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https://www.readbyqxmd.com/read/27935103/concerns-of-older-veteran-callers-to-the-veterans-crisis-line
#1
Kathy A Rasmussen, Deborah A King, Madelyn S Gould, Wendi Cross, Wan Tang, Kimberly Kaukeinen, Xin Tu, Kerry L Knox
When the Veterans Crisis Line (VCL) was implemented, it was uncertain if veterans, and particularly older male veterans, would utilize the service. We examined VCL use by a growing group of veterans at increased risk for suicide: those aged 60 and older. Real-time clinical data were gathered from a weekly random sampling of calls. Approximately 25% of calls were from veterans aged 60 or older; over 80% reported benefit from the call. Several significant differences in presenting concerns between older and younger callers were found...
December 9, 2016: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/27929696/development-of-instructional-competencies-for-assessing-and-managing-suicide-risk-for-baccalaureate-nursing-education-a-modified-delphi-study
#2
Abigail Kotowski, Carol Roye
Suicide is a major health problem and a leading cause of death throughout the world. A primary goal for suicide prevention is reforming health professional education in order to increase the competence of health professionals in assessing and managing suicide risk. Nursing leadership is involved in this reform, yet nurses frequently lack the competence to care for patients in suicidal crisis. An identified gap in baccalaureate nursing education is instructional competencies for assessing and managing suicide risk...
December 8, 2016: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/27929687/meaning-in-life-and-meaning-of-life-in-mental-health-care-an-integrative-literature-review
#3
Xanthe Glaw, Ashley Kable, Michael Hazelton, Kerry Inder
The aim of this integrative literature review was to identify high quality empirical research and theoretical literature on the sources of meaning in life and people's beliefs regarding the meaning of life. This will inform current mental health clinical practice and research by providing a synthesis of empirical and theoretical literature. Failure to address meaninglessness or the existential crisis can lead to psychopathologies such as depression, anxiety, addiction, aggression, hopelessness, apathy, lower levels of well-being, physical illness, and suicide...
December 8, 2016: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/27871186/does-a-tv-public-service-advertisement-campaign-for-suicide-prevention-really-work
#4
In Han Song, Jung-Won You, Ji Eun Kim, Jung-Soo Kim, Se Won Kwon, Jong-Ik Park
BACKGROUND: One of the critical measures in suicide prevention is promoting public awareness of crisis hotline numbers so that individuals can more readily seek help in a time of crisis. Although public service advertisements (PSA) may be effective in raising the rates of both awareness and use of a suicide hotline, few investigations have been performed regarding their effectiveness in South Korea, where the suicide rate is the highest among OECD countries. AIMS: The goal of this study was to evaluate the effectiveness of a television PSA campaign...
November 21, 2016: Crisis
https://www.readbyqxmd.com/read/27869506/testing-a-model-of-functional-impairment-in-telephone-crisis-support-workers
#5
Taneile A Kitchingman, Coralie J Wilson, Peter Caputi, Ian Wilson, Alan Woodward
BACKGROUND: It is well known that helping professionals experience functional impairment related to elevated symptoms of psychological distress as a result of frequent empathic engagement with distressed others. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. AIMS: The purpose of this study was to test a hypothesized model of factors contributing to functional impairment in telephone crisis support workers...
November 21, 2016: Crisis
https://www.readbyqxmd.com/read/27845946/global-trends-in-suicide-epidemiology
#6
Mark Sinyor, Robyn Tse, Jane Pirkis
PURPOSE OF REVIEW: Suicide is a major cause of mortality accounting for nearly 1 million deaths globally per year. Suicide occurs throughout the lifespan; therefore, large epidemiological samples are needed to identify patterns in suicide death. This review examines emerging evidence relating to risk and protective factors as well as preventive measures for suicide. RECENT FINDINGS: The global financial crisis, natural disasters, air pollution and second-hand smoke have all been associated with increased suicide rates...
January 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/27843841/temporal-variations-in-suicide-attempt-rates-a-hospital-based-study-from-india
#7
Shivanand Kattimani, Venkatalakshmi Penchilaiya, Siddharth Sarkar, V Muthukrishnan
BACKGROUND: Temporal variations of suicide attempts can help to better understand correlates of suicidal behavior. This study attempted to find the diurnal, weekly, and seasonal variations in suicide attempts at a tertiary care hospital in India. MATERIALS AND METHODS: This record-based study was conducted among patients evaluated at a crisis intervention clinic over a 4-year period at a tertiary care teaching hospital in Southern India. Patients who attempted suicide in recent past and had been medically stabilized were evaluated in this clinic...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27805983/can-religion-protect-against-suicide
#8
Michael A Norko, David Freeman, James Phillips, William Hunter, Richard Lewis, Ramaswamy Viswanathan
The vast majority of the world's population is affiliated with a religious belief structure, and each of the major faith traditions (in its true form) is strongly opposed to suicide. Ample literature supports the protective effect of religious affiliation on suicide rates. Proposed mechanisms for this protective effect include enhanced social network and social integration, the degree of religious commitment, and the degree to which a particular religion disapproves of suicide. We review the sociological data for these effects and the general objections to suicide held by the faith traditions...
October 31, 2016: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/27797348/telemedicine-and-telepsychology-a-medicolegal-dilemma-clarifying-standard-of-care-for-the-physicians-emergency-certificate-a-case-report
#9
Lynn W Aurich
Physicians and psychologists are often the front-line professionals who examine and treat individuals who are in suicidal crisis. Murphy comments "the clinical conditions that predispose to suicide frequently occasion visits to physicians, mostly nonpsychiatrists." When suicide appears imminent, physicians and psychologists take the necessary steps to hospitalize the patient to ensure their safety. If the patient refuses to voluntarily submit to examination and hospitalization, La.R.S.28:53 provides the legal means for effecting examination and treatment...
September 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27780335/a-randomized-trial-of-dialectical-behavior-therapy-in-high-risk-suicidal-veterans
#10
Marianne Goodman, David Banthin, Nicholas J Blair, Kathryn A Mascitelli, Jaime Wilsnack, Jennifer Chen, Julie W Messenger, M Mercedes Perez-Rodriguez, Joseph Triebwasser, Harold W Koenigsberg, Raymond R Goetz, Erin A Hazlett, Antonia S New
OBJECTIVE: Despite advances in suicide prevention implemented throughout the US Department of Veterans Affairs (VA) including the hiring of Suicide Prevention Coordinators (SPCs) at every VA hospital, enhanced monitoring, and the availability of 24-hour crisis hotline services, suicide by veterans remains a critical problem affecting 20 veterans daily. Few empirically based treatment strategies for suicide prevention for postdeployment military personnel exist. This study aimed to test whether dialectical behavior therapy (DBT), one of the few psychosocial treatments with proven efficacy in diminishing suicidal behavior in individuals with personality disorder, can be applied to veterans irrespective of personality diagnosis...
October 25, 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27771033/factors-associated-with-burnout-among-french-digestive-surgeons-in-training-results-of-a-national-survey-on-328-residents-and-fellows
#11
Rachid Chati, Emmanuel Huet, Lucie Grimberg, Lilian Schwarz, Jean-Jacques Tuech, Valérie Bridoux M D Ph D
BACKGROUND: Digestive surgery training is notoriously difficult and medical students choose this path less and less often leading to a veritable demographic crisis for this specialty in France. The aim of this study was to evaluate the working conditions to measure the prevalence of burnout syndrome (BOS) and to identify potential risk factors to implement preventive measures and appropriate support. METHODS: This was a multicenter, cross-sectional study. An anonymous questionnaire was sent by e-mail to 500 French digestive surgeons in training (residents and fellows)...
August 31, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27762985/suicide-risk-higher-in-community-care
#12
(no author information available yet)
People with mental health problems who are cared for by community crisis teams are far more likely to take their own life than those treated in hospital, research shows.
October 12, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27745725/-crisis-unit-at-the-general-hospital-determinants-of-further-hospitalization
#13
C Norotte, C Omnès, C Crozier, C Verlyck, M Romanos
INTRODUCTION: The availability of short-stay beds for brief admission (less than 72hours) of crisis patients presenting to the emergency room is a model that has gained a growing interest because it allows time for developing alternatives to psychiatric hospitalization and favors a maintained functioning in the community. Still, the determinants influencing the disposition decision at discharge after crisis intervention remain largely unexplored. OBJECTIVE: The primary objective of this study was to determine the factors predicting aftercare dispositions at crisis unit discharge: transfer for further hospitalization or return to the community...
October 10, 2016: L'Encéphale
https://www.readbyqxmd.com/read/27733064/individuals-at-risk-for-suicide
#14
Dana Alonzo, Claire Moravec, Benjamin Kaufman
BACKGROUND: Individuals experiencing suicidal ideation and/or behaviors are often difficult to engage in treatment. Up to 50% of individuals presenting to an ER for treatment of a suicidal crisis refuse outpatient treatment referrals. This study examined outpatient mental health clinicians' perceptions of the barriers to and facilitators of mental health treatment engagement of individuals at risk for suicide. METHOD: Thirty-six mental health clinicians working with clients with past and/or current suicidality (ideation, behaviors) in outpatient mental health centers participated in four focus groups...
October 12, 2016: Crisis
https://www.readbyqxmd.com/read/27729051/from-personal-crisis-care-to-convenience-shopping-an-interpretive-description-of-the-experiences-of-people-with-mental-illness-and-addictions-in-community-pharmacies
#15
Andrea L Murphy, Ruth Martin-Misener, Stan P Kutcher, Claire L O'Reilly, Timothy F Chen, David M Gardner
BACKGROUND: The role of community pharmacists is changing globally with pharmacists engaging in more clinically-oriented roles, including in mental health care. Pharmacists' interventions have been shown to improve mental health related outcomes but various barriers can limit pharmacists in their care of patients. We aimed to explore the experiences of people with lived experience of mental illness and addictions in community pharmacies to generate findings to inform practice improvements...
October 12, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27724837/can-the-phenomenology-of-a-suicidal-crisis-be-usefully-understood-as-a-suite-of-antipredator-defensive-reactions
#16
Thomas E Joiner, Ian H Stanley
When perceiving a dangerous predation threat, mammalian and other species activate antipredator defensive reactions. These include the seemingly paradoxical-but compatible-activation of overarousal (e.g., agitation, insomnia) and "shutdown" (e.g., mutism, withdrawal) states. Acute suicidal crises, too, are characterized by the co-occurrence of overarousal and shutdown behaviors. In the minutes, hours, and days prior to one's death by suicide, it is not uncommon for one to be simultaneously agitated and socially withdrawn, states that resemble antipredator defensive reactions...
2016: Psychiatry
https://www.readbyqxmd.com/read/27712028/prediction-of-suicidal-behavior-in-high-risk-psychiatric-patients-using-an-assessment-of-acute-suicidal-state-the-suicide-crisis-inventory
#17
Igor Galynker, Zimri S Yaseen, Abigail Cohen, Ori Benhamou, Mariah Hawes, Jessica Briggs
BACKGROUND: We have developed the Suicide Crisis Inventory (SCI) to evaluate the intensity of the Suicidal Crisis Syndrome, an acute state hypothesized to precede suicide attempt. The psychometric properties of the SCI, including predictive validity for suicidal behavior (SB), were assessed. METHODS: Adult psychiatric patients (n = 201) hospitalized for high suicide risk were assessed. Logistic regression models assessed the SCI's predictive validity for SB in the 4-8 weeks following hospital discharge and its incremental predictive validity over traditional risk factors (n = 137, 64% f/u rate)...
October 6, 2016: Depression and Anxiety
https://www.readbyqxmd.com/read/27695238/duration-of-suicide-process-among-suicide-attempters-and-characteristics-of-those-providing-window-of-opportunity-for-intervention
#18
Shivanand Kattimani, Siddharth Sarkar, Vikas Menon, Avin Muthuramalingam, Premkumar Nancy
BACKGROUND: There is limited cross-cultural literature on the duration of suicide process among attempters. AIMS: The primary aim was to assess the duration of suicide process among suicide attempters attending the Crisis Intervention Clinic. We also aimed to identify the characteristics of those who reported a longer duration for this process. METHODS: In this retrospective record-based study, we collected the duration of the suicidal process from the records of all the suicide attempters evaluated over a 3-year period (n = 319)...
October 2016: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/27647606/effectiveness-of-depression-suicidal-behaviour-gatekeeper-training-among-police-officers-in-three-european-regions-outcomes-of-the-optimising-suicide-prevention-programmes-and-their-implementation-in-europe-ospi-europe-study
#19
Ella Arensman, Claire Coffey, Eve Griffin, Chantal Van Audenhove, Gert Scheerder, Ricardo Gusmao, Susana Costa, Celine Larkin, Nicole Koburger, Margaret Maxwell, Fiona Harris, Vita Postuvan, Ulrich Hegerl
BACKGROUND: Gatekeeper training for community facilitators, to identify and respond to those at risk of suicide, forms an important part of multi-level community-based suicide prevention programmes. AIMS: This study examined the effects of gatekeeper training on attitudes, knowledge and confidence of police officers in dealing with persons at risk of suicide. METHODS: A total of 828 police officers across three European regions participated in a 4-hour training programme which addressed the epidemiology of depression and suicidal behaviour, symptoms of depression, warning signs and risk factors associated with suicidal behaviour, motivating help-seeking behaviour, dealing with acute suicidal crisis and informing bereaved relatives...
September 19, 2016: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/27611329/psychological-autopsy-of-seventy-high-school-suicides-combined-qualitative-quantitative-approach
#20
G Zalsman, Y Siman Tov, D Tzuriel, G Shoval, R Barzilay, N Tiech Fire, M Sherf, J John Mann
OBJECTIVE: Suicide is the leading cause of death among Israeli youths but data on causes are scarce. This study used psychological autopsies of 70 Israeli school students who committed suicide during 2004-2011, attempting to determine the causes. METHODS: Four narratives of the self were identified (qualitative analysis) and compared (quantitative analysis): (1) regressive: functioning and mood deteriorated continuously (45%); (2) tragic: doing well until rapid decline around suicidal crisis (20%); (3) unstable: peaks and crises throughout life (20%); and (4) stable: long lasting state of adverse living circumstances (15%)...
October 2016: European Psychiatry: the Journal of the Association of European Psychiatrists
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