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https://www.readbyqxmd.com/read/28641479/norms-and-normalisation-understanding-lesbian-gay-bisexual-transgender-and-queer-youth-suicidality-and-help-seeking
#1
Elizabeth McDermott, Elizabeth Hughes, Victoria Rawlings
Young people who identify as lesbian, gay, bisexual, and queer transgender have elevated rates of suicidality. Despite the increased risk, there is a paucity of research on lesbian, gay, bisexual, transgender and queer help-seeking and suicidality. We report on a UK sequential exploratory, two-stage, mixed-method study. Stage 1 involved 29 online and face-to-face semi-structured interviews with lesbian, gay, bisexual, transgender and queer youth aged 16-25 years old. Stage 2 utilised an online youth questionnaire employing a community-based sampling strategy (n = 789)...
June 23, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28636617/backup-development-and-evaluation-of-a-smart-phone-application-for-coping-with-suicidal-crises
#2
Kirsten Pauwels, Saskia Aerts, Ekke Muijzers, Eva De Jaegere, Kees van Heeringen, Gwendolyn Portzky
BACKGROUND: Suicide is a major public health issue and has large impact on the lives of many people. Innovative technologies such as smartphones could create new possibilities for suicide prevention, such as helping to overcome the barriers and stigma on help seeking in case of suicidal ideation. Due to their omnipresence, smartphone apps can offer suicide prevention tools very fast, they are easily-accessible, low-threshold and can help overcome some of the help-seeking barriers suicidal people experience...
2017: PloS One
https://www.readbyqxmd.com/read/28621659/reclaiming-indigenous-identities-culture-as-strength-against-suicide-among-indigenous-youth-in-canada
#3
Brittany Barker, Ashley Goodman, Kora DeBeck
In Canada, Indigenous youth suicide represents one of several health disparities burdening Indigenous populations, and like many other of these disparities, can be understood as an expression of societal, historical, cultural and familial trauma. As the number of Indigenous youth who take their own lives every year in Canada continues to far exceed national averages, it appears that conventional suicide prevention efforts remain ineffective among this population. A growing body of research argues that conventional interventions, largely rooted in Western individual-level behavioural change frameworks, are culturally discordant with Indigenous paradigms...
June 16, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28619050/a-standardized-crisis-management-model-for-self-harming-and-suicidal-individuals-with-three-or-more-diagnostic-criteria-of-borderline-personality-disorder-the-brief-admission-sk%C3%A3-ne-randomized-controlled-trial-protocol-basrct
#4
Sophie I Liljedahl, Marjolein Helleman, Daiva Daukantaité, Åsa Westrin, Sofie Westling
BACKGROUND: Brief Admission is a crisis and risk management strategy in which self-harming and suicidal individuals with three or more diagnostic criteria of borderline personality disorder self-admit to hospital at times of increasing risk when other efforts to stay safe are failing. Standardized in the current randomized controlled trial, the intensity of Brief Admission Skåne is implemented in durations of three days, with a maximum frequency of three times a month. Brief Admission is integrated into existing treatment plans in advance of crises to prevent reliance on general psychiatric admissions for risk management, as these may be lengthy, unstructured, and of uncertain therapeutic value...
June 15, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28617206/utilization-patterns-at-a-specialized-children-s-comprehensive-psychiatric-emergency-program
#5
Ruth Gerson, Jennifer Havens, Mollie Marr, Amy Storfer-Isser, Mia Lee, Carolena Rojas Marcos, Michelle Liu, Sarah McCue Horwitz
OBJECTIVE: Most youths experiencing a psychiatric crisis present to emergency departments (EDs) that lack the specialized staff to evaluate them, so youths are often discharged without appropriate mental health assessment or treatment. To better understand the needs of this population, this study described clinical details and disposition associated with visits for psychiatric emergencies to a specialized ED staffed 24/7 by child psychiatrists. METHODS: Through retrospective chart review, 1,180 visits to the ED during its first year of operation were reviewed for clinical characteristics, prior service utilization, and demographic characteristics...
June 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28598715/responding-to-a-suicide-death-the-role-of-first-responders
#6
Kenneth Norton
Effective response by first responders in the immediate aftermath of a suicide death can play a critical role in reducing risk and promoting healing for family, friends and the larger community by helping people who are newly bereaved to cope with the immediate crisis, created by the death. They also can lay the foundation for the difficult journey of mourning and healing that must follow. Stressing the importance of a comprehensive and coordinated community response to suicide, this article addresses the principles and practices that are called for in the Guidelines by highlighting four distinct first responder communities: law enforcement and emergency medical services; medical examiners; funeral professionals; and clergy and faith leaders...
June 9, 2017: Death Studies
https://www.readbyqxmd.com/read/28566029/trainer-fidelity-as-a-predictor-of-crisis-counselors-behaviors-with-callers-who-express-suicidal-thoughts
#7
Wendi F Cross, Tian Chen, Karen Schmeelk-Cone, Xin Tu, Marjorie Kleinman, Madelyn S Gould
OBJECTIVE: The relationship between trainer fidelity during a two-day suicide prevention program for counselors at crisis centers and counselors' behaviors during calls from individuals with suicidal thoughts was examined. METHODS: The study used two data sets from a randomized control trial of a suicide prevention program delivered by counselors at 17 crisis centers who had previously received training (train-the-trainer [TTT] approach). One data set examined counselors' behaviors by silently monitoring calls (N=764) to the crisis lines, and one assessed adherence to manual content and competence in delivery among trainers (N=34) by coding training videotapes...
June 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28545799/the-relationship-of-the-perceived-impact-of-the-current-greek-recession-with-increased-suicide-risk-is-moderated-by-mental-illness-in-patients-with-long-term-conditions
#8
Elisavet Ntountoulaki, Vassiliki Paika, Dimitra Papaioannou, Elspeth Guthrie, Konstantinos Kotsis, Konstantinos N Fountoulakis, Andre F Carvalho, Thomas Hyphantis
OBJECTIVE: Adverse life events may contribute to the emergence of suicidality. We aimed to test the relationship between the impact of the Greek recession and suicidal risk in people with long-term conditions (LTCs) and to determine whether this relationship is moderated by the presence of a mental disorder. METHODS: Suicidal risk (RASS) and crisis parameters were assessed in a cross-sectional survey including 376 patients with LTCs (type-II diabetes mellitus, rheumatological disorders and chronic obstructive pulmonary disease) attending the Emergency Department or specialty clinics...
May 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28538605/the-heads-ed-evaluating-the-clinical-use-of-a-brief-action-oriented-pediatric-mental-health-screening-tool
#9
Mario Cappelli, Roger Zemek, Christine Polihronis, Nathalie R Thibedeau, Allison Kennedy, Clare Gray, Mona Jabbour, Sarah Reid, Paula Cloutier
OBJECTIVES: This effectiveness study aimed to evaluate the clinical use of the HEADS-ED tool for patients presenting to a pediatric emergency department (PED) for mental health (MH) care. METHODS: In this pragmatic trial, PED physicians used the HEADS-ED to guide their assessment and identify areas of MH need in 639 patients (mean [SD], 15.16 [1.40] years; female, 72.6%) who presented to the emergency department with MH concerns between May 2013 and March 2014. RESULTS: The HEADS-ED guided consultation to psychiatry/crisis, with 86% receiving a recommended consult...
May 23, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28536190/pediatric-firearm-related-injuries-in-the-united-states
#10
REVIEW
Kavita Parikh, Alyssa Silver, Shilpa J Patel, Sabah F Iqbal, Monika Goyal
Pediatric firearm-related deaths and injuries are a national public health crisis. In this Special Review Article, we characterize the epidemiology of firearm-related injuries in the United States and discuss public health programs, the role of pediatricians, and legislative efforts to address this health crisis. Firearm-related injuries are leading causes of unintentional injury deaths in children and adolescents. Children are more likely to be victims of unintentional injuries, the majority of which occur in the home, and adolescents are more likely to suffer from intentional injuries due to either assault or suicide attempts...
May 23, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28532253/from-condemnation-to-understanding-views-on-suicidal-behavior-in-ghana-in-transition
#11
Joseph Osafo, Charity S Akotia, Heidi Hjelmeland, Birthe L Knizek
The cultural context in which suicide occurs has been emphasized as critical in understanding the act and informing prevention. Yet the penchant of psychiatrizing suicidality in mainstream suicidology relegates cultural issues to the background. Through the lenses of critical cultural suicidology, we have re-emphasized the importance of culture by reviewing the two major meanings of suicide as observed in our eight-year study in Ghana: moral transgression and life crisis. We have also showed the usefulness of the life crisis perspective of suicidality in reducing stigma and sustaining advocacy in decriminalizing attempted suicide in the country...
May 22, 2017: Death Studies
https://www.readbyqxmd.com/read/28499576/an-introduction-to-the-model-of-crisis-intervention-procedure-for-borderline-patients-cip-bp-a-case-study
#12
Tytus Koweszko, Jacek Gierus, Magdalena Więdłocha, Anna Mosiołek, Agata Szulc
Borderline personality disorder is highly associated with suicidal behaviors. The authors of the current case study present the introduction model of original Crisis Intervention Procedure for Borderline Patients (CIP-BP) which is a method focused on restoring emotional balance, reducing the severity of symptoms and the risk of suicidal behavior, as well as developing optimum solutions for further action. Its aim is to enable the patient to regain control of their emotional memory, increase autonomy and restore important interpersonal relations by using the original resources of this person...
June 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/28489969/barriers-toward-help-seeking-among-young-men-prior-to-suicide
#13
Mette Lyberg Rasmussen, Heidi Hjelmeland, Gudrun Dieserud
This study explores barriers to help-seeking among young men prior to suicide. We analyzed 61 in-depth interviews with parents, siblings, friends, and ex-partners of 10 young men (aged 18-30) with no record of mental illness, as well as 6 suicide notes, using interpretative phenomenological analysis. Three barriers emerged: (a) a total defeat; (b) no room for weakness; and (c) fear of mental disorder. The shame from falling short of standards (own/significant male others') could be a considerable barrier to help-seeking in a suicidal crisis...
May 10, 2017: Death Studies
https://www.readbyqxmd.com/read/28468558/expanding-suicide-crisis-services-to-text-and-chat
#14
Zachary Predmore, Rajeev Ramchand, Lynsay Ayer, Virginia Kotzias, Charles Engel, Patricia Ebener, Janet E Kemp, Elizabeth Karras, Gretchen L Haas
BACKGROUND: Crisis support services have historically been offered by phone-based suicide prevention hotlines, but are increasingly becoming available through alternative modalities, including Internet chat and text messaging. AIMS: To better understand differences in the use of phone and chat/text services. METHOD: We conducted semistructured interviews with call responders at the Veterans Crisis Line who utilize multimodal methods to respond to veterans in crisis...
May 3, 2017: Crisis
https://www.readbyqxmd.com/read/28451519/a-longitudinal-ecological-study-of-household-firearm-ownership-and-firearm-related-deaths-in-the-united-states-from-1999-through-2014-a-specific-focus-on-gender-race-and-geographic-variables
#15
David A Geier, Janet K Kern, Mark R Geier
Firearms have a longstanding tradition in the United States (US) and are viewed by many with iconic stature with regards to safety and personal freedom. Unfortunately, from a public health point of view, firearm-related deaths (FRDs) in the US have reached a crisis point with an estimated > 31,000 deaths and 74,000 nonfatal injuries resulting from firearms each year. This longitudinal ecological study analyzed variations in FRDs following firearm assaults (FAs) and law enforcement incidents involving a firearm (LEIF) in comparison to variations in household firearm ownership (HFO) among different geographic and demographic groups in the US from 1999 to 2014...
June 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28439293/socio-demographic-characteristics-clinical-profile-and-prevalence-of-existing-mental-illness-among-suicide-attempters-attending-emergency-services-at-two-hospitals-in-hawassa-city-south-ethiopia-a-cross-sectional-study
#16
Moges Ayehu, Tarekegn Solomon, Kinfe Lemma
BACKGROUND: Suicide is a major public health problem worldwide. It contributes for more than one million deaths each year. Since previous suicidal attempt was considered as the best predictor of future suicide, identifying factors behind suicidal attempt are helpful to design suicide prevention strategies. The aim of this study was to assess socio-demographic characteristics, clinical profile and prevalence of existing mental illness among patients presenting with suicidal attempt to emergency services of general hospitals in South Ethiopia...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28436130/sleep-complaints-associated-with-wish-to-die-after-a-suicide-crisis-an-exploratory-study
#17
Anca Mirsu-Paun, Isabelle Jaussent, Giovanni Komar, Philippe Courtet, Jorge Lopez-Castroman
The present study explores whether sleep concerns are associated with wish to die throughout a 1-month time interval following a suicide crisis. Sixty-eight patients admitted to the emergency department of a general or psychiatric hospital were enrolled. Sleep difficulties were assessed using the Insomnia Severity Index (ISI), the Epworth Sleepiness Scale, self-reported satisfaction with sleep and time in bed. Suicidal ideation was assessed through the presence of a wish to die at 1 month following a suicide crisis...
April 24, 2017: Journal of Sleep Research
https://www.readbyqxmd.com/read/28411665/-the-nursing-care-of-a-suicidal-patient
#18
Harold Simon, Grégory Mykolow, Josselin Guyodo
The management of a suicidal crisis falls within the scope of nursing care. There is a high rate of recurrence in the months following an attempted suicide. The nurse monitoring strategy, based on the principle of the 'recontacting' of patients, has been tested by the team of a post-emergency psychiatric unit of a university hospital.
April 2017: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/28411663/-suicide-in-the-elderly
#19
Marie-Claude Frénisy, Claude Plassard
Suicide in the elderly is a real public health issue and has been the subject of a national prevention plan. It is very frequently linked to depression. To prevent people attempting suicide, health professionals must be trained to recognise and manage a suicidal crisis.
April 2017: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/28411661/-the-suicidal-crisis-in-emergency-departments
#20
Christophe Delmas, Chloé Wallach
Professionals working in emergency departments have an important role to play in assessing and orienting suicidal patients. A patient's suicide risk must be assessed using the 'Risk-Emergency-Dangerousness' grid. The main objective of the initial care is to buy time in order to avoid the patient attempting suicide. Enabling the patient to return home accompanied by a close friend or family member after their visit to the emergency department must be favoured whenever possible, by proposing close monitoring.
April 2017: Soins; la Revue de Référence Infirmière
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