE: Law enforcement officers tend to be exposed to a high frequency of potentially traumatic incidents. A dichotomous distinction among these events involves the witnessing of threat or harm to others and the experiencing of threat or harm directly to oneself. Past research suggests that different types of trauma exposure produce varying levels of negative posttraumatic responses including posttraumatic stress disorder (PTSD) symptoms and positive outcomes such as posttraumatic growth (PTG)...
February 16, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28196499/workplace-violence-towards-nurses-in-hong-kong-prevalence-and-correlates
#18
Teris Cheung, Paul S F Yip
BACKGROUND: Nurses are especially vulnerable to violent and other forms of aggression in the workplace. Nonetheless, few population-based studies of workplace violence have been undertaken among working-age nurse professionals in Hong Kong in the last decade. METHODS: The study estimates the prevalence and examines the socio-economic and psychological correlates of workplace violence (WPV) among professional nurses in Hong Kong. The study uses a cross-sectional survey design...
February 14, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28162079/how-should-children-s-nurses-manage-mental-health-issues
#19
(no author information available yet)
If you read the website run by the charity YoungMinds you get a stark warning about the mental health problems that young people and the health professionals that work with them deal with. One in ten young people aged 5-16 have diagnosable mental health disorders, and between one in every 12 and one in 15 children and young people deliberately self-harm.
February 6, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/28160098/influence-of-exposure-to-perinatal-risk-factors-and-parental-mental-health-related-hospital-admission-on-adolescent-deliberate-self-harm-risk
#20
Nan Hu, Jianghong Li, Rebecca A Glauert, Catherine L Taylor
Adolescent deliberate self-harm (DSH) has been found to be associated with a range of bio-psycho-social factors. Simultaneous investigations of these factors enable more robust estimation of the independent effect of a specific risk factor by adjusting for a more complete set of covariates. However, few studies have had the ability to examine all of these factors together. This study used the linkage of population-level de-identified data collections from government agencies to investigate a range of biological, psychological, and social risk factors and their effects on adolescent risk of DSH (with or without suicidal intent)...
February 3, 2017: European Child & Adolescent Psychiatry
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