Suicidal thoughts and acts in Irish adolescents

2001 ◽  
Vol 18 (3) ◽  
pp. 82-86 ◽  
Author(s):  
Jo Rowley ◽  
Kathleen Ganter ◽  
Carol Fitzpatrick
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Self Report ◽  
Health Clinic ◽  
Suicidal Thoughts ◽  
School Based ◽  
Study Population ◽  
Self Harm ◽  
Family Mental Health

AbstractObjectives: To determine the frequency of reported suicidal thoughts and acts in (a) a school-based sample of Irish adolescents, (b) adolescents attending a community child and family mental health service.Method: The study population consisted of: (a) 195 adolescents aged 13-15 years attending ten secondary schools throughout Ireland. The schools were selected to represent a wide social and cultural spread: and (b) 66 adolescents aged 13-15 years attending a community child mental health service. The measures used were the Child Behaviour Checklist completed by the parents of the adolescents and the Youth Self Report completed by the adolescents.Results: Within the school sample, the parents of 3% of adolescents reported that their child had talked of harming him/herself, but none reported acts of self-harm. Fifteen percent of the adolescents themselves reported that they had thoughts of harming or killing themselves, and 8% reported that they had tried to harm or kill themselves.Within the mental health clinic attenders sample, the parents of 33% of the adolescents reported that their child had talked of harming him/herself, and the parents of 27% reported that their child had tried to harm or kill themselves. Twenty-one percent of the adolescents themselves reported that they had thoughts of harming or killing themselves, and 21% percent reported that they had tried to do so. In both groups, adolescents with higher total problem, internalising and externalising scores on the questionnaires, indicating greater disturbance, were more likely to report thoughts and acts of self harm.Conclusions: Thoughts of suicide and acts of self harm are common in Irish adolescents and are not limited to those attending mental health services. Parents are frequently unaware of these thoughts. Further studies involving interviews with adolescents at risk are indicated to determine the significance of these thoughts and how adolescents deal with them.

Gender as a Factor in School-Based Mental Health Service Delivery

2010 ◽  
Vol 39 (1) ◽  
pp. 122-136 ◽  
Author(s):  
Allison A. Friedrich ◽  
Linda M. Raffaele Mendez ◽  
Stephanie T. Mihalas
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Health Service Delivery ◽  
Mental Health Service Delivery ◽  
School Based

Move your mind: embedding accredited exercise physiology services within a hospital-based mental health service

2020 ◽  
pp. 103985622094303 ◽  
Author(s):  
Bonnie J Furzer ◽  
Kemi E Wright ◽  
Azam Edoo ◽  
Andrew Maiorana
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Psychotic Disorders ◽  
Exercise Physiology ◽  
Self Report ◽  
Physical And Mental Health ◽  
Hospital Environments ◽  
Audit Period ◽  
Service Data

Objective: Despite support for the role of exercise in improving physical and mental health for various psychiatric disorders, few service implementation evaluations within diverse hospital environments exist. This study presents the feasibility and implementation of a clinical exercise physiology service within a hospital mental health service. Method: Feasibility and service data were collected from databases and self-report (consumer and staff) for 6 months from the commencement of new exercise services (gym and group sessions) for community and inpatients (one secure and three open wards). Results: One hundred and twenty consumers engaged with exercise services with 70 direct referrals over the 6-month audit period (mean age 40 ± 13 years (19–69); 41% male). The overwhelming reason for referral was related to weight loss/management (65.7%), with the majority of patients (51%) presenting with schizophrenia spectrum and other psychotic disorders. Further, 549 exercise service interactions were delivered and 78% gym attendees and 69% group session attendees rated the exercise sessions as ‘Good’ or ‘Great’, and intention to return ranged from 78% for inpatient gym sessions to 91% for community gym sessions. Conclusions: Embedding exercise physiology into a mental health service is feasible and well accepted and the evaluation of long-term consumer outcomes in ‘real-world’ will serve as a crucial step.

scholarly journals Attendance at the accident and emergency department in the year before suicide: Retrospective study

2003 ◽  
Vol 183 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Isaura Gairin ◽  
Allan House ◽  
David Owens
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Mental Health Service ◽  
Health Service ◽  
Health Services ◽  
Emergency Departments ◽  
Accident And Emergency ◽  
Self Harm ◽  
Accident And Emergency Department ◽  
Service Contact

BackgroundThe National Confidential Inquiry into suicides in England and Wales found that a quarter of suicides are preceded by mental health service contact in the year before death. However, visits to accident and emergency departments due to self-harm may not lead to a record of mental health service contact.AimsTo determine the proportion of suicides preceded by accident and emergency attendance in the previous year.MethodWe obtained the list of probable suicides in Leeds for a 38-month period, and examined the records from thecity's accident and emergency departments for a year before each death.ResultsEighty-five (39%) of the 219 people who later died by suicide had attended an accident and emergency department in the year before death, 15% because of non-fatal self-harm. Final visits dueto self-harm were often shortly before suicide (median 38 days), but the National Confidential Inquiry recorded about a fifth of them as‘not in contact’ with local mental health services.ConclusionsAlthough many suicides are preceded by recent attendance at accident and emergency departments due to non-fatal self-harm, local mental health service records may show no recent contact. Suicide prevention might be enhanced were accident and emergency departments and mental health services to work together more closely.

Mental Health Service Use Among Adolescents Experiencing Emotional/Behavioral Problems and School Impairment

2017 ◽  
Vol 26 (2) ◽  
pp. 119-128 ◽  
Author(s):  
Melissa W. George ◽  
Imad Zaheer ◽  
Lee Kern ◽  
Steven W. Evans
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Behavioral Problems ◽  
Pharmacological Treatment ◽  
Service Use ◽  
Mental Health Service Use ◽  
Current Status ◽  
Community Based ◽  
School Based

Mental health service utilization research is needed for students who are likely to receive school mental health services, yet little research exists for adolescents experiencing emotional/behavioral problems and school impairment. This study addressed this gap using secondary data analyses conducted on baseline data from a large trial testing school-based interventions for high school students ( n = 647) experiencing emotional/behavioral problems and school impairment. Analyses examined the number and type (community-based or school-based psychosocial, inpatient, pharmacological treatment) of services used, and sociodemographics associated with services. Sixty-nine percent had received at least one service for their emotional/behavioral problems prior to the study, with nearly half of those having only received a single service. Community-based psychosocial and pharmacological treatments were most common. White adolescents and those in special education were more likely to have received services, particularly community-based and pharmacological treatment. On average, adolescents had not received any services until early adolescence. Findings add to increasing literature on the current status of service use among adolescents with emotional/behavioral problems and the potential for schools to increase access for those in need.

scholarly journals Delineating and validating higher-order dimensions of psychopathology in the Adolescent Brain Cognitive Development (ABCD) study

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Giorgia Michelini ◽  
Deanna M. Barch ◽  
Yuan Tian ◽  
David Watson ◽  
Daniel N. Klein ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Cognitive Development ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Higher Order ◽  
Self Report ◽  
Mental Health Service Utilization ◽  
P Factor

Abstract Hierarchical dimensional systems of psychopathology promise more informative descriptions for understanding risk and predicting outcome than traditional diagnostic systems, but it is unclear how many major dimensions they should include. We delineated the hierarchy of childhood and adult psychopathology and validated it against clinically relevant measures. Participants were 9987 9- and 10-year-old children and their parents from the Adolescent Brain Cognitive Development (ABCD) study. Factor analyses of items from the Child Behavior Checklist and Adult Self-Report were run to delineate hierarchies of dimensions. We examined the familial aggregation of the psychopathology dimensions, and the ability of different factor solutions to account for risk factors, real-world functioning, cognitive functioning, and physical and mental health service utilization. A hierarchical structure with a general psychopathology (‘p’) factor at the apex and five specific factors (internalizing, somatoform, detachment, neurodevelopmental, and externalizing) emerged in children. Five similar dimensions emerged also in the parents. Child and parent p-factors correlated highly (r = 0.61, p < 0.001), and smaller but significant correlations emerged for convergent dimensions between parents and children after controlling for p-factors (r = 0.09−0.21, p < 0.001). A model with child p-factor alone explained mental health service utilization (R2 = 0.23, p < 0.001), but up to five dimensions provided incremental validity to account for developmental risk and current functioning in children (R2 = 0.03−0.19, p < 0.001). In this first investigation comprehensively mapping the psychopathology hierarchy in children and adults, we delineated a hierarchy of higher-order dimensions associated with a range of clinically relevant validators. These findings hold important implications for psychiatric nosology and future research in this sample.

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