Drug-induced depression and attempted suicide

Sixty-eight patients who had attempted suicide were matched with non-suicidal patients with similar diagnoses to assess the extent to which excessive drug ingestion by the suicidal group might have contributed to their behaviour. It was found that the suicidal patients were consuming more drugs, particularly those of a potentially depressing kind. The implications of this finding are discussed.     

Classification of attempted suicide: a review of empirical studies, 1963-1993

A review was carried out on empirical studies on the classification of attempted suicide over the period 1963-1993. Our aim was to investigate whether there is research evidence for a valid classification of homogeneous subgroups of suicide attempters. After assessment of the research quality, 32 studies were selected for comparison. Although there is lack of consistency among the studies, indications were found for two clearly distinguished subgroups characterized by mild and severe suicide attempts, which constitute the opposite poles of a one-dimensional concept of severity.     

Association between epilepsy and attempted suicide

In a two-year study of patients admitted to hospital after deliberate self-poisoning or self-injury, a fivefold excess of patients with epilepsy was found compared with general population prevalence rates. Males with epilepsy were particularly over-represented. Patients with epilepsy were prone to make repeat attempts. Anticonvulsants, particularly barbiturates, were used in most cases of self poisoning.     

Dimensions of perfectionism, hopelessness, and attempted suicide in a sample of alcoholics

The question is addressed as to whether cognitive-behavior treatment delivered as a routine service in a specialist clinic is effective in the long term. Of 124 consecutive patients completing treatment for panic disorder or social phobia, 93 were assessed an average of 2 years following treatment. The treatment produced significant improvement in measures of symptoms, avoidance, and disablement during treatment and further significant improvement during the follow-up. A quarter of participants no longer met diagnostic criteria, had not sought further treatment, and their anxiety had not troubled them since treatment. These findings, although not showing the large treatment effects reported from controlled outcome research, support the effectiveness of cognitive-behavioral interventions in routine care.     

Contribution to the study of suicide prevention. Study of a group of 372 subjects from 28 to 35 years after attempted suicide

The authors have treated the subsequent lives of 372 suicide attempters and have made a new follow-up study 28 to 35 years after the suicide attempt. They reveal a general excess deathrate in this sample of medical, surgical and psychiatric clinic patients, and a considerable excess deathrate by suicide as compared with the population as a whole. These two types of excess deathrate persist throughout the follow-up period. Conclusions on suicide prevention are drawn from the results. After describing the three main groups of dead, deceased by suicide, and living subjects, the authors compare those deceased by suicide with those deceased from other causes, and those deceased by suicide with subjects of the other two groups in search of possible group characteristics of potential predictive value. The results of this analysis are somewhat disappointing; discussion of the research leads to criticism of the contradictory results obtained by previous studies in this field. Analysis of subjects still alive at the close of the follow-up period shows that their psychopathological evolution is relatively favourable, with the exception of a group of patients identifiable by a set of distinctive negative factors.     

Accident-proneness in attempted suicide and in automobile accident victims.

The Rosenzweig Picture-Frustration Study was administered to 58 consecutively admitted Ss who had attempted suicide and to 30 consecutively admitted automobile accident victims matched with Ss without histories of accidents. The expectation that similar and deviant modes of handling aggression and frustration might be revealed in the suicide and accident Ss responses to the P-F Study was not supported. (15 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Association of childhood parental loss with attempted suicide and depression.

Compared the parental loss of adult depressed inpatient suicide attempters, nonsuicidal depressed patients, and normal controls. Findings suggest that a childhood characterized by intentional parental separation from the child is associated with attempted suicide in adult life, whereas the loss of a parent through natural causes in unrelated to suicide. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychologist suicide: Incidence, impact, and suggestions for prevention, intervention, and postvention.

Psychologist practitioners are not immune to certain mental health problems, including suicidality, for which they provide services. In the aftermath of two recent psychologist suicides, the American Psychological Association's Advisory Committee on Colleague Assistance (ACCA) initiated the formation of a conjoint ad hoc committee consisting of members from ACCA, the American Psychological Association (APA) Practice Directorate, and the Section on Clinical Emergencies and Crises (Section VII of APA's Division 12) to investigate the incidence of psychologist suicide and its impact on colleagues, students or interns, patients or clients, and the profession. The committee reviewed the extant empirical literature on suicide rates for psychologists, evaluated unpublished data on psychologist suicide provided by the National Institute of Occupational Safety and Health (NIOSH), interviewed colleague survivors, reviewed published case reports of the impact of therapist suicides, and linked their findings to the literature on professional distress, impairment, and self-care. The committee concluded that there is evidence suggestive of an elevated risk of suicide for psychologists in past decades. It further concluded that there is a need for further research to confirm if there is a heightened risk of suicide for psychologists in the present day and to determine factors that might contribute to such risk. Accounts from colleague-survivors suggest that the impact of a psychologist's suicide can affect many people including family, colleagues, students, and patients or clients. This article offers suggestions for possible preventive approaches, for intervention with potentially at-risk colleagues, and for postvention efforts in the wake of a colleague suicide. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Suicide and other causes of death in patients admitted for attempted suicide. 10-year follow-up

The purpose of this study has been to describe the course over ten years and prognosis for a cohort of patients who had been admitted to a psychiatric department following a suicide attempt. The cohort consisted of 207 patients who had been admitted in the period 1.10.1980-20.4.1981 to a department of psychiatry following a suicide attempt. At the index attempt 99 patients were randomly selected and interviewed. Information on the remainder was obtained from psychiatric case histories, casualty records and discharge reports. Ten years after the index attempt information concerning death, date and cause was collected. Of the 207 patients involved, 52 (25.1%) were dead. Twenty-five (12.1%) had committed suicide, the remainder had died of natural, accidental or unknown causes. Relative to the general population the death rate from suicide and other causes was extremely high. Predictors of suicidal outcome were substance abuse and dangerous index attempt. At least one of these two predictors was present for 72% of those who committed suicide and for 43% of those who did not commit suicide. Aging and previous suicide attempts were the only significant predictors of other causes of death.     

Comment on Szasz's view of suicide prevention.

Comments on the article by T. Szasz (see record 1986-27453-001) advocating against coercive suicide prevention. The present author denies the suicidal person's "right" to commit suicide, emphasizing the devastating effects of suicide on survivors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A college suicide prevention model for American Indian students.

College student suicide prevention efforts are important to campus administrators and mental health professionals due to increasing concerns about managing suicidal students. This article describes the development and preliminary effectiveness of a campus suicide prevention program designed for American Indian (AI) students who are at higher risk for suicide compared with the general population. Using the medicine wheel as a guiding framework, the current prevention model integrates communication links between AI tribes and prevention program staff, educational and cultural programming, and spiritual ceremonies with the larger campus mental health resources available to students. A discussion of the barriers faced and solutions generated for implementing the program is offered, along with suggestions for disseminating this AI-specific prevention program to other universities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Delirium: prevention, treatment, and outcome studies

The purpose of this paper was to contribute to a new conceptual understanding of delirium by reviewing evidence related to its prevention, treatment, and outcome. The review process involved a systematic search of the literature on each topic, assessment of the validity of the studies retrieved, and examination of their results. The literature search identified 10 studies on prevention, 13 studies on treatment, and 15 studies on outcome. Most studies had methodological limitations. Abroad spectrum of interventions appeared to be modestly effective in preventing delirium in young and old surgical patients but not elderly medical patients; systematic detection and intervention programs and special nursing care appeared to add large benefits to traditional medical care in young and old surgical patients and modest benefits in elderly medical patients; haloperidol, chlorpromazine, and mianserin appeared to be useful in controlling the symptoms of delirium in both surgical and medical patients; and good levels of premorbid function seemed to be related to better outcomes. Although the above findings do not contribute to a new conceptual understanding of delirium, they do suggest directions for further research on the treatment of delirium.     

太钢集团统筹抓好疫情防控和生产经营建设

疫情是一场大战,砥砺着初心使命;疫情是一场大考,检验着忠诚担当。在这场突如其来的疫情大战、大考中,太钢集团坚决贯彻落实习近平总书记的重要指示精神,坚决贯彻党中央、省委省政府和省国资委的决策部署,把疫情防控和精准复工复产作为砥砺初心使命的“磨刀石”,作为践行“两个维护”的“大考场”。聚焦决战决胜,太钢人“两手抓”“两手硬”,勇当战疫情的“排头兵”、稳经济的“顶梁柱”。     

Attempted suicide among Inuit youth: psychosocial correlates and implications for prevention

OBJECTIVE: To identify potential risk and protective factors associated with attempted suicide among Inuit youth, a population known to have a high rate of both attempted and completed suicide in recent years. METHOD: A secondary analysis of data on 203 Inuit youth (aged 15 to 24 years) from a random community survey conducted by Santé Québec in 1992. Factors previously identified in the literature and in clinical consultation and ethnographic research were tested with bivariate statistics and logistic regression models for each gender. RESULTS: At the bivariate level, positive correlates included substance use (solvents, cannabis, cocaine), recent alcohol abuse, evidence of a psychiatric problem, and a greater number of life events in the last year. Regular church attendance was negatively associated with attempted suicide. Multivariate analysis indicated that a psychiatric problem, recent alcohol abuse, and cocaine or crack use were the strongest correlates of attempted suicide for females, while solvent use and number of recent life events were the strongest correlates for males. CONCLUSIONS: Suicide prevention programs can be targeted at youth who are using substances, particularly solvents, cocaine, and alcohol, have psychiatric illness, and have experienced recent negative life events. Involvement in church or other community activities may reduce the risk for suicide. Consideration of gender differences may allow more precise identification of those at risk for attempted suicide.     

The case against preventing suicide prevention: Comments on Szasz.

Comments on the article by T. Szasz (see record 1986-27453-001) advocating against coercive suicide prevention. The present author emphasizes that people may feel differently about committing suicide after the passage of a suicidal crisis, that suicide cannot be reversed, and that it has traumatic implications for the survivors. The issue of professional liability and malpractice is also discussed. The present author maintains there are higher-order values to be considered and protected. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Cultural considerations in adolescent suicide prevention and psychosocial treatment.

Ethnic groups differ in rates of suicidal behaviors among youths, the context within which suicidal behavior occurs (e.g., different precipitants, vulnerability and protective factors, and reactions to suicidal behaviors), and patterns of help-seeking. In this article, the authors discuss the cultural context of suicidal behavior among African American, American Indian and Alaska Native, Asian American and Pacific Islander, and Latino adolescents, and the implications of these contexts for suicide prevention and treatment. Several cross-cutting issues are discussed, including acculturative stress and protective factors within cultures; the roles of religion and spirituality and the family in culturally sensitive interventions; different manifestations and interpretations of distress in different cultures; and the impact of stigma and cultural distrust on help-seeking. The needs for culturally sensitive and community- based interventions are discussed, along with future opportunities for research in intervention development and evaluation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)