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Suicide risk assessment

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https://www.readbyqxmd.com/read/28816487/associations-between-bullying-involvement-protective-factors-and-mental-health-among-american-indian-youth
#1
Kari Gloppen, Barbara McMorris, Amy Gower, Marla Eisenberg
Bullying involvement as a victim or perpetrator is associated with depression and suicidality, and American Indian (AI) youth experience a disproportionately high rate of these mental health issues. This study assessed whether AI young people involved in bullying were more likely to experience negative mental health problems than AI youth who were not involved in bullying, and identified protective factors that might support this particularly vulnerable population. Data come from 1,409 8th, 9th, and 11th Grade AI students who completed the 2013 Minnesota Student Survey...
August 17, 2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28816363/the-suicidal-inmate-a-comparison-of-inmates-who-attempt-versus-complete-suicide
#2
Emily A Boren, Johanna B Folk, Jennifer M Loya, June P Tangney, Sharen E Barboza, John S Wilson
The aim of this study was to identify risk factors distinguishing inmates who attempt suicide from inmates who complete suicide. Compared with attempters, completers tended to be older, male, more educated, and married or separated/divorced; pretrial, committed for a violent crime, incarcerated in jail, housed in an inpatient mental health unit or protective custody setting, living in a single cell, not on suicide precautions, not previously under close observation; and more likely to act during overnight hours and die by hanging/self-strangulation...
August 17, 2017: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/28816031/do-you-see-what-i-see-a-mother-s-plea
#3
Kees Nydam, Rebecca Soole
There is sometimes dissonance between the medical services that the general public expects an ED to provide and the acute critical care that emergency clinicians hope to provide. One explanation for this is that the ED is both a territory and a meeting place for a cornucopia of clinicians, some of whom are not ED clinicians themselves. Roles are sometimes ambiguous and location-specific. Recently, one Queensland mother believed that her son's suicide could have been prevented had emergency staff been better educated...
August 16, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28810956/the-reasons-for-living-scale-military-version-assessing-protective-factors-against-suicide-in-a-military-sample
#4
Anne-Marie Deutsch, R Gregory Lande
INTRODUCTION: Military suicide rates have been rising over the past decade and continue to challenge military treatment facilities. Assessing suicide risk and improving treatments are a large part of the mission for clinicians who work with uniformed service members. This study attempts to expand the toolkit of military suicide prevention by focusing on protective factors over risk factors. In 1983, Marsha Linehan published a checklist called the Reasons for Living Scale, which asked subjects to check the reasons they choose to continue living, rather than choosing suicide...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28809935/effectiveness-of-a-brief-behavioural-intervention-on-psychological-distress-among-women-with-a-history-of-gender-based-violence-in-urban-kenya-a-randomised-clinical-trial
#5
Richard A Bryant, Alison Schafer, Katie S Dawson, Dorothy Anjuri, Caroline Mulili, Lincoln Ndogoni, Phiona Koyiet, Marit Sijbrandij, Jeannette Ulate, Melissa Harper Shehadeh, Dusan Hadzi-Pavlovic, Mark van Ommeren
BACKGROUND: Gender-based violence (GBV) represents a major cause of psychological morbidity worldwide, and particularly in low- and middle-income countries (LMICs). Although there are effective treatments for common mental disorders associated with GBV, they typically require lengthy treatment programs that may limit scaling up in LMICs. The aim of this study was to test the effectiveness of a new 5-session behavioural treatment called Problem Management Plus (PM+) that lay community workers can be taught to deliver...
August 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28809398/precision-medicine-for-suicidality-from-universality-to-subtypes-and-personalization
#6
A B Niculescu, H Le-Niculescu, D F Levey, P L Phalen, H L Dainton, K Roseberry, E M Niculescu, J O Niezer, A Williams, D L Graham, T J Jones, V Venugopal, A Ballew, M Yard, T Gelbart, S M Kurian, A Shekhar, N J Schork, G E Sandusky, D R Salomon
Suicide remains a clear, present and increasing public health problem, despite being a potentially preventable tragedy. Its incidence is particularly high in people with overt or un(der)diagnosed psychiatric disorders. Objective and precise identification of individuals at risk, ways of monitoring response to treatments and novel preventive therapeutics need to be discovered, employed and widely deployed. We sought to investigate whether blood gene expression biomarkers for suicide (that is, a 'liquid biopsy' approach) can be identified that are more universal in nature, working across psychiatric diagnoses and genders, using larger cohorts than in previous studies...
August 15, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28807587/prevention-of-suicide-with-regulations-aimed-at-restricting-access-to-highly-hazardous-pesticides-a-systematic-review-of-the-international-evidence
#7
David Gunnell, Duleeka Knipe, Shu-Sen Chang, Melissa Pearson, Flemming Konradsen, Won Jin Lee, Michael Eddleston
BACKGROUND: Pesticide self-poisoning accounts for 14-20% of suicides worldwide. Regulation aimed at restricting access to pesticides or banning highly hazardous pesticides is one approach to reducing these deaths. We systematically reviewed the evidence of the effectiveness of pesticide regulation in reducing the incidence of pesticide suicides and overall suicides. METHODS: We did a systematic review of the international evidence. We searched MEDLINE, PsycINFO, and Embase for studies published between Jan 1, 1960, and Dec 31, 2016, which investigated the effect of national or regional bans, and sales or import restrictions, on the availability of one or more pesticides and the incidence of suicide in different countries...
August 11, 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28807134/classification-of-suicide-attempters-in-schizophrenia-using-sociocultural-and-clinical-features-a-machine-learning-approach
#8
Nuwan C Hettige, Thai Binh Nguyen, Chen Yuan, Thanara Rajakulendran, Jermeen Baddour, Nikhil Bhagwat, Ali Bani-Fatemi, Aristotle N Voineskos, M Mallar Chakravarty, Vincenzo De Luca
OBJECTIVE: Suicide is a major concern for those afflicted by schizophrenia. Identifying patients at the highest risk for future suicide attempts remains a complex problem for psychiatric interventions. Machine learning models allow for the integration of many risk factors in order to build an algorithm that predicts which patients are likely to attempt suicide. Currently it is unclear how to integrate previously identified risk factors into a clinically relevant predictive tool to estimate the probability of a patient with schizophrenia for attempting suicide...
July 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28806233/enhancing-key-competencies-of-health-professionals-in-the-assessment-and-care-of-adults-at-risk-of-suicide-through-education-and-technology
#9
Kathryn Ryan, Claudia Tindall, Gillian Strudwick
PURPOSE: This article describes efforts undertaken to improve the clinical competencies of health professionals in the area of suicide risk assessment, documentation, and care planning. DESCRIPTION OF THE PROJECT: Best practices that fit the mental health and addictions setting were identified from the Registered Nurses' Association of Ontario Best Practice Guideline on Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour. A variety of methods were used to implement the guidelines at the Centre for Addiction and Mental Health in Toronto, Ontario, Canada...
September 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/28805169/the-prevalence-of-suicidal-thoughts-and-behaviours-among-college-students-a-meta-analysis
#10
P Mortier, P Cuijpers, G Kiekens, R P Auerbach, K Demyttenaere, J G Green, R C Kessler, M K Nock, R Bruffaerts
BACKGROUND: Adolescence and young adulthood carry risk for suicidal thoughts and behaviours (STB). An increasing subpopulation of young people consists of college students. STB prevalence estimates among college students vary widely, precluding a validated point of reference. In addition, little is known on predictors for between-study heterogeneity in STB prevalence. METHODS: A systematic literature search identified 36 college student samples that were assessed for STB outcomes, representing a total of 634 662 students [median sample size = 2082 (IQR 353-5200); median response rate = 74% (IQR 37-89%)]...
August 14, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28805152/comparing-the-prevalence-and-the-risk-profile-for-antenatal-depressive-symptoms-across-cultures
#11
Irene E Corbani, Paola Rucci, Elena Iapichino, Marta Quartieri Bollani, Gilla Cauli, Mara R Ceruti, Costanzo Gala, Mariano Bassi
BACKGROUND AND AIMS: Although several studies have analyzed the risk factors of antenatal and post-partum depression, evidence on the prevalence and the risk profile for antenatal depressive symptoms (ADS) between native-born and different groups of non-native born women living in the same country is scant. The aim of this article is to compare the prevalence and the risk profile for ADS across geographical areas in women recruited from two large hospitals of North-western Italy. METHOD: The presence of ADS was defined as an Edinburgh Post-natal Depression Scale (EPDS) score ≥12 or a Beck Depression Inventory, Short Form (BDI-SF) score ≥9 or the presence of suicidal ideation/behavior...
August 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28800809/legal-and-ethical-challenges-in-emergency-psychiatry-part-2-management-of-inmates
#12
REVIEW
Andrew Foote, Britta Ostermeyer
Psychiatrists and clinicians encounter unique situations, challenges, and requirements in the treatment of jail and prison inmates in the emergency department. This article reviews the historical legal highlights pertaining to medical and psychiatric care of inpatients, as well as the professional, ethical, and legal aspects that allow clinicians to evaluate, treat, and properly disposition their inmate patients. In particular, this article discusses the specific suicide risk factors related to inmates and correctional facilities that should be ascertained and managed in a clinician's suicide risk assessment and intervention planning in this special high suicide risk patient population...
September 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28800795/evaluation-of-depression-and-suicidal-patients-in-the-emergency-room
#13
REVIEW
Shana Coshal, John Saunders, Anu A Matorin, Asim A Shah
Depression is the leading cause of disability globally, and more than one-half of those suffering with depression are not receiving effective treatment. Untreated or undertreated depression poses a significant risk for suicide. Suicide is the 10th leading cause of death in the United States. The emergency room provides an essential opportunity to screen for depression as well as suicide and to provide important and evidence-based interventions. The Basic Suicide Assessment Five-step Evaluation (B-SAFE) model provides a structure for all physicians to assess suicide risk and intervene...
September 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28797954/attachment-style-and-suicide-behaviors-in-high-risk-psychiatric-inpatients-following-hospital-discharge-the-mediating-role-of-entrapment
#14
Shuang Li, Igor I Galynker, Jessica Briggs, Molly Duffy, Anna Frechette-Hagan, Hae-Joon Kim, Lisa J Cohen, Zimri S Yaseen
Insecure attachment is associated with suicidal behavior. This relationship and its possible mediators have not been examined in high-risk psychiatric inpatients with respect to the critical high-risk period following hospital discharge. Attachment styles and perception of entrapment were assessed in 200 high-risk adult psychiatric inpatients hospitalized following suicidal ideation or suicide attempt. Suicidal behaviors were evaluated with the Columbia Suicide Severity Rating Scale at 1-2 months post-discharge...
August 2, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28797526/psychotic-experiences-and-disability-findings-from-the-collaborative-psychiatric-epidemiology-surveys
#15
Hans Oh, Ai Koyanagi, Ian Kelleher, Jordan DeVylder
Psychotic experiences are associated with a number of poor clinical outcomes, including multimorbid psychopathology, suicidal behavior, and poor treatment response. We wished to investigate the relationship between psychotic experiences and disability, including the following domains: cognition, mobility, self-care, social interaction, role functioning, and days out of role. We used three nationally representative and racially/ethnically diverse samples of the general US adult population: the National Comorbidity Survey Replication (NCS-R), the National Latino and Asian American Survey (NLAAS), and the National Survey of American Life (NSAL)...
August 7, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/28794489/spatiotemporal-suicide-risk-in-germany-a-longitudinal-study-2007-11
#16
Marco Helbich, Paul L Plener, Sebastian Hartung, Victor Blüml
Despite comprehensive prevention programs in Germany, suicide has been on the rise again since 2007. The underlying reasons and spatiotemporal risk patterns are poorly understood. We assessed the spatiotemporal risk of suicide per district attributable to multiple risk and protective factors longitudinally for the period 2007-11. Bayesian space-time regression models were fitted. The nationwide temporal trend showed an increase in relative risk (RR) of dying from suicide (RR 1.008, 95% credibility intervals (CI) 1...
August 9, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28791986/associations-between-intimate-partner-violence-depression-and-suicidal-behavior-among-women-attending-antenatal-and-general-outpatients-hospital-services-in-thailand
#17
K Peltzer, S Pengpid
BACKGROUND: Battered women are exposed to multiple types and different severity of intimate partner abuse, however, little is known about the relationship between severity and different types of intimate partner violence (IPV) (physical, sexual, psychological, and danger) and symptoms of depression and suicidal behavior in a sample of women attending antenatal care or general outpatient hospital services in Thailand. MATERIALS AND METHODS: A cross-sectional study was conducted among adult women who were consecutively sampled and screened for IPV in antenatal care and general outpatient clinics in nine randomly selected hospitals in two provinces in the central region...
July 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28791887/anxiety-sensitivity-moderates-the-painful-effects-of-feeling-burdensome-to-others
#18
Angie S LeRoy, Qian Lu, Michael J Zvolensky, Jeffrey Ramirez, Christopher P Fagundes
Perceived burdensomeness (PB), the perception of being a burden to others, is associated with pain and physical symptoms. Anxiety sensitivity (AS), the fear of arousal-related sensations, arising from beliefs that the sensations may have adverse personal consequences (physical, cognitive, and social), may increase risk for pain responding, particularly in anxiety-provoking (e.g. socially threatening) contexts. Accordingly, individuals high in AS may have a stronger pain response when experiencing PB than those low in AS...
August 9, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28789569/adaptation-of-the-beck-hopelessness-scale-as-a-suicide-risk-screening-tool-among-nigerian-patients-with-schizophrenia
#19
Olutayo Aloba, Olufemi Esan, Taiwo Alimi
OBJECTIVES: We examined the adaptation of the Beck Hopelessness Scale (BHS) as a subjective suicide risk assessment tool in detecting Nigerian patients with schizophrenia who are at a high risk of suicide. METHODS: Schizophrenia patients (211) completed the BHS in addition to a socio-demographic questionnaire. They were objectively interviewed with the Suicidality module of the Mini International Neuropsychiatric Interview (MINI) as the 'gold standard', against which the criterion validity of the BHS was examined...
August 9, 2017: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/28783575/religious-beliefs-buffer-the-impact-of-depression-on-suicide-ideation
#20
Tobias Teismann, Ulrike Willutzki, Johannes Michalak, Paula Siegmann, Peter Nyhuis, Marcus Wolter, Thomas Forkmann
Depression and suicide ideation co-occur regularly. The present study investigated whether religious beliefs, i.e. trust in higher guidance, buffers the association between depression and suicide ideation. A total of 427 participants (n = 93 inpatients, n = 334 online sample) completed measures of suicide ideation, trust in higher guidance, and depression. Trust in higher guidance moderated the impact of depression on suicide ideation. Trust in higher guidance seems to confer resilience and should be taken into account when assessing individuals for suicide risk...
July 30, 2017: Psychiatry Research
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