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Suicide intervention

Desiree M Seponski, Charity M Somo, Sovandara Kao, Cindy J Lahar, Sareth Khann, Tanja Schunert
BACKGROUND: Our recent report demonstrates that 5.5% of Cambodian women have previously attempted suicide. Despite these high rates and critical need for intervention, research on suicide attempts in Cambodia is lacking, and life-saving information on suicide prevention is therefore unknown. AIMS: This study explores factors impacting Cambodian women suicide attempts. METHOD: A total of 1,801 women participated in the large national survey during which 100 of these women (5...
October 12, 2018: Crisis
Yossi Levi-Belz, Lilac Lev-Ari
BACKGROUND AND AIMS: The world loses approximately one million people to suicide every year, leaving behind many suicide-loss survivors, family members and friends, who are significantly affected by the traumatic loss. Yet some suicide-loss survivors not only manage to cope with the loss, but actually experience posttraumatic growth (PTG). To date, no studies have fully examined the psychological processes that underlie this personal positive change. We hypothesized that attachment style would predict PTG and this association would be mediated by self-disclosure and social support...
October 12, 2018: Crisis
Angela Clapperton, Stuart Newstead, Lyndal Bugeja, Jane Pirkis
BACKGROUND: Mental illness is an established risk factor for suicide. To develop effective prevention interventions and strategies, the demographic characteristics and stressors (other than, or in addition to, mental illness) that can influence a person's decision to die by suicide need to be identified. AIM: To examine cases of suicide by the presence or absence of a diagnosed mental illness (mental illness status) to identify differences in factors associated with suicide in the groups...
October 12, 2018: Crisis
Silvana Bonilla, Samuel Nurko
Chronic abdominal pain is frequently encountered in pediatric practice. A large proportion of cases meet Rome criteria for abdominal pain-functional gastrointestinal disorders (AP-FGIDs). These disorders are costly and, in some cases, lead to impairment of daily functioning and overall quality of life. Pathophysiologic mechanisms include early stressful events, visceral hypersensitivity, dysmotility, changes in intestinal microbiota, and altered central nervous system processing. They are considered disorders of the brain-gut interaction...
2018: Clinical and Experimental Gastroenterology
Daniel Flynn, Mary Kells, Mary Joyce, Paul Corcoran, Justina Hurley, Conall Gillespie, Catalina Suarez, Michaela Swales, Ella Arensman
Dialectical behavior therapy (DBT) is an effective intervention for treating adults with emotional and behavioral dysregulation. The National DBT Project, Ireland was established in 2013 to coordinate the implementation of DBT across public community mental health settings at a national level. This study describes the implementation and evaluation of DBT across multiple independent sites in adult mental health services (AMHS). The Consolidated Framework for Implementation Research was used to guide this national implementation where barriers and facilitators to DBT implementation were considered...
October 11, 2018: Journal of Personality Disorders
Scott H Waltman, David Shearer, Bret A Moore
PURPOSE OF REVIEW: Post-traumatic nightmares (PTN) are a common and enduring problem for individuals with post-traumatic stress disorder (PTSD) and other clinical presentations. PTN cause significant distress, are associated with large costs, and are an independent risk factor for suicide. Pharmacological and non-pharmacological treatment options for PTN exist. A previous review in this journal demonstrated that Prazosin, an alpha blocker, was a preferred pharmacological treatment for PTN and imagery rescripting therapy (IRT) was a preferred non-pharmacological treatment...
October 11, 2018: Current Psychiatry Reports
Lucas Melo Neves, Carla Silva-Batista, Raquel Marquesini, Telma Fátima da Cunha, Elisa Dimateo, Luciana Nascimento, Acácio Moreira-Neto, Angelo Corrêa de Lima Miliatto, Sheila das Chagas Mendes, Flavia Saad, Jamile Sanches Codogno, Renato Hoffmann Nunes, Raphael Mendes Ritti-Dias, Valeria Juday, Beny Lafer, Carlos Ugrinowitsch
BACKGROUND: Patients with major depression disorder presents increased rates of cognitive decline, reduced hippocampal volume, poor sleep quality, hypertension, obesity, suicidal ideation and behavior, and decreased functionality. Although continuous aerobic exercise (CAE) improves some of the aforementioned symptoms, comorbidities, and conditions, recent studies have suggested that performing aerobic exercise with motor complexity (AEMC) may be more beneficial for cognitive decline, hippocampal volume, and functionality...
October 10, 2018: Trials
Mike J Crawford, Lavanya Thana, Jennie Parker, Oliver Turner, Kwek Pei Xing, Mary McMurran, Paul Moran, Timothy Weaver, Barbara Barrett, Amy Claringbold, Paul Bassett, Rahil Sanatinia
BACKGROUND: Previous research has demonstrated the clinical effectiveness of long-term psychological treatment for people with some types of personality disorder. However, the high intensity and cost of these interventions limit their availability. Lower-intensity interventions are increasingly being offered to people with personality disorder, but their clinical and cost effectiveness have not been properly tested in experimental studies. We therefore set out to develop a low intensity intervention for people with personality disorder and to test the feasibility of conducting a randomized controlled trial to compare the clinical effectiveness of this intervention with that of treatment as usual (TAU)...
October 10, 2018: Trials
Denise Medico, Adèle Zufferey
Since 2011, a significant amount of evidence has been published on transgender children and adolescents, highlighting their needs and the best health and social practices. They are more at risk of suicide, discrimination, depression. Today, we better understand that the main causal factor linked with negative experiences is to be found in direct and indirect discriminations, subsequently causing personal and relational difficulties. When transgender youth are fully accepted and supported in their desired gender, they do not significantly differ from other youth...
October 3, 2018: Revue Médicale Suisse
Jaclyn C Kearns, Daniel D L Coppersmith, Angela C Santee, Catherine Insel, Wilfred R Pigeon, Catherine R Glenn
OBJECTIVE: Sleep problems are transdiagnostic symptoms that confer significant risk for suicidal thoughts and behaviors (STBs) in adults. However, less is known about the sleep-STB association in adolescence-a developmental period when rates of STBs increase drastically, and sleep problems may be particularly pernicious. This article provides a systematic review of research on the sleep-STB association in youth, an overview of changes in sleep regulation during adolescence that may make sleep problems particularly detrimental for youth, and a discussion of the clinical implications of the sleep-STB association for hospitalized youth...
September 26, 2018: General Hospital Psychiatry
Kate L Stewart, Ellen V Darling, Shirley Yen, Barbara Stanley, Gregory K Brown, Lauren M Weinstock
OBJECTIVE: Suicide risk on college campuses remains a pervasive problem. Structural deficits in current clinical care models often result in sub-optimal treatment for suicidal students. This study reports on the feasibility, acceptability and utility of the Safety Planning Intervention (SPI), a brief, empirically-validated, clinician-administered suicide prevention intervention, in a university counseling center (UCC) setting. METHODS: Twelve university counseling center direct service staff completed a 2-hour training in SPI...
October 9, 2018: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
Rachel L Martin, Brittney L Assavedo, AnnaBelle O Bryan, Bradley A Green, Daniel W Capron, M David Rudd, Craig J Bryan, Michael D Anestis
Suicide rates within the military are elevated relative to the general population; however, research suggests that many of the suicide risk factors for military personnel are similar to the suicide risk factors for civilians. Given that many military specific experiences (e.g. number of deployments) are not considered robust predictors of either suicidal ideation or behavior, it has been posited that deployment specific experiences (e.g. post-battle experiences) may be better able to explain the increased rates of suicide among military personnel...
October 9, 2018: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
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
Alison Takkunen, Annie Zlevor
(1) Untreated mental disorders and mental illness in children can lead to costly outcomes such as school dropout, substance use and suicide. (2) Half of lifetime cases of mental illness begin by age 14 and 75 percent of all lifetime cases present by age 24. (3) Early intervention and access to treatment may decrease the financial and health burdens associated with mental illness.
October 2018: NCSL Legisbrief
Rashelle J Musci, Amie F Bettencourt, Jill Rabinowitz, Nicholas S Ialongo, Sharon F Lambert
PURPOSE: Control-related beliefs are defined as beliefs in one's ability to cause an effect in one's environment. With recent increases in violence in some cities, understanding the impact of exposure to violence on these beliefs is important. The present study examined whether witnessing severe community violence during early adolescence was associated with trajectories of control-related beliefs, and whether these trajectories were associated with mental and behavioral health outcomes in early adulthood...
October 4, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Kate H Bentley, Shannon Sauer-Zavala, Kimberly T Stevens, Jason J Washburn
OBJECTIVE: Barriers to implementing evidence-based psychological treatments for suicidal thoughts and behaviors in busy hospital settings exist. Transdiagnostic interventions may serve to facilitate training in evidence-based treatment and more efficiently treat individuals with multiple psychiatric comorbidities. We describe the rationale for, process of, and initial data from implementing the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) on an inpatient unit for adults with suicidal thoughts and behaviors and affective disorders...
September 27, 2018: General Hospital Psychiatry
Fortune Fu-Tsung Shaw, Wen-Hsien Chiang
BACKGROUND: Hotlines are among commonly available and recommended suicide prevention strategies in many countries, but only a few empirical studies have focused on people who used this service and the proximal outcomes of calls made to the hotlines. This study is designed to investigate the demographic characteristics of the Taiwan National Suicide Prevention Hotline (NSPH) callers and whether the NSPH service helps to alleviate the callers' emotional distress and suicide risk. METHODS: Descriptive statistics were used to describe the gender, age and county/city distribution of the 63,696 callers from 2009 to 2011...
September 17, 2018: Journal of Affective Disorders
Christopher D Corona, Peter M Gutierrez, Barry M Wagner, David A Jobes
OBJECTIVE: The CAMS Rating Scale (CRS) is an adherence measure for the Collaborative Assessment and Management of Suicidality (CAMS), a suicide-specific clinical intervention. This study examined the ability of the CRS to assess adherence to CAMS. METHODS: Video-recorded therapy sessions of clinicians delivering either CAMS or Enhanced Care-As-Usual (E-CAU) were rated with the CRS. These ratings (N = 98) were used to evaluate criterion validity, internal consistency, and factor structure...
October 6, 2018: Journal of Clinical Psychology
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
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