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Suicide intervention

Lauren A Demers, Melinda Westlund Schreiner, Ruskin H Hunt, Bryon A Mueller, Bonnie Klimes-Dougan, Kathleen M Thomas, Kathryn R Cullen
BACKGROUND: Non-suicidal self-injury (NSSI) is a major, trans-diagnostic mental health problem among adolescents. Alexithymia has been identified as a developmental risk factor for NSSI. Research on how alexithymia relates to the neurobiology of automatic emotion processing is only beginning to emerge. This study evaluates the relationship between alexithymic features and neural responses to automatic processing of emotional content in adolescents with NSSI. METHODS: 25 female adolescents (ages 13-21) with a history of repeated engagement in NSSI completed the Toronto Alexithymia Scale and the Difficulties with Emotion Regulation Scale and underwent functional magnetic resonance imaging (fMRI) during a task in which participants were exposed to masked emotions...
February 12, 2019: Journal of Affective Disorders
Amanda Vandyk, Andrea Bentz, Sarah Bissonette, Caitlyn Cater
Through this qualitative study, we explored frequent emergency department use by persons with borderline personality disorder from their perspective. Interpretive description guided the study design, and data were collected through interviews with six individuals diagnosed with borderline personality disorder who had at least 12 emergency department visits for reasons related to their mental illness within a 1-year timeframe. Using thematic data analysis, we articulate the participants' experiences through two broad themes: cyclic nature of emergency department use and coping skills and strategies...
February 18, 2019: International Journal of Mental Health Nursing
Sang-Mi Park
BACKGROUND: Korea has the highest rate of suicide in the world and has held this rank for the last decade. Suicide has risen especially sharply among 45- to 54-year-old Koreans; there were about 32.1 suicides per 100,000 individuals in 2015, and this contributed significantly to the rising suicide rate in Korea. Recently, adverse work conditions, including insecure employment and shift work, have been suggested as a suicide risk factor. However, little is known about the influence of insecure employment on suicidal ideation among middle-aged adults...
February 18, 2019: International Journal of Social Psychiatry
Scott A Simpson
Presentations for anxiety and depression constitute the fastest growing category of mental health diagnoses seen in emergency departments (EDs). Even non-psychiatric clinicians must be prepared to provide psychotherapeutic interventions for these patients, just as they might provide motivational interviewing for a patient with substance use disorders. This case report of an 18-year-old woman with suicidal ideation illustrates the practicality and utility of a brief, single-session, crisis intervention model that facilitated discharge from the ED...
February 2019: Clinical practice and cases in emergency medicine
Esther Lee, JoAnn Daugherty, Kimberlee Eskierka, Kathryn Hamelin
Compassion is a complex abstract concept and is generally perceived as an emotional reaction to another person's vulnerability and suffering that motivates an individual wanting the best for the one who is suffering. It is seen as a virtuous and an inherent quality of nursing care. Nurses are exposed to various work stressors caused by myriads of complex professional and organizational challenges. In response, some nurses have developed coping mechanisms exemplified by detachment and distance in the caring relationship, whereas others have fallen victim to compassion fatigue or burnout, stressors that may increase the risk for suicide...
February 14, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Kazumi Satogami, Ping-Tao Tseng, Kuan-Pin Su, Shun Takahashi, Satoshi Ukai, Dian-Jeng Li, Tien-Yu Chen, Pao-Yen Lin, Yen-Wen Chen, Yutaka J Matsuoka
OBJECTIVES: Eating disorders result in poor nutrition, poor physical conditions and even suicidality and mortality. Although polyunsaturated fatty acids (PUFAs) have attracted attention in the emerging field of nutritional psychiatry, their role in eating disorders remains unknown. This meta-analysis investigates the differences of PUFA levels between patients with eating disorders and healthy controls, and the potentially beneficial effects of PUFAs in such patients. METHODS: We conducted a systematic literature search and meta-analysis under the random effects model...
March 2019: Prostaglandins, Leukotrienes, and Essential Fatty Acids
Dawn T Bounds, Laurel D Edinburgh, Louis F Fogg, Elizabeth M Saeywc
BACKGROUND: Adolescent victims of sexual assault and exploitation suffer significant mental health distress including PTSD, self-harm, suicidal ideation, and attempts. OBJECTIVE: This longitudinal observational study investigated the Runaway Intervention Program's influence on trauma responses at 3, 6, and 12 months for adolescents who have run away at least once and have been sexually assaulted or exploited. PARTICIPANTS: Runaways (n = 362) received nurse practitioner (NP) home and community visits, intensive case management, and optional empowerment groups...
February 14, 2019: Child Abuse & Neglect
Marisa E Marraccini, Leslie A Brick, Lisa L Weyandt, Alyssa Francis, Christine Clarkin, Yumeng Fang
BACKGROUND: College students are at increased risk for self-injurious thoughts and behaviors (SITB) and sexual risk behaviors (SRB). Although students with a history of SITB appear to be more prone to SRB, the mechanisms linking these risk behaviors remain largely unexplored. Previous research points to emotional control (EC), defined as one's awareness and adaptability of emotions, as a potential mechanism explaining the relationship between SITB and SRB.1 METHODS: Data included 722 college students attending two different universities in the northeast and southeast regions of the United States...
February 7, 2019: Journal of Affective Disorders
Lisette Dekker, Hansje M Heller, Jessica E van der Meij, Annelies E J Toor, Leo M G Geeraedts
BACKGROUND: A medical-psychiatric unit (MPU) is a special ward where staff is trained in caring for patients with psychiatric or behavioural problems that need hospitalisation for physical health problems. It is well known that these patients are at higher risk of complications and have a longer length of stay resulting in higher costs than patients without psychiatric comorbidity. The objective of this study was to analyse the trauma patient population of the first 10 years of existence of the MPU in a level I trauma center...
February 15, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Jude Mary Cénat, Kevin Smith, Martine Hébert, Daniel Derivois
BACKGROUND: Most of the scientific literature on cyberbullying and psychosocial consequences associated is based on samples of adolescents. Also, despite their contributions, the few studies with emerging adults were conducted with small or single-site samples. The present study aimed to document the prevalence of cyberbullying among college students in France and the association between cybervictimization, psychological distress and suicidality. METHODS: The sample included 4 626 French undergraduates...
February 6, 2019: Journal of Affective Disorders
Jessie R Baldwin, Louise Arseneault, Avshalom Caspi, Terrie E Moffitt, Helen L Fisher, Candice L Odgers, Antony Ambler, Renate M Houts, Timothy Matthews, Dennis Ougrin, Leah S Richmond-Rakerd, Ryu Takizawa, Andrea Danese
OBJECTIVE: Victimized adolescents have elevated risk of self-injurious thoughts and behaviors. However, poor understanding of causal and non-causal mechanisms underlying this observed risk limits the development of interventions to prevent premature death among adolescents. We tested whether pre-existing family-wide and individual vulnerabilities account for victimized adolescents' elevated risk of self-injurious thoughts and behaviors. METHOD: Participants were 2,232 British children followed from birth to age 18 as part of the Environmental Risk (E-Risk) Longitudinal Twin Study...
December 11, 2018: Journal of the American Academy of Child and Adolescent Psychiatry
Donna A Ruch, Arielle H Sheftall, Paige Schlagbaum, Cynthia A Fontanella, John V Campo, Jeffrey A Bridge
OBJECTIVE: Studies show incarcerated youth are at an increased risk for suicidal behavior, yet little is known about factors associated with suicide for this population. Using a nationally representative sample, this study examines characteristics and precipitating circumstances of suicide among incarcerated youth decedents relative to youth suicide decedents in the general population. METHOD: Data were analyzed for suicide decedents aged 10-24 years (N=10,126) in the United States between 2003 and 2012 from the National Violent Death Reporting System (NVDRS)...
January 22, 2019: Journal of the American Academy of Child and Adolescent Psychiatry
Hang Lv, Yan-Hua Zhao, Jian-Guo Chen, Dong-Yan Wang, Hao Chen
Background: Depression is a common mental disorder worldwide. Psychological treatments and antidepressant medication are the usual treatments for depression. However, a large proportion of patients with depression do not respond to the treatments. In 2005, Vagus nerve stimulation was approved for the adjunctive long-term treatment of chronic or recurrent depression in adult patients experiencing a major depressive episode who had failed to respond to four or more adequate antidepressant treatments. However, the efficacy of VNS for treating depression remains unclear...
2019: Frontiers in Psychology
Kenneth R Conner, Timothy J Wiegand, David B Goldston
OBJECTIVE: Problematic alcohol use (PAU) is a potent risk factor for suicidal behavior yet individuals with PAU presenting to hospital with suicidal risk may receive less intensive hospital-based treatment than suicidal patients without PAU. Developing efficacious interventions for at-risk patients with PAU that may be delivered in hospital is critical, particularly for those hospitalized following a suicide attempt, a group at marked risk. METHOD: The authors identified the Attempted Suicide Short Intervention Program (ASSIP) for adaption for hospitalized suicide attempt patients with PAU because of its flexibility, brevity, and evidence of efficacy to reduce risk for suicide reattempt...
February 5, 2019: General Hospital Psychiatry
Gillian Haddock, Daniel Pratt, Patricia A Gooding, Sarah Peters, Richard Emsley, Emma Evans, James Kelly, Charlotte Huggett, Ailsa Munro, Kamelia Harris, Linda Davies, Yvonne Awenat
BACKGROUND: Suicidal behaviour is common in acute psychiatric wards resulting in distress, and burden for patients, carers and society. Although psychological therapies for suicidal behaviour are effective in out-patient settings, there is little research on their effectiveness for in-patients who are suicidal.AimsOur primary objective was to determine whether cognitive-behavioural suicide prevention therapy (CBSP) was feasible and acceptable, compared with treatment as usual (TAU) for in-patients who are suicidal...
January 2019: BJPsych Open
Gonzalo Martínez-Alés, Eduardo Jiménez-Sola, Eva Román-Mazuecos, María Pilar Sánchez-Castro, Consuelo de Dios, Beatriz Rodríguez-Vega, María Fe Bravo-Ortiz
OBJECTIVE: According to randomized trials, contact after a suicide attempt lowers relapse risk. However, effectiveness studies based on real clinical data can provide additional external validity. METHOD: We conducted an observational study to determine if an emergency department (ED)-initiated intervention for suicide attempt risk reduction, consisting on scheduling a single added appointment within 7 days after discharge following a suicide attempt, can reduce the risk of relapse...
February 14, 2019: Suicide & Life-threatening Behavior
Asta Ratna Prajapati, Alexandra Dima, Allan B Clark, Claire Gant, Chris Gibbons, Richard Gorrod, George Mosa, Sion Scott, Fujian Song, Bonnie Teague, Michael J Twigg, Jon Wilson, Debi Bhattacharya
INTRODUCTION: People with bipolar disorder require long-term treatment but it is estimated that 40% of these people do not adhere to prescribed medication regimens. Non-adherence increases the risk of relapse, hospitalisation and suicide. Some evidence syntheses report barriers to mental health treatment adherence but rarely delineate between modifiable and non-modifiable barriers. They also fail to distinguish between the patients' perspective and that of other stakeholders such as clinicians despite of their different understanding and priorities about adherence...
February 12, 2019: BMJ Open
Kriszta Farkas, Ellicott C Matthay, Kara E Rudolph, Dana E Goin, Jennifer Ahern
Police use of force is an important public health issue in the US. Recent high-profile incidents suggest a potential link between mental disorders and police use of force, however little research has examined their co-occurrence in the general population. We aimed to assess the overall association between specific mental and substance use disorders (MSUDs) and nonfatal legal intervention injury. We identified nonfatal legal intervention injury cases (n = 90,099) and MSUD diagnoses from all hospital and emergency department (ED) records in California between 2005 and 2014...
February 10, 2019: Preventive Medicine
Katherine Anne Comtois, Amanda H Kerbrat, Christopher R DeCou, David C Atkins, Justine J Majeres, Justin C Baker, Richard K Ries
Importance: Accessible and cost-effective interventions for suicidality are needed to address high rates of suicidal behavior among military service members. Caring Contacts are brief periodic messages that express unconditional care and concern and have been previously shown to prevent suicide deaths, attempts, ideation, and hospitalizations. Objective: To test the effectiveness of augmenting standard military health care with Caring Contacts delivered via text message to reduce suicidal thoughts and behaviors over 12 months...
February 13, 2019: JAMA Psychiatry
Jodi D Barnett, Tara C Schmidt, Bridie Trainor, Lisa Wexler
Suicide is a significant health disparity among Alaska Native youth, which is linked to cultural disruptions brought about by colonialism and historical trauma. Many Indigenous suicide prevention efforts center on revitalizing and connecting youth to their culture to promote mental health and resilience. A common cultural approach to improve psychosocial outcomes is youth culture camps, but there has been little evaluation research to test this association. Here, we conduct a pilot evaluation of a 5-day culture camp developed in two remote regions of Alaska...
February 12, 2019: Health Promotion Practice
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