Patients who attempted suicide and failed to attend mental health centres

1999 ◽  
Vol 14 (4) ◽  
pp. 205-209 ◽  
Author(s):  
J. Jauregui ◽  
M.L. Martínez ◽  
G. Rubio ◽  
J. Santo-Domingo
Keyword(s):  
Mental Health ◽  
Suicide Attempt ◽  
Suicide Risk ◽  
Attempted Suicide ◽  
Psychiatric Care ◽  
Health Centre ◽  
Depression Scale ◽  
Violent Behaviour ◽  
Mental Health Centre ◽  
Risk Scale

SummaryDifferent studies report non-attendance to treatment of between 20 to 70% of patients after a suicide attempt. However, few studies have analyzed the characteristics of this non-attending population. To determine therefore the characteristics or profile of individuals who do not attend outpatient centres to which they are referred after a suicide attempt, we performed this study.A total of 232 patients who had attended the Emergency Department of our general hospital were interviewed. Instruments used included the suicide risk scale, the violent behaviour scale, the impulsivity scale, the hopelessness scale, and the Beck's depression scale.Seventy-three percent of the sample did not attend the mental health centre to which they had been referred. In comparison to the attending group, the non-attending group had the following characteristics: unmarried, residing in an urban area, took less precautions not to be discovered, were more critical of the attempt, and the purpose of the attempt was to resolve a conflict. Our data emphasize the importance of social and interpersonal aspects in determining the nature of the psychiatric care required by these types of patients.

Variables associated with the hospitalization of psychiatric emergencies evaluated in the community

1999 ◽  
Vol 14 (6) ◽  
pp. 319-324 ◽  
Author(s):  
C. Turrina ◽  
F. Lucchi ◽  
R. Este ◽  
R. Micciolo ◽  
G. Fazzari ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Suicide Risk ◽  
Psychiatric Symptoms ◽  
Health Centre ◽  
Independent Effect ◽  
Community Mental Health Centre ◽  
Psychiatric Emergencies ◽  
First Order ◽  
Mental Health Centre

SummaryWe investigated hospitalization factors in acutely ill patients visited by psychiatrists at home. A series of 100 consecutive calls for psychiatric emergencies of a community mental health centre were investigated with a structured evaluation of psychiatric symptoms and aggressiveness (IEF, GAS, and VSAS). First order interactions were tested, and selected variables were tested with logistic regression analysis. Admission was significantly associated with GAS scores (low scores were found in 92.6% of admitted patients vs. 43.8% of patients not admitted), paranoid delusions (66.7 vs. 39.7%), and lack of social support (70.4 vs. 30.1%). Multivariate analysis confirmed a significant independent effect only for low GAS score and lack of social support. The study replicated some findings from research on hospitalization in emergency wards, while other factors, such as ’diagnosis’ and ’suicide risk’, were not significant.

The Role of the Occupational Therapist in a Community Mental Health Centre in Greece

1986 ◽  
Vol 49 (12) ◽  
pp. 389-391 ◽  
Author(s):  
I Tsipra ◽  
P Voutsina ◽  
E Charitaki ◽  
V Tomaras ◽  
A Kapsali ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Occupational Therapist ◽  
Community Mental Health Centre ◽  
Rehabilitation Unit ◽  
Care Programme ◽  
Mental Health Centre ◽  
Schizophrenic Patients

This article deals with a developing rehabilitation unit for mentally ill people, mostly chronic schizophrenic patients, which has been integrated into the Community Mental Health Centre of two Athenian boroughs. The unit includes a day care programme, a vocational training workshop and a social therapeutic club. All these programmes have been developed for the first time in Greece at a certain community level. The authors describe the rationale and the structure of the rehabilitation unit and the role of the occupational therapist.

Multidisciplinary or Nondisciplinary: Evaluation of Staff Functioning in a Community Mental Health Centre

1984 ◽  
Vol 18 (2) ◽  
pp. 172-178 ◽  
Author(s):  
Jerzy Krupnski ◽  
Lenora Lippmann
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Community Mental Health Centre ◽  
Staff Members ◽  
Active Involvement ◽  
Leading Role ◽  
Mental Health Centre ◽  
Community Roles

This paper describes the staffing aspects of an experimental community mental health centre (Melville Clinic). The different components of staff roles of members of a team consisting of different health professionals, crystallised during the three-year period with a shift from a ‘nondisciplinary’ to a ‘multidisciplinary’ approach, with preservation of ‘generalised’ and ‘specialised’, ‘clinical’ and ‘community’ roles of all staff members. The decision-making in the centre oscillated between group decisions by all staff members, and the acceptance of the leading role of the psychiatrist with the active Involvement of the test of the staff. This paper provides a model for multidisciplinary teamwork in community mental health centres.

Management of violent behaviour and rapid tranquillisation during acute psychotic episode: discrepancy between routine practice and evidence. The SIEP-DIRECT's Project

2008 ◽  
Vol 17 (4) ◽  
pp. 349-357 ◽  
Author(s):  
Antonio Lora ◽  
Carla Morganti ◽  
Arcadio Erlicher ◽  
Lorenzo Burti ◽  
Giacinto Buscaglia ◽  
...  
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Psychiatric Care ◽  
Psychotic Episode ◽  
Routine Practice ◽  
Violent Behaviour ◽  
Critical Areas ◽  
Specific Care ◽  
Acute Psychiatric Care

SUMMARYAims– To evaluate the quality of acute psychiatric care concerning the management of violent behaviour and rapid tran-quilization.Methods– Data concerning 13 indicators, drawn from NICE recommendations, were collected in 19 Departments of Mental Health, in the frame of the SIEP-DIRECT's Project, to evaluate the implementation of NICE recommendations in Italian Mental Health Services.Results– In about two thirds of Departments of Mental Health (DMHs) professionals were trained in the management of violent behaviour, while written procedures existed only in one fourth of DMHs. About a half of the professionals working in Psychiatric Wards in General Hospital were trained in rapid tranquilization, while procedures on this topic are practically absent and specific care for monitoring intensively the heavily sedated patient was not frequent.Conclusions– Management of violent behaviour and rapid tranquilization are two critical areas in the care performed by Psychiatric Wards in General Hospital. Training on these topics is more frequent than implementation of procedures. NICE recommendations and SIEP indicators are useful tools for improving the quality of acute psychiatric care.Declaration of Interest: None.

Self-Referrals to a Community Mental Health Centre: A Three Year Study

1985 ◽  
Vol 147 (5) ◽  
pp. 540-544 ◽  
Author(s):  
Francoise M. Hutton
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Direct Access ◽  
Appropriate Use ◽  
Short Term ◽  
Community Mental Health Centre ◽  
Psychiatric Disturbance ◽  
Mental Health Centre

The records of all 53 clients who referred themselves to a community mental health centre in the first three years of its existence were studied retrospectively. These showed increasing and generally appropriate use of direct access for the relief of serious, often long-standing emotional distress. Self-referrals were much more often men than women, and some clients would probably not have been reached in any other way. The service seemed to reduce the local GPs' burden, at least subjectively. However, no-one presented with acute psychiatric disturbance or immediately impending breakdown. Any prevention achieved seems likely to be long-term rather than short-term.

scholarly journals A Randomized Controlled Trial to Assess Feasibility and Acceptability of Telephone-Based Psychosocial Interventions in Individuals Who Attempted Suicide

2020 ◽  
pp. 025371762093927
Author(s):  
Priya Sreedaran ◽  
Ram Pratap Beniwal ◽  
Uttara Chari ◽  
Smitha T S ◽  
Vidhya Shree S V ◽  
...  
Keyword(s):  
Mental Health ◽  
Randomized Controlled Trial ◽  
Suicide Attempt ◽  
Attempted Suicide ◽  
Controlled Trial ◽  
Feasibility Studies ◽  
Psychosocial Interventions ◽  
Dropout Rates ◽  
Randomized Controlled ◽  
Seeking Help

Background: Brief contact interventions such as telephone-based contacts appear to be useful in individuals who attempted suicide. Most studies of telephone-based contacts in such individuals typically consisted of frequent phone reminders for adherence to treatment and seeking help for mental health issues. Telephone-based psychosocial interventions that incorporate elements of supportive and problem-solving strategies are of interest in Indian settings due to their potential application in mitigating the wide mental health gap. Feasibility studies of telephone-based psychosocial interventions could help ascertain the difficulties that arise in the implementation of such treatments. Methods: A multicentric randomized controlled trial (RCT) is currently underway in general hospital settings in two Indian cities to study the efficacy of telephone-based psychosocial interventions in individuals with a recent suicide attempt, with routine telephone contacts (TCs) serving as the comparator. Prior to that RCT, this feasibility study was conducted to assess the acceptability of the telephone-based intervention and telephone contacts. Feasibility was assessed using dropout rates. Acceptability was assessed using participant-rated Likert-based visual analog scores from 0 to 10, with higher scores indicating greater acceptability. Results: Dropout rates and mean acceptability scores for telephone-based psychosocial interventions were 38.5% and 8.63, while those for TCs were 41.7% and 7.57, respectively. Conclusions: Telephone-based psychosocial interventions are feasible and acceptable in individuals with a recent suicide attempt.

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