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Suicidal crisis

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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
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
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
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
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
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
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
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
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
Divya Parmar, Charitini Stavropoulou, John P A Ioannidis
OBJECTIVE:  To systematically identify, critically appraise, and synthesise empirical studies about the impact of the 2008 financial crisis in Europe on health outcomes. DESIGN:  Systematic literature review. DATA SOURCES:  Structural searches of key databases, healthcare journals, and organisation based websites. REVIEW METHODS:  Empirical studies reporting on the impact of the financial crisis on health outcomes in Europe, published from January 2008 to December 2015, were included...
2016: BMJ: British Medical Journal
Hildur G Ásgeirsdóttir, Tinna L Ásgeirsdóttir, Ullakarin Nyberg, Thordis K Thorsteinsdottir, Brynjólfur Mogensen, Páll Matthíasson, Sigrún H Lund, Unnur A Valdimarsdóttir, Arna Hauksdóttir
BACKGROUND: Macroeconomic downturns have been associated with increased suicide rates. This study examined potential changes in suicide attempts and self-harm in Iceland during a period of major economic transition (2003-12). METHODS: Data were retrieved from the National University Hospital in Reykjavik (population size: 204.725), containing all ICD-10 diagnoses connected to potential suicidal behaviour. Poisson regression models were used to compare attendance rates before and after the 2008 economic collapse...
August 31, 2016: European Journal of Public Health
Katharan D Cordell, Lonnie R Snowden
BACKGROUND: Children's Full Service Partnerships (FSP), created through California's Mental Health Services Act of 2004 are comprehensive treatment and support programs incorporating a wraparound model designed to serve undertreated families with children who have a serious emotional disturbance and are at risk for suicide, violence, residential instability, criminal justice involvement, or involuntary hospitalization. OBJECTIVE: This study investigated whether FSP programs resulted in reduced crisis-related mental health emergency services (MHES) for the children they served...
August 30, 2016: Medical Care
Rajeev Ramchand, Lynsay Ayer, Virginia Kotzias, Charles Engel, Zachary Predmore, Patricia Ebener, Janet E Kemp, Elizabeth Karras, Gretchen Haas
BACKGROUND: Women veterans are at increasingly high risk of suicide, but little is known about the concerns and needs of this population. This is, in part, owing to the low base rate of suicide and the inability to conduct retrospective interviews with individuals who died. In this study, we used a qualitative approach to gain insight about the concerns and nature of comments regarding suicidal ideation and intent among women veterans calling the Veterans Crisis Line (VCL). METHODS: Fifty-four VCL call responders were interviewed in the spring of 2015...
August 26, 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Elizabeth Karras, Naiji Lu, Heather Elder, Xin Tu, Caitlin Thompson, Wendy Tenhula, Sonja V Batten, Robert M Bossarte
BACKGROUND: Few studies have considered different messaging strategies that may augment campaign efficacy to generate help-seeking behaviors among populations at increased risk for suicide, mainly US military veterans. AIMS: Findings are presented from the pilot evaluation of the It's Your Call campaign implemented by the Department of Veterans Affairs (VA). Three messaging strategies (with varying intensity and mix of messages) were compared to explore which best promote use of the Veterans Crisis Line (VCL) among veteran populations...
August 26, 2016: Crisis
Paul Smith
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
Sabrina W Tyuse, Shannon Cooper-Sadlo, Sarah E Underwood
Increasingly, older adults who experience a mental health crisis come to the attention of crisis intervention team (CIT) law enforcement officers. These encounters are due largely to a lack of local mental health care resources. With few options available, individuals call 911 for assistance when an older adult exhibits alarming behavior. This article provides a profile of older adults encountered by CIT officers, identifies the reasons for the 911 call for assistance, and finds what predictors are associated with outcomes of those encounters...
August 19, 2016: Journal of Women & Aging
Jan K Mokkenstorm, Merijn Eikelenboom, Annemiek Huisman, Jasper Wiebenga, Renske Gilissen, Ad J F M Kerkhof, Johannes H Smit
Recognizing the importance of digital communication, major suicide prevention helplines have started offering crisis intervention by chat. To date there is little evidence supporting the effectiveness of crisis chat services. To evaluate the reach and outcomes of the 113Online volunteer-operated crisis chat service, 526 crisis chat logs were studied, replicating the use of measures that were developed to study telephone crisis calls. Reaching a relatively young population of predominantly females with severe suicidality and (mental) health problems, chat outcomes for this group were found to be comparable to those found for crisis calls to U...
August 19, 2016: Suicide & Life-threatening Behavior
Bridget H Lyons, Katherine A Fowler, Shane P D Jack, Carter J Betz, Janet M Blair
PROBLEM/CONDITION: In 2013, more than 57,000 persons died in the United States as a result of violence-related injuries. This report summarizes data from CDC's National Violent Death Reporting System (NVDRS) regarding violent deaths from 17 U.S. states for 2013. Results are reported by sex, age group, race/ethnicity, marital status, location of injury, method of injury, circumstances of injury, and other selected characteristics. REPORTING PERIOD COVERED: 2013. DESCRIPTION OF SYSTEM: NVDRS collects data from participating states regarding violent deaths obtained from death certificates, coroner/medical examiner reports, law enforcement reports, and secondary sources (e...
2016: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
May Vatne, Dagfinn Nåden
BACKGROUND: Suffering in a suicidal crisis includes feelings such as despair, loneliness, anxiety, fear, shame, guilt and hopelessness. This study highlights the experiences of patients in the aftermath of suicide attempts. The research question was, what do suicidal patients see as meaningful help in care and treatment situations? METHODOLOGY: The methodology is inspired by Gadamer's hermeneutics, where the parts are understood in light of the whole, and the whole is understood in light of the parts...
August 12, 2016: Nursing Ethics
Jing Ma, Wei Zhang, Keith Harris, Qiang Chen, Xiaolin Xu
BACKGROUND: Social media and online environments are becoming increasingly popular and integral to modern lives. The online presentation of suicidal behaviors is an example of the importance of communication technologies, and the need for professionals to respond to a changing world. These types of behaviors, however, have rarely been scientifically analyzed. This study aimed to examine the behaviors of both suicide broadcasters and their audience, with attention on prevention/crisis opportunities...
2016: BMC Public Health
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