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Suicide risk assessment

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https://www.readbyqxmd.com/read/29053977/suicidal-ideation-declines-with-improvement-in-the-subjective-symptoms-of-major-depression
#1
John G Keilp, Steven P Ellis, Marianne Gorlyn, Ainsley K Burke, Maria A Oquendo, J John Mann, Michael F Grunebaum
BACKGROUND: Suicidal ideation appears to be more strongly associated with subjective rather than neurovegetative symptoms of depression. Effective treatment, then, should produce reductions in suicidal ideation to the degree that these subjective symptoms are alleviated relative to treatment effects on other symptoms. METHODS: In a randomized clinical trial comparing paroxetine and bupropion for treatment of depression in patients with either suicidal ideation or past attempt, depression severity and suicidal ideation were assessed weekly during the 8-week study...
September 19, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29053975/depression-among-female-heads-of-household-in-rural-mozambique-a-cross-sectional-population-based-survey
#2
Carolyn M Audet, Milton L Wainberg, Maria A Oquendo, Qiongru Yu, Meridith Blevins Peratikos, Cristiane S Duarte, Samuel Martinho, Ann F Green, Lazaro González-Calvo, Troy D Moon
BACKGROUND: An estimated 350 million people live with depression worldwide. In Mozambique, there are no national data quantifying the burden of mental illnesses. With the sixth highest suicide rate in the world, there is strong evidence of an unmet mental health need. We conducted a survey to measure the prevalence of depression among female heads of household and assess individual, social, and cultural risk factors associated with a positive depression screening. METHODS: This survey was conducted across 14 rural districts in central Mozambique in 2014...
October 12, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29050504/transgender-research-in-the-21st-century-a-selective-critical-review-from-a-neurocognitive-perspective
#3
Sven C Mueller, Griet De Cuypere, Guy T'Sjoen
Gender dysphoria describes the psychological distress caused by identifying with the sex opposite to the one assigned at birth. In recent years, much progress has been made in characterizing the needs of transgender persons wishing to transition to their preferred gender, thus helping to optimize care. This critical review of the literature examines their common mental health issues, several individual risk factors for psychiatric comorbidity, and current research on the underlying neurobiology. Prevalence rates of persons identifying as transgender and seeking help with transition have been rising steeply since 2000 across Western countries; the current U...
October 20, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/29049118/risk-factors-for-opioid-use-disorder-and-overdose
#4
Lynn R Webster
Opioid analgesics are recognized as a legitimate medical therapy for selected patients with severe chronic pain that does not respond to other therapies. However, opioids are associated with risks for patients and society that include misuse, abuse, diversion, addiction, and overdose deaths. Therapeutic success depends on proper candidate selection, assessment before administering opioid therapy, and close monitoring throughout the course of treatment. Risk assessment and prevention include knowledge of patient factors that may contribute to misuse, abuse, addiction, suicide, and respiratory depression...
November 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29046278/incidence-clinical-management-and-mortality-risk-following-self-harm-among-children-and-adolescents-cohort-study-in-primary-care
#5
Catharine Morgan, Roger T Webb, Matthew J Carr, Evangelos Kontopantelis, Jonathan Green, Carolyn A Chew-Graham, Nav Kapur, Darren M Ashcroft
Objectives To examine temporal trends in sex and age specific incidence of self harm in children and adolescents, clinical management patterns, and risk of cause specific mortality following an index self harm episode at a young age.Design Population based cohort study.Setting UK Clinical Practice Research Datalink-electronic health records from 647 general practices, with practice level deprivation measured ecologically using the index of multiple deprivation. Patients from eligible English practices were linked to hospital episode statistics (HES) and Office for National Statistics (ONS) mortality records...
October 18, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29046129/preventing-suicide-in-forensic-settings-assessment-and-intervention-for-inmates-with-serious-mental-illness
#6
Georgia M Winters, Emily Greene-Colozzi, Elizabeth L Jeglic
Suicide is one of the leading causes of inmate deaths in correctional settings. Furthermore, there is heightened risk for suicide among individuals diagnosed with serious mental illness (SMI) who present in jails and prisons. In the present article, the authors review suicide risk factors associated with SMI, with emphasis on incarcerated individuals, and discuss the best practices in assessing risk for suicide. The authors review interventions designed to prevent suicide among individuals with SMI in forensic settings...
October 2017: Journal of Correctional Health Care
https://www.readbyqxmd.com/read/29045916/suicide-deaths-among-patients-with-end-stage-renal-disease-receiving-dialysis-a-population-based-retrospective-cohort-study-of-64-000-patients-in-taiwan
#7
I-Ming Chen, Po-Hsien Lin, Vin-Cent Wu, Chi-Shin Wu, Jia-Chi Shan, Shu-Sen Chang, Shih-Cheng Liao
BACKGROUND: Patients with end-stage renal disease (ESRD) who receive dialysis may experience increased distress and risk of suicide. METHODS: This population-based retrospective cohort study linked Taiwan's national register of ESRD patients on dialysis and the cause-of-death mortality data file. A separate multiple-cause-of-death data file was used to investigate the detailed suicide methods used. Standardized mortality ratios (SMRs) were calculated for the overall patient group and by sex, age, year of initiating dialysis, method of suicide, and time since initiation of dialysis...
October 9, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29044718/child-and-family-focused-cognitive-behavioral-therapy-for-pediatric-bipolar-disorder-applications-for-suicide-prevention
#8
Sally M Weinstein, Rick A Cruz, Ashley R Isaia, Amy T Peters, Amy E West
Despite high rates of suicide ideation (SI) and behavior in youth with pediatric bipolar disorder (PBD), little work has examined how psychosocial interventions impact suicidality among this high-risk group. The current study examined SI outcomes in a randomized clinical trial comparing Child- and Family-Focused Cognitive Behavioral Therapy (CFF-CBT) for PBD versus psychotherapy treatment-as-usual (TAU). Although not designed for suicide prevention, CFF-CBT addresses child and family factors related to suicide risk and thus was hypothesized to generalize to the treatment of suicidality...
October 16, 2017: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/29043091/hope-help-for-people-with-money-employment-benefit-or-housing-problems-study-protocol-for-a-randomised-controlled-trial
#9
M C Barnes, A M Haase, A M Bard, J L Donovan, R Davies, S Dursley, J Potokar, N Kapur, K Hawton, R C O'Connor, W Hollingworth, C Metcalfe, D Gunnell
BACKGROUND: Self-harm and suicide increase in times of economic recession. Factors including job loss, austerity measures, financial difficulties and house repossession contribute to the risk. Vulnerable individuals commonly experience difficulties in navigating the benefits system and in accessing the available sources of welfare and debt advice, and this contributes to their distress. Our aim is to determine the feasibility and acceptability of a brief psychosocial intervention (the "HOPE" service) for people presenting to hospital emergency departments (ED) following self-harm or in acute distress because of financial, employment, or welfare (benefit) difficulties...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29032973/epidemiology-and-socio-demographic-risk-factors-of-self-immolation-a-systematic-review-and-meta-analysis
#10
REVIEW
Maryam Parvareh, Mohammad Hajizadeh, Satar Rezaei, Bijan Nouri, Ghobad Moradi, Nader Esmail Nasab
OBJECTIVE: Self-immolation or self-inflicted burn is the most tragic and violent method of suicide. The higher prevalence of this dramatic phenomenon in Iran is a serious social and health problem. In this study, we conducted a meta-analysis to combine the results from available studies to examine the epidemiology and socio-demographic characteristics of individuals who attempted self-immolation in Iran. METHOD: Pertinent studies were identified by searching the electronic bibliographic databases including PubMed, Scopus, Science Direct, Iran Medex, Magiran, Medlib and Scientific Information Database (SID) (2000-October 2016)...
October 9, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29030735/suicide-attempts-among-adolescents-with-self-reported-disabilities
#11
Tally Moses
This study examines the relative risk for suicide attempts (SA) among high-school students self-identifying with one or more disability classifications (nine); assesses the extent to which youth with disabilities are disproportionately vulnerable to risk factors that predict suicidal behavior among all adolescents; and explores whether disability status adds to risk for SA after accounting for a comprehensive set of known risk and protective factors for SA. Analyses using Wisconsin's 2012 Dane County Youth Assessment Survey data found that youth in each disability category were 3-9 times more likely to report suicide attempt(s) relative to peers, and the endorsement of multiple disabilities tripled the risk SA relative to youth reporting a single disability...
October 13, 2017: Child Psychiatry and Human Development
https://www.readbyqxmd.com/read/29030216/disrupted-physiological-reactivity-among-children-with-a-history-of-suicidal-ideation-moderation-by-parental-expressed-emotion-criticism
#12
Kiera M James, Mary L Woody, Cope Feurer, Anastacia Y Kudinova, Brandon E Gibb
OBJECTIVE: The goal of this study was to examine physiological reactivity during parent-child interactions in children with and without a history of suicidal ideation (SI), a group known to be at increased risk for suicidal thoughts and behaviors in the future. We also examined the potential moderating role of parental expressed emotion-criticism (EE-Crit) to determine whether the presence of parental criticism may help to identify a subgroup of children with a history of SI most at risk for physiological dysregulation...
October 10, 2017: Biological Psychology
https://www.readbyqxmd.com/read/29027588/mental-disorders-and-the-risk-for-the-subsequent-first-suicide-attempt-results-of-a-community-study-on-adolescents-and-young-adults
#13
Marcel Miché, Patrizia Denise Hofer, Catharina Voss, Andrea Hans Meyer, Andrew Thomas Gloster, Katja Beesdo-Baum, Roselind Lieb
Adolescents and young adults represent the high-risk group for first onset of both DSM-IV mental disorders and lifetime suicide attempt (SA). Yet few studies have evaluated the temporal association of prior mental disorders and subsequent first SA in a young community sample. We examined (a) such associations using a broad range of specific DSM-IV mental disorders, (b) the risk of experiencing the outcome due to prior comorbidity, and (c) the proportion of SAs that could be attributed to prior disorders. During a 10-year prospective study, data were gathered from 3021 community subjects, 14-24 years of age at baseline...
October 11, 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/29024951/bans-of-who-class-i-pesticides-in-bangladesh-suicide-prevention-without-hampering-agricultural-output
#14
Fazle Rabbi Chowdhury, Gourab Dewan, Vasundhara R Verma, Duleeka W Knipe, Ishrat Tahsin Isha, M Abul Faiz, David J Gunnell, Michael Eddleston
Background: Pesticide self-poisoning is a major problem in Bangladesh. Over the past 20-years, the Bangladesh government has introduced pesticide legislation and banned highly hazardous pesticides (HHPs) from agricultural use. We aimed to assess the impacts of pesticide bans on suicide and on agricultural production. Methods: We obtained data on unnatural deaths from the Statistics Division of Bangladesh Police, and used negative binomial regression to quantify changes in pesticide suicides and unnatural deaths following removal of WHO Class I toxicity HHPs from agriculture in 2000...
August 18, 2017: International Journal of Epidemiology
https://www.readbyqxmd.com/read/29024902/psychological-and-behavioral-characteristics-of-suicide-attempts-and-non-suicidal-self-injury-in-chinese-adolescents
#15
Zhen-Zhen Liu, Hua Chen, Qi-Gui Bo, Ren-Hong Chen, Feng-Wen Li, Lei Lv, Cun-Xian Jia, Xianchen Liu
BACKGROUND: Suicide attempts (SA) and non-suicidal self-injury (NSSI) are prevalent in adolescents and important risk factors of suicide death. Both SA and NSSI are associated with multiple psychosocial, behavioral, biological and genetic factors. This study examined similarities and differences in psychological vulnerability and internalizing and externalizing problems between adolescents with SA and NSSI. METHODS: Participants consisted of 11,831 students and had a mean age of 14...
October 3, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29022735/the-culture-and-protective-suicide-scale-for-incarcerated-persons-capssip-a-measure-for-evaluating-suicide-risk-and-protection-within-correctional-populations
#16
Robert Horon, Stephanie N Williams, Todd McManus, John Roberts
Suicide risk and protective factors function for prisoners within the context of incarceration. The Culture and Protective Suicide Scale for Incarcerated Persons (CAPSSIP) is a tool designed to assess protective factors and cultural barriers to suicide for inmates. We present initial findings on the reliability, validity, factor structure, and utility of the CAPSSIP based on a trial conducted with inmates sent to an inpatient psychiatric program. Implications for suicide risk assessment processes in correctional settings are discussed...
October 12, 2017: Psychological Services
https://www.readbyqxmd.com/read/29020650/decision-making-under-risk-and-under-ambiguity-in-depressed-suicide-attempters-depressed-non-attempters-and-healthy-controls
#17
Eberhard A Deisenhammer, Steffen K Schmid, Georg Kemmler, Bernadette Moser, Margarete Delazer
BACKGROUND: A number of neuropsychological alterations have been found in patients who have attempted suicide. Most studies investigating decision making (DM) abilities in suicide attempters so far have used one single DM task and included patients with a lifetime history of suicide attempts. These studies have yielded conflicting results. METHOD: In this study, currently depressed in-patients who had a recent suicide attempt (within the last six months) (n = 21), depressed in-patients without a lifetime history of suicide attempts (n = 31) and a healthy control group (n = 26) were assessed with two tasks for the assessment of DM...
October 3, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29016669/major-depressive-disorder-and-suicide-risk-among-adult-outpatients-at-several-general-hospitals-in-a-chinese-han-population
#18
MULTICENTER STUDY
Haiyan Li, Xinni Luo, Xiaoyin Ke, Qing Dai, Wei Zheng, Chanjuan Zhang, Ryan M Cassidy, Jair C Soares, XiangYang Zhang, Yuping Ning
BACKGROUND: Somatic complaints are often the presenting symptoms of major depressive disorder (MDD) in the outpatient context, because this may go unrecognized. It is well understood that MDD carries an increased risk of suicide. This study aimed to identify the risk factors and association with both MDD and suicidality among Han Chinese outpatients. METHODS: A multicenter study was carried out in 5189 outpatient adults (≥18 years old) in four general hospitals in Guangzhou, China...
2017: PloS One
https://www.readbyqxmd.com/read/28993875/suicidality-is-a-common-and-serious-feature-of-anti-n-methyl-d-aspartate-receptor-encephalitis
#19
Le Zhang, Josemir W Sander, Lan Zhang, Xin-Yue Jiang, Wei Wang, Kun Shuang, Ammar Taha Abdullah Abdulaziz, Meng-Qian Wu, Xiao-Sa Chi, Jin-Mei Li, Dong Zhou
We aimed to assess suicidality risk amongst people who had had anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis. All people with a definitive diagnosis of anti-NMDAR encephalitis in West China Hospital between June 2012 and February 2017 were identified and their notes were retrospectively reviewed. Demographic and clinical characteristics and risk predictors for suicidality were summarized; those with suicidality were compared to those without. 17 of 133 people (13%) presented with suicidality symptoms: 7 (5%) with suicidal ideation; 8 (6%) who attempted suicide; and 2 (1...
October 9, 2017: Journal of Neurology
https://www.readbyqxmd.com/read/28992754/suicidal-ideation-and-related-factors-among-korean-high-school-students-a-focus-on-cyber-addiction-and-school-bullying
#20
Min Sohn, Heymin Oh, Sang-Kyu Lee, Marc N Potenza
The purpose of the study was to explore the association among suicidal ideation, cyber addiction, and school bullying of Korean high school students. This descriptive cross-sectional study included 416 students. The data were collected using structured questionnaires on suicidal ideation, Internet and smartphone addiction, experiences of school bullying, impulsiveness, and depression. Students who were bullied (odds ratio [ OR] = 3.0, 95% CI [1.1, 8.4]) and more depressed ( OR = 10.8, 95% CI [2.4, 48.2]) were more likely to have higher scores for suicidal ideation; however, when a lower stringency was used, female gender ( OR = 2...
January 1, 2017: Journal of School Nursing: the Official Publication of the National Association of School Nurses
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