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Psychological autopsy

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https://www.readbyqxmd.com/read/29322558/-the-masks-we-wear-a-qualitative-study-of-suicide-in-australian-farmers
#1
Lisa Kunde, Kairi Kõlves, Brian Kelly, Prasuna Reddy, Diego de Leo
PURPOSE: Farmer suicide is a major public issue in Australia. Using the psychological autopsy method, this study aimed to examine the life and death circumstances of Australian male farmers who died by suicide through verbal reports from their close significant others. METHODS: Individual semistructured interviews were conducted with 12 relatives of male farmers who had died by suicide in Queensland or New South Wales, Australia (2006-2014). This study followed the COREQ checklist criteria for the reporting of qualitative research...
January 10, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29317593/loneliness-5-years-ante-mortem-is-associated-with-disease-related-differential-gene-expression-in-postmortem-dorsolateral-prefrontal-cortex
#2
Turhan Canli, Lei Yu, Xiaoqing Yu, Hongyu Zhao, Debra Fleischman, Robert S Wilson, Philip L De Jager, David A Bennett
Subjective social isolation, loneliness, is associated with poor mental and physical health, but the underlying molecular mechanisms are poorly understood. Here we analyzed loneliness data collected on average 5 years ante-mortem and RNA gene expression at death in postmortem dorsolateral prefrontal cortex (DLPFC) from 181 participants in the Rush Memory and Aging Project (MAP), a longitudinal, prospective cohort study of common chronic conditions of aging. Our analytic protocol controlled for biographical variables (age, sex, education), psychological and health variables (depressive symptoms, interval between assessment and autopsy, slope of cognitive decline, AD pathology, presence of infarcts) and RNA integrity...
January 10, 2018: Translational Psychiatry
https://www.readbyqxmd.com/read/29193261/metaanalysis-of-mood-and-substance-use-disorders-in-proximal-risk-for-suicide-deaths
#3
Kenneth R Conner, Jeffrey A Bridge, Dustin J Davidson, Carly Pilcher, David A Brent
Evidence for proximal risk factors for suicide is based on case-control psychological autopsy studies, with these reports showing that mood and substance use disorders are the most prevalent mental disorders among suicide decedents worldwide and are associated with marked risk. However, moderators of risk and the degree of risk associated with (nonalcohol) drug use disorder are unknown. A comprehensive search was used to identify 35 case-control psychological autopsy studies published worldwide over a 30-year period that were metaanalyzed using random effects models...
November 28, 2017: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/29176520/baccalaureate-nursing-students-perceptions-regarding-autopsy-experiences
#4
Emily J Cannon, Renee N Bauer
PURPOSE: Since 2012, a medical-surgical nursing course at a midsized state university has provided the opportunity for students to view autopsies with a board-certified forensic pathologist. The autopsies are performed at a midsized hospital relatively close to the campus. The purpose of this study was to discover nursing students' perceptions that emerged during the autopsy experience. METHODS: A convenience sample of 23 baccalaureate nursing students took part in the autopsy experience over a 4-month period...
October 2017: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29091781/factors-associated-with-suicide-case-control-study-in-south-tyrol
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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...
January 2018: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/28703837/multiple-stab-wounds-understanding-the-manner-of-death-through-the-psychological-autopsy
#16
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
#17
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
#18
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
#19
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
#20
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
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