scholarly journals Fractured Identity: A Framework for Understanding Young Asian American Women’s Self-harm and Suicidal Behaviors

2014 ◽  
Vol 6 (1) ◽  
pp. 56-68 ◽  
Author(s):  
Hyeouk Chris Hahm ◽  
Judith G. Gonyea ◽  
Christine Chiao ◽  
Luca Anna Koritsanszky
Keyword(s):  
Asian American ◽  
Suicidal Behaviors ◽  
Self Harm

Behind the Disempowering Parenting: Expanding the Framework to Understand Asian-American Women’s Self-Harm and Suicidality

2017 ◽  
pp. 165-191 ◽  
Author(s):  
Hyeouk Chris Hahm ◽  
Yujin Kim ◽  
Monica Brova ◽  
Katherine Liang ◽  
Dale Dagar Maglalang ◽  
...  
Keyword(s):  
Asian American ◽  
Self Harm

scholarly journals Reducing Patient Risk for Suicidal Behaviors with a Safety Bundle of Best Practices with Non-Psychiatric Patients

2021 ◽  
Author(s):  
◽  
Olayemi Akindele
Keyword(s):  
Best Practices ◽  
Risk Score ◽  
Rating Scale ◽  
Suicidal Behaviors ◽  
Suicidal Risk ◽  
Post Intervention ◽  
Severity Rating ◽  
Significant Difference ◽  
Self Harm ◽  
Surgical Unit

Practice Problem: Suicide is a public health condition that affects people globally. The increased suicidal behaviors of patients in a medical-surgical unit demanded an effective screening protocol to identify high-risk patients. PICOT: In patients 18 years and older on a medical-surgical unit, does the implementation of the Columbia Suicide Severity Rating Scale (C-SSRS) tool and application of a Safety Bundle of Best Practices (SBBP) increase early identification of suicide risk with decreased patient self-harm behaviors, compared to the current standard practice of no assessment tool or safety bundle of best practices within 12 weeks? Evidence: Ten studies served as evidence that assessment of early suicidal-risk behaviors decreased patient self-harm. The evidence supported the implementation of the C-SSRS tool and application of the Safety Bundle of Best Practices for the project intervention. Intervention: The intervention consisted of three phases (pre-intervention, intervention, and post-intervention): a) patients were screened with the Columbia-Suicide Severity Rating Scale (C-SSRS); b) suicidal patients were managed with Collaborative Assessment and Management of Suicidality (CAMS); and c) a Safety Plan Intervention (SPI) was employed to manage suicidal behaviors. Outcome: At the start of the assessment period, pre-intervention data yielded a C-SSRS risk score mean of 0.81; following the eight-week implementation period, post-intervention data yielded a C-SSRS risk score mean of 0.75. There was a marginally significant difference between the means at pre- and post-intervention, showing a lower suicidal risk at post-intervention, p = 0 .07, t-test result (31) = 1.87. Conclusion: The decrease in patient self-harm behaviors with the implementation of the C-SSRS tool and application of SBBP was not statistically significant (SBBP). However, the decrease did indicate a clinically meaningful improvement in suicidal behavior outcomes after implementation of the intervention.

Social Modeling in the Transmission of Suicidality

Crisis ◽  
2008 ◽  
Vol 29 (1) ◽  
pp. 11-19 ◽  
Author(s):  
Diego de Leo ◽  
Travis Heller
Keyword(s):  
Suicidal Behavior ◽  
Suicide Ideation ◽  
Family Members ◽  
Population Exposure ◽  
Suicidal Behaviors ◽  
Social Modeling ◽  
Deliberate Self Harm ◽  
Self Harm

Abstract. Evidence from twin, adoption, and family studies suggests that there is strong aggregation of suicidal behaviors in some families. By comparison, the role of social modeling through peers has yet to be convincingly established. This paper uses data from four large studies (the WHO/EURO Multicentre Study on Suicidal Behaviour, the WHO/SUPRE-MISS, the CASE study, and the Queensland Suicide Register) to compare the effects of exposure to fatal and nonfatal suicidal behavior in family members and nonfamilial associates on the subsequent suicidal behavior of male and female respondents of different ages. Across all studies, we found that prior suicidal behaviors among respondents' social groups were more important predictors of suicidal behavior in the respondents themselves than previous research had indicated. Community-based suicide attempters in the WHO SUPRE-MISS had higher rates of exposure to prior suicide in nonfamilial associates than in family members. In an adolescent population, exposure to prior fatal suicidal behavior did not predict deliberate self-harm when exposure to nonfatal suicidal behavior (both familial and social) were controlled for, but exposure to nonfatal suicidal behaviors in family and friends was predictive of deliberate self-harm and suicide ideation, even after controlling for exposure to fatal suicidal behavior. The potential impact of “containment” of information regarding suicidal behaviors as a prevention initiative is discussed, in light of information behavior principles of social marketing.

scholarly journals Examining the Self-Harm and Suicide Contagion Effects of the Blue Whale Challenge on YouTube and Twitter: Qualitative Study (Preprint)

2019 ◽  
Author(s):  
Amro Khasawneh ◽  
Kapil Chalil Madathil ◽  
Emma Dixon ◽  
Pamela Wiśniewski ◽  
Heidi Zinzow ◽  
...  
Keyword(s):  
Social Media ◽  
Vulnerable Populations ◽  
Thematic Analysis ◽  
Suicidal Behaviors ◽  
Blue Whale ◽  
Contagion Effects ◽  
Direct Exposure ◽  
Self Harm ◽  
Youtube Videos ◽  
Contagion Risk

BACKGROUND Research suggests that direct exposure to suicidal behaviors and acts of self-harm through social media may increase suicidality through imitation and modeling, particularly in more vulnerable populations. One example of a social media phenomenon that demonstrates how self-harming behavior could potentially be propagated is the blue whale challenge. In this challenge, adolescents and young adults are encouraged to engage in self-harm and eventually kill themselves. OBJECTIVE This paper aimed to investigate the way individuals portray the blue whale challenge on social media, with an emphasis on factors that could pose a risk to vulnerable populations. METHODS We first used a thematic analysis approach to code 60 publicly posted YouTube videos, 1112 comments on those videos, and 150 Twitter posts that explicitly referenced the blue whale challenge. We then deductively coded the YouTube videos based on the Suicide Prevention Resource Center (SPRC) safe messaging guidelines as a metric for the contagion risk associated with each video. RESULTS The thematic analysis revealed that social media users post about the blue whale challenge to raise awareness and discourage participation, express sorrow for the participants, criticize the participants, or describe a relevant experience. The deductive coding of the YouTube videos showed that most of the videos violated at least 50% of the SPRC safe and effective messaging guidelines. CONCLUSIONS These posts might have the problematic effect of normalizing the blue whale challenge through repeated exposure, modeling, and reinforcement of self-harming and suicidal behaviors, especially among vulnerable populations such as adolescents. More effort is needed to educate social media users and content generators on safe messaging guidelines and factors that encourage versus discourage contagion effects.

scholarly journals Examining the Self-Harm and Suicide Contagion Effects of the Blue Whale Challenge on YouTube and Twitter: Qualitative Study

10.2196/15973 ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. e15973 ◽  
Author(s):  
Amro Khasawneh ◽  
Kapil Chalil Madathil ◽  
Emma Dixon ◽  
Pamela Wiśniewski ◽  
Heidi Zinzow ◽  
...  
Keyword(s):  
Social Media ◽  
Vulnerable Populations ◽  
Thematic Analysis ◽  
Suicidal Behaviors ◽  
Blue Whale ◽  
Contagion Effects ◽  
Direct Exposure ◽  
Self Harm ◽  
Youtube Videos ◽  
Contagion Risk

Background Research suggests that direct exposure to suicidal behaviors and acts of self-harm through social media may increase suicidality through imitation and modeling, particularly in more vulnerable populations. One example of a social media phenomenon that demonstrates how self-harming behavior could potentially be propagated is the blue whale challenge. Objective This paper aimed to investigate the way individuals portray the blue whale challenge on social media, with an emphasis on factors that could pose a risk to vulnerable populations. Methods We first used a thematic analysis approach to code 60 publicly posted YouTube videos, 1112 comments on those videos, and 150 Twitter posts that explicitly referenced the blue whale challenge. We then deductively coded the YouTube videos based on the Suicide Prevention Resource Center (SPRC) safe messaging guidelines as a metric for the contagion risk associated with each video. Results The thematic analysis revealed that social media users post about the blue whale challenge to raise awareness and discourage participation, express sorrow for the participants, criticize the participants, or describe a relevant experience. The deductive coding of the YouTube videos showed that most of the videos violated at least 50% of the SPRC safe and effective messaging guidelines. Conclusions These posts might have the problematic effect of normalizing the blue whale challenge through repeated exposure, modeling, and reinforcement of self-harming and suicidal behaviors, especially among vulnerable populations such as adolescents. More effort is needed to educate social media users and content generators on safe messaging guidelines and factors that encourage versus discourage contagion effects.

scholarly journals Suicidality in Borderline Personality Disorder

Medicina ◽  
2019 ◽  
Vol 55 (6) ◽  
pp. 223 ◽  
Author(s):  
Joel Paris
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicide Prevention ◽  
Research Data ◽  
Borderline Personality ◽  
Evidence Based ◽  
Suicidal Behaviors ◽  
Treatment Methods ◽  
Evidence Based Treatment ◽  
Self Harm

Borderline personality disorder (BPD) is associated with suicidal behaviors and self-harm. Up to 10% of BPD patients will die by suicide. However, no research data support the effectiveness of suicide prevention in this disorder, and hospitalization has not been shown to be useful. The most evidence-based treatment methods for BPD are specifically designed psychotherapies.

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