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https://www.readbyqxmd.com/read/29662523/sexual-health-of-adolescent-patients-admitted-to-a-psychiatric-unit
#1
Megan E Harrison, Stephanie Veldhuijzen van Zanten, Ariana Noel, Louise Gresham, Mark L Norris, Amy Robinson, Jason Chan, Addo Boafo
Objective: To review sexual health screening practices during admission to an adolescent psychiatry unit. Method: Retrospective chart review of randomly selected youth admitted over a one-year period (2013). Data extracted included demographics, reasons for admission, sexual health history, as well as any comorbid behaviours noted. The main outcome measure was whether sexual health details were documented at any time during admission; if so, this information was extracted for analysis...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29658091/improving-the-evidence-base-for-services-working-with-youth-at-risk-of-involvement-in-the-criminal-justice-system-developing-a-standardised-program-approach
#2
Alice Knight, Myfanwy Maple, Anthony Shakeshaft, Bernie Shakehsaft, Tania Pearce
BACKGROUND: Young people who engage in multiple risk behaviour (high-risk young people) such as substance abuse, antisocial behaviour, low engagement in education and employment, self-harm or suicide ideation are more likely to experience serious harms later in life including homelessness, incarceration, violence and premature death. In addition to personal disadvantage, these harms represent an avoidable social and economic cost to society. Despite these harms, there is insufficient evidence about how to improve outcomes for high-risk young people...
April 16, 2018: Health & Justice
https://www.readbyqxmd.com/read/29649074/parental-bereavement-in-young-children-living-in-south-africa-and-malawi-understanding-mental-health
#3
A Macedo, L Sherr, M Tomlinson, S Skeen, K J Roberts
BACKGROUND: Parental loss is a major stressful event found to increase risk of mental health problems in childhood. Yet, some children show resilient adaptation in the face of adversity across time. SETTING: This study explores predictors of mental health resilience among parentally bereaved children in South Africa and Malawi, and their cumulative effect. The study also explores whether predictors of resilience differed between orphaned and non-orphaned children...
April 10, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29643167/behaviours-preceding-suicides-at-railway-and-underground-locations-a-multimethodological-qualitative-approach
#4
Jay-Marie Mackenzie, Jo Borrill, Emily Hawkins, Bob Fields, Ian Kruger, Ian Noonan, Lisa Marzano
OBJECTIVES: Suicides by train have devastating consequences for families, the rail industry, staff dealing with the aftermath of such incidents and potential witnesses. To reduce suicides and suicide attempts by rail, it is important to learn how safe interventions can be made. However, very little is known about how to identify someone who may be about to make a suicide attempt at a railway location (including underground/subways). The current research employed a novel way of understanding what behaviours might immediately precede a suicide or suicide attempt at these locations...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29621855/etherapy
#5
Jan Orman, Bridianne O'Dea
BACKGROUND: The Australian Government's Fifth National Mental Health and Suicide Prevention Plan recommends a stepped care model of mental healthcare that focuses on matching the intensity of care to the severity of illness. General practitioners (GPs) need to learn more about low-intensity online interventions to better meet the needs of patients of lower severity. OBJECTIVE: This article provides GPs with information about low-intensity, evidence-based online resources developed in Australia and available for integration into the care of patients with mild-to-moderate mental health conditions...
April 2018: Australian journal of general practice
https://www.readbyqxmd.com/read/29616711/suicidal-risk-hopelessness-and-depression-in-patients-with-schizophrenia-and-internalized-stigma
#6
Rafael Touriño, Francisco J Acosta, Alba Giráldez, Jorge Álvarez, Jesús M González, Cristina Abelleira, Natalia Benítez, Ernesto Baena, Jaime A Fernández, Carlos J Rodriguez
BACKGROUND: Internalized stigma has negative consequences on subjective and objective aspects of the recovery in people diagnosed with mental disorders. Despite its relevance, it has been poorly studied in patients with schizophrenia. METHODS: A sample of 71 outpatients with a diagnosis of schizophrenia who attended Psychosocial Rehabilitation Centers of Gran Canaria, Spain, were evaluated. We assessed the prevalence of internalized stigma and its possible association with sociodemographic, clinical, psychological and psychopathological variables, as well as suicidal behaviour and suicidal ideation...
March 2018: Actas Españolas de Psiquiatría
https://www.readbyqxmd.com/read/29604504/consequences-of-parental-burnout-its-specific-effect-on-child-neglect-and-violence
#7
Moïra Mikolajczak, Maria Elena Brianda, Hervé Avalosse, Isabelle Roskam
Parental burnout is a specific syndrome resulting from enduring exposure to chronic parenting stress. It encompasses three dimensions: an overwhelming exhaustion related to one's parental role, an emotional distancing from one's children and a sense of ineffectiveness in one's parental role. This study aims to facilitate further identification of the consequences of parental burnout for the parents themselves, their spouses and their child(ren). In a sample of 1551 parents, we examined the relationship between parental burnout and seven possible consequences: escapism and suicidal thoughts, addictions, sleep disorders, marital conflicts, a partner estrangement mindset, and neglect and violence towards one's child(ren)...
March 28, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29587888/depression-and-hopelessness-as-risk-factors-for-suicide-ideation-attempts-and-death-meta-analysis-of-longitudinal-studies
#8
Jessica D Ribeiro, Xieyining Huang, Kathryn R Fox, Joseph C Franklin
BACKGROUND: Many studies have documented robust relationships between depression and hopelessness and subsequent suicidal thoughts and behaviours; however, much weaker and non-significant effects have also been reported. These inconsistencies raise questions about whether and to what degree these factors confer risk for suicidal thoughts and behaviours.AimsThis study aimed to evaluate the magnitude and clinical utility of depression and hopelessness as risk factors for suicide ideation, attempts and death...
March 28, 2018: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/29584625/association-of-overcrowding-and-turnover-with-self-harm-in-a-swiss-pre-trial-prison
#9
Stéphanie Baggio, Laurent Gétaz, Nguyen Toan Tran, Nicolas Peigné, Komal Chacowry Pala, Diane Golay, Patrick Heller, Patrick Bodenmann, Hans Wolff
Self-harm is a common issue in detention and includes both suicidal and non-suicidal behaviours. Beyond well-known individual risk factors, institutional factors such as overcrowding (i.e., when the prison population exceeds its capacity) and turnover (i.e., the rate at which the prison population is renewed), may also increase the risk of self-harm. However, these factors are understudied or previous studies reported inconsistent findings. This study investigated the association of self-harm with overcrowding and turnover in the largest pre-trial Swiss prison in Geneva...
March 27, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29580906/post-traumatic-psychiatric-disorders-ptsd-is-not-the-only-diagnosis
#10
Yann Auxéméry
Traumatic events and their consequences are often hidden or minimised by patients for reasons linked to the post-traumatic stress disorder itself (inexpressibility, shame, depressive thoughts, fear of stigmatisation, etc.). Although post-traumatic stress disorder (PTSD) remains the most widely known disorder, chronic post-traumatic psychiatric disorders are many and varied. After a trauma, the practitioner has to check for the different clinical forms of post-traumatic psychological consequences: PTSD is not the only diagnosis...
March 23, 2018: La Presse Médicale
https://www.readbyqxmd.com/read/29577344/this-corrosion-a-systematic-review-of-the-association-between-alternative-subcultures-and-the-risk-of-self-harm-and-suicide
#11
Mairead Ann Hughes, Susan Frances Knowles, Katie Dhingra, Hannah Louise Nicholson, Peter James Taylor
BACKGROUND: Rates of self-harm and suicide are increasing in young people. The literature suggests that individuals who identify with alternative subcultures (e.g., Goth) may be at a greater risk. OBJECTIVE: To explore the prevalence of self-harm and suicide in alternative subcultures and the factors that might contribute to this increased risk. METHOD: Using a systematic strategy, the databases PsycINFO, Scopus, MEDLINE and Web of Science, and the E-Thesis online service (ETHOS) were searched for English language only papers, with no restrictions in terms of date of publication...
March 25, 2018: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29568086/quantifying-the-propagation-of-distress-and-mental-disorders-in-social-networks
#12
Marialisa Scatà, Alessandro Di Stefano, Aurelio La Corte, Pietro Liò
Heterogeneity of human beings leads to think and react differently to social phenomena. Awareness and homophily drive people to weigh interactions in social multiplex networks, influencing a potential contagion effect. To quantify the impact of heterogeneity on spreading dynamics, we propose a model of coevolution of social contagion and awareness, through the introduction of statistical estimators, in a weighted multiplex network. Multiplexity of networked individuals may trigger propagation enough to produce effects among vulnerable subjects experiencing distress, mental disorder, which represent some of the strongest predictors of suicidal behaviours...
March 22, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29557505/differences-in-snp-genotype-distributions-between-complex-and-simple-suicides
#13
Tanja Čugura, Jakob Boh, Tomaž Zupanc, Peter Pregelj, Alja Videtič Paska
Dysregulations in serotonin neurotransmission can be a strong contributing factor in suicide and impulsive-aggressive personality traits. Victims of suicide form a heterogeneous group in terms of planning, lethality and number of used methods. In this study, we tested single nucleotide polymorphisms (SNPs) of the monoamine oxidase (MAO) A and B genes on the Slovenian population, which has one of the highest suicide rates in the world. Genotyping was performed on 77 victims of complex suicide, 406 victims of simple suicide and 289 controls...
March 20, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29550775/nineteen-and-up-study-19up-understanding-pathways-to-mental-health-disorders-in-young-australian-twins
#14
Baptiste Couvy-Duchesne, Victoria O'Callaghan, Richard Parker, Natalie Mills, Katherine M Kirk, Jan Scott, Anna Vinkhuyzen, Daniel F Hermens, Penelope A Lind, Tracey A Davenport, Jane M Burns, Melissa Connell, Brendan P Zietsch, James Scott, Margaret J Wright, Sarah E Medland, John McGrath, Nicholas G Martin, Ian B Hickie, Nathan A Gillespie
PURPOSE: The Nineteen and Up study (19Up) assessed a range of mental health and behavioural problems and associated risk factors in a genetically informative Australian cohort of young adult twins and their non-twin siblings. As such, 19Up enables detailed investigation of genetic and environmental pathways to mental illness and substance misuse within the Brisbane Longitudinal Twin Sample (BLTS). PARTICIPANTS: Twins and their non-twin siblings from Queensland, Australia; mostly from European ancestry...
March 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29549821/improving-suicide-risk-assessment-in-the-emergency-department-through-physician-education-and-a-suicide-risk-assessment-prompt
#15
Taras R Reshetukha, Nazanin Alavi, Eric Prost, Ryan H Kirkpatrick, Saad Sajid, Charmy Patel, Dianne L Groll
OBJECTIVE: To determine the efficacy of two interventions on suicide risk assessment within emergency departments (EDs) on improving the documentation of suicide risk factors by emergency medicine and psychiatric physicians during suicide risk assessment. METHOD: An educational intervention on suicide was provided to all emergency medicine and psychiatry physicians and was followed by the placement of a suicide risk assessment prompt within local EDs. The medical charts of all ED patients presenting with suicidal ideation or behaviours were reviewed immediately and six months after the interventions and compared to pre-intervention...
March 2, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29549201/efficacy-and-moderators-of-psychological-interventions-in-treating-subclinical-symptoms-of-depression-and-preventing-major-depressive-disorder-onsets-protocol-for-an-individual-patient-data-meta-analysis-of-randomised-controlled-trials
#16
David D Ebert, Claudia Buntrock, Jo Annika Reins, Johannes Zimmermann, Pim Cuijpers
INTRODUCTION: The long-term effectiveness of psychological interventions for the treatment of subthreshold depression and the prevention of depression is unclear and effects vary among subgroups of patients, indicating that not all patients profit from such interventions. Randomised clinical trials are mostly underpowered to examine adequately subgroups and moderator effects. The aim of the present study is, therefore, to examine the short-term and long-term as well as moderator effects of psychological interventions compared with control groups in adults with subthreshold depression on depressive symptom severity, treatment response, remission, symptom deterioration, quality of life, anxiety and the prevention of major depressive disorder (MDD) onsets on individual patient level and study level using an individual patient data meta-analysis approach...
March 16, 2018: BMJ Open
https://www.readbyqxmd.com/read/29542332/suicide-prevention-in-educational-settings-a-review
#17
Jo Robinson, Alison L Calear, Eleanor Bailey
OBJECTIVES: Youth suicide rates are unacceptably high. Schools have long been accepted as an appropriate setting for suicide prevention activities. This review aims to synthesise the evidence for all types of suicide prevention interventions across educational settings. METHODS: The review draws on two previous reviews conducted by the authors. In order to be included, studies had to test a specific suicide prevention intervention in an educational setting, have a suicide-related outcome and target young people...
March 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29540161/death-at-no-cost-persons-with-no-health-insurance-claims-in-the-last-year-of-life-in-switzerland
#18
Radoslaw Panczak, Viktor von Wyl, Oliver Reich, Xhyljeta Luta, Maud Maessen, Andreas E Stuck, Claudia Berlin, Kurt Schmidlin, David C Goodman, Matthias Egger, Kerri Clough-Gorr, Marcel Zwahlen
BACKGROUND: Lack of health insurance claims (HIC) in the last year of life might indicate suboptimal end-of-life care, but reasons for no HIC are not fully understood because information on causes of death is often missing. We investigated association of no HIC with characteristics of individuals and their place of residence. METHODS: We analysed HIC of persons who died between 2008 and 2010, which were obtained from six providers of mandatory Swiss health insurance...
March 14, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29538636/risk-of-suicidal-behavior-with-use-of-efavirenz-results-from-the-strategic-timing-of-antiretroviral-treatment-trial
#19
Alejandro Arenas-Pinto, Birgit Grund, Shweta Sharma, Esteban Martinez, Nathan Cummins, Julie Fox, Karin L Klingman, Dalibor Sedlacek, Simon Collins, Patricia M Flynn, William M Chasanov, Eynat Kedem, Christine Katlama, Juan Sierra-Madero, Claudia Afonso, Pim Brouwers, David A Cooper
Background: Randomized trials have shown increased risk of suicidality associated with efavirenz (EFV). The START (Strategic Timing of Antiretroviral Treatment) trial randomized treatment-naive human immunodeficiency virus (HIV)-positive adults with high CD4 cell counts to immediate vs deferred antiretroviral therapy (ART). Methods: The initial ART regimen was selected prior to randomization (prespecified). We compared the incidence of suicidal and self-injurious behaviours (suicidal behavior) between the immediate vs deferred ART groups using proportional hazards models, separately for those with EFV and other prespecified regimens, by intention to treat, and after censoring participants in the deferred arm at ART initiation...
March 12, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29532784/a-pragmatic-randomised-controlled-trial-and-economic-evaluation-of-family-therapy-versus-treatment-as-usual-for-young-people-seen-after-second-or-subsequent-episodes-of-self-harm-the-self-harm-intervention-family-therapy-shift-trial
#20
David J Cottrell, Alex Wright-Hughes, Michelle Collinson, Paula Boston, Ivan Eisler, Sarah Fortune, Elizabeth H Graham, Jonathan Green, Allan O House, Michael Kerfoot, David W Owens, Eirini-Christina Saloniki, Mima Simic, Sandy Tubeuf, Amanda J Farrin
BACKGROUND: Self-harm in adolescents is common and repetition rates high. There is limited evidence of the effectiveness of interventions to reduce self-harm. OBJECTIVES: To assess the clinical effectiveness and cost-effectiveness of family therapy (FT) compared with treatment as usual (TAU). DESIGN: A pragmatic, multicentre, individually randomised controlled trial of FT compared with TAU. Participants and therapists were aware of treatment allocation; researchers were blind to allocation...
March 2018: Health Technology Assessment: HTA
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