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suicide method

Martin Holtmann, Laura Mokros, Inken Kirschbaum-Lesch, Michael Kölch, Paul L Plener, Christian Ruckes, Michael Schulte-Markwort, Tanja Legenbauer
BACKGROUND: Depressive disorders are among the most prominent health problems in youth. Even with the best available pharmacological and non-pharmacological treatments, remission rates are low. Without early treatment, depression in youth is associated with a high risk of symptom progression, chronicity, co-morbidity, and suicidal behavior. Thus, adolescent depression is a prime candidate for innovation in treatment. In depressive adults, meta-analytic evidence has proven that bright light therapy (BLT) is a potent low-threshold intervention, promising due to easy application, low side effects, and optimized compliance...
October 19, 2018: Trials
Brian L Mishara, Luc Dargis
BACKGROUND: The diversity of guidelines for safe public messaging about suicide and the heterogeneous scientific research on the topic warrants comparisons of guidelines and analysis of the relevance of research findings to determine best practices. METHODS: We searched databases and websites for organizations' guidelines concerning safe public messaging on suicide, and relevant research articles. RESULTS: We identified 24 public messaging guidelines, 11 terminology guidelines and 44 research papers...
September 18, 2018: Journal of Affective Disorders
Laura Masferrer, Elisenda Escalé-Muntañà, Rafel Malagón, Jordi Cid, Beatriz Caparrós
Background : Research has shown that suicide is a highly present phenomenon among the drug dependent population. Moreover, individuals with substance use disorder (SUD) present high psychopathological comorbidity. This study aimed to describe which clinical syndromes are linked to the presence of risk of suicide. Methods : The study was based on a consecutive non-probabilistic convenience sample of 196 patients who attended the Public Addiction Center in Girona (Spain). Sociodemographic data, as well as suicide risk and drug related characteristics, were recorded...
October 17, 2018: International Journal of Environmental Research and Public Health
Julio C Tolentino, Sergio L Schmidt
Background: Depression diagnosis requires five or more symptoms (Diagnostic and Statistical Manual of Mental Disorders-DSM-5). One of them must be either Depressed mood or Anhedonia, named main criteria. Although the secondary symptoms can be divided into somatic and non-somatic clusters, the DSM-5 identify depression in all or none fashion. In contrast, depression severity is a continuous variable. Therefore, it is commonly assessed with scales such as the Hamilton Depression Rating Scale (HAMD). Previously, we reported that patients with moderate depression (MD) exhibit greater impairments in cardiac-autonomic modulation than severely depressed (SD) patients...
2018: Frontiers in Psychiatry
Yaoyun Zhang, Olivia R Zhang, Rui Li, Aaron Flores, Salih Selek, Xiang Y Zhang, Hua Xu
Suicide takes the lives of nearly a million people each year and it is a tremendous economic burden globally. One important type of suicide risk factor is psychiatric stress. Prior studies mainly use survey data to investigate the association between suicide and stressors. Very few studies have investigated stressor data in electronic health records, mostly due to the data being recorded in narrative text. This study takes the initiative to automatically extract and classify psychiatric stressors from clinical text using natural language processing-based methods...
October 17, 2018: Health Informatics Journal
Hilary L DeShong, Raymond P Tucker
BACKGROUND: Borderline personality disorder (BPD) is associated with high rates of suicide risk and problems related to sleep, including insomnia and nightmares. The purpose of the current study was to assess the potential indirect effect of BPD traits on suicide risk through both/either insomnia and nightmares. METHODS: Participants (N = 281) were recruited via Amazon's Mechanical Turk to complete the study remotely online. Participants completed measures of BPD traits and symptoms, suicide risk (history of suicidal thoughts and behaviors), insomnia symptoms, and distress and impairment related to nightmares...
October 9, 2018: Journal of Affective Disorders
Matthew Schafer, Joo-Won Kim, Joshmi Joseph, Junqian Xu, Sophia Frangou, Gaelle E Doucet
The habenula (Hb), a bilateral nucleus located next to the dorsomedial thalamus, is of particular relevance to psychiatric disorders based on preclinical evidence linking the Hb to depressive and amotivational states. However, studies in clinical samples are scant because segmentation of the Hb in neuroimaging data is challenging due to its small size and low contrast from the surrounding tissues. Negative affective states dominate the clinical course of schizophrenia and bipolar disorder and represent a major cause of disability...
2018: Frontiers in Psychiatry
Christopher J Ferguson
BACKGROUND: For decades, policymakers and suicide prevention advocates have questioned whether exposure to media with suicide themes, whether television, movies, or music, could increase suicide risk among youth. To date, no clear picture has emerged, with data inconsistent AIMS: To access whether current evidence can support concerns that fictional media increases risk of viewer suicidal ideation. MATERIALS & METHODS: Two broad forms of data consider the issue, namely society-level aggregate data, and data from smaller correlational and experimental studies...
October 14, 2018: Suicide & Life-threatening Behavior
Adam Carmel, Elena Logvinenko, Erin S Valenti
OBJECTIVE: Dialectical behavior therapy (DBT) is a widely disseminated evidence-based treatment for patients with borderline personality disorder (BPD). This evaluation of a community psychiatry residency rotation compared a DBT training program to a standard care training program to determine the levels of confidence in treating patients with BPD, willingness to treat patients with BPD, and attitudes towards this patient population. METHODS: Participants were 57 psychiatry residents who completed a 3-month community psychiatry rotation in a DBT clinic (N = 33), or standard care clinic (N = 24) based in a partial hospitalization program in a community mental health center...
October 12, 2018: Academic Psychiatry
S M Yasir Arafat, Bithika Mali, Hasina Akter
BACKGROUND: Suicide is a major, however under attended public health problem in Bangladesh. There is dearth of research regarding how newspapers communicate it to the mass population. OBJECTIVES: We assessed the quality of online newspapers reporting of suicidal behaviors in Bangladesh against World Health Organization suicide reporting guidelines. METHODS: We searched and scrutinized published contents of 8 Bangla online news portals against the World Health Organization suicide reporting guidelines retrospectively...
October 5, 2018: Asian Journal of Psychiatry
Astrid Kerstine Buch, Johannes Busch, Seija Ylijoki-Sørensen, Jytte Banner
On average, two suicides occur in Denmark every day. In order to prevent suicides, it is important to understand their nature. The forensic autopsy plays an important role by providing detailed knowledge of the cause and manner of death. Unfortunately, the autopsy rate for suicides in Denmark is very low. The aim of this study was to elucidate the factors that may affect the decision to perform a forensic autopsy and thereby affect the autopsy rate of suicidal deaths in the Capital area of Copenhagen. Data from 6211 death certificates from the Capital area of Copenhagen, Denmark, over a study period of six years, were investigated...
November 2018: Journal of Forensic and Legal Medicine
Alexander Collins, Kirsten Barnicot, Piyal Sen
The objectives of this study were to perform a systematic review and meta-analysis of studies reporting prevalence of personality disorders (PDs) in emergency departments (EDs) and evaluate the effect of comorbid PDs on clinical outcomes. A systematic search of five databases along with manual searching and expert consultation was performed. A quality appraisal was conducted. A total of 29 articles were included. Prevalence of PDs in ED attendees varied depending on presenting complaint, Q(4) = 577.5, p < ...
October 11, 2018: Journal of Personality Disorders
Aurelio Cayuela, Lucia Cayuela, Agustín Sánchez Gayango, Susana Rodríguez-Domínguez, Francisco J Pilo Uceda, Antonio Andrés Velasco Quiles
OBJECTIVES: To analyse changes in suicide mortality trends in Spain between 1980-2016 using joinpoint regression models. METHODS: Mortality data were obtained from the INE. For each gender, age-group-specific and standardised (overall and truncated) rates (ASR) were calculated by the direct method (using the European standard population). The joinpoint analysis was used to identify the best-fitting points where a statistically significant change in the trend occurred...
October 6, 2018: Revista de Psiquiatrí́a y Salud Mental
Greg M Reger, Mary Lou McClure, David Ruskin, Sarah P Carter, Mark A Reger
Recent advances in statistical methods and computing power have improved the ability to predict risks associated with mental illness with more efficiency and accuracy. However, integrating statistical prediction into a clinical setting poses new challenges that need creative solutions. A case example explores the challenges and innovations that emerged at a Department of Veterans Affairs hospital while implementing REACH VET (Recovery Engagement and Coordination for Health-Veterans Enhanced Treatment), a suicide prevention program that is based on a predictive model that identifies veterans at statistical risk for suicide...
October 10, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
Stephanie N Miller, Christopher J Monahan, Kristin M Phillips, Daniel Agliata, Ronald J Gironda
The current study aim was to examine mental health characteristics in a sample of returning OEF/OIF/OND veterans initially enrolling in Department of Veterans Affairs (VA) health care (N = 1,307), with a particular focus on a subgroup considered at risk for suicide (N = 445). Methods included examination of mental health screening measures and clinical interview data from a VA postdeployment clinic. Half of the sample met criteria for a mental health disorder, whereas 10% reported current suicidal or death ideation (e...
October 8, 2018: Psychological Services
Jan Philipp Klein, Andrea Hauer, Thomas Berger, Eva Fassbinder, Ulrich Schweiger, Gitta Jacob
Introduction: Borderline Personality Disorder (BPD) is a prevalent condition that is often under-treated. This is partly because very few psychotherapists offer treatment for this disabling disorder. Internet-based self-management interventions could contribute to reducing the treatment gap but-mainly due to safety concerns-these have never been tested for BPD in controlled trials. Methods: Patients with BPD will be recruited primarily via the internet and randomized to two groups: care as usual (CAU) alone) or the self-management intervention priovi ® in addition to CAU...
2018: Frontiers in Psychiatry
Naser Morina, Aemal Akhtar, Jürgen Barth, Ulrich Schnyder
Background: Protracted armed conflicts not only shape political, legal, and socio-economic structures, but also have a lasting impact on people's human migration. In 2017, the United Nations High Commissioner for Refugees reported an unprecedented number of 65.6 million individuals who were displaced worldwide as a result of armed conflicts. To date, however, little is known about these people's mental health status. Therefore, we conducted a systematic review of the prevalence of psychiatric disorders among forcibly displaced populations in settings of armed conflicts...
2018: Frontiers in Psychiatry
Florian Walter, Matthew J Carr, Pearl L H Mok, Sussie Antonsen, Carsten B Pedersen, Jenny Shaw, Roger T Webb
OBJECTIVE: Persons discharged from inpatient psychiatric units are at greatly elevated risk of dying unnaturally. We conducted a comprehensive examination of specific causes of unnatural death post-discharge in a national register-based cohort. METHOD: A cohort of 1,683,645 Danish residents born 1967-1996 was followed from their 15th birthday until death, emigration, or December 31, 2011, whichever came first. Survival analysis techniques were used to estimate incidence rate ratios (IRRs) comparing risk for persons with and without psychiatric admission history in relation to (a) suicide method, (b) accidental death type, (c) fatal poisoning type, and (d) homicide...
October 2, 2018: Journal of Clinical Psychiatry
Charlotte Randall, Sara Nowakowski, Jason G Ellis
OBJECTIVES/BACKGROUND: Insomnia is a serious condition that affects over 60% of the prison population and has been associated with aggression, anger, impulsivity, suicidality, and increased prison health care use. Nonpharmacological interventions for prison inmates are scarce despite the high prevalence and significant consequences of insomnia among those incarcerated. The aim of the present study was to examine the preliminary efficacy and effectiveness of a one-shot session of cognitive behavioral therapy for insomnia (CBT-I) for prison inmates with acute insomnia in an open trial...
October 5, 2018: Behavioral Sleep Medicine
Seonjin Woo, Sang Won Lee, Kwanghun Lee, Wan Seok Seo, Jonghun Lee, Hee-Cheol Kim, Seunghee Won
Background: The suicide rate in Korea has been the highest among the Organization for Economic Cooperation and Development countries since 2003. However, there is a lack of in-depth data regarding the characteristics of suicide attempters. Understanding the intent of suicide attempters will help improve the effectiveness of suicide prevention strategies. Therefore, to provide a resource for developing the necessary interventions, this study aimed to examine the differences in suicide-related and clinical variables according to the strength of suicidal intent...
October 8, 2018: Journal of Korean Medical Science
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