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Deliberate self harm

Kimmin Kalyaniwala, Kpp Abhilash, Peter John Victor
Cartap hydrochloride is a moderately hazardous nereistoxin insecticide that is increasingly used for deliberate self-harm in India. It can cause neuromuscular weakness resulting in respiratory failure. We report a patient with 4% Cartap hydrochloride poisoning who required mechanical ventilation for 36-hours. He recovered without any neurological deficits. We also review literature on Cartap hydrochloride poisoning.
August 2016: Journal of the Association of Physicians of India
Habib Niyaraq Nobakht, Karl Yngvar Dale
This study aims to investigate the prevalence of Deliberate self-harm and its relationship to childhood and recent trauma and different patterns of dissociative features. 100 men and 100 women among college students were administered a 58-item questionnaire designed to detect the extent of dissociation, Deliberate self-harm and trauma history, respectively. Participants with Deliberate self-harm behaviors reported more traumatic experiences and dissociative features than participants without such behaviors...
October 13, 2016: Journal of Trauma & Dissociation
Nicole H Weiss, Katherine L Dixon-Gordon, Courtney Peasant, Véronique Jaquier, Clinesha Johnson, Tami P Sullivan
Objective: Intimate partner violence (IPV) is associated with heightened psychopathology symptoms and risky behaviors. However, extant investigations are limited by their focus on IPV victimization, despite evidence to suggest that victimization and aggression frequently co-occur. Further, research on these correlates often has not accounted for the heterogeneity of women who experience victimization. Method: The present study utilized latent profile analysis to identify patterns of physical, psychological, and sexual victimization and aggression in a convenience sample of 212 community women experiencing victimization (Mage = 36...
October 13, 2016: Psychological Trauma: Theory, Research, Practice and Policy
Cate McHugh, Sivasankaran Balaratnasingam, Anita Campbell, Murray Chapman
OBJECTIVES: To determine the rate of presentations for suicidal ideation and deliberate self-harm in the Kimberley region of Western Australia, characterized in terms of age, gender, rates of repetition and engagement with community mental health services. METHODS: An observational study of health service presentations over 12 months. SETTING: 10 sites across the region with police services were included, capturing the overwhelming majority of self-harm presentations in the region...
October 11, 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
P Kennedy, L Garmon-Jones
STUDY DESIGN: This is a systematic literature review. OBJECTIVES: The objectives of this study were to investigate, first, the proportion of spinal cord injury (SCI) caused by suicidal behaviour; second, the proportion of deaths in the SCI population caused by suicide; and third, the risk factors associated with suicidal behaviour. SETTING: This study was conducted in the UK. METHODS: AMED, EMBASE, HMIC, BNI, Medline, PsycInfo, CINAHL and HEALTH BUSINESS ELITE were searched between January and February 2016, identifying a total of 404 articles published between 1990 and 2016...
September 27, 2016: Spinal Cord
Gregory Carter, Andrew Page, Matthew Large, Sarah Hetrick, Allison Joy Milner, Nick Bendit, Carla Walton, Brian Draper, Philip Hazell, Sarah Fortune, Jane Burns, George Patton, Mark Lawrence, Lawrence Dadd, Jo Robinson, Helen Christensen
OBJECTIVE: To provide guidance for the organisation and delivery of clinical services and the clinical management of patients who deliberately self-harm, based on scientific evidence supplemented by expert clinical consensus and expressed as recommendations. METHOD: Articles and information were sourced from search engines including PubMed, EMBASE, MEDLINE and PsycINFO for several systematic reviews, which were supplemented by literature known to the deliberate self-harm working group, and from published systematic reviews and guidelines for deliberate self-harm...
October 2016: Australian and New Zealand Journal of Psychiatry
Richelle Schaefer, Matthew Broadbent, Matt Bruce
PURPOSE: Extant severe mental illness (SMI) and physical violence literature focus disproportionately on community-based men samples. To address this empirical imbalance, the current study explored violence towards others and oneself among women inpatients with SMI. As those with SMI are more likely to be victims than perpetrators of violence, victimisation was also an important factor assessed in this study. METHODS: The study used a quantitative within-subject cross-sectional design...
September 3, 2016: Social Psychiatry and Psychiatric Epidemiology
Peter A Whigham, Brandon de Graaf, Rashmi Srivastava, Paul Glue
BACKGROUND: Geographic perspectives of disease and the human condition often involve point-based observations and questions of clustering or dispersion within a spatial context. These problems involve a finite set of point observations and are constrained by a larger, but finite, set of locations where the observations could occur. Developing a rigorous method for pattern analysis in this context requires handling spatial covariates, a method for constrained finite spatial clustering, and addressing bias in geographic distance measures...
2016: BMC Medical Research Methodology
Morgan Carpenter
Intersex people and bodies have been considered incapable of integration into society. Medical interventions on often healthy bodies remain the norm, addressing perceived familial and cultural demands, despite concerns about necessity, outcomes, conduct and consent. A global and decentralised intersex movement pursues simple core goals: the rights to bodily autonomy and self-determination, and an end to stigmatisation. The international human rights system is responding with an array of new policy statements from human rights institutions and a handful of national governments recognising the rights of intersex people...
May 2016: Reproductive Health Matters
Beth S Brodsky
Adverse childhood experiences are associated with higher risk for suicide and suicidal behavior later in life. There are known associations between childhood trauma, particularly sexual abuse, and higher rates of suicide, non-lethal suicide attempts, and non-suicidal self-injurious behaviors in adolescence and adulthood. Emotional abuse/neglect, disrupted parental attachment, and cumulative effect of multiple forms of maltreatment, also increase risk. Yet, the causal relationship remains unclear. The diathesis-stress model provides a framework for understanding how early life adverse experiences contribute to suicide vulnerability...
September 2016: Current Psychiatry Reports
Moses Kirubairaj Amos Jegaraj, Shubhanker Mitra, Sathish Kumar, Bagyalakshmi Selva, Manimaran Pushparaj, Bijesh Yadav, Abhilash Kundavaram Paul Prabhakar, Alex Reginald
BACKGROUND: Deliberate self-harm (DSH) is a major under-recognized epidemic in the low- and middle-income countries. This is a large retrospective study form the Emergency Department (ED) of Tertiary Care Center of South India to describe the clinicodemographic features of DSH cases. MATERIALS AND METHODS: This is a retrospective study conducted at ED of Christian Medical College, Vellore, India from January 01, 2011 to December 31, 2013. All cases of DSH were included in the study...
January 2016: Journal of Family Medicine and Primary Care
David J R Morgan, Kwok M Ho
OBJECTIVE: Assess the incidence and determinants of hospitalization for deliberate self-harm and mental health disorders, and suicide after bariatric surgery. BACKGROUND: Limited recent literature suggests an increase in deliberate self-harm following bariatric surgery. METHODS: A state-wide, population-based, self-matched, longitudinal cohort study over a 5-year period between 2007 and 2011. Utilizing the Western Australian Department of Health Data Linkage Unit records, all patients undergoing bariatric surgery (n = 12062) in Western Australia were followed for an average 30...
July 18, 2016: Annals of Surgery
Bergljot Gjelsvik, Fridtjof Heyerdahl, Jane Holmes, Daniel Lunn, Keith Hawton
The relationship between suicidal intent and lethality of deliberate self-poisoning (DSP) episodes and their associations with suicide have yielded contradictory findings. The aims of this study were to investigate the association between patients' suicidal intent and independently rated lethality of DSP episodes, and whether the association changes over time. Eighty-nine DSP patients were investigated longitudinally. Self-reported suicidal intent, including perceived likelihood of dying, wish to die, and whether or not the DSP was considered a suicide attempt, was measured at the time of the index episode (t1), 3 months (t2), and 12 months (t3) later...
July 15, 2016: Suicide & Life-threatening Behavior
Daniel Freeman
A spectrum of severity of paranoia (unfounded thoughts that others are deliberately intending to cause harm) exists within the general population. This is unsurprising: deciding whether to trust or mistrust is a vital aspect of human cognition, but accurate judgment of others' intentions is challenging. The severest form of paranoia is persecutory delusions, when the ideas are held with strong conviction. This paper presents a distillation of a cognitive approach that is being translated into treatment for this major psychiatric problem...
July 2016: Lancet Psychiatry
Nadia Micali, N J Horton, R D Crosby, S A Swanson, K R Sonneville, F Solmi, J P Calzo, K T Eddy, A E Field
Diagnostic criteria for eating disorders (ED) remain largely based on clinical presentations, but do not capture the full range of behaviours in the population. We aimed to derive an empirically based ED behaviour classification using behavioural and body mass index (BMI) indicators at three time-points in adolescence, and to validate classes investigating prospective associations with adverse outcomes. Adolescents from the Avon Longitudinal Study of Parents and Children (ALSPAC) provided data on ED at age 14 (n = 6615), 16 (n = 5888), and 18 years (n = 5100), and had weight and height measured...
June 24, 2016: European Child & Adolescent Psychiatry
Andres G Viana, Laura J Dixon, Erin C Berenz, Flint M Espil
OBJECTIVE: Youth with posttraumatic stress disorder (PTSD) symptoms have significant difficulties regulating affective experiences; as a result, many engage in nonadaptive coping behaviors including deliberate self-harm (DSH). To identify youth with PTSD symptoms who may be most at risk for DSH, this study examined anxiety sensitivity (AS) as a moderator of the relationship between PTSD symptoms and DSH in a diverse sample of psychiatric inpatient youth with a history of potentially traumatic events (PTE)...
June 23, 2016: Psychological Trauma: Theory, Research, Practice and Policy
Samantha Conlin, Joseph Littlechild, Hosakere Aditya, Hilal Bahia
INTRODUCTION: Patients admitted to hospital for deliberate self-harm by burning (DSHB) provide a challenge for medical, surgical and psychological management. We retrospectively reviewed all the patients admitted to a Scottish regional burn unit with DSHB over an 11-year period to assess demographics and outcome. METHODS: Ward admission data were used to identify DSHB patients admitted to the South East Scotland regional burn unit in Livingston, UK between 2002 and 2012, as well as a control group of accidental burn patients...
February 2016: Scottish Medical Journal
J Vardy, T Keliher, J Fisher, F Ritchie, C Bell, M Chekroud, F Clarey, L Blackwood, L Barry, E Paton, A Clark, R Connelly
OBJECTIVES: Alcohol is responsible for a proportion of emergency admissions to hospital, with acute alcohol intoxication and chronic alcohol dependency (CAD) implicated. This study aims to quantify the proportion of hospital admissions through our emergency department (ED) which were thought by the admitting doctor to be (largely or partially) a result of alcohol consumption. SETTING: ED of a UK tertiary referral hospital. PARTICIPANTS: All ED admissions occurring over 14 weeks from 1 September to 8 December 2012...
2016: BMJ Open
K Joory, A Farroha, N Moiemen
Self-inflicted burns (SIB) consistently account for a small proportion of burn injuries. There is a wide spectrum of SIB, from minor burns through to major life threatening burn injuries in suicidal patients who have committed self-immolation. Non-fatal deliberate self-harm (DSH) is a common reason for presenting to hospital. This occurs in many forms including wounding, burning and poisoning to name a few. Such behaviours are commonly repeated, sometimes with increasing severity. DSH is a major risk factor for subsequent suicide...
September 30, 2015: Annals of Burns and Fire Disasters
Britt Reuter Morthorst, Bodil Soegaard, Merete Nordentoft, Annette Erlangsen
BACKGROUND: The validity and reliability of suicide statistics have been questioned and few nationwide studies of deliberate self-harm have been presented. AIM: To calculate rates of deliberate self-harm in Denmark in order to investigate trends and assess the reliability of hospital records. METHOD: A register study based on all individuals recorded with an episode of deliberate self-harm or probable deliberate self-harm in nationwide registers during 1994-2011...
June 9, 2016: Crisis
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