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Sedano-Capdevila A, Toledo-Acosta M, Barrigon ML, Morales-González E, Torres-Moreno D, Martínez-Zaldivar B, Hermosillo-Valadez J, Baca-García E, Artes-Rodriguez A, Baca-García E, Berrouiguet S, Billot R, Carballo-Belloso JJ, Courtet P, Gomez DD, Lopez-Castroman J, Rodriguez MP, Aznar-Carbone J, Cegla F, Gutiérrez-Recacha P, Izaguirre-Gamir L, Herrera-Sanchez J, Borja MM, Palomar-Ciria N, Martínez ASE, Vasquez M, Vallejo-Oñate S, Vera-Varela C, Amodeo-Escribano S, Arrua E, Bautista O, Barrigón ML, Carmona R, Caro-Cañizares I, Carollo-Vivian S, Chamorro J, González-Granado M, Iza M, Jiménez-Giménez M, López-Gómez A, Mata-Iturralde L, Miguelez C, Muñoz-Lorenzo L, Navarro-Jiménez R, Ovejero S, Palacios ML, Pérez-Fominaya M, Peñuelas-Calvo I, Pérez-Colmenero S, Rico-Romano A, Rodriguez-Jover A, SánchezAlonso S, Sevilla-Vicente J, Vigil-López C, Villoria-Borrego L, Martin-Calvo M, Alcón-Durán A, Stasio ED, García-Vega JM, Martín-Calvo P, Ortega AJ, Segura-Valverde M, Bañón-González SM, Crespo-Llanos E, Codesal-Julián R, Frade-Ciudad A, Merino EH, Álvarez-García R, Coll-Font JM, Portillo-de Antonio P, Puras-Rico P, Sedano-Capdevila A, Serrano-Marugán L. Text mining methods for the characterisation of suicidal thoughts and behaviour. Psychiatry Res 2023; 322:115090. [PMID: 36803841 DOI: 10.1016/j.psychres.2023.115090] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 01/23/2023] [Accepted: 01/28/2023] [Indexed: 02/07/2023]
Abstract
Traditional research methods have shown low predictive value for suicidal risk assessments and limitations to be applied in clinical practice. The authors sought to evaluate natural language processing as a new tool for assessing self-injurious thoughts and behaviors and emotions related. We used MEmind project to assess 2838 psychiatric outpatients. Anonymous unstructured responses to the open-ended question "how are you feeling today?" were collected according to their emotional state. Natural language processing was used to process the patients' writings. The texts were automatically represented (corpus) and analyzed to determine their emotional content and degree of suicidal risk. Authors compared the patients' texts with a question used to assess lack of desire to live, as a suicidal risk assessment tool. Corpus consists of 5,489 short free-text documents containing 12,256 tokenized or unique words. The natural language processing showed an ROC-AUC score of 0.9638 when compared with the responses to lack of a desire to live question. Natural language processing shows encouraging results for classifying subjects according to their desire not to live as a measure of suicidal risk using patients' free texts. It is also easily applicable to clinical practice and facilitates real-time communication with patients, allowing better intervention strategies to be designed.
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Affiliation(s)
| | - Mauricio Toledo-Acosta
- Centro de Investigación en Ciencias, Universidad Autónoma del Estado de Morelos, 62209 Cuernavaca, Morelos, México
| | - María Luisa Barrigon
- Department of Psychiatry, University Hospital Jimenez Diaz Foundation, Madrid, Spain; Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Eliseo Morales-González
- Centro de Investigación en Ciencias, Universidad Autónoma del Estado de Morelos, 62209 Cuernavaca, Morelos, México
| | - David Torres-Moreno
- Centro de Investigación en Ciencias, Universidad Autónoma del Estado de Morelos, 62209 Cuernavaca, Morelos, México
| | - Bolívar Martínez-Zaldivar
- Centro de Investigación en Ciencias, Universidad Autónoma del Estado de Morelos, 62209 Cuernavaca, Morelos, México
| | - Jorge Hermosillo-Valadez
- Centro de Investigación en Ciencias, Universidad Autónoma del Estado de Morelos, 62209 Cuernavaca, Morelos, México
| | - Enrique Baca-García
- Department of Psychiatry, University Hospital Rey Juan Carlos, Mostoles, Spain; Department of Psychiatry, University Hospital Jimenez Diaz Foundation, Madrid, Spain; Department of Psychiatry, General Hospital of Villalba, Madrid, Spain; Department of Psychiatry, University Hospital Infanta Elena, Valdemoro, Spain; Department of Psychiatry, Madrid Autonomous University, Madrid, Spain; CIBERSAM (Centro de Investigación en Salud Mental), Carlos III Institute of Health, Madrid, Spain; Universidad Católica del Maule, Talca, Chile; Department of psychiatry. Centre Hospitalier Universitaire de Nîmes, France.
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Ramsey C, Galway K, Davidson G. Implementing changes after patient suicides in mental health services: A systematic review. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:415-431. [PMID: 33761169 DOI: 10.1111/hsc.13332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 01/15/2021] [Accepted: 02/04/2021] [Indexed: 06/12/2023]
Abstract
Suicides by mental health patients account for around a quarter of all suicides (Walby et al, 2018). Within services a range of approaches have been developed and implemented to reduce the risk of patient suicides. After every patient death by suicide, a review is carried out to identify recommendations which may assist in preventing future suicides. It is therefore important to identify the most effective methods for implementing these recommendations. The objective of this systematic review, completed in Northern Ireland, was to identify how recommendations from Serious Adverse Incident (SAI) reviews can be effectively implemented to contribute to reducing deaths by suicide within mental health services. Eleven electronic databases were searched for relevant work from 1 January 2005-30 November 2020. Quantitative, qualitative and mixed methods studies were included. A narrative synthesis was carried out of published and unpublished work on the effectiveness of implementing recommendations, after a death by suicide in mental health services. The review, which includes 41 published papers and reports, found that the literature is focused on producing recommendations to reduce future risk of suicide in mental health services. There is a lack of focus on the extent and effectiveness of the implementation of these. Recommendations have often not been tested or operationalised, limiting the translational value of these contributions. Leadership and culture are also identified as key drivers for change in mental health services. This review demonstrates that high quality research is being complete in this area, however, the majority of published research presents recommendations from reviews of mental health patient suicides. There is a lack of research focusing on implementing recommendations and evaluation of implementation, once recommendations have been made.
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Affiliation(s)
- Colette Ramsey
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | - Karen Galway
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | - Gavin Davidson
- School of Social Sciences, Education and Social Work, Queen's University, Belfast, UK
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Hatzinger M, Hemmeter U, Hirsbrunner T, Holsboer-Trachsler E, Leyhe T, Mall JF, Mosimann U, Rach N, Trächsel N, Savaskan E. [Not Available]. PRAXIS 2018; 107:127-144. [PMID: 29382263 DOI: 10.1024/1661-8157/a002883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Zusammenfassung. Diese Empfehlungen sollen dazu dienen, Fachpersonen das Wissen über die aktuelle Evidenz von Diagnostik und Therapie der Depression im Alter zur Verfügung zu stellen und damit zur frühzeitigen Erkennung und evidenzbasierten Behandlung beizutragen. Da für einige Behandlungsansätze nur rudimentär kontrollierte Studien vorliegen, wird auch das klinische Expertenwissen in die Beurteilung einbezogen. Im diagnostischen Vorgehen wird die besondere Symptomatik der Depression im Alter beleuchtet, auf die Suizidalität eingegangen und werden die häufig vorkommenden somatischen Komorbiditäten hervorgehoben. Auch Hypothesen zur Pathogenese, wie Neuroendokrinologie, Neurodegeneration und vaskuläre Faktoren, werden erläutert. In der Behandlung gilt heute ein integrierter biopsychosozialer Ansatz mit gezielten psychosozialen Interventionen, spezifischer Psychotherapie und einer antidepressiven Pharmakotherapie bei schweren Depressionen als sinnvoll. Daneben kommen auch chronobiologische oder Neurostimulationsverfahren zum Einsatz.
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Affiliation(s)
- Martin Hatzinger
- 1 Schweizerische Gesellschaft für Alterspsychiatrie und Alterspsychotherapie (SGAP)
- 2 Schweizerische Gesellschaft für Biologische Psychiatrie (SGBP)
| | - Ulrich Hemmeter
- 1 Schweizerische Gesellschaft für Alterspsychiatrie und Alterspsychotherapie (SGAP)
| | - Therese Hirsbrunner
- 4 Schweizerischer Berufsverband der Pflegefachfrauen und Pflegefachmänner (SBK)
| | | | - Thomas Leyhe
- 1 Schweizerische Gesellschaft für Alterspsychiatrie und Alterspsychotherapie (SGAP)
| | - Jean-Frédéric Mall
- 1 Schweizerische Gesellschaft für Alterspsychiatrie und Alterspsychotherapie (SGAP)
| | - Urs Mosimann
- 2 Schweizerische Gesellschaft für Biologische Psychiatrie (SGBP)
| | - Nicole Rach
- 5 Schweizerische Fachgesellschaft für Gerontopsychologie (SFGP)
| | - Nathalie Trächsel
- 1 Schweizerische Gesellschaft für Alterspsychiatrie und Alterspsychotherapie (SGAP)
| | - Egemen Savaskan
- 1 Schweizerische Gesellschaft für Alterspsychiatrie und Alterspsychotherapie (SGAP)
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Bennett K, Rhodes AE, Duda S, Cheung AH, Manassis K, Links P, Mushquash C, Braunberger P, Newton AS, Kutcher S, Bridge JA, Santos RG, Manion IG, McLennan JD, Bagnell A, Lipman E, Rice M, Szatmari P. A Youth Suicide Prevention Plan for Canada: A Systematic Review of Reviews. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2015; 60:245-57. [PMID: 26175322 PMCID: PMC4501582 DOI: 10.1177/070674371506000603] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2014] [Accepted: 11/01/2014] [Indexed: 01/08/2023]
Abstract
OBJECTIVE We conducted an expedited knowledge synthesis (EKS) to facilitate evidence-informed decision making concerning youth suicide prevention, specifically school-based strategies and nonschool-based interventions designed to prevent repeat attempts. METHODS Systematic review of review methods were applied. Inclusion criteria were as follows: systematic review or meta-analysis; prevention in youth 0 to 24 years; peer-reviewed English literature. Review quality was determined with AMSTAR (a measurement tool to assess systematic reviews). Nominal group methods quantified consensus on recommendations derived from the findings. RESULTS No included review addressing school-based prevention (n = 7) reported decreased suicide death rates based on randomized controlled trials (RCTs) or controlled cohort studies (CCSs), but reduced suicide attempts, suicidal ideation, and proxy measures of suicide risk were reported (based on RCTs and CCSs). Included reviews addressing prevention of repeat suicide attempts (n = 14) found the following: emergency department transition programs may reduce suicide deaths, hospitalizations, and treatment nonadherence (based on RCTs and CCSs); training primary care providers in depression treatment may reduce repeated attempts (based on one RCT); antidepressants may increase short-term suicide risk in some patients (based on RCTs and meta-analyses); this increase is offset by overall population-based reductions in suicide associated with antidepressant treatment of youth depression (based on observational studies); and prevention with psychosocial interventions requires further evaluation. No review addressed sex or gender differences systematically, Aboriginal youth as a special population, harm, or cost-effectiveness. Consensus on 6 recommendations ranged from 73% to 100%. CONCLUSIONS Our EKS facilitates decision maker access to what is known about effective youth suicide prevention interventions. A national research-to-practice network that links researchers and decision makers is recommended to implement and evaluate promising interventions; to eliminate the use of ineffective or harmful interventions; and to clarify prevention intervention effects on death by suicide, suicide attempts, and suicidal ideation. Such a network could position Canada as a leader in youth suicide prevention.
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Affiliation(s)
| | - Anne E Rhodes
- Research Scientist, St Michael’s Hospital, Toronto, Ontario; Associate Professor, University of Toronto, Toronto, Ontario
| | - Stephanie Duda
- Research Coordinator, McMaster University, Hamilton, Ontario
| | - Amy H Cheung
- Psychiatrist, Sunnybrook Health Sciences Centre, Toronto, Ontario; Associate Professor, University of Toronto, Toronto, Ontario
| | - Katharina Manassis
- Psychiatrist and Director, Anxiety Disorders, Hospital for Sick Children, Toronto, Ontario; Professor, University of Toronto, Toronto, Ontario
| | - Paul Links
- Chief of Psychiatry, London Health Sciences Centre, London, Ontario; Professor and Chair, Department of Psychiatry, The University of Western Ontario, London, Ontario
| | - Christopher Mushquash
- Assistant Professor, Lakehead University and Northern Ontario School of Medicine, Thunder Bay, Ontario
| | - Peter Braunberger
- Psychiatrist, St Joseph’s Care Group, Thunder Bay, Ontario; Assistant Professor, Northern Ontario School of Medicine, Thunder Bay, Ontario
| | - Amanda S Newton
- Assistant Professor, University of Alberta, Edmonton, Alberta
| | - Stanley Kutcher
- Professor, Dalhousie University, Halifax, Nova Scotia; Psychiatrist, IWK Health Centre, Halifax, Nova Scotia
| | - Jeffrey A Bridge
- Investigator, The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio; Associate Professor, The Ohio State University College of Medicine, Columbus, Ohio
| | - Robert G Santos
- Executive Director of Science and Policy, Healthy Child Manitoba Office, Government of Manitoba, Winnipeg, Manitoba; Assistant Professor, University of Manitoba, Winnipeg, Manitoba
| | - Ian G Manion
- Clinical Psychologist, Researcher, and Executive Director, Provincial Centre of Excellence for Child and Youth Mental Health, Children’s Hospital of Eastern Ontario, Ottawa, Ontario; Clinical Professor, University of Ottawa, Ottawa, Ontario
| | - John D McLennan
- Assistant Professor, University of Calgary, Calgary, Alberta; Child Psychiatry Consultant, Alberta Health Services, Edmonton, Alberta
| | - Alexa Bagnell
- Psychiatrist, IWK Health Centre, Halifax, Nova Scotia; Associate Professor, Dalhousie University, Halifax, Nova Scotia
| | - Ellen Lipman
- Psychiatrist, McMaster Children’s Hospital, Hamilton, Ontario; Professor, McMaster University, Hamilton, Ontario
| | - Maureen Rice
- Librarian and Research Coordinator, McMaster University, Hamilton, Ontario
| | - Peter Szatmari
- Chief, Child and Youth Mental Health Collaborative, Centre for Addiction and Mental Health, Hospital for Sick Children, and University of Toronto, Toronto, Ontario
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While D, Bickley H, Roscoe A, Windfuhr K, Rahman S, Shaw J, Appleby L, Kapur N. Implementation of mental health service recommendations in England and Wales and suicide rates, 1997-2006: a cross-sectional and before-and-after observational study. Lancet 2012; 379:1005-12. [PMID: 22305767 DOI: 10.1016/s0140-6736(11)61712-1] [Citation(s) in RCA: 201] [Impact Index Per Article: 16.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Research investigating which aspects of mental health service provision are most effective in prevention of suicide is scarce. We aimed to examine the uptake of key mental health service recommendations over time and to investigate the association between their implementation and suicide rates. METHODS We did a descriptive, cross-sectional, and before-and-after analysis of national suicide data in England and Wales. We collected data for individuals who died by suicide between 1997 and 2006 who were in contact with mental health services in the 12 months before death. Data were obtained as part of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. When denominator data were missing, we used information from the Mental Health Minimum Data Set. We compared suicide rates for services implementing most of the recommendations with those implementing fewer recommendations and examined rates before and after implementation. We stratified results for level of socioeconomic deprivation and size of service provider. FINDINGS The average number of recommendations implemented increased from 0·3 per service in 1998 to 7·2 in 2006. Implementation of recommendations was associated with lower suicide rates in both cross-sectional and before-and-after analyses. The provision of 24 h crisis care was associated with the biggest fall in suicide rates: from 11·44 per 10 000 patient contacts per year (95% CI 11·12-11·77) before to 9·32 (8·99-9·67) after (p<0·0001). Local policies on patients with dual diagnosis (10·55; 10·23-10·89 before vs 9·61; 9·18-10·05 after, p=0·0007) and multidisciplinary review after suicide (11·59; 11·31-11·88 before vs 10·48; 10·13-10·84 after, p<0·0001) were also associated with falling rates. Services that did not implement recommendations had little reduction in suicide. The biggest falls in suicide seemed to be in services with the most deprived catchment areas (incidence rate ratio 0·90; 95% CI 0·88-0·92) and the most patients (0·86; 0·84-0·88). INTERPRETATION Our findings suggest that aspects of provision of mental health services can affect suicide rates in clinical populations. Investigation of the relation between new initiatives and suicide could help to inform future suicide prevention efforts and improve safety for patients receiving mental health care. FUNDING National Patient Safety Agency, UK.
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Affiliation(s)
- David While
- National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, Manchester Academic Health Sciences Centre, University of Manchester, UK
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García-Nieto R, Parra Uribe I, Palao D, Lopez-Castroman J, Sáiz PA, García-Portilla MP, Saiz Ruiz J, Ibañez A, Tiana T, Durán Sindreu S, Perez Sola V, de Diego-Otero Y, Pérez-Costillas L, Fernández García-Andrade R, Saiz-González D, Jiménez Arriero MA, Navío Acosta M, Giner L, Guija JA, Escobar JL, Cervilla JA, Quesada M, Braquehais D, Blasco-Fontecilla H, Legido-Gil T, Aroca F, Baca-García E. Protocolo breve de evaluación del suicidio: fiabilidad interexaminadores. REVISTA DE PSIQUIATRIA Y SALUD MENTAL 2012; 5:24-36. [DOI: 10.1016/j.rpsm.2011.10.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/07/2011] [Revised: 10/16/2011] [Accepted: 10/17/2011] [Indexed: 10/15/2022]
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Furlanetto LM, Stefanello B. Suicidal ideation in medical inpatients: psychosocial and clinical correlates. Gen Hosp Psychiatry 2011; 33:572-8. [PMID: 21908051 DOI: 10.1016/j.genhosppsych.2011.08.002] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2011] [Revised: 07/30/2011] [Accepted: 08/02/2011] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To identify psychosocial and clinical correlates of suicidal ideation in medical inpatients. METHOD In a cross-sectional study, all adults consecutively admitted to the medical wards of a University Hospital had their names recorded and were randomized and evaluated during the first week of admission. Suicidal ideation was assessed using Item 9 of Patient Health Questionnaire-9. The Beck Depression Inventory, the Beck Anxiety Inventory, the WHO Subjective well-being scale, the Charlson Comorbidity Index and other numerical rating scales (pain and self-reported physical illness severity) were used. Patients with less than four confidants were considered with poor social support. The Student's t test, Mann-Whitney U test, chi-square test and stepwise logistic regression analysis were used. RESULTS Of the 1092 patients who composed the sample, 7.2% reported having suicidal ideation. After adjusting for psychosocial and clinical confounders, prior suicide attempts (OR: 4.41; 95% CI: 2.12-9.15; P<.001), depressive symptoms (OR: 1.11; 95% CI: 1.06-1.17; P<.001), severe anxiety symptoms (OR: 3.04; 95% CI: 1.47-6.26; P=.003) and poor social support (OR: 2.02; 95% CI:1.03-3.96; P=.04) were independently associated with suicidal ideation. CONCLUSIONS Three out of the four correlates of suicidal ideation in medical inpatients are potentially modifiable factors: severe anxiety, depressive symptoms and poor social support. The fourth variable, prior suicide attempts, is not modifiable but should serve as a red flag to suspect and investigate current suicide risk. These findings highlight the importance of suicidal ideation as a proxy for the distress that is incumbent upon physicians to manage if they wish to provide excellent and comprehensive inpatient care.
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Affiliation(s)
- Letícia M Furlanetto
- Department of Internal Medicine–Federal University of Santa Catarina, Florianópolis, SC, Brazil.
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Backmund M, Meyer K, Schütz C, Reimer J. Factors associated with suicide attempts among injection drug users. Subst Use Misuse 2011; 46:1553-9. [PMID: 21463204 DOI: 10.3109/10826084.2011.564443] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Injection drug users (IDUs) entering an urban low-threshold opiate detoxification unit in Munich, Germany, between 1991 and 1997 were asked for lifetime suicide attempts and administered a questionnaire, including sociodemographic, IDU-related, and drug user treatment related variables. Among 1,049 participants, 20% had ever tried to commit suicide. In the logistic regression, female gender, older age, drug user treatment experience, lack of drug user counseling, and emergency treatment were associated with attempted suicide. Regular screening for suicidal behavior in IDUs should be undertaken with a special focus to mention risk factors. The study's limitations are noted. This study was partially sponsored by the German Ministry of Health.
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Affiliation(s)
- Markus Backmund
- 1Department of Addiction Medicine, General Hospital Munich Schwabing, Munich, Germany
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9
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Martelli C, Awad H, Hardy P. Le suicide dans les établissements de santé : données épidémiologiques et prévention. Encephale 2010; 36 Suppl 2:D83-91. [DOI: 10.1016/j.encep.2009.06.011] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2009] [Accepted: 06/18/2009] [Indexed: 10/20/2022]
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10
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Mehlum L, Mork E, Reinholdt NP, Fadum EA, Rossow I. Quality of psychosocial care of suicide attempters at general hospitals in Norway--a longitudinal nationwide study. Arch Suicide Res 2010; 14:146-57. [PMID: 20455150 DOI: 10.1080/13811111003704753] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The objective of this study was to identify predictors of a high level of quality of care for suicide attempters at general hospital emergency departments in Norway. Structured interviews with key informants covering the quality of care of patients admitted following attempted suicide were conducted in 1999 and 2006 at 87% of all general hospitals. Hospitals having implemented a chain of care program for suicide attempters in 1999 maintained significantly higher levels on quality of care indicators 7 years later. Predictors of a high quality of care level were training of staff in management and care of suicide attempters and to have written guidelines for the care.
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Affiliation(s)
- Lars Mehlum
- National Centre for Suicide Research and Prevention, Institute of Psychiatry, University of Oslo, Sognsvannsveien 21, Oslo, Norway.
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Takada M, Shima S. Characteristics and effects of suicide prevention programs: comparison between workplace and other settings. INDUSTRIAL HEALTH 2010; 48:416-426. [PMID: 20720333 DOI: 10.2486/indhealth.ms998] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
The present study reviews the literature on suicide prevention programs conducted in the workplace and other settings, namely school, the community, medical facilities, jail, and the army, by conducting an electronic literature search of all articles published between 1967 and November 2007. From a total of 256 articles identified, various contents of suicide prevention programs were determined, and in 34 studies, the effect of programs was evaluated. A review of the literature reveals that the common contents of suicide prevention programs in the workplace and other settings are education and training of individuals, development of a support network, cooperation from internal and external resources, as well as education and training of managers and staff. Although the characteristic contents of suicide prevention programs at the workplace aimed at improving personnel management and health care, screening and care for high-risk individuals, as well as improvement of building structures, were not described. Although a reduction in undesirable attitudes and an increase in mental health knowledge and coping skills in the workplace are in agreement with findings in other settings, suicide rate, suicide-associated behavior, and depression, which were assessed in other settings, were not evaluated in the three studies targeting the workplace.
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Affiliation(s)
- Misato Takada
- Department of Community-oriented Medicine, Mie University.
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Dos Santos Júnior A, Botega NJ. Levothyroxine, mental confusion and suicide attempt. SAO PAULO MED J 2009; 127:317-8. [PMID: 20169283 DOI: 10.1590/s1516-31802009000500013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Zaheer J, Links PS, Liu E. Assessment and emergency management of suicidality in personality disorders. Psychiatr Clin North Am 2008; 31:527-43, viii-ix. [PMID: 18638651 DOI: 10.1016/j.psc.2008.03.007] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
This article examines the association between suicidal behavior and personality disorders. It updates the review of epidemiological evidence for the association between suicidal behavior and suicide in individuals who have a personality disorder diagnosis, particularly in borderline personality disorder (BPD). The second part of the article presents new empirical evidence that characterizes suicidal behavior in patients who have BPD, specifically examining patient characteristics that differentiate patients who have BPD with a history of high versus low lethality suicide attempts. Finally, the article discusses the approach to a patient who has BPD and presents to the emergency department because of an increased risk of suicide.
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Affiliation(s)
- Juveria Zaheer
- Department of Psychiatry, University of Toronto, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, Canada
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Ferreira MHF, Colombo ES, Guimarães PSA, Soeiro RE, Dalgalarrondo P, Botega NJ. Suicide risk among inpatients at a university general hospital. REVISTA BRASILEIRA DE PSIQUIATRIA 2007. [DOI: 10.1590/s1516-44462006005000031] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE: To estimate the proportion of inpatients at a university general hospital who are at risk of committing suicide. METHOD: A random sample of 253 patients (57% males) aged 18 years old or older, admitted to surgical and clinical wards, was assessed using the the Mini International Neuropsychiatric Interview, which has a section that evaluates the risk for suicide. Uni- and multivariate analyses were performed. RESULTS: There were 58 (23%) patients with a risk for suicide, 13 (5% of total) of whom presented a high risk. The prevalence of suicide risk was greater in young adult patients, those with no matrimonial relationship and those diagnosed with major depression (univariate analysis, Chi-squared test; p = 0.01, 0.03 and 0.0001, respectively). The multivariate analysis revealed that the risk for suicide in individuals younger than 30 years old was two fold higher than in those individuals between the ages of 30 and 59 years (OR = 0.45, 95% CI = 0.22-0.93; p = 0.03) and four fold greater than in those who were 60 years old or older (OR = 0.25, 95% CI = 0.1-0.64; p = 0.004). CONCLUSION: When young adults are admitted to general hospitals they should receive special attention due to their suicidal potential.
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