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Psychological autopsy

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https://www.readbyqxmd.com/read/29091781/factors-associated-with-suicide-case-control-study-in-south-tyrol
#1
Giancarlo Giupponi, Marco Innamorati, Ross J Baldessarini, Diego De Leo, Francesca de Giovannelli, Roger Pycha, Andreas Conca, Paolo Girardi, Maurizio Pompili
BACKGROUND: As suicide is related to many factors in addition to psychiatric illness, broad and comprehensive risk-assessment for risk of suicide is required. This study aimed to differentiate nondiagnostic risk factors among suicides versus comparable psychiatric patients without suicidal behavior. METHODS: We carried out a pilot, case-control comparison of 131 cases of suicide in South Tyrol matched for age and sex with 131 psychiatric controls, using psychological autopsy methods to evaluate differences in clinically assessed demographic, social, and clinical factors, using bivariate conditional Odds Risk comparisons followed by conditional regression modeling controlled for ethnicity...
September 28, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29035840/characteristics-of-mexican-children-and-adolescents-who-died-by-suicide-a-study-of-psychological-autopsies
#2
Thelma Beatriz González-Castro, Carlos Alfonso Tovilla-Zárate, Yazmín Hernández-Díaz, Isela E Juárez-Rojop, Alejandra Giovanna León-Garibay, Crystell Guadalupe Guzmán-Priego, Lilia López-Narváez, Ana Frésan
OBJECTIVE: In recent years, suicide in children and adolescents has increased considerably, becoming the second cause of death in this age group. Therefore, the aim of this study was to identify characteristics and factors that could precipitate deaths by suicide in children and adolescents. METHODS: Using the psychological autopsy method, we studied 28 suicide cases of children and adolescents between 10 and 17 years old. Socio-demographic factors, characteristics of the suicide and family history were documented...
October 13, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28965653/alcohol-use-disorders-and-suicide-results-from-a-psychological-autopsy-study-in-australia
#3
Kairi Kõlves, Brian M Draper, John Snowdon, Diego De Leo
INTRODUCTION: People who die by suicide have a higher risk of an alcohol-use disorder (AUD) at the time of death. The present study aims to compare 1) suicide cases with and without AUD, and 2) suicide and sudden-death controls with AUD. METHODS: The psychological autopsy method was utilized to investigate suicide and sudden death in Australia (QLD and NSW). Initial information was gathered from coroners' offices. Potential informants were approached and semi-structured interviews were conducted...
November 2017: Alcohol
https://www.readbyqxmd.com/read/28958122/-concordance-of-dsm-5%C3%A2-diagnoses-based-on-diagnostic-interviews-with-people-with-mental-disorders-and-relatives-or-friends-implications-for-psychological-autopsy-studies
#4
Jan Christopher Cwik, Henrik Kessler, Stephan Herpertz, Georgina Becker, Sandra Janetzky, Anna Sheverdina, Katharina Westermann, Tobias Teismann
Background The evaluation whether a person who died by suicide suffered from a psychiatric disorder poses a diagnostic problem on psychological autopsy studies and is debated controversially. Objective Do patients and relatives or friends agree on DSM-5(®)-diagnoses? Methods A sample of N=20 inpatients and their relatives or friends were interviewed using a structured-clinical interview. In total agreement on 78 patient-based and 72 relatives- or friends-based diagnoses could be assessed. Results Agreement of patients' and relatives' or friend's diagnoses was low...
September 28, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28936821/-forensic-psychiatric-assessment-with-the-claim-of-incitement-solicitation-assistance-to-suicide-and-reinforcement-of-suicide-decision-a-case-report
#5
Altan Eşsizoğlu, Mustafa Sercan
Although the act of suicide is not considered a crime in Turkish Criminal Law, any contribution (incitement, solicitation, assistance and reinforcement of suicide decision) to the commitment of suicide is a crime according to the 84th item. However, the number of cases opened with respect to this item as well as request for forensic psychiatric expertise is very rare. In these cases, forensic psychiatric expertise depends on the psychiatric evaluation of the individual that committed suicide and the analysis of his/her relationship with the person that incited the suicide...
2017: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/28916405/love-death-a-retrospective-and-prospective-follow-up-mortality-study-over-45-years
#6
Lena Lange, Barbara Zedler, Marcel A Verhoff, Markus Parzeller
BACKGROUND: Although sexual activity can cause moderate stress, it can cause natural death in individuals with pre-existing illness. The aim of this study was to identify additional pre-existing health problems, sexual practices, and potential circumstances that may trigger fatal events. METHODS: This medicolegal postmortem, retrospective, and prospective study is based on data of autopsies performed at the Institute of Legal Medicine of the University hospital, Goethe-University, Frankfurt/Main, Germany...
October 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28856382/suicide-in-nepal-a-modified-psychological-autopsy-investigation-from-randomly-selected-police-cases-between-2013-and-2015
#7
Ashley K Hagaman, S Khadka, S Lohani, B Kohrt
PURPOSE: Yearly, 600,000 people complete suicide in low- and middle-income countries, accounting for 75% of the world's burden of suicide mortality. The highest regional rates are in South and East Asia. Nepal has one of the highest suicide rates in the world; however, few investigations exploring patterns surrounding both male and female suicides exist. This study used psychological autopsies to identify common factors, precipitating events, and warning signs in a diverse sample. METHODS: Randomly sampled from 302 police case reports over 24 months, psychological autopsies were conducted for 39 completed suicide cases in one urban and one rural region of Nepal...
August 30, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28847070/-study-on-the-19-th-century-puerperal-fever-epidemic-semmelweis-an-often-neglected-pioneer-epidemiologist
#8
Q Feng, J L Tang
Puerperal fever was a major cause of maternal death in Europe in the 19(th) century. Many efforts were made to investigate the cause of the epidemic but failed. In 1846, Semmelweis, a young obstetrician in Vienna General Hospital, started his historical investigation. His breakthrough was largely due to his doctor friend's accidental injury during autopsy and his consequential death. Semmelweis found the pathological findings in his friend's post mortem examination were very similar to puerperal fever. He postulated his friend's death might be caused by "cadaverous particles" from cadavers and further inferred that puerperal fever might also be caused by the cadaverous particles that doctors brought to the delivering women after autopsy classes...
August 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/28825926/behavior-characteristics-and-risk-factors-for-suicide-among-the-elderly-in-rural-china
#9
Bao-Peng Liu, Ping Qin, Cun-Xian Jia
We examine the characteristics of suicide behavior and associated risk factors in the elderly in rural China, compared with the nonelderly. Paired case-control design and psychological autopsy were used for subject recruitment and data collection. The included cases were 104 suicides of the elderly aged 60 years or older, 86 suicides of the nonelderly, and sex- and age-paired controls from the same villages. Although the characteristics of suicide behavior were similar between the two age groups of victims, the elderly who died by suicide had a greater tendency to experience negative life events and not live with a spouse...
August 19, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28764673/exploring-coronial-determination-of-intent-for-poisoning-related-deaths-in-australia-2001-2013
#10
Kate Churruca, Rebecca Mitchell
BACKGROUND: In countries like the United States and the United Kingdom, systematic variation in the classification of intent in pharmaceutical poisoning deaths have been identified between jurisdictions. This study aimed to explore whether the coronial determination of intent (unintentional, intentional, undetermined) for pharmaceutical-related poisoning deaths may have affected death rates over time and by jurisdiction in Australia. METHODS: A retrospective examination of mortality records in the National Coronial Information System (NCIS) during 1 January 2001 to 31 December 2013 was conducted...
August 1, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28708330/mortality-in-children-with-low-grade-glioma-or-glioneuronal-tumors-a-single-institution-study
#11
Santhosh A Upadhyaya, Yahya Ghazwani, Shengjie Wu, Alberto Broniscer, Fredrick A Boop, Amar Gajjar, Ibrahim Qaddoumi
BACKGROUND: While pediatric low-grade glioma/glioneuronal tumors (LGG/LGGNTs) are considered slow-growing, indolent tumors with excellent long-term prognosis, mortality due to the disease is not unknown. Few studies have addressed the cause of death in this population. METHODS: Retrospective review of clinicopathologic and radiologic data for children 21 years or younger with LGG/LGGNT who died at St. Jude Children's Research Hospital between April 1985 and June 2015...
July 14, 2017: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/28703837/multiple-stab-wounds-understanding-the-manner-of-death-through-the-psychological-autopsy
#12
G Di Vella, I Grattagliano, S Curti, R Catanesi, M K Sullivan, L Tattoli
A 48-year-old physical therapist with no history of psychiatric disorders or suicidal tendencies was found dead by his relatives inside his apartment. Multiple stab wounds were present on the chest and the abdomen. Several more superficial cuts were also seen on the neck and the left wrist. At the death scene, there was a large pool of blood in the room, with secondary droplets and stains; a kitchen knife was found beside the body, and a suicide note on a table. Especially the number of wounds raised strong suspicion of a homicide in the first instance but some circumstances (the farewell letter, the absence of clothing injuries, no signs of third-party involvement) and autopsy findings (absence of defense or blunt injuries, the localization of the wounds, the presence of hesitation marks) pointed toward a suicide etiology...
July 2017: La Clinica Terapeutica
https://www.readbyqxmd.com/read/28691950/posttraumatic-stress-and-burnout-symptoms-in-forensic-doctors-and-staff-in-a-mortuary
#13
İlhami Kömür, Rifat O Ozdemirel, İsmail Ozver, Bünyamin Başpinar, Muhammet Demir, Fatih Gönen, Eyüp Kandemir, Murat Emul
We aimed to investigate burnout and posttraumatic stress symptoms in mortuary staff members who work for the Council of Forensic Medicine where more than 4500 autopsies are annually performed.The data were collected from 142 mortuary staff members from the Council of Forensic Medicine, Turkey. The participants were divided into the following 4 groups: forensic medicine specialists (n = 40, 28.2%), forensic medicine residents (n = 54, 38.0%), autopsy technicians (n = 24, 16.9%), and other staff members (n = 24, 16...
September 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28685838/do-undiagnosed-suicide-decedents-have-symptoms-of-a-mental-disorder
#14
Thomas E Joiner, Jennifer M Buchman-Schmitt, Carol Chu
BACKGROUND: Psychological autopsy studies consistently report that the rate of detected mental disorders among suicide decedents is below 100%. This implies three possibilities: (a) a subset of suicide decedents did not have a mental disorder at the time of death; (b) all suicide decedents suffered from a mental disorder, but some were undetected due to methodological limitations; and/or (c) suicide decedents with an undetected mental disorder displayed significant and perhaps subclinical features of a mental disorder...
December 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28640962/awareness-of-suicide-risk-and-communication-between-health-care-professionals-and-next-of-kin-of-suicides-in-the-month-before-suicide
#15
Brian Draper, Karolina Krysinska, John Snowdon, Diego De Leo
Based on psychological autopsy data, the study compared awareness of suicide risk in the deceased among next-of-kin (NOK) and health care professionals (HCPs), and communication between these two groups in the month before death. The NOKs had significantly more knowledge about the decedent's suicide warning signs than the HCPs (90.5% vs. 44.6%). Contact between NOK and HCP was initiated more often by the family than the HCPs (29.4% vs. 5.9%). The study found communication gaps between HCPs and NOK and stresses the need for suicide prevention strategies strengthening communication between these two groups...
June 22, 2017: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/28558884/exploring-suicide-risk-factors-among-japanese-individuals-the-largest-case-control-psychological-autopsy-study-in-japan
#16
Manami Kodaka, Toshihiko Matsumoto, Michiko Takai, Takashi Yamauchi, Shizuka Kawamoto, Minako Kikuchi, Hisateru Tachimori, Yotaro Katsumata, Norihito Shirakawa, Tadashi Takeshima
This case-control psychological autopsy study explored suicide risk factors among Japanese individuals. We targeted 102 suicide completers over 20 years of age and 334 living controls matched to suicide cases by gender, age, and residential municipality in Japan. After controlling for other factors, we found significant associations between suicide and mental disorders, sleeping problems, and verbal communication of one's own death. We discuss the importance of sensitive responses to verbal expressions of suicidal ideation...
June 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28502265/psychological-autopsy-study-comparing-suicide-decedents-suicide-ideators-and-propensity-score-matched-controls-results-from-the-study-to-assess-risk-and-resilience-in-service-members-army-starrs
#17
M K Nock, C L Dempsey, P A Aliaga, D A Brent, S G Heeringa, R C Kessler, M B Stein, R J Ursano, D Benedek
BACKGROUND: The suicide rate has increased significantly among US Army soldiers over the past decade. Here we report the first results from a large psychological autopsy study using two control groups designed to reveal risk factors for suicide death among soldiers beyond known sociodemographic factors and the presence of suicide ideation. METHODS: Informants were next-of-kin and Army supervisors for: 135 suicide cases, 137 control soldiers propensity-score-matched on known sociodemographic risk factors for suicide and Army history variables, and 118 control soldiers who reported suicide ideation in the past year...
November 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28467954/-association-between-the-5-httlpr-polymorphism-of-the-serotonin-transporter-gene-and-suicide-a-case-control-pilot-study
#18
Janos Bokor, Xenia Gonda, Peter Dome, Gabor Faludi, Elek Dinya, Andras Laszik
OBJECTIVES: Besides psychological and social effects, biological, biochemical and genetic factors also play a role in the background of suicide. The aim is developing a complex model incorporating all the above factors so that suicide could be predicted and prevented in those at risk. Based on several studies 5-HTTLPR s allele frequency is increased in case of violent completed suicides. The aim of the present study was to validate this association in a sample of completed suicides. METHODS: During autopsy sample DNA samples were obtained for 5-HTTLPR genotyping from 200 subjects deceased due to suicide and 200 controls deceased due to other causes...
March 2017: Neuropsychopharmacologia Hungarica
https://www.readbyqxmd.com/read/28350368/pathways-to-suicide-in-australian-farmers-a-life-chart-analysis
#19
Lisa Kunde, Kairi Kõlves, Brian Kelly, Prasuna Reddy, Diego De Leo
Farmers have been found to be at increased risk of suicide in Australia. The Interpersonal-Psychological Theory of Suicidal Behaviour suggests that the proximal factors leading to the suicidal desire or ideation include an individual's experiences of both perceived burdensomeness and thwarted belongingness. Suicidal desire with acquired capability to engage in lethal self-injury is predictive of suicidal behaviour. This study investigates the pathways to suicide of 18 Australian male farmers in order to understand the suicidal process and antecedents to suicide in Australian male farmers...
March 28, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28289365/br%C3%A3-lologie-et-m%C3%A3-decine-l%C3%A3-gale-les-victimes-d%C3%A2-incendie
#20
R Costagliola, J-P Campana, M Costagliola
During a judicial inquiry, the forensic doctor is frequently required to examine the hospitalized fire victim. He has to produce a certificate on the burns, defining their origin, seriousness and prognosis. The expert assessment of serious burn victims consists in an overall evaluation of functional and psychological sequelae, and can be conducted only after the long period of treatment needed for them to heal. The expert must know the forensic rules concerning the specific features of sequelae that follow a cutaneous burn injury...
December 31, 2016: Annals of Burns and Fire Disasters
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