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Deliberate self harm

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https://www.readbyqxmd.com/read/29747618/evaluation-of-a-multimodal-school-based-depression-and-suicide-prevention-program-among-dutch-adolescents-design-of-a-cluster-randomized-controlled-trial
#1
Mandy W M Gijzen, Daan H M Creemers, Sanne P A Rasing, Filip Smit, Rutger C M E Engels
BACKGROUND: Since 2010, suicide has been the most important cause of mortality in youth aged 15 to 29 years in the Netherlands. Depression is an important risk factor for suicidal behaviors (i.e., suicide ideation, deliberate self-harm, planning, and suicide attempts) in adolescents. Adolescents who develop depressive symptoms, are also at risk for adult depression. This developmental continuity is especially noticeable in adolescents compared to other age groups; therefore, it is necessary to develop preventive strategies for teens...
May 10, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29692896/literary-reading-and-eating-disorders-survey-evidence-of-therapeutic-help-and-harm
#2
Emily T Troscianko
Background: There is growing evidence for the efficacy of self-help bibliotherapy as a treatment for eating disorders, although little understanding of how specific linguistic characteristics may enhance or constrain its effects. Meanwhile, 'creative bibliotherapy' (the therapeutic use of fiction, poetry, or sometimes film, rather than self-help books) is widely practised, but even more poorly understood than the self-help variety: although a range of theoretical models exist, claims of the healing power of literature are far more commonly made than tested...
2018: Journal of Eating Disorders
https://www.readbyqxmd.com/read/29655970/suicide-after-hospital-contact-for-psychiatric-assessment-in-hong-kong-a-long-term-cohort-study
#3
Chi-Ming Leung, Sing Lee, Dominic T S Lee, Connie T Y Yan, John So, Gabor S Ungvari, Chee H Ng, Yu-Tao Xiang
There are few long-term studies on suicide in psychiatric settings in China. The objective of this study was to evaluate the long term suicide risk and its associated factors after the initial psychiatric assessment. Demographic and clinical data of adult subjects receiving psychiatric assessment between 1996 and 2000 in a district hospital in Hong Kong were retrieved from the hospital computer system. Data were matched with completed suicides before June 30 2015 as recorded by the Coroner's Office. From a total of 4078 subjects identified, there were 152 (3...
April 4, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29651981/lamotrigine-for-people-with-borderline-personality-disorder-a-rct
#4
Mike J Crawford, Rahil Sanatinia, Barbara Barrett, Gillian Cunningham, Oliver Dale, Poushali Ganguli, Geoff Lawrence-Smith, Verity C Leeson, Fenella Lemonsky, Georgia Lykomitrou-Matthews, Alan Montgomery, Richard Morriss, Jasna Munjiza, Carol Paton, Iwona Skorodzien, Vineet Singh, Wei Tan, Peter Tyrer, Joseph G Reilly
BACKGROUND: No drug treatments are currently licensed for the treatment of borderline personality disorder (BPD). Despite this, people with this condition are frequently prescribed psychotropic medications and often with considerable polypharmacy. Preliminary studies have indicated that mood stabilisers may be of benefit to people with BPD. OBJECTIVE: To examine the clinical effectiveness and cost-effectiveness of lamotrigine for people with BPD. DESIGN: A two-arm, double-blind, placebo-controlled individually randomised trial of lamotrigine versus placebo...
April 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29621901/the-clinical-effectiveness-and-cost-effectiveness-of-lamotrigine-in-borderline-personality-disorder-a-randomized-placebo-controlled-trial
#5
Mike J Crawford, Rahil Sanatinia, Barbara Barrett, Gillian Cunningham, Oliver Dale, Poushali Ganguli, Geoff Lawrence-Smith, Verity Leeson, Fenella Lemonsky, Georgia Lykomitrou, Alan A Montgomery, Richard Morriss, Jasna Munjiza, Carol Paton, Iwona Skorodzien, Vineet Singh, Wei Tan, Peter Tyrer, Joseph G Reilly
OBJECTIVE: The authors examined whether lamotrigine is a clinically effective and cost-effective treatment for people with borderline personality disorder. METHOD: This was a multicenter, double-blind, placebo-controlled randomized trial. Between July 2013 and November 2016, the authors recruited 276 people age 18 or over who met diagnostic criteria for borderline personality disorder. Individuals with coexisting bipolar affective disorder or psychosis, those already taking a mood stabilizer, and women at risk of pregnancy were excluded...
April 6, 2018: American Journal of Psychiatry
https://www.readbyqxmd.com/read/29605669/is-the-association-of-deliberate-self-harm-with-emotional-relief-stable-or-dependent-on-emotional-context
#6
Kim L Gratz, Matthew T Tull, Katherine L Dixon-Gordon, Brianna J Turner, Alexander L Chapman
BACKGROUND AND OBJECTIVES: Despite strong support for the role of emotional relief in deliberate self-harm (DSH), no research has examined the impact of emotional distress on the strength of the DSH-relief association. Thus, it remains unclear whether the association of DSH with emotional relief is stable across emotional contexts or context-dependent. This study aimed to examine if the implicit DSH-relief association is stronger in the context of emotional distress (relative to a neutral emotional context)...
March 21, 2018: Journal of Behavior Therapy and Experimental Psychiatry
https://www.readbyqxmd.com/read/29593617/the-role-of-difficulty-in-identifying-and-describing-feelings-in-non-suicidal-self-injury-behavior-nssi-associations-with-perceived-attachment-quality-stressful-life-events-and-suicidal-ideation
#7
Rita Cerutti, Antonio Zuffianò, Valentina Spensieri
Objective: Core alexithymic features, such as the difficulty in identifying and describing feelings, are associated with poor attachment styles and emotional trauma, which influence the capacity to regulate affect. Additionally, emotional regulation has been found to be the most commonly identified function associated with non-suicidal self-injury behavior (NSSI) in adolescents as they attempt to modulate strong emotions. However, few studies have examined the link between difficulty in identifying and describing feelings (core components of alexithymia), NSSI behaviors, quality of attachment, life stressors and suicidal ideation in healthy early adolescents...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29588853/disordered-eating-in-a-swedish-community-sample-of-adolescent-girls-subgroups-stability-and-associations-with-body-esteem-deliberate-self-harm-and-other-difficulties
#8
Njördur Viborg, Margit Wångby-Lundh, Lars-Gunnar Lundh, Ulf Wallin, Per Johnsson
Background: The developmental study of subtypes of disordered eating (DE) during adolescence may be relevant to understand the development of eating disorders. The purpose of the present study was to identify subgroups with different profiles of DE in a community sample of adolescent girls aged 13-15 years, and to study the stability of these profiles and subgroups over a one-year interval in order to find patterns that may need to be addressed in further research and prevention. Methods: Cluster analysis according to the LICUR procedure was performed on five aspects of DE, and the structural and individual stability of these clusters was analysed...
2018: Journal of Eating Disorders
https://www.readbyqxmd.com/read/29578243/clusters-of-suicidal-events-among-young-people-do-clusters-from-one-time-period-predict-later-clusters
#9
Lay San Too, Jane Pirkis, Allison Milner, Jo Robinson, Matthew J Spittal
We sought to compare clusters of suicidal events between two different time periods and examine the extent to which earlier clusters predict later clusters. We included data on suicides and suicide attempts from New South Wales between July 2001 and June 2012 and Western Australia between January 2000 and December 2011. Suicide attempts included admissions to hospital for deliberate self-harm and suicides were deaths due to deliberate self-harm. We combined data on suicides and suicide attempts and grouped them into two equal time periods...
March 26, 2018: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/29555689/suicide-after-deliberate-self-harm-in-adolescents-and-young-adults
#10
Mark Olfson, Melanie Wall, Shuai Wang, Stephen Crystal, Jeffrey A Bridge, Shang-Min Liu, Carlos Blanco
OBJECTIVES: Among adolescents and young adults with nonfatal self-harm, our objective is to identify risk factors for repeated nonfatal self-harm and suicide death over the following year. METHODS: A national cohort of patients in the Medicaid program, aged 12 to 24 years ( n = 32 395), was followed for up to 1 year after self-harm. Cause of death information was obtained from the National Death Index. Repeat self-harm per 1000 person-years and suicide deaths per 100 000 person-years were determined...
April 2018: Pediatrics
https://www.readbyqxmd.com/read/29530139/caring-for-self-harming-patients-in-general-practice
#11
Joanne Rowe, Chrystal Jaye
INTRODUCTION Intentional self-harm is an international public health issue with high personal, social and financial costs to society. Poor relationship dynamics are known to have a negative influence on the psyche of people who self-harm, and this can increase anxiety and decrease self-esteem, both shown to be significant contributors to self-harm behaviours. Positive and functional social supports have been proposed as a cost-effective and constructive approach in diminishing self-harming behaviours. AIM This qualitative study investigated the aspects of professional, social, familial and romantic relationships that people who have self-harmed identified as having a positive and constructive effect on their self-harm behaviour...
December 2017: Journal of Primary Health Care
https://www.readbyqxmd.com/read/29498087/acute-alcohol-co-ingestion-and-hospital-treated-deliberate-self-poisoning-is-there-an-effect-on-subsequent-self-harm
#12
Luca D Borruso, Nicholas A Buckley, Katharine A Kirby, Gregory Carter, Jennifer L Pilgrim, Kate M Chitty
The aim of this study was to determine the relationship between alcohol co-ingestion in an index deliberate self-poisoning (DSP) episode with repeated DSP and subsequent suicide. A retrospective cohort study was conducted involving 5,669 consecutive index presentations to a toxicology service following DSP between January 1, 1996, and October 31, 2010. Records were probabilistically matched to National Coronial Information System data to identify subsequent suicide. Index DSPs were categorized on co-ingestion of alcohol, and primary outcomes analyzed were repetition of any DSP, rates of repeated DSP, time to first repeat DSP, and subsequent suicide...
March 2, 2018: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/29477705/restrictive-eating-and-nonsuicidal-self-injury-in-a-nonclinical-sample-co-occurrence-and-associations-with-emotion-dysregulation-and-interpersonal-problems
#13
Shirley B Wang, Emily M Pisetsky, Julie M Skutch, Alan E Fruzzetti, Ann F Haynos
Disordered eating frequently co-occurs with nonsuicidal self-injury (NSSI), and evidence suggests that the co-occurrence of these behaviors is associated with heightened emotion dysregulation. However, little is known about the relationship between restrictive eating and NSSI, and the significance of their co-occurrence. This study examined cross-sectional associations between self-reported restrictive eating, NSSI, and putative mechanisms of emotion regulation and interpersonal problems in a non-clinical sample of undergraduate students (N = 98, 80...
April 2018: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29474136/psychiatric-hospitalization-after-emergency-treatment-for-deliberate-self-harm-is-associated-with-repeated-deliberate-self-harm
#14
Atshushi Ichimura, Koji Kato, Takayuki Taira, Hiroyuki Otsuka, Tomoko Seki, Yoshihide Nakagawa, Sadaki Inokuchi
OBJECTIVES: To evaluate whether treatment at a psychiatric hospital reduces the risk of repeating parasuicide. METHODS: Participants comprised 4,483 parasuicide patients admitted to an emergency department between July 2003 and March 2012. We analyzed the effectiveness of psychiatric hospitalization in preventing repeated parasuicide. We adjusted for background factors using multivariate logistic regression. RESULTS: Effects of psychiatric hospitalization upon the likelihood of repeated parasuicide within one year varied by age (especially those aged <35 years), indicating that hospitalization was a significant risk factor...
February 23, 2018: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
https://www.readbyqxmd.com/read/29470468/an-audit-of-risk-assessments-for-suicide-and-attempted-suicide-in-ed-a-retrospective-review-of-quality
#15
Wayne de Beer, Bernard DeWitt, Jules Schofield, Helen Clark, Veronique Gibbons
AIM: The primary aim of this audit was to determine the quality of psychiatric risk assessments conducted by Mental Health & Addiction Services clinicians for patients presenting to the emergency department, Waikato Hospital, Hamilton, New Zealand following an attempted suicide. METHOD: A retrospective, randomised audit of 376 files of patients who had presented to the ED over a 12-month period from 1 July 2015 to 30 June 2016 was conducted, following the standards outlined in the present New Zealand Ministry of Health Clinical Practice Guideline for Deliberate Self Harm (DSH)...
February 23, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29465842/paediatric-consultation-liaison-psychiatry-services-pclps-what-are-they-actually-doing
#16
F Lynch, C Kehoe, S MacMahon, E McCarra, R McKenna, A D'Alton, E Barrett, A Twohig, F McNicholas
Introduction Paediatric Consultation Liaison Psychiatry Services (PCLPS) are specialised services treating mental health difficulties co-morbid with medical problems. Methods Standardised clinical data was retrieved from all case notes (N=108) during the study timeframe (Jan-June 2016). Results The majority of children were female 59 (55%) with a mean age of 13. Presentation was typically via the Emergency Department (ED) (85, 79%), and of those, the majority (53, 62%) were 'out of hours' and for Deliberate Self-harm (44, 52%) Almost half of all cases seen (50, 46%) were previously known, and discharged back (84, 78%), to CAMHS...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29448941/traditional-healing-practices-in-rural-bangladesh-a-qualitative-investigation
#17
Md Imdadul Haque, A B M Alauddin Chowdhury, Md Shahjahan, Md Golam Dostogir Harun
BACKGROUND: Traditional healing practice is an important and integral part of healthcare systems in almost all countries of the world. Very few studies have addressed the holistic scenario of traditional healing practices in Bangladesh, although these serve around 80% of the ailing people. This study explored distinctive forms of traditional healing practices in rural Bangladesh. METHODS: During July to October 2007, the study team conducted 64 unstructured interviews, and 18 key informant interviews with traditional healers and patients from Bhabanipur and Jobra, two adjacent villages in Chittagong district, Bangladesh...
February 15, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29433877/self-inflicted-gunshot-wounds-readmission-patterns
#18
Charlotte M Rajasingh, Lakshika Tennakoon, Kristan L Staudenmayer
BACKGROUND: Self-inflicted gunshot wounds (SI-GSWs) are often fatal, but roughly 20% of individuals survive. What happens to survivors after the initial hospitalization is unknown. We hypothesized that the SI-GSW survivors are frequently readmitted and that the pattern of readmission is different from that of the survivors of non-GSW self-harm (SH). METHODS: We conducted a retrospective cohort analysis using the 2013 and 2014 Nationwide Readmission Database. Patients with any diagnosis indicating deliberate SH in the first 6 months of the year were included...
March 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29433468/suicide-and-deliberate-self-harm-in-pakistan-a-scoping-review
#19
Sualeha S Shekhani, Shagufta Perveen, Dur-E-Sameen Hashmi, Khawaja Akbar, Sara Bachani, Murad M Khan
BACKGROUND: Suicide is a major global public health problem with more than 800,000 incidents worldwide annually. Seventy-five percent of the global suicides occur in low and middle-income countries (LMICs). Pakistan is a LMIC where information on suicidal behavior is limited. The aim of the review is to map available literature on determinants, risk factors and other variables of suicidal behavior in Pakistan. METHOD: This study was based on Arksey and O'Malley's methodological framework of scoping review, combining peer reviewed publications with grey literature...
February 12, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29422023/trained-lay-health-workers-reduce-common-mental-disorder-symptoms-of-adults-with-suicidal-ideation-in-zimbabwe-a-cohort-study
#20
Epiphany Munetsi, Victoria Simms, Lloyd Dzapasi, Georgina Chapoterera, Nyaradzo Goba, Tichaona Gumunyu, Helen A Weiss, Ruth Verhey, Melanie Abas, Ricardo Araya, Dixon Chibanda
BACKGROUND: Suicidal ideation may lead to deliberate self-harm which increases the risk of death by suicide. Globally, the main cause of deliberate self-harm is depression. The aim of this study was to explore prevalence of, and risk factors for, suicidal ideation among men and women with common mental disorder (CMD) symptoms attending public clinics in Zimbabwe, and to determine whether problem solving therapy delivered by lay health workers can reduce common mental disorder symptoms among people with suicidal ideation, using secondary analysis of a randomised controlled trial...
February 8, 2018: BMC Public Health
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