Factors associated with referral to mental health services among suicide attempters visiting emergency centers of general hospitals in Korea: does history of suicide attempts predict referral?

2011 ◽  
Vol 33 (3) ◽  
pp. 294-299 ◽  
Author(s):  
Sun-Jin Jo ◽  
Myung-Soo Lee ◽  
Hyeon Woo Yim ◽  
Han Joon Kim ◽  
Kyeongryong Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Suicide Attempts ◽  
General Hospitals ◽  
Suicide Attempters ◽  
Factors Associated ◽  
History Of

Psychiatric consultations in the emergency room: Focus on suicide attempters with and without longitudinal psychiatric disorders

2016 ◽  
Vol 33 (S1) ◽  
pp. S599-S599 ◽  
Author(s):  
C. Delicato ◽  
S. Di Marco ◽  
E. Gattoni ◽  
I. Coppola ◽  
A. Venesia ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Disorders ◽  
Psychiatric Symptoms ◽  
Statistical Significance ◽  
Clinical History ◽  
Suicide Attempters ◽  
History Of ◽  
Previous Contact

IntroductionThe role of mental illness in the pathway leading to suicide is widely discussed in the literature. Nonetheless, the debate about this issue is open, both from a clinical and philosophical point of view.AimsThe purpose of the present study was to compare suicide attempters with and without a history of psychiatric disorder, in order to highlight the possible differences between the two groups, with a specific focus on intent to die and methods of the attempt.MethodsData from all ER referrals undergoing a psychiatric consultation in the period 2008–2015 at the Maggiore della Carità Hospital, Novara, Italy, were gathered. Comparison of qualitative data was performed by means of the Chi2 test. Statistical significance was set at P ≤ 0.05.ResultsWe have already gathered data from more than 2000 ER psychiatric consultations, including 495 suicide attempters. Preliminary results suggest that these kinds of behaviours are more common in subjects without psychiatric disorders but with clinical history of previous contact with mental health services and in psychopharmacological therapy. Reasons for self-harming are associated with relational problems rather than psychiatric symptoms. Among Axis II diagnoses, almost half of cases are affected by histrionic personality disorder.ConclusionsThe results described above should be considered as preliminary, as data collection and statistical analyses are still ongoing. Anyway, the observed correlation between previous contact with mental health services, socio-relational issues and suicide attempt, and the significant frequency of attempts in histrionic personality disorders seem to be particularly interesting. Implications will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals More for the Mind and Its Legacy

2015 ◽  
Vol 34 (4) ◽  
pp. 7-30 ◽  
Author(s):  
Steve Lurie ◽  
David S. Goldbloom
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
The State ◽  
General Hospitals ◽  
Health Association ◽  
History Of ◽  
Mental Health Association ◽  
The Mind ◽  
Access Services

More For the Mind was published by the Canadian Mental Health Association in 1963. It reviewed the state of mental health services in Canada and called for transforming the delivery of mental health services from a neglected asylum-based system to a community-focused system where people could access services in general hospitals and the community. The article reviews the history of mental health services in Canada, the legacy of More for the Mind and the prospects for the reforms outlined in Changing Directions, Changing Lives.

scholarly journals Factors associated with experienced discrimination among people using mental health services in England

2016 ◽  
Vol 25 (4) ◽  
pp. 350-358 ◽  
Author(s):  
S. Hamilton ◽  
E. Corker ◽  
C. Weeks ◽  
P. Williams ◽  
C. Henderson ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Factors Associated

Characteristics of suicide attempters with a high lethality means

2017 ◽  
Vol 41 (S1) ◽  
pp. s889-s889
Author(s):  
C.T. Lee ◽  
S.Y. Lee ◽  
K.U. Lee ◽  
H.K. Lee ◽  
Y.S. Kweon
Keyword(s):  
Clinical Judgment ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
Demographic Variables ◽  
Suicide Attempters ◽  
Exact Test ◽  
Factors Associated ◽  
History Of ◽  
Competing Interest ◽  
Lethal Means

IntroductionSuicide attempts with higher lethality increase the likelihood of suicide completion. Accumulating knowledge on risk factors contributing to higher suicide lethality may help clinicians to allocate their limited resources to more endangered people.ObjectivesTo explore the factors associated with higher lethality in suicide attempts.MethodsAll suicide attempters, who visited the emergency department of Uijeongbu St. Mary's hospital from January 2014 to December 2015, were reviewed retrospectively. We compared between the high vs. the low lethality group, of which had been recorded based on clinical judgment using t-test or Chi2/Fisher's exact test with two-sided P-value of 0.05.ResultsAmong the 753 suicide attempters, the assessed lethality was recorded in 736 cases. Low and highly lethal attempters were 426 (57.9%) and 310 (42.1%), respectively. For demographic variables, the high lethality attempters were significantly more likely to be older (48.3 vs. 44.78; P = 0.009), unemployed (61.0% vs. 56.5%; P = 0.042, without religion (90.9% vs. 84.9%; P = 0.017). For clinical variables, the high lethality attempters were significantly more likely have hopelessness (67.7% vs. 58.2%; P = 0.013) and a history of schizophrenia (4.5% vs. 1.4%; P = 0.023, while they did display any difference for mood disorders. The low lethality suicide attempts were more frequent in patients with comorbid personality disorders (9.2% vs. 4.9%; P = 0.031).ConclusionsThese results are in line with literatures reporting higher suicide risk in people, who are old, unemployed, not having a religion, psychotic and hopeless. These may have been moderated by committing a higher lethal means of suicide at least in part and warrants additional investigations.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Unemployment and the rate of new contacts with mental health services in South London

2016 ◽  
Vol 33 (S1) ◽  
pp. S173-S174
Author(s):  
V. Bhavsar ◽  
M. Hotopf ◽  
J. Boydell ◽  
S. Hatch ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Survey Data ◽  
Survival Data ◽  
Illicit Drugs ◽  
Suicide Attempts ◽  
Mental Health Problems ◽  
Cox Regression ◽  
First Contact

IntroductionUnemployment is a risk factor for later development of mental health problems, but characterisation of this in real world clinical data is limited. This study aimed to investigate the association between employment status and time-to-first-contact with mental health services using survey data linked to electronic health records(EHR).MethodsSELCoH (n = 1698, 2008–2010) was a representative population survey of South East London, with a 71.9% household participation rate. Anonymised survey data for participants was linked with EHR, generating survival data for time-to-first-contact. Cox regression was used to assess associations between unemployment and time to first contact with mental health services.ResultsThe rate in the unemployed was 22.84 contacts per 1000 person-years, and in those not unemployed, it was 10 contacts per 1000 person-years. The crude (age-adjusted) hazard ratio (HR) for unemployment was 3.09 (95% CI: 1.66–5.75). The HR for contact for unemployment, after adjusting for age, gender, ethnicity and education, was 2.8 (95% CI: 1.44–5.47). On addition of symptoms of common mental disorder, post-traumatic stress, psychosis and suicide attempts, to the model, unemployed participants remained at elevated risk (HR:2.65, 95% CI: 1.33–5.27). Finally, illicit drugs and alcohol had minimal influence on estimates, giving a fully-adjusted estimate for the association between unemployment and rate of contact of 2.6 (95% CI: 1.31–5.14).ConclusionsUnemployment was associated with a greater than two-fold increase in risk of accessing mental health care for the first time within the observation time, after adjustment for sociodemographic confounders, psychopathology, and substance use. Explanations for this association could include unobserved confounding, health behaviours associated with unemployment or effects of unemployment on stress processing.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Geographical Resource Allocation for Public Mental Health Services in Victoria

1997 ◽  
Vol 31 (1) ◽  
pp. 95-104 ◽  
Author(s):  
Graham Meadows
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Private Sector ◽  
Public Mental Health ◽  
Background Information ◽  
Major Influence ◽  
The Usa ◽  
History Of ◽  
The Uk

Objective:To provide background information on the approach of area based funding models for mental health services, to describe the considerations which have come to bear in the development process of the Victorian model, to explore the impacts of different models, and to suggest courses for further development. Method:The history of this approach to funding in the UK and the USA is summarised, then an account is given of the development of the Victorian model. The position is put that the validation of such models is hampered by having only sparse relevant data. Suggestions are made for improving this situation. Results:The Victorian model has come to include adjustments for socioeconomic disadvantage, the age, sex and marital status structure of the population, and a variable discounting for estimated substitutive activity of the private sector. Different methods of combining these adjustments into a working formula can be seen to have very different impacts. Conclusions:The approach taken in development of this model can be expected to have major influence on funding within Victoria, but also more widely in Australia. The impacts of differing assumptions within these models are significant. Specifically targeted epidemiological research, and activity analysis of the private sector will be necessary to enhance the validity of models of this type.

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