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Assisted suicide

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https://www.readbyqxmd.com/read/29321126/toward-mhealth-brief-contact-interventions-in-suicide-prevention-case-series-from-the-suicide-intervention-assisted-by-messages-siam-randomized-controlled-trial
#1
Sofian Berrouiguet, Mark Erik Larsen, Catherine Mesmeur, Michel Gravey, Romain Billot, Michel Walter, Christophe Lemey, Philippe Lenca
BACKGROUND: Research indicates that maintaining contact either via letter or postcard with at-risk adults following discharge from care services after a suicide attempt (SA) can reduce reattempt risk. Pilot studies have demonstrated that interventions using mobile health (mHealth) technologies are feasible in a suicide prevention setting. OBJECTIVE: The aim of this study was to report three cases of patients recruited in the Suicide Intervention Assisted by Messages (SIAM) study to describe how a mobile intervention may influence follow-up...
January 10, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29317932/community-pharmacists-attitudes-on-suicide-a-preliminary-analysis-with-implications-for-medical-assistance-in-dying
#2
Andrea L Murphy, Claire O'Reilly, Ruth Martin-Misener, Randa Ataya, David Gardner
No abstract text is available yet for this article.
January 2018: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/29306726/a-longitudinal-comparison-of-age-patterns-and-rates-of-suicide-in-hong-kong-taiwan-and-japan-and-two-western-countries
#3
John Snowdon, Ying-Yeh Chen, Baoliang Zhong, Takashi Yamauchi
Suicide data relating to 1979-2014 were obtained from three East Asian jurisdictions (Taiwan, Hong Kong, Japan) and two 'Western' countries (Australia, New Zealand). Rates and age patterns of suicide have changed markedly since 1979. Graphs of these patterns largely remained either upward-sloping, bimodal or flat (uniform) over the 36 years, male commonly differing from female, and East Asian patterns more like each other than those of the Western countries. Japan's male middle-aged suicide rate reached a peak in 1999-2003, which, like increased rates among working age males in Hong Kong and Taiwan, has been attributed largely to consequences of Asian financial crises...
December 2, 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29306436/activity-based-probes-for-glycosidases-profiling-and-other-applications
#4
Chi-Lin Kuo, Eline van Meel, Kassiani Kytidou, Wouter Willem Kallemeijn, Martin Witte, Herman Stephen Overkleeft, Marta Elena Artola, Johannes Maria Aerts
Glycosidases mediate the fragmentation of glycoconjugates in the body, including the vital recycling of endogenous molecules. Several inherited diseases in man concern deficiencies in lysosomal glycosidases degrading glycosphingolipids. Prominent is Gaucher disease caused by an impaired lysosomal β-glucosidase (glucocerebrosidase, GBA) and resulting in pathological lysosomal storage of glucosylceramide (glucocerebroside) in tissue macrophages. GBA is a retaining glucosidase with a characteristic glycosyl-enzyme intermediate formed during catalysis...
2018: Methods in Enzymology
https://www.readbyqxmd.com/read/29298326/understanding-the-experience-and-manifestation-of-depression-in-adolescents-living-with-hiv-in-harare-zimbabwe
#5
Nicola Willis, Webster Mavhu, Carol Wogrin, Abigail Mutsinze, Ashraf Kagee
BACKGROUND: Studies have found that adolescents living with HIV are at risk of depression, which in turn affects adherence to medication. This study explored the experience and manifestation of depression in adolescents living with HIV in Zimbabwe in order to inform intervention development. METHODS: We conducted a body mapping exercise with 21 HIV positive 15-19 years olds who had been diagnosed with major depressive disorder. Participants created a painted map of their body to assist them in expressing their somatic and emotional experiences in qualitative interviews...
2018: PloS One
https://www.readbyqxmd.com/read/29288877/family-caregivers-reflections-on-experiences-of-assisted-suicide-in-switzerland-a-qualitative-interview-study
#6
C Gamondi, M Pott, N Preston, S Payne
BACKGROUND: Thousands of family members worldwide are annually involved in assisted dying. Family participation in assisted dying has rarely been investigated and families' needs typically are not considered in assisted dying legislation and clinical guidelines. OBJECTIVE: To explore family caregivers' reflections on experiences of assisted suicide in Switzerland. DESIGN: A cross-sectional qualitative interview study. Interpretation and analysis were performed using qualitative content analysis...
December 27, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29282236/probable-standards-of-care-for-suicide-risk-assessment
#7
Joseph H Obegi
The legal standard of care for assessing and responding to suicide risk has historically been ambiguous, creating inconsistency in the testimony of forensic experts and uncertainty about clinical responsibilities among practitioners. In this article, I rigorously apply the legal concept of reasonable care to identify clinical activities that courts could collectively consider as evidence of reasonably careful suicide risk assessments. I derived six clinical activities, which I refer to as probable standards, from a review of legal scholarship in tort law, court cases involving suicidal behavior, and forensic papers on suicide risk assessment...
December 2017: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/29282122/advice-and-care-for-patients-who-die-by-voluntarily-stopping-eating-and-drinking-is-not-assisted-suicide
#8
Andrew McGee, Franklin G Miller
BACKGROUND: A competent patient has the right to refuse foods and fluids even if the patient will die. The exercise of this right, known as voluntarily stopping eating and drinking (VSED), is sometimes proposed as an alternative to physician assisted suicide. However, there is ethical and legal uncertainty about physician involvement in VSED. Are physicians advising of this option, or making patients comfortable while they undertake VSED, assisting suicide? This paper attempts to resolve this ethical and legal uncertainty...
December 27, 2017: BMC Medicine
https://www.readbyqxmd.com/read/29279002/the-paradox-of-choice-and-the-illusion-of-autonomy-the-construction-of-ethical-subjects-in-right-to-die-activism
#9
Ari Gandsman
The right to die is an issue is predicated on larger cultural understandings of autonomy. Autonomy, in turn, is centered around assumptions of choice, that individuals are able to make health-related decisions based on a rational calculation. In such a way, a medically assisted death is differentiated from suicide. Through an ethnographic study of right to die activists in North America and Australia and how they understand ideals of "good deaths," this article will complicate this view by examining the ethical subject constructed by such activism that reveals autonomy to be a useful guiding fiction that mask larger ethical relationships...
December 26, 2017: Death Studies
https://www.readbyqxmd.com/read/29238825/association-of-cumulative-childhood-adversity-and-adolescent-violent-offending-with-suicide-in-early-adulthood
#10
Emma Björkenstam, Anders Hjern, Charlotte Björkenstam, Kyriaki Kosidou
Importance: Childhood adversity (CA) is associated with an increased risk of suicide in young adulthood that might be explained by maladaptive trajectories during adolescence. Although adolescent violent offending is linked with suicide, little is known about its role in the association between CA and suicide. Objective: To examine whether adolescent violent offending mediates the association between CA and suicide in early adulthood. Design, Setting, and Participants: This population-based, longitudinal cohort study with a follow-up time spanning 5 to 9 years included 476 103 individuals born in Sweden between 1984 and 1988...
December 13, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/29236727/mental-health-behavioural-problems-and-treatment-seeking-among-students-commencing-university-in-northern-ireland
#11
Margaret McLafferty, Coral R Lapsley, Edel Ennis, Cherie Armour, Sam Murphy, Brendan P Bunting, Anthony J Bjourson, Elaine K Murray, Siobhan M O'Neill
Mental health and behavioural problems are common among students commencing university. University life can be stressful and problems often exacerbate during their course of study, while others develop disorders for the first time. The WHO World Mental Health Surveys International College Student Project aims to conduct longitudinal research to examine and monitor student mental health and wellbeing. The Ulster University Student Wellbeing study, which commenced in September 2015 in Northern Ireland (NI), was conducted as part of this initiative (wave 1, n = 739), using the WMH-CIDI to examine psychopathology...
2017: PloS One
https://www.readbyqxmd.com/read/29221885/-design-of-a-questionnaire-on-the-knowledge-and-attitudes-of-the-population-of-madrid-spain-facing-the-end-of-life
#12
Belén Ortiz-Gonçalves, Andrés Santiago-Sáez, Elena Albarrán Juan, Elena Labajo González, Bernardo Perea-Pérez
OBJECTIVE: To create and validate a questionnaire about knowledge and attitudes of the general population in Madrid (Spain) about life's end stage. METHOD: A descriptive study designed as a structured self-administered questionnaire, validated by seven Madrid Health Service professional experts and assessed through a pilot study. RESULTS: The questionnaire consisted of 42 questions, divided into six modules: 1) decisions and psychological-physical care at life's end; 2) palliative care; 3) euthanasia and assisted suicide; 4) advance directives document; 5) spiritual factors; and 6) socio-demographic data...
December 5, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29216609/what-kinds-of-factors-affect-the-academic-outcomes-of-university-students-with-mental-disorders-a-retrospective-study-based-on-medical-records
#13
Terumi Ishii, Hirokazu Tachikawa, Yuki Shiratori, Takafumi Hori, Miyuki Aiba, Keisuke Kuga, Tetsuaki Arai
AIMS: University students that suffer from mental disorders seem to have difficulty graduating. Therefore, we investigated risk and protective factors of dropping out with the aim of improving such students' academic outcomes. METHODS: First, we statistically compared the academic outcomes of 203 undergraduate students who received treatment in the Department of Psychiatry of the Tsukuba University Health Center to those of matched controls. Second, clinical factors of 370 mentally ill students were statistically compared between the dropout and graduate groups...
December 2, 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29212490/attitudes-towards-assisted-suicide-and-euthanasia-among-care-dependent-older-adults-50-in-austria-the-role-of-socio-demographics-religiosity-physical-illness-psychological-distress-and-social-isolation
#14
Erwin Stolz, Hannes Mayerl, Peter Gasser-Steiner, Wolfgang Freidl
BACKGROUND: Care-dependency constitutes an important issue with regard to the approval of end-of-life decisions, yet attitudes towards assisted suicide and euthanasia are understudied among care-dependent older adults. We assessed attitudes towards assisted suicide and euthanasia and tested empirical correlates, including socio-demographics, religiosity, physical illness, psychological distress and social isolation. METHODS: A nationwide cross-sectional survey among older care allowance recipients (50+) in private households in Austria was conducted in 2016...
December 7, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29194054/a-rare-vehicle-assisted-ligature-hanging-suicide-at-the-wheel
#15
Rosario Barranco, Fiorella Caputo, Alessandro Bonsignore, Giulio Fraternali Orcioni, Francesco Ventura
Suicide by hanging inside a motor vehicle is a rare occurrence. A 48-year-old woman suffering from major depression was found having agonal breathing inside her automobile. A 20-mm diameter blue nylon rope was wrapped tightly around her neck, with its other end tied to a nearby wooden fence post. Despite resuscitation attempts, she was declared deceased after several minutes. The vehicle was located in an area with a slight downward slope. The motor was off. It was in neutral gear, with the parking brake disengaged...
December 1, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/29180462/global-human-trafficking-and-child-victimization
#16
REVIEW
Jordan Greenbaum, Nia Bodrick
Trafficking of children for labor and sexual exploitation violates basic human rights and constitutes a major global public health problem. Pediatricians and other health care professionals may encounter victims who present with infections, injuries, posttraumatic stress disorder, suicidality, or a variety of other physical or behavioral health conditions. Preventing child trafficking, recognizing victimization, and intervening appropriately require a public health approach that incorporates rigorous research on the risk factors, health impact, and effective treatment options for child exploitation as well as implementation and evaluation of primary prevention programs...
December 2017: Pediatrics
https://www.readbyqxmd.com/read/29157510/euthanasia-requests-in-a-canadian-psychiatric-emergency-room-a-case-series-part-1-of-the-mcgill-university-euthanasia-in-psychiatry-case-series
#17
David Benrimoh, Antoine Perreault, Frederique Van Den Eynde
Euthanasia was decriminalized in Quebec in December 2015, and Canada-wide in June 2016. Both the Provincial and Federal legislation have limited the right to medical assistance in dying (MAID) to end-of-life cases; which makes MAID inaccessible to most patients solely suffering from psychiatric illness. While some end-stage anorexia nervosa or elderly patients may meet the end-of-life criterion because of their medical comorbidities or their age (Kelly et al., 2003), repeated suicide attempts or psychotic disorganization would not qualify since they would not be seen as elements of an illness leading to a foreseeable "natural death" (Canada, 2016)...
November 2017: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/29157507/public-attitudes-towards-involuntary-admission-and-treatment-by-mental-health-services-in-norway
#18
Inge Joa, Kjetil Hustoft, Liss Gøril Anda, Kolbjørn Brønnick, Olav Nielssen, Jan Olav Johannessen, Johannes H Langeveld
PURPOSE: The role of compulsory treatment of serious mental disorders has been the topic of ongoing public debate involving among others mental health professionals, service providers, service user advocates, relatives of service users, media commentators and politicians. However, relatively little is known about general public attitudes towards involuntary admission and compulsory treatment of people with various mental disorders. This article examines the attitudes in a representative sample of Norway's population towards the use of involuntary admission and treatment, and under which circumstances does the general public consider compulsory treatment to be justified in the Norwegian mental health care services...
November 2017: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/29154398/community-data-collection-with-children-of-mothers-living-with-hiv-boundaries-of-the-researcher-role
#19
Rebecca Hill LeCroix, Nada M Goodrum, Schell Hufstetler, Lisa P Armistead
The TRACK-II program is a multi-site, community-based randomized controlled trial evaluating an intervention to assist mothers living with HIV (MLH) in disclosing their HIV status to their young children. Many participants-both mothers and children-reported significant depression and/or suicidal ideation, a phenomenon that presented ethical challenges. This article focuses on participants at one site (Atlanta). Through the vignette of "Jordan," we describe ethical challenges that may arise when faced with the responsibility of maximizing participants' safety while maintaining the boundaries of the researcher role...
November 20, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29145792/evaluating-feasibility-and-acceptability-of-a-local-psycho-educational-intervention-for-pregnant-women-with-common-mental-problems-affected-by-armed-conflict-in-swat-pakistan-a-parallel-randomized-controlled-feasibility-trial
#20
Muhammad Naseem Khan, Mukesh Dherani, Anna Chiumento, Najia Atif, Katie Bristow, Siham Sikander, Atif Rahman
BACKGROUND: The current research was conducted in the Swat valley, where widespread conflict and militancy had been experienced prior to the field activities. The aim of this trial was to evaluate the feasibility and acceptability of a locally developed psycho-educational intervention. METHODS: This mixed-methods study incorporated a quantitative and qualitative component. For the quantitative component, trial participants were identified from a cross-sectional study conducted in the earlier phase of the research, with Self-Reporting Questionnaire (SRQ) score of ≥9...
December 2017: International Journal of Social Psychiatry
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