Root Cause Analyses of Suicides of Mental Health Clients

Crisis ◽  
2015 ◽  
Vol 36 (5) ◽  
pp. 316-324 ◽  
Author(s):  
Donna Gillies ◽  
David Chicop ◽  
Paul O'Halloran
Keyword(s):  
Mental Health ◽  
Suicide Prevention ◽  
Common Factor ◽  
Data Collection Tool ◽  
Related Factors ◽  
Root Cause ◽  
Communication Problems ◽  
The Individual ◽  
Mental Health Clients ◽  
Imminent Risk

Abstract. Background: The ability to predict imminent risk of suicide is limited, particularly among mental health clients. Root cause analysis (RCA) can be used by health services to identify service-wide approaches to suicide prevention. Aims: To (a) develop a standardized taxonomy for RCAs; (b) to quantitate service-related factors associated with suicides; and (c) to identify service-related suicide prevention strategies. Method: The RCAs of all people who died by suicide within 1 week of contact with the mental health service over 5 years were thematically analyzed using a data collection tool. Results: Data were derived from RCAs of all 64 people who died by suicide between 2008 and 2012. Major themes were categorized as individual, situational, and care-related factors. The most common factor was that clients had recently denied suicidality. Reliance on carers, recent changes in medication, communication problems, and problems in follow-through were also commonly identified. Conclusion: Given the difficulty in predicting suicide in people whose expressions of suicidal ideation change so rapidly, services may consider the use of strategies aimed at improving the individual, stressor, support, and care factors identified in this study.

scholarly journals Individual and community factors determining delayed leprosy case detection: A systematic review

2021 ◽  
Vol 15 (8) ◽  
pp. e0009651
Author(s):  
Yudhy Dharmawan ◽  
Ahmad Fuady ◽  
Ida Korfage ◽  
Jan Hendrik Richardus
Keyword(s):  
Health Service ◽  
Meta Analysis ◽  
Common Factor ◽  
Case Detection ◽  
Agricultural Labor ◽  
Related Factors ◽  
Community Factors ◽  
Leprosy Case ◽  
Seeking Behavior ◽  
The Individual

Background The number of new leprosy cases is declining globally, but the disability caused by leprosy remains an important disease burden. The chance of disability is increased by delayed case detection. This review focusses on the individual and community determinants of delayed leprosy case detection. Methods This study was conducted according to the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). The study protocol is registered in PROSPERO (code: CRD42020189274). To identify determinants of delayed detection, data was collected from five electronic databases: Embase.com, Medline All Ovid, Web of Science, Cochrane CENTRAL, and the WHO Global Health Library. Results We included 27 papers from 4315 records assessed. They originated in twelve countries, had been published between January 1, 2000, and January 31, 2021, and described the factors related to delayed leprosy case detection, the duration of the delayed case, and the percentage of Grade 2 Disability (G2D). The median delay in detection ranged from 12 to 36 months, the mean delay ranged from 11.5 to 64.1 months, and the percentage of G2D ranged from 5.6 to 43.2%. Health-service-seeking behavior was the most common factor associated with delayed detection. The most common individual factors were older age, being male, having a lower disease-symptom perception, having multibacillary leprosy, and lack of knowledge. The most common socioeconomic factors were living in a rural area, performing agricultural labor, and being unemployed. Stigma was the most common social and community factor. Conclusions Delayed leprosy case detection is clearly correlated with increased disability and should therefore be a priority of leprosy programs. Interventions should focus on determinants of delayed case detection such as health-service-seeking behavior, and should consider relevant individual, socioeconomic, and community factors, including stigmatization. Further study is required of the health service-related factors contributing to delay.

Preventing Suicide in Prisons, Part II

Crisis ◽  
2007 ◽  
Vol 28 (3) ◽  
pp. 122-130 ◽  
Author(s):  
Marc S. Daigle ◽  
Anasseril E. Daniel ◽  
Greg E. Dear ◽  
Patrick Frottier ◽  
Lindsay M. Hayes ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicide Prevention ◽  
Mental Health Professionals ◽  
Task Force ◽  
International Association ◽  
Correctional Officers ◽  
Community Services ◽  
Correctional Systems ◽  
Prevention Activities ◽  
Prison Systems

Abstract. The International Association for Suicide Prevention created a Task Force on Suicide in Prisons to better disseminate the information in this domain. One of its objectives was to summarize suicide-prevention activities in the prison systems. This study of the Task Force uncovered many differences between countries, although mental health professionals remain central in all suicide prevention activities. Inmate peer-support and correctional officers also play critical roles in suicide prevention but there is great variation in the involvement of outside community workers. These differences could be explained by the availability of resources, by the structure of the correctional and community services, but mainly by the different paradigms about suicide prevention. While there is a common and traditional paradigm that suicide prevention services are mainly offered to individuals by mental health services, correctional systems differ in the way they include (or not) other partners of suicide prevention: correctional officers, other employees, peer inmates, chaplains/priests, and community workers. Circumstances, history, and national cultures may explain such diversity but they might also depend on the basic way we think about suicide prevention at both individual and environmental levels.

Expanding the early and late starter model of criminal justice involvement for forensic mental health clients.

2018 ◽  
Vol 42 (1) ◽  
pp. 83-93 ◽  
Author(s):  
Anne G. Crocker ◽  
Michael S. Martin ◽  
Marichelle C. Leclair ◽  
Tonia L. Nicholls ◽  
Michael C. Seto
Keyword(s):  
Mental Health ◽  
Criminal Justice ◽  
Forensic Mental Health ◽  
Criminal Justice Involvement ◽  
Mental Health Clients ◽  
Late Starter

Childhood adversity studies as an antidote to the predominance of neo-liberal thinking in the field of mental health

2020 ◽  
Vol 29 (4) ◽  
pp. 556-563
Author(s):  
Adam Burley
Keyword(s):  
Mental Health ◽  
Childhood Adversity ◽  
Sole Source ◽  
Point Of View ◽  
Early Adversity ◽  
Potential Impact ◽  
The Individual

This is a personal and reflective piece written from a clinician's point of view on the influence that the developing awareness around the consequences of childhood adversity has had upon the discussions, thinking and practice across the areas in which they are working. It seeks to argue that the increased understanding and recognition of the potential impact of early adversity can not only enhance and deepen the understanding of an individual's difficulties, but can serve to inform how services respond in a way that takes account of this. It suggests that the research and literature on childhood adversity can offer a route map away from a model of mental health that focuses predominantly on the individual as the sole source of interest.

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