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Suicide risk assessment

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https://www.readbyqxmd.com/read/28723978/instruments-for-the-assessment-of-suicide-risk-a-systematic-review-evaluating-the-certainty-of-the-evidence
#1
Bo Runeson, Jenny Odeberg, Agneta Pettersson, Tobias Edbom, Ingalill Jildevik Adamsson, Margda Waern
BACKGROUND: Instruments have been developed to facilitate suicide risk assessment. We aimed to evaluate the evidence for these instruments including assessment of risk of bias and diagnostic accuracy for suicide and suicide attempt. METHODS: PubMed (NLM), PsycInfo, Embase, Cinahl and the Cochrane Library databases were searched until December 2014. We assessed risk of bias with QUADAS-2. The average sensitivity and specificity of each instrument was estimated and the certainty of the evidence was assessed with GRADE...
2017: PloS One
https://www.readbyqxmd.com/read/28718985/relationships-between-the-frequency-and-severity-of-non-suicidal-self-injury-and-suicide-attempts-in-youth-with-borderline-personality-disorder
#2
Holly E Andrewes, Carol Hulbert, Susan M Cotton, Jennifer Betts, Andrew M Chanen
AIM: Non-suicidal self-injury (NSSI) is a recognized indicator of suicide risk. Yet, the ubiquity of this behaviour in borderline personality disorder (BPD) limits its utility as a predictor of risk. Consequently, this study aimed to elucidate the relationship between other features of NSSI, including frequency and severity, and suicide attempts. METHOD: Participants included 107 youth (15 to 25 year olds) with BPD who were assessed for BPD severity, depressive symptoms, 12-month frequency of NSSI and suicide attempts, as well as the levels of treatment sought following each self-harm event...
July 18, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28716530/genetic-association-analysis-of-serotonin-and-signal-transduction-pathways-in-suicide-attempters-from-an-italian-sample-of-psychiatric-patients
#3
Maurizio Pompili, Giovanna Gentile, Catia Scassellati, Cristian Bonvicini, Marco Innamorati, Denise Erbuto, Franco Montebovi, Giuseppe Ducci, Alberto Forte, Eleonora De Pisa, Stefano Ferracuti, Gianluca Serafini, Vincenzo De Luca, Mario Amore, Maurizio Simmaco, Paolo Girardi
Genetic factors have been reported to contribute to the liability of suicide. We aimed to investigate functional polymorphisms in eight genes (serotonin transporter, SLC6A4; receptors, 5HTR1A, 1B, 5HTR2A; Tryptophan Hydroxylase, TPH1, TPH2; Monoamine Oxidase, MAOA and G Protein Subunit Beta 3, GNB3) to investigate their predictive value for suicide. The possible confounding effects of gender and phenotypic patients dissection were also valued. A sample of 111 consecutive psychiatric inpatients was recruited and assessed using specific psychometric instruments...
July 14, 2017: Neuroscience Letters
https://www.readbyqxmd.com/read/28715239/parental-self-efficacy-to-support-teens-during-a-suicidal-crisis-and-future-adolescent-emergency-department-visits-and-suicide-attempts
#4
Ewa K Czyz, Adam G Horwitz, Carlos E Yeguez, Cynthia J Ewell Foster, Cheryl A King
This study of adolescents seeking emergency department (ED) services and their parents examined parents' self-efficacy beliefs to engage in suicide prevention activities, whether these beliefs varied based on teens' characteristics, and the extent to which they were associated with adolescents' suicide-related outcomes. Participants included 162 adolescents (57% female, 81.5% Caucasian), ages 13-17, and their parents. At index visit, parents rated their self-efficacy to engage in suicide prevention activities and their expectations regarding their teen's future suicide risk...
July 17, 2017: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/28707521/increased-risk-of-attempted-suicide-in-australian-veterans-is-associated-with-total-and-permanent-incapacitation-unemployment-and-posttraumatic-stress-disorder-severity
#5
Katelyn Kerr, Madeline Romaniuk, Sarah McLeay, Andrew Khoo, Michael T Dent, Mark Boshen
BACKGROUND: Military veterans have higher rates of suicidality and completed suicides compared to the general population. Previous research has demonstrated suicidal behaviour is higher in US combat veterans who are younger, suffer from posttraumatic stress disorder, depression and anxiety and score lower on measures of health. However, research on predictors of suicide for Australian veterans is limited. The aim of this study was to identify significant demographic and psychological differences between veterans with posttraumatic stress disorder who had attempted suicide and those with posttraumatic stress disorder who had not, as well as determine predictors of suicide attempts within an Australian cohort...
July 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28705652/measuring-resilience-in-the-adolescent-population-a-succinct-tool-for-outpatient-adolescent-health
#6
Jordan Barger, Patty Vitale, John P Gaughan, Lori Feldman-Winter
OBJECTIVE: To create a valid tool to measure adolescent resilience, and to determine if this tool correlates with current participation in risk behaviors and prior adverse childhood events. STUDY DESIGN: One hundred adolescents were recruited from primary care clinics in New Jersey for this cross-sectional study. A "7Cs tool" was developed to measure resilience using the 7Cs model of resilience. All participants completed the 7Cs tool, the Adverse Childhood Events Survey, and the Health Survey for Adolescents to identify current risk behaviors...
July 10, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28701336/internet-based-cognitive-behavioural-therapy-for-young-people-with-suicide-related-behaviour-reframe-it-a-randomised-controlled-trial
#7
Sarah E Hetrick, Hok P Yuen, Eleanor Bailey, Georgina R Cox, Kate Templer, Simon M Rice, Sarah Bendall, Jo Robinson
BACKGROUND: Suicide-related behaviours are common in young people and associated with a range of negative outcomes. There are few evidence-based interventions; however, cognitive behavioural therapy (CBT) shows promise. Internet delivery of CBT is popular, with potential to increase reach and accessibility. OBJECTIVE: To test the effectiveness of an internet-based CBT program (Reframe-IT) in reducing suicide-related behaviours, depression, anxiety, hopelessness and improving problem solving and cognitive and behavioural skills in school students with suicide-related behaviours...
July 12, 2017: Evidence-based Mental Health
https://www.readbyqxmd.com/read/28701051/longitudinal-risk-factors-for-suicidal-thoughts-in-depressed-and-non-depressed-young-adolescents
#8
Yi-Ju Pan, Kai-Dih Juang, Shiang-Ru Lu, Shih-Pin Chen, Yen-Feng Wang, Jong-Ling Fuh, Shuu-Jiun Wang
OBJECTIVE: Evidence regarding the role of risk factors in the longitudinal course of suicidal ideation among young adolescents is lacking. We aimed to assess the effects of a range of risk factors, including obesity, academic performance, child-parent relationship, physical maltreatment, and depressive symptoms, on the development of suicidal ideation in young adolescents. METHODS: A school cohort of seventh and eighth graders was followed for 1 year and differences in the risk factors distributions were examined between depressed and non-depressed adolescents...
July 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28700728/demographics-as-predictors-of-suicidal-thoughts-and-behaviors-a-meta-analysis
#9
Xieyining Huang, Jessica D Ribeiro, Katherine M Musacchio, Joseph C Franklin
BACKGROUND: Certain demographic factors have long been cited to confer risk or protection for suicidal thoughts and behaviors. However, many studies have found weak or non-significant effects. Determining the effect strength and clinical utility of demographics as predictors is crucial for suicide risk assessment and theory development. As such, we conducted a meta-analysis to determine the effect strength and clinical utility of demographics as predictors. METHODS: We searched PsycInfo, PubMed, and GoogleScholar for studies published before January 1st, 2015...
2017: PloS One
https://www.readbyqxmd.com/read/28699248/phenotypical-characteristics-of-postpartum-psychosis-a-clinical-cohort-study
#10
Astrid M Kamperman, Marian J Veldman-Hoek, Richard Wesseloo, Emma Robertson Blackmore, Veerle Bergink
OBJECTIVES: Postpartum psychosis (PP) is known for its clear onset but its phenotype has never been clearly described in a cohort. The aim of this study was to describe PP symptomatology, and to identify subgroups of patients based on symptom profiles. METHODS: We prospectively assessed a wide range of symptoms in cases of PP in a cohort of women (N=130) admitted to the Mother-Baby inpatient unit. Using a person-centered analytic approach, we distinguished mutually exclusive subgroups of women...
July 12, 2017: Bipolar Disorders
https://www.readbyqxmd.com/read/28697418/suicidal-ideation-and-attentional-biases-in-children-an-eye-tracking-study
#11
Aliona Tsypes, Max Owens, Brandon E Gibb
BACKGROUND: Despite theoretical and empirical evidence for a heighted responsiveness to signals of social-threat in suicidal individuals, no studies to date have examined whether this responsiveness might also manifest in the form of specific biases in attention to interpersonal stimuli. The current study, therefore, examined the presence and nature of attentional biases for facial expressions of emotion in children with and without a history of suicidal ideation (SI). METHOD: Participants were 88 children (44 with a history of SI and 44 demographically and clinically matched controls without such history) recruited from the community...
July 6, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28694239/assessing-suicide-risk-and-emotional-distress-in-chinese-social-media-a-text-mining-and-machine-learning-study
#12
Qijin Cheng, Tim Mh Li, Chi-Leung Kwok, Tingshao Zhu, Paul Sf Yip
BACKGROUND: Early identification and intervention are imperative for suicide prevention. However, at-risk people often neither seek help nor take professional assessment. A tool to automatically assess their risk levels in natural settings can increase the opportunity for early intervention. OBJECTIVE: The aim of this study was to explore whether computerized language analysis methods can be utilized to assess one's suicide risk and emotional distress in Chinese social media...
July 10, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28689643/suicide-means-among-decedents-aged-50-years-2005-2014-trends-and-associations-with-sociodemographic-and-precipitating-factors
#13
Namkee G Choi, Diana M DiNitto, C Nathan Marti, Mark S Kaplan, Yeates Conwell
OBJECTIVE: To examine 1) temporal trends between 2005 and 2014 in the three most frequently used suicide means (firearms, hanging/suffocation, alcohol/drug/medicine overdose) by decedents aged 50+ years and 2) associations of suicide means with sociodemographic and precipitating factors. METHODS: The National Violent Death Reporting System, 2005-2014, provided data (N = 46,857). Suicide means were identified from ICD-10 codes for underlying cause of death and coroner/medical examiner (CME) reports...
July 6, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28689473/psychiatric-comorbidities-modify-the-association-between-childhood-adhd-and-risk-for-suicidality-a-population-based-longitudinal-study
#14
Kouichi Yoshimasu, William J Barbaresi, Robert C Colligan, Robert G Voigt, Jill M Killian, Amy L Weaver, Slavica K Katusic
OBJECTIVE: The objective of this study was to evaluate the effect of psychiatric comorbidities on the association between childhood ADHD and suicidality among adults. METHOD: Subjects were recruited from a population-based birth cohort. Participating adult subjects with childhood ADHD and non-ADHD controls were administered a structured psychiatric interview to assess suicidality and psychiatric comorbidities. Associations were assessed using logistic regression...
July 1, 2017: Journal of Attention Disorders
https://www.readbyqxmd.com/read/28689071/sexual-assault-victimization-and-psychopathology-a-review-and-meta-analysis
#15
REVIEW
Emily R Dworkin, Suvarna V Menon, Jonathan Bystrynski, Nicole E Allen
Sexual assault (SA) is a common and deleterious form of trauma. Over 40years of research on its impact has suggested that SA has particularly severe effects on a variety of forms of psychopathology, and has highlighted unique aspects of SA as a form of trauma that contribute to these outcomes. The goal of this meta-analytic review was to synthesize the empirical literature from 1970 to 2014 (reflecting 497 effect sizes) to understand the degree to which (a) SA confers general risk for psychological dysfunction rather than specific risk for posttraumatic stress, and (b) differences in studies and samples account for variation in observed effects...
June 30, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28686949/early-maladaptive-schemas-and-suicidal-risk-in-an-iranian-sample-of-patients-with-obsessive-compulsive-disorder
#16
Vahid Khosravani, Farangis Sharifi Bastan, Mehdi Samimi Ardestani, Razieh Jamaati Ardakani
There are few studies on suicidal risk and its related factors in patients diagnosed with obsessive-compulsive disorder (OCD). This study investigated the associations of early maladaptive schemas, OC symptom dimensions, OCD severity, depression and anxiety with suicidality (i.e., suicidal ideation and suicide attempts) in OCD patients. Sixty OCD outpatients completed the Scale for Suicide Ideation (SSI), the Young Schema Questionnaire-Short Form (YSQ-SF), the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), the Dimensional Obsessive-Compulsive Scale (DOCS) and the Depression Anxiety Stress Scales (DASS-21)...
June 27, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28683433/childhood-trauma-and-suicide-attempt-a-meta-analysis-of-longitudinal-studies-from-the-last-decade
#17
REVIEW
Cleonice Zatti, Virgínia Rosa, Alcina Barros, Lucianne Valdivia, Vitor Crestani Calegaro, Lúcia Helena Freitas, Keila Maria Mendes Ceresér, Neusa Sica da Rocha, Andre Goettems Bastos, Felipe Barreto Schuch
Childhood trauma (CT) is a modifiable risk factor for lifetime suicide attempts (SA). However, the extent to which each type of CT increases SA risk is unclear. This study aimed to conduct a meta-analysis of longitudinal studies published in the last 10 years about the relationship between CT and lifetime SA risk. The PUBMED, PsycINFO, ISI, and EMBASE databases were searched for cohort studies that reported AS during follow-up and included an assessment of CT. A meta-analysis was conducted to identify potential effects of each type of CT on SA...
June 29, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28682534/objectively-assessed-sleep-variability-as-an-acute-warning-sign-of-suicidal-ideation-in-a-longitudinal-evaluation-of-young-adults-at-high-suicide-risk
#18
Rebecca A Bernert, Melanie A Hom, Naomi G Iwata, Thomas E Joiner
OBJECTIVE: Young adults attempt suicide at disproportionately high rates relative to other groups and demonstrate high rates of sleep disturbance. No study has yet prospectively evaluated disturbed sleep as an acute indicator of risk using an objective index of sleep. We investigated objective and subjective parameters of disturbed sleep as a warning sign of suicidal ideation among young adults over an acute period. METHODS: A longitudinal study across a 21-day observation period and 3 time points...
June 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28682531/florida-best-practice-psychotherapeutic-medication-guidelines-for-adults-with-major-depressive-disorder
#19
Roger S McIntyre, Trisha Suppes, Rajiv Tandon, Michael Ostacher
OBJECTIVE: Herein we provide the 2015 update for the Florida Best Practice Psychotherapeutic Medication Guidelines (FPG) for major depressive disorder (MDD). The FPG represent evidence-based decision support for practitioners providing care to adults with MDD. PARTICIPANTS: The consensus meeting included representatives from the Florida Agency for Health Care Administration (FAHCA), advocacy members, academic experts in MDD, and multidisciplinary mental health clinicians, as well as health policy experts...
June 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28682530/acute-substance-use-as-a-warning-sign-for-suicide-attempts-a-case-crossover-examination-of-the-48-hours-prior-to-a-recent-suicide-attempt
#20
Courtney L Bagge, Guilherme Borges
OBJECTIVE: The extent to which specific categories of acute substance use are short-term risk factors, or warning signs, for suicide attempts is unknown. The aim of the current study was to quantify the near-term effects of sole use and co-use of substances on medically attended suicide attempts. METHODS: The current study used a case-crossover design, comparing substance use within the 24 hours prior to a suicide attempt (case day) to the control day, the matched 24 hours the day prior to the case day...
June 2017: Journal of Clinical Psychiatry
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