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Deliberate Self-Harm

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https://www.readbyqxmd.com/read/29325468/does-enhanced-support-for-offenders-effectively-reduce-custodial-violence-and-disruption-an-evaluation-of-the-enhanced-support-service-pilot
#1
Jake Camp, Kerry Joy, Mark Freestone
This study aimed to examine the effectiveness of The Enhanced Support Service (ESS) pilot in reducing custodial violence and disruption, and the associated costs, by observing the behavioural change of the 35 service users who participated in ESS intervention within its first 22 months of operation. Frequencies of recorded incidents of aggressive behaviours, self-harming behaviours, noncompliance, and positive behaviours were counted from routine administrative systems using a coding structure developed in previous studies...
January 1, 2018: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/29217724/correlation-of-impulsivity-with-self-harm-and-suicidal-attempt-a-community-study-of-adolescents-in-taiwan
#2
Yu-Hsin Huang, Hui-Ching Liu, Fang-Ju Tsai, Fang-Ju Sun, Kuo-Yang Huang, Yu-Ching Chiu, Yen-Hsun Huang, Yo-Ping Huang, Shen-Ing Liu
OBJECTIVES: The aim of this study was to investigate differences and similarities in risk factors for deliberate self-harm (DSH) and suicidal attempt (SA), and the role of impulsivity among a group of community adolescents. SETTING: This is a cross-sectional study conducted at high schools in Northern Taiwan. DATA AND PARTICIPANTS: We recruited grade 1 students from 14 high schools. A total of 5879 participants (mean age 16.02 years, female adolescents: 57...
December 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/29217407/can-we-predict-intermediate-syndrome-a-review
#3
REVIEW
Chanika Alahakoon, Tharaka Lagath Dassanayake, Indika Bandara Gawarammana, Vajira Senaka Weerasinghe
INTRODUCTION: Ingestion of organophosphorus insecticides (OPI) is a common method of deliberate self harm in the developing world. Deaths mainly follow as a result of the respiratory failure associated with both cholinergic crisis and the intermediate syndrome. Even though death can be prevented by early mechanical ventilation of these patients, limited studies are available regarding the prediction of intermediate syndrome and subsequent respiratory failure. OBJECTIVE: To systematically review articles that are published with regard to possible prediction of intermediate syndrome using clinical, biochemical and electrophysiological parameters...
December 5, 2017: Neurotoxicology
https://www.readbyqxmd.com/read/29200552/self-inflicted-cut-injury-as-common-method-of-deliberate-self-harm-a-retrospective-study-from-nepal
#4
Shakya Rabi, Joshi Sulochana, Sharma Pawan
Context: Deliberate self-injury, a fairly common condition is present across all culture. It is defined as intentional, direct injuring of body tissue without suicidal intent. We continue to lack a sufficient understanding of this behavior in the context of South East Asian region. Aims: This study aims to explore the characteristics of self-cutting, and gender differences in homologous group of youth applying for foreign employment in Nepal. Settings and Design: Cross-sectional, single interview method in an out-patient setting...
September 2017: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/29170345/48%C3%A2-calpol-are-we-overdosing-on-blood-tests
#5
Brijesh Patel
BACKGROUND: In February 2012, the Commission on Human Medicines recommended lowering the paracetamol toxicity treatment threshold for all patients. Children between one month and six years of age are physiologically distinct and metabolise paracetamol differently, making them less prone to toxicity. Furthermore, overdose in early childhood is almost exclusively accidental, as opposed to predominately deliberate self harm seen in adults and adolescents. As a result, the use of the new 75 mg/kg ingestion threshold for young children would appear to be of unproven benefit, and is substantially lower than the threshold used in other countries...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29161582/the-role-of-emotional-clarity-and-distress-tolerance-in-deliberate-self-harm-in-a-sample-of-trauma-exposed-inpatient-adolescents-at-risk-for-suicide
#6
Andres G Viana, Emma C Woodward, Elizabeth M Raines, Abigail E Hanna, Michael J Zvolensky
OBJECTIVE: The purpose of this study was to examine distress tolerance as a moderator of the relationship between emotional clarity and deliberate self-harm (DSH) in a diverse sample of trauma-exposed adolescents in acute psychiatric care at high risk of suicidal behavior. It was hypothesized that distress tolerance would emerge as a significant moderator, such that the association between emotional clarity and DSH would be significant among youth with high, but not low, distress tolerance...
October 28, 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29156361/non-suicidal-self-injury-in-referred-adolescents-with-mood-disorders-and-its-association-with-cyclothymic-hypersensitive-temperament
#7
Gabriele Masi, Annarita Milone, Anna Rita Montesanto, Elena Valente, Simone Pisano
BACKGROUND: Non suicidal self-injuries (NSSIs) are deliberate self-harm behaviors without suicidal intent, usually starting in adolescence, with increasing rates of occurrence both in epidemiological and clinical samples. Several studies associated cyclothymic-hypersensitive temperament (CHT) with self-harm behaviors and suicidal risk. Aim of this study is to explore the association between NSSIs and CHT in a clinical sample of adolescents. We hypothesized that CHT may differentiate NSSI from non-NSSI adolescents with mood disorders, when other psychopathological features are controlled for...
November 13, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29120839/mental-health-follow-up-after-deliberate-self-harm-and-risk-for-repeat-self-harm-and-death
#8
Jon Hunter, Robert Maunder, Paul Kurdyak, Andrew S Wilton, Andrea Gruneir, Simone Vigod
Morbidity and mortality after deliberate self-harm (DSH) are high, so mental health care shortly after DSH is recommended. Using population-level health data we determined the association between a mental health visit and risk for repeat DSH with or without intensive care unit (ICU) admission or all-cause death. Over two years, 23,140 individuals had emergency department treatment for DSH. Within 30 days, 10.7% had a family physician mental health visit, 17.1% visited a psychiatrist, 3.6% visited both and 68...
September 13, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29093819/the-impact-of-borderline-personality-disorder-and-sub-threshold-borderline-personality-disorder-on-the-course-of-self-reported-and-clinician-rated-depression-in-self-harming-adolescents
#9
Ruth-Kari Ramleth, Berit Groholt, Lien M Diep, Fredrik A Walby, Lars Mehlum
Background: Studies on adults suggest that the presence of comorbid depression and Borderline Personality Disorder (BPD) is associated with an elevated risk of self-harming behaviours and that self-harming behaviours, when present, will have higher severity. This comorbidity, furthermore, complicates clinical assessments, which may be an obstacle to early identification and proper intervention. Adolescents who self-harm frequently report high levels of depressive symptoms, but this is often not reflected in the clinicians' assessment...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29080008/objective-evaluation-of-the-efficacy-of-a-non-ablative-fractional-1565%C3%A2-nm-laser-for-the-treatment-of-deliberate-self-harm-scars
#10
Anne Guertler, Markus Reinholz, Julian Poetschke, Stephanie Steckmeier, Hannah Schwaiger, Gerd G Gauglitz
Scars resulting from deliberate self-harm (DSH) represent therapeutically challenging forms of scarring due to their highly variable patterns, with no official therapeutic guidelines available. In this pilot study, we aimed to evaluate the effectiveness and safety of a non-ablative fractional Er:glass 1565 nm laser, as a potential new, minimal-invasive approach for the improvement of DSH scars. Sixteen Caucasians suffering from mature DSH scars were included in this clinical study. Patients received a total of three treatments using a non-ablative fractional 1565 nm Er:glass laser every 4 weeks, employing two passes (300 μbeams/cm(2), 40 mJ, onto the scar; 150 μbeams/cm(2), 50 mJ, overall area)...
October 27, 2017: Lasers in Medical Science
https://www.readbyqxmd.com/read/29056088/comparison-of-vital-statistics-definitions-of-suicide-against-a-coroner-reference-standard-a-population-based-linkage-study
#11
Evgenia Gatov, Paul Kurdyak, Mark Sinyor, Laura Holder, Ayal Schaffer
OBJECTIVE: We sought to determine the utility of health administrative databases for population-based suicide surveillance, as these data are generally more accessible and more integrated with other data sources compared to coroners' records. METHOD: In this retrospective validation study, we identified all coroner-confirmed suicides between 2003 and 2012 in Ontario residents aged 21 and over and linked this information to Statistics Canada's vital statistics data set...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28982814/emotion-regulation-group-therapy-for-deliberate-self-harm-a-multi-site-evaluation-in-routine-care-using-an-uncontrolled-open-trial-design
#12
Hanna Sahlin, Johan Bjureberg, Kim L Gratz, Matthew T Tull, Erik Hedman, Jonas Bjärehed, Jussi Jokinen, Lars-Gunnar Lundh, Brjánn Ljótsson, Clara Hellner
OBJECTIVE: Emotion regulation group therapy (ERGT) has shown promising results in several efficacy trials. However, it has not been evaluated outside a research setting. In order to increase the availability of empirically supported treatments for individuals with borderline personality disorder and deliberate self-harm, an evaluation of ERGT in routine clinical care was conducted with therapists of different professional backgrounds who had received brief intensive training in ERGT prior to trial onset...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28979291/image-of-synthetic-biology-and-nanotechnology-a-survey-among-university-students
#13
Christian Ineichen, Nikola Biller-Andorno, Anna Deplazes-Zemp
This study explores the image of synthetic biology and nanotechnology in comparison to agricultural biotechnology and communication technology by examining spontaneous associations with, and deliberate evaluations of, these technologies by university students. Data were collected through a self-completion online questionnaire by students from two universities in Switzerland. The survey aimed to capture implicit associations, explicit harm-benefit evaluations and views on regulation. The data suggest overall positive associations with emerging technologies...
2017: Frontiers in Genetics
https://www.readbyqxmd.com/read/28865243/self-harm-and-suicide-attempts-in-schizophrenia
#14
Kiran Jakhar, Ram Pratap Beniwal, Triptish Bhatia, Smita N Deshpande
BACKGROUND: The risk of suicide among persons with schizophrenia (SZ) is higher than in general population, with multiple contributory factors. We assessed the prevalence of risk of deliberate self-harm and suicide attempts, along with associated socio-demographic and clinical factors in a group of SZ outpatients (n=61) as part of a larger study on overall schizophrenia-associated risks. AIMS: To investigate factors associated with risk of deliberate self-harm and suicide among persons with schizophrenia...
December 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28846054/severe-clinical-events-in-100-patients-with-schizophrenia-a-retrospective-clinical-description-using-a-system-specific-psychopathological-approach
#15
Moritz E Wigand, Fabian U Lang, Lea Reichhardt, Thomas G Schulze, Sebastian Walther, Thomas Becker, Markus Jäger
Catatonic states and numerous other severe clinical events can complicate the course of schizophrenia. Whether these severe courses are associated with particular system-specific symptom dimensions remain unclear. Aim is to assess the frequency of severe clinical events in a clinical population and to investigate the association of these events with sociodemographic data and system-specific psychopathology, combining qualitative and quantitative data. We performed a comprehensive retrospective description of a well-described and geographically stable sample of 100 patients with schizophrenia or schizoaffective disorder and linked severe clinical events with sociodemographic data at inclusion into the study (as indicators of social functioning) and symptoms at first admission, classified with the Bern Psychopathology Scale (BPS)...
August 28, 2017: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/28832748/prevalence-clinical-correlates-and-maternal-psychopathology-of-deliberate-self-harm-in-children-and-early-adolescents-results-from-a-large-community-study
#16
André R Simioni, Pedro M Pan, Ary Gadelha, Gisele G Manfro, Jair J Mari, Eurípedes C Miguel, Luis A Rohde, Giovanni A Salum
Objectives: Little is known about the prevalence and correlates of deliberate self-harm (DSH) in children from low- and middle-income countries. We investigated the prevalence of DSH and its clinical and maternal psychopathological associations in Brazilian children (n=2,508, ages 6-14y) in a community-based study. Methods: Participants of the High Risk Cohort Study for the Development of Childhood Psychiatric Disorders (HRC) and their mothers were assessed in structured interviews...
August 21, 2017: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/28817578/deliberate-self-harm-behavior-among-young-violent-offenders
#17
Natalie Laporte, Andrejs Ozolins, Sofie Westling, Åsa Westrin, Eva Billstedt, Björn Hofvander, Märta Wallinius
Deliberate self-harm behavior (DSH) can have profound effects on a person's quality of life, and challenges the health care system. Even though DSH has been associated with aggressive interpersonal behaviors, the knowledge on DSH in persons exhibiting such behaviors is scarce. This study aims to (1) specify the prevalence and character of DSH, (2) identify clinical, neurocognitive, psychosocial, and criminological characteristics associated with DSH, and (3) determine predictors of DSH among young violent offenders...
2017: PloS One
https://www.readbyqxmd.com/read/28762278/co-ingested-alcohol-and-the-timing-of-deliberate-self-poisonings
#18
Kate M Chitty, Katharine Kirby, Nicholas J Osborne, Geoffrey K Isbister, Nicholas A Buckley
OBJECTIVE: Investigating diurnal variation in the timing of suicidal behaviours offers opportunity to better understand its various proximal risk factors. Acute use of alcohol is a potent proximal risk factor for suicidal behaviour, though the nature of this risk is poorly understood. The aim of this study was to compare the diurnal variation in time of poison ingestion between deliberate self-poisonings that involve alcohol versus those that do not. METHODS: A retrospective analysis of consecutive presentations to a toxicology service following deliberate self-poisoning, 1996-2016...
July 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28748484/assessing-for-suicidal-behavior-in-youth-using-the-achenbach-system-of-empirically-based-assessment
#19
Anna R Van Meter, Guillermo Perez Algorta, Eric A Youngstrom, Yana Lechtman, Jen K Youngstrom, Norah C Feeny, Robert L Findling
This study investigated the clinical utility of the Achenbach System of Empirically Based Assessment (ASEBA) for identifying youth at risk for suicide. Specifically, we investigated how well the Total Problems scores and the sum of two suicide-related items (#18 "Deliberately harms self or attempts suicide" and #91 "Talks about killing self") were able to distinguish youth with a history of suicidal behavior. Youth (N = 1117) aged 5-18 were recruited for two studies of mental illness. History of suicidal behavior was assessed by semi-structured interviews (K-SADS) with youth and caregivers...
July 26, 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/28737302/an-exploratory-service-based-study-of-deliberate-self-harm-dsh-in-ireland-a-hidden-population
#20
P Quinn, P Surgenor, S McGilloway
The aim of this study was to investigate the nature and extent of deliberate self-harm (DSH) amongst those attending national crisis centres in Ireland, and to assess clients' views of the service. A secondary analysis was undertaken of a large data set of clients presenting with DSH (n=823). Clients were predominantly female, under 25 and with self-cutting widely reported (73%). DSH co-occurred with suicidal ideation (SI) (42%) and/or a suicide attempt (SA) (35%). Males were significantly more likely to present with more severe problems, and to use more dramatic methods of DSH; more severe presenting issues were also significantly associated with a history of having friends who engage in DSH...
May 10, 2017: Irish Medical Journal
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