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Suicide intervention

Laura M Schwab-Reese, Vladka Kovar, Sarah Brummett, Carol Runyan
Suicide is a critical public health problem, resulting in more than 40,000 deaths a year in the United States (U.S.) and 800,000 globally. Provision of mental health services is a key component of a comprehensive population-based approach to prevention. State licensing boards in some U.S. states require mental health practitioners to be trained in suicide risk assessment and management, but such requirements are not uniform. Our case study examined mental health practitioner preparedness to engage in suicide prevention and intervention in Colorado, a state with a high suicide rate, using a survey designed to understand training experiences and perceptions of the acceptability of mandated training...
August 10, 2018: Journal of Public Health Policy
Subin Park, Soo Jung Rim, Jin Yong Jun
This study investigated the factors associated with suicidal ideation among 174 North Korean refugees (aged 13⁻27 years) residing in South Korea. Specifically, we compared sociodemographic, familial, social, and psychological characteristics between participants with and without suicidal ideation. Twenty-nine refugees (16.7%) had exhibited suicidal ideation in the past 12 months. These refugees had significantly lower levels of familial cohesion ( U = 1459.0; p < 0.001), self-esteem ( U = 1032.0; p < 0...
August 9, 2018: International Journal of Environmental Research and Public Health
Brayden N Kameg, Donna G Nativio
BACKGROUND AND PURPOSE: Primary care providers who encounter children are often the first line of contact for individuals with gender dysphoria, which occurs when sex assigned at birth is incongruent with one's true, expressed sexual identity. Because those with untreated gender dysphoria are at risk of a variety of negative outcomes, including mood symptomatology, suicidality, substance use disorders, and other psychosocial risk factors, it is critical that health care providers are adept in the provision of holistic, patient-centered care...
August 6, 2018: Journal of the American Association of Nurse Practitioners
Vijay Chathoth, Parthasarathy Ramamurthy, Susan Solomon
Clozapine is superior to all other antipsychotics in treatment-resistant schizophrenia. However, metabolic side effects are common while treating patients with clozapine. Administering clozapine in a patient who already is diabetic involves careful weighing of risks and benefits. Here, we report our experience of starting clozapine in a known diabetic patient. Clozapine was started in a patient with treatment-resistant psychosis in view of suicidal risk. Her diabetes mellitus was under good control with oral medications...
July 2018: Indian Journal of Psychological Medicine
Yeen Huang, Pengsheng Li, Lan Guo, Xue Gao, Yan Xu, Guoliang Huang, Xueqing Deng, Ciyong Lu
OBJECTIVES: Suicidality among sexual minority adolescents has generated worldwide concern in recent decades, and previous Western studies have demonstrated that sexual minority status is associated with adolescent suicidality. However, whether this association exists in Chinese adolescents remains largely unknown. This study aimed to estimate the associations between sexual minority status and suicidal behaviour among Chinese adolescents. DESIGN: Cross-sectional survey...
August 8, 2018: BMJ Open
Rashelle J Musci, Hadi Kharrazi, Renee F Wilson, Ryoko Susukida, Fardad Gharghabi, Allen Zhang, Lawrence Wissow, Karen A Robinson, Holly C Wilcox
PURPOSE: Suicide is now the second leading cause of death among persons between the ages of adolescents and emerging adults and rates have increased despite more funding and broader implementation of youth suicide-prevention programs. A systematic review was conducted focusing on identifying youth suicide-prevention studies within the United States. This paper reports on the methods utilized for understanding possible moderators of suicide-prevention program outcomes. METHODS: We searched six databases from 1990 through August 2017 to identify studies of suicide-preventive interventions among those under age 26 years...
August 7, 2018: Social Psychiatry and Psychiatric Epidemiology
Ryan Misek, Glenn Allen, Valerie LeComte, Nicholas Mazur
Seeds from the mangrove plant Cerbera (C.) odollam , known as the "suicide tree," are responsible for a significant number of plant deaths worldwide but are not well recognized in Western medicine. Cerberin is a cardiac glycoside concentrated in the plant's seeds, which causes disrupted cardiac electrical activity leading to fatal dysrhythmias. We present a fatal case of intentional C. odollam seed ingestion. The patient experienced high-degree heart block and cardiac arrest despite supportive treatment and digoxin immune fab administration...
August 2018: Clinical practice and cases in emergency medicine
Emma E M Knowles, Joanne E Curran, Peter J Meikle, Kevin Huynh, Samuel R Mathias, Harald H H Göring, John L VandeBerg, Michael C Mahaney, Maria Jalbrzikowski, Marian K Mosior, Laura F Michael, Rene L Olvera, Ravi Duggirala, Laura Almasy, David C Glahn, John Blangero
Suicide is major public health concern; one million individuals worldwide die by suicide each year of which there are many more attempts. Thus, it is imperative that robust and reliable indicators, or biomarkers, of suicide risk be identified so that individuals at risk can be identified and provided appropriate interventions as quickly as possible. Previous work has revealed a relationship between low levels of circulating cholesterol and suicide risk, implicating cholesterol level as one such potential biomarker, but the factors underlying this relationship remain unknown...
July 23, 2018: Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology
Khan R L Collins, Melissa N Legendre, Werner G K Stritzke, Andrew C Page
BACKGROUND AND OBJECTIVES: The interpersonal theory of suicide proposes that perceived burdensomeness and thwarted belongingness (PB-TB) are proximal causes of suicidal desire. Here we test whether experimentally induced perceptions of meaningfulness can confer resilience against interpersonal adversity and enhance persistence, the erosion of which is a potential antecedent to suicide risk. METHODS: Undergraduate university students (N = 93) were randomly allocated to complete a team task under conditions of high or low task-extrinsic meaning and high or low PB-TB...
July 29, 2018: Journal of Behavior Therapy and Experimental Psychiatry
Christopher R DeCou, Shannon M Lynch
Lesbian, gay, bisexual, and queer (LGBQ) and female youth report disproportionately high rates of attempted suicide. Previous studies have not addressed the association between sexual orientation, gender, and attempted suicide among adolescent psychiatric inpatients. This study examined LGBQ orientation as a correlate of attempted suicide above and beyond other risk factors (e.g., age, rurality, trauma exposure, psychopathology), and also examined the interaction between gender and sexual orientation with regard to attempted suicide...
August 2018: Psychological Services
Minden B Sexton, Margaret T Davis, RaeAnn E Anderson, Diana C Bennett, Erin Sparapani, Katherine E Porter
There is limited study of suicidal behaviors among veterans identifying as sexual and gender minorities (SGMs), despite previous research indicating rates of suicide attempts are high within civilian SGM populations. Further, some research incorporating military service members suggests those identifying as SGMs are disproportionately exposed to military sexual trauma (MST), an additional risk factor for negative psychiatric sequelae. To address health care research disparities among minority veterans (i.e...
August 2018: Psychological Services
Deborah Goebert, Antonia Alvarez, Naleen N Andrade, JoAnne Balberde-Kamalii, Barry S Carlton, Shaylin Chock, Jane J Chung-Do, M Diane Eckert, Kealoha Hooper, Kaohuonapua Kaninau-Santos, Gina Kaulukukui, Caitlin Kelly, Mara J Pike, Davis Rehuher, Jeanelle Sugimoto-Matsuda
Suicide rates have reached their highest documented levels in the United States with the greatest increases among indigenous youth, including Native Hawaiians. Culturally informed, effective prevention and treatment services are needed now more than ever for Native communities to heal and flourish. Multicomponent prevention and service strategies rooted in indigenous values and approaches show the most promise. Native Hawaiian communities are united around a common goal of suicide prevention, intervention and postvention, linking cultural meanings to improve understanding and guide local efforts...
August 2018: Psychological Services
Bernadette Lewcun, Traci M Kennedy, Jenna Tress, Kimberly S Miller, Jennifer Sherker, David D Sherry
The rates of suicidal ideation and completed suicide among adolescents have become increasingly alarming in recent years. Epidemiological studies indicate that a large portion of adolescents suffer from chronic pain, which research supports as a risk factor for suicidal ideation and behaviors. Further, psychological factors may account for the associations between chronic pain and suicidality. The current study sought to fill gaps in the literature on chronic pain and suicidality in adolescents, by examining whether depression mediates the links between various chronic amplified pain symptoms and suicidal ideation...
August 2018: Psychological Services
Melanie A Hom, Lisa Davis, Thomas E Joiner
Suicide attempt survivors represent a high-risk group for death by suicide; however, few empirically supported, tailored interventions exist for this population. One intervention format that may be useful in reducing suicide risk among suicide attempt survivors is support groups co-led by a clinician and peer survivor. This study aimed to evaluate changes in suicidal symptoms and resilience appraisals following attempt survivors' participation in the Survivors of Suicide Attempts (SOSA) support group. A sample of 92 suicide attempt survivors was recruited to participate in the 8-week SOSA support group...
August 2018: Psychological Services
James Griffith, Craig J Bryan
In the past decade, the U.S. military has observed increased suicides among its personnel, and now, rates for the military services exceed civilian age-adjusted rates. Numerous and varied approaches to suicide prevention are now evident, though with measured success. To address this need, levels typically used in the health field to describe interventions (i.e., primary, secondary, and tertiary) are described and used. The discussion clarifies fundamental differences in the stage at which the negative health condition is intervened, and for the intervention, its purpose, target audience, and strategy aim among approaches to suicide prevention...
August 2018: Psychological Services
David A Jobes, Mariam J Gregorian, Victoria A Colborn
Despite the enormous humanitarian and economic toll of suicide, mental health systems of care are largely underprepared to work effectively with suicidal individuals and suicide is a leading "Sentinel Event" in U.S. health care settings (The Joint Commission, 2016). In response to these concerns, a recent policy initiative called "Zero Suicide" has advocated a systems-level response to the suicidal risk within health care and this policy initiative is yielding positive results (Hogan & Goldstein Grumet, 2016)...
August 2018: Psychological Services
Philip R Magaletta, Marc W Patry, Matthew R Labrecque
The delivery of psychological services including screening, assessing, and providing interventions to suicidal individuals occurs within all public and organized care settings where psychologists practice. These services are typically the most demanding and important clinical tasks these psychologists will perform. To inform aspects of such practice, the journal issued a call for papers and 16 of the articles received in response are part of this special issue and reviewed in this Introduction. These articles inform three broad psychological service perspectives: conceptual models and assessment, interventions, and special populations and cultures...
August 2018: Psychological Services
Yossi Levi-Belz, Eyal Gamliel
Presentation of epidemiological information about the absolute number of suicides has been used occasionally to increase awareness of the suicide phenomenon. This study investigated the effectiveness of absolute quantitative messages versus relative messages. An example of relative messages would be comparing the number of suicide deaths with the number of deaths by car accidents. Participants were randomly presented with absolute or relative messages regarding suicide. They were then requested to indicate the degree of severity they attributed to the suicide phenomenon, being the level to which they view the phenomenon as sufficiently important to mandate national intervention and resource allocation...
August 4, 2018: Omega
Georges Brousse, Julie Geneste-Saelens, Julien Cabe, Olivier Cottencin
Thirty percent of emergency department admissions are related to an alcohol misuse. Eighty percent of acute intoxications admitted in emergency departments concern patients with alcohol addiction. Care protocols validated in all of emergency departments are necessary for prevention of alcohol withdrawal syndrome. Risky uses require ultra-brief interventions, situations of abuse (light use disorders) require brief interventions and situations of dependence (moderate to severe use disorders) require motivational interviews to promote the emergence of a process of change...
July 31, 2018: La Presse Médicale
Kayako Sakisaka
OBJECTIVES: We sought to (1) measure survival lengths after the onset of the main reason for the target's suicide, (2) identify the highest-risk groups and the contributors to early death, in Japan, and (3) clarify peculiar traditional Japanese values concerning suicide. RESULTS: Data for 523 deceased individuals (median age 43.0 years) were collected from bereaved persons. Average survival time from the onset of the main reason for suicide was 1956 days (5.4 years)...
August 3, 2018: BMC Research Notes
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