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Chabbouh A, Charro E, Al Tekle GA, Soufia M, Hallit S. Psychometric properties of an Arabic translation of the short entrapment scale in a non-clinical sample of young adults. PSICOLOGIA-REFLEXAO E CRITICA 2024; 37:3. [PMID: 38236551 PMCID: PMC10796859 DOI: 10.1186/s41155-024-00286-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 01/06/2024] [Indexed: 01/19/2024] Open
Abstract
BACKGROUND Entrapment is the feeling of wanting to leave an unbearable situation but believing that there are no options to do so. An Arabic entrapment Scale will assist healthcare professionals in the region in the prevention of suicide as the tool is tailored to the specific sociocultural context, which would enhance entrapment detection. OBJECTIVE In the current study, we aim to evaluate the psychometric properties of a translated Arabic version of the Entrapment Scale Short Form (E-SF). METHODS Three hundred eighty-nine Lebanese citizens were enrolled in this cross-sectional study. RESULTS The mean age of participants was 23.03 years (SD = 2.93), 69.4% being women. To examine the factor structure of the entrapment scale, we used an exploratory-to-confirmatory factor analysis (EFA-to-CFA) strategy. EFA and CFA results indicated that the fit of the unidimensional model of the Arabic Entrapment Scale (A-ES) was generally acceptable. Composite reliability of scores was adequate in the total sample (ω = .87). All indices suggested that configural, metric, and scalar invariance was supported across genders. Entrapment was positively and significantly correlated with suicidal ideation, alcohol use disorder, psychological distress, and orthorexia nervosa, suggesting convergent and divergent validity. CONCLUSION The A-ES was found to be a valid and reliable tool to assess the degree of entrapment in Lebanese young adults. The A-ES will assist healthcare professionals in the region in the prevention of suicide as the tool is tailored to the specific sociocultural context, which would enhance entrapment detection.
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Affiliation(s)
- Alfred Chabbouh
- Faculty of Medical Sciences, Lebanese University, Hadat, Lebanon
| | - Elie Charro
- Faculty of Medical Sciences, Lebanese University, Hadat, Lebanon
| | - Georges-Alain Al Tekle
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
| | - Michel Soufia
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
- Applied Science Research Center, Applied Science Private University, Amman, Jordan.
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Lee KS, Sung HK, Yoo SY, Min HS. Temporal Trends and Characteristics of Adult Patients in Emergency Department Related to Suicide Attempt or Self-Harm in Korea, 2016-2020. J Korean Med Sci 2023; 38:e40. [PMID: 36786084 PMCID: PMC9925333 DOI: 10.3346/jkms.2023.38.e40] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 11/02/2022] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND The implementation of an effective suicide prevention program requires the identification and monitoring of subpopulations with elevated risks for suicide in consideration of demographic characteristics, to facilitate the development of tailored countermeasures for tackling the risk factors of suicide. We examined the annual trends in emergency department (ED) visits for suicide attempts (SAs) or self-harm and investigated the sex- and age-specific characteristics of individuals who visited the ED for SA and self-harm. METHODS Data on ED visits for SAs or self-harm in Korea from 2016 to 2020 were extracted from the National Emergency Department Information System and assessed. We evaluated the age-standardized incidence rate of ED visits for SAs or self-harm, and hospital mortality among individuals who visited the ED for SAs or self-harm. In addition, the characteristics of the individuals were compared according to sex and age. RESULTS We identified 145,963 ED visits for SAs or self-harm (0.42% of the total ED visits) during the study period. The rate of ED visits increased in the youngest age group (19-29 years old), and was more prominent among women (increased by an annual average of 22.5%), despite the coronavirus disease pandemic. The middle-aged group (45-64 years old) had a higher rate of mortality than other age groups, and the highest proportion of individuals on Medical Aid. CONCLUSION It is necessary to plan age- and gender-specific suicide prevention programs that focus on improving the limited public mental health resources for the vulnerable populations.
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Affiliation(s)
- Kyung-Shin Lee
- Public Health Research Institute, National Medical Center, Seoul, Korea
| | - Ho Kyung Sung
- Public Health Research Institute, National Medical Center, Seoul, Korea
- National Emergency Medical Center, National Medical Center, Seoul, Korea
| | - So Young Yoo
- Department of Psychiatry, Seoul National University College of Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea
| | - Hye Sook Min
- Public Health Research Institute, National Medical Center, Seoul, Korea.
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Shoib S, Patel V, Khan S, Armiya'u AY, Saeed F, Swed S, Das S, Chandradasa M. Over-the-counter drug use in suicidal/self-harm behavior: Scoping review. Health Sci Rep 2022; 5:e662. [PMID: 35620537 PMCID: PMC9128395 DOI: 10.1002/hsr2.662] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Revised: 05/06/2022] [Accepted: 05/11/2022] [Indexed: 11/11/2022] Open
Abstract
Background and aims Minor physical ailments are treated with over-the-counter (OTC) medications. The availability of OTC drugs helps reduce waiting times and ease the suffering of many. Suicidal behavior includes suicidal ideation, attempts, and completed suicides and affects people of all ages, religions, and cultures. This study aims to review use of OTC drugs for self-harm and suicidal attempts. Methods We reviewed English language publications from the beginning of time to October 2021 on OTC drug use for suicidal behavior. Results Twenty-seven studies met the eligibility criteria, and 1,816,228 participants were reported in these publications. OTC analgesics and sedatives/hypnotics were frequently used for suicidal behavior. Females and young people mainly were reported to self-harm using OTC medications. An increase in OTC analgesic use for self-harm in adolescents during the school months was reported. Elderly persons use hypnotics more frequently for suicidal attempts. Persons with major psychiatric disorders were reported to use OTC for suicidal behavior. Conclusion The available information shows that the prevention strategies should focus on OTC analgesics and hypnotic use among women, the young, the elderly, and persons with mental health disorders.
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Affiliation(s)
- Sheikh Shoib
- Department of Psychiatry Jawahar Lal Nehru Memorial Hospital Srinagar Kashmir India
| | - Viraj Patel
- Smt. NHL Municipal Medical College Ahmedabad Gujarat India
| | - Sonia Khan
- Frontier Medical and Dental College Abbottabad Pakistan
| | - Aishatu Yusha'u Armiya'u
- Department of Psychiatry, College of Medical Sciences Abubakar Tafawa Balewa University Bauchi Bauchi State Nigeria
| | - Fahimeh Saeed
- Department of Psychiatry, Psychosis Research Center University of Social Welfare and Rehabilitation Sciences Tehran Iran
| | - Sarya Swed
- Faculty of Medicine Aleppo University Aleppo Syria
| | - Soumitra Das
- Emergency Mental Health, Sunshine Hospital Melbourne Victoria Australia
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Al-Amer RM, Malak MZ, Darwish MM. Self-esteem, stress, and depressive symptoms among Jordanian pregnant women: social support as a mediating factor. Women Health 2022; 62:412-420. [DOI: 10.1080/03630242.2022.2077508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Rasmieh M. Al-Amer
- Mental Health Nursing, Faculty of Nursing, Isra University, Amman, Jordan
- School of Nursing and Midwifery, Western Sydney University, Sydney, Australia
| | - Malakeh Z. Malak
- Community Health Nursing, Faculty of Nursing, Al- Zaytoonah University of Jordan, Amman, Jordan
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Mourad M, Kazour F, Sleilaty G, Bou Khalil R, El Hage W, Richa S, Sabbagh C. Positive and negative correlates of suicidal ideations and behaviors in the emergency department of a university hospital in Beirut: A cross-sectional comparative study. Encephale 2022; 49:248-253. [DOI: 10.1016/j.encep.2021.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 11/04/2021] [Accepted: 11/23/2021] [Indexed: 11/26/2022]
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Lessons to be learned: identifying high-risk medication and circumstances in patients at risk for suicidal self-poisoning. Int J Ment Health Syst 2022; 16:4. [PMID: 35073945 PMCID: PMC8788074 DOI: 10.1186/s13033-021-00513-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Accepted: 12/23/2021] [Indexed: 12/04/2022] Open
Abstract
Background Although the total number of suicides decreased since the beginning of the 1980s, the number of suicide-related behaviors using self-intoxication increased. Therefore, research on the characteristics of individuals committing self-intoxication becomes of growing importance for risk assessments and the development of preventive measures. Methods In this prospective, observational, monocentric cohort study, all incoming calls at our Poisons Control Centre reporting suicide-related behaviors through self-intoxication, were analyzed via a standardized questionnaire over 12 months. Both univariate and bivariate analyses were performed. Results 1238 cases of deliberate intoxication were included in the study. The majority of cases occurred in the age group between 18 and 44 (n = 607/49%), two-thirds were female (n = 817/66%). The main substances used were antidepressants (n = 420/34%), peripheral analgesics (n = 322/26%) and neuroleptics (n = 282/23%). The majority of patients ingested substances from their prescribed medication (n = 640/82%) with the highest proportion in those aged over 64 years (n = 72/113; 91%, p < 0.001). Substance use was reported for the minority of patients (n = 175/23%). For 704 cases (79%), a psychiatric disorder was documented. Factors associated with recurrent suicide-related behaviors were an underlying psychiatric disorder (OR = 6.2; 95% CI 3.8–10.4), substance use (OR = 2.4; 95% CI 1.5–3.8), and ingestion of neuroleptics (OR = 2.1, 95% CI 1.4–3.0) or antidepressants (OR = 1.6; 95% CI 1.2–2.3). Conclusion This study might contribute to identifying individuals with an increased risk of suicide-related behaviors by deliberate intoxication and to developing preventive strategies for future suicide attempt(s). Supplementary Information The online version contains supplementary material available at 10.1186/s13033-021-00513-8.
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ATA EE, BAYRAK NG, BAHADIR YILMAZ E. İntihar girişimi nedeniyle acil servise başvuran olguların incelenmesi: bir yıllık retrospektif bir çalışma. CUKUROVA MEDICAL JOURNAL 2021. [DOI: 10.17826/cumj.993832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Cheffi N, Chakroun-Walha O, Sellami R, Ouali R, Mnif D, Guermazi F, Issaoui F, Lajmi M, Benamar B, Damak J, Rekik N, Masmoudi J. Validation of the Hamilton Depression Rating Scale (HDRS) in the Tunisian dialect. Public Health 2021; 202:100-105. [PMID: 34936977 DOI: 10.1016/j.puhe.2021.11.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 10/23/2021] [Accepted: 11/05/2021] [Indexed: 01/18/2023]
Abstract
OBJECTIVES The Hamilton Depression Rating Scale (HDRS) is one of the most frequently used depression assessment scales. In Tunisia, psychiatrists commonly use this scale in a Tunisian dialect. However, to the best of our knowledge, this scale has never been validated in Tunisia. This study aims to investigate the reliability and the validity of the HDRS among Tunisian patients who have been hospitalised for a suicide attempt. A secondary objective is to describe the sociodemographic characteristics of the study population. STUDY DESIGN This is a cross-sectional study performed in the emergency department. METHODS Patients who were hospitalised for a suicide attempt were eligible for inclusion in this study. The Tunisian version of the HDRS was developed using a forward-backward translation procedure. Psychometric properties of the Tunisian version of the HDRS were tested, including (i) construct validity with a confirmatory one-factor analysis; (ii) internal validity with Pearson correlations and Cronbach alpha coefficients; and (iii) external validity by correlations with the Patient Health Quality-9 (PHQ-9) scale. We used the Receiver-Operating Characteristic (ROC) curve to analyse the correlation between the total HDRS score and the presence of depression according to the PHQ-9. RESULTS In total, 101 participants were enrolled in this study. The principal component analysis (PCA) type factor analysis with varimax rotation found a high-grade correlation between HDRS individual items and the total score. The total variance, explained by five factors, was 64.4%. Cronbach's standardised alpha coefficient was 0.86 for the overall scale. Correlations between the total HDRS score and the PHQ-9 score, and its various items, were significant. The ROC curve analysis showed good sensitivity (80.8%) and specificity (91.1%). CONCLUSION The Tunisian version of the HDRS is an acceptable instrument to screen depression in individuals who have attempted suicide.
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Affiliation(s)
- N Cheffi
- Department of Psychiatry A, University Hospital Hédi Chaker Sfax, Tunisia
| | - O Chakroun-Walha
- Emergency Department, University Hospital Habib Bourguiba Sfax, Tunisia.
| | - R Sellami
- Department of Psychiatry A, University Hospital Hédi Chaker Sfax, Tunisia
| | - R Ouali
- Department of Psychiatry A, University Hospital Hédi Chaker Sfax, Tunisia
| | - D Mnif
- Department of Psychiatry A, University Hospital Hédi Chaker Sfax, Tunisia
| | - F Guermazi
- Department of Psychiatry A, University Hospital Hédi Chaker Sfax, Tunisia
| | - F Issaoui
- Emergency Department, University Hospital Habib Bourguiba Sfax, Tunisia
| | - M Lajmi
- Emergency Department, University Hospital Habib Bourguiba Sfax, Tunisia
| | - B Benamar
- Emergency Department, University Hospital Habib Bourguiba Sfax, Tunisia
| | - J Damak
- Department of Community Health and Epidemiology, University Hospital Hedi Chaker Sfax, Tunisia
| | - N Rekik
- Emergency Department, University Hospital Habib Bourguiba Sfax, Tunisia
| | - J Masmoudi
- Department of Psychiatry A, University Hospital Hédi Chaker Sfax, Tunisia
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Al-Shatnawi SF, Alzoubi KH, Khasawneh RA, Khabour OF, Almomani BA. Exception from informed consent for biomedical research in emergency settings: A study from Jordan. Heliyon 2021; 7:e08487. [PMID: 34917796 PMCID: PMC8645444 DOI: 10.1016/j.heliyon.2021.e08487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 11/09/2021] [Accepted: 11/23/2021] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Research conduction in emergency settings is of paramount importance to promote knowledge and experiences related to treating acutely ill patients. However, the complexity of situations creates a considerable ethical challenge facing researchers who basically deal with emergent cases. This study aimed to determine attitudes of healthcare providers (HCPs) towards exception from informed consent (EFIC) and enrollment willingness in emergency research in Jordan. METHODS A quantitative research with face-to-face questionnaire was conducted by an interviewer during 6-month period in 2019. Survey measures included items related to EFIC policy and overall willingness of HCPs to participate or support their family members' participation in emergency research. RESULTS A total of 151 HCPs in the emergency departments (EDs) in Jordan was recruited. Positive attitude toward emergency research dominated among participants; about 21.9% of participants reported previous experience in the conduction of emergency research and 12.3% had related publications. Regarding EFIC policy, there was a general consensus of disagreement to most of the examined items. There was a trend for little support of EFIC policy when questioned about the enrollment of family members or public in emergency research, however, the application of EFIC was accepted for self-enrollment of respondents in emergency research. No significant differences (P = 0.37), among participants from different disciplines, were reported regarding the attitudes towards EFIC items or willingness to enroll in emergency research. CONCLUSIONS Generally, HCPs reported an overall positive support to emergency research despite a consensus of disagreement related to EFIC terms. Therefore, it is recommended to pursue future studies to compare well-informed subjects; recruited from well-developed institutions in regard to emergency research potentials; with the present basic attitudinal surveillance in order to dissipate the effect of such confounder and to get better insight of the actual attitudes related to emergency research and EFIC. In addition, efficient multidisciplinary communication channels between researchers and policy makers can lather the way to collaborative research with simultaneous innovative delivery of quality emergency care.
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Affiliation(s)
- Samah F. Al-Shatnawi
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan,Corresponding author.
| | - Karem H. Alzoubi
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
| | - Rawand A. Khasawneh
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
| | - Omar F. Khabour
- Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
| | - Basima A. Almomani
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
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Ana-Isabel DSD, Marina PH, Raquel MB, Irene DDS, Enrique LG, Jesús AS. Suicidal behaviour: emergency department attendance for suicidal recurrence and other psychiatric or medical reasons in the 6 months following the index episode. ACTAS ESPANOLAS DE PSIQUIATRIA 2021; 49:244-252. [PMID: 34734640 PMCID: PMC9330303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Accepted: 11/01/2021] [Indexed: 12/01/2022]
Abstract
The prevention of a complex phenomenon, such as suicide, requires an interdisciplinary approach that provides a comprehensive response to the care needs of people with suicidal behavior (SB). The aim of this study is to investigate the clinical and healthcare features of people presenting thoughts and/or attempts of suicide to define risk factors for recurrence.
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Affiliation(s)
- De Santiago-Díaz Ana-Isabel
- Hospital Universitario Marqués de Valdecilla (HUMV), Santander, Spain
Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain
| | | | | | | | | | - Artal-Simón Jesús
- Hospital Universitario Marqués de Valdecilla (HUMV), Santander, Spain
Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain
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Ding T, Chen ES. Mining Drugs and Indications for Suicide-Related Adverse Events. AMIA ... ANNUAL SYMPOSIUM PROCEEDINGS. AMIA SYMPOSIUM 2020; 2019:1011-1020. [PMID: 32308898 PMCID: PMC7153138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
There has been a significant increase in suicide rates in the United States (U.S.) over the past two decades. Studies have highlighted the need for further exploration of suicide risk factors, particularly combinations of factors. In this study, a pharmacovigilance analysis was conducted to better understand drugs and indications as risk factors for suicide using data from the U.S. Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS) and Adverse Event Open Learning through Universal Standardization (AEOLUS), a standardized version of FAERS. Association rule mining techniques were applied to 85,071 cases involving suicide-related adverse reactions and demographic subsets of these cases. Preliminary results reveal combinations of drugs and indications that may increase the likelihood of suicide, with certain combinations potentially affecting some demographic groups more than others. Further work is needed to validate the initial findings, explore subpopulations, and determine the broader implications for suicide prevention.
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Affiliation(s)
- Tiffany Ding
- Center for Biomedical Informatics, Brown University, Providence, RI
| | - Elizabeth S Chen
- Center for Biomedical Informatics, Brown University, Providence, RI
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