FDA Alerts Health Care Providers to Risk of Suicidal Thoughts and Behavior with Antiepileptic Medications

2008 ◽  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Suicidal Thoughts ◽  
Antiepileptic Medications ◽  
And Behavior

scholarly journals Anxiety and Suicidal Thoughts During the COVID-19 Pandemic: Cross-Country Comparative Study Among Indonesian, Taiwanese, and Thai University Students (Preprint)

2020 ◽  
Author(s):  
Iqbal Pramukti ◽  
Carol Strong ◽  
Yajai Sitthimongkol ◽  
Agus Setiawan ◽  
Moses Glorino Rumambo Pandin ◽  
...  
Keyword(s):  
Health Care ◽  
University Students ◽  
Health Care Providers ◽  
Care Providers ◽  
Sources Of Information ◽  
Cross Sectional Survey ◽  
Suicidal Thoughts ◽  
Cross Sectional ◽  
Thai Students ◽  
Thai University

BACKGROUND The COVID-19 pandemic has negatively affected the mental health of university students. OBJECTIVE This study examined the psychological responses toward COVID-19 among university students from 3 countries—Indonesia, Taiwan, and Thailand. METHODS We used a web-based, cross-sectional survey to recruit 1985 university students from 5 public universities (2 in Indonesia, 1 in Thailand, and 1 in Taiwan) via popular social media platforms such as Facebook, LINE, WhatsApp, and broadcast. All students (n=938 in Indonesia, n=734 in Thailand, and n=313 in Taiwan) answered questions concerning their anxiety, suicidal thoughts (or sadness), confidence in pandemic control, risk perception of susceptibility to infection, perceived support, resources for fighting infection, and sources of information in the context of the COVID-19 pandemic. RESULTS Among the 3 student groups, Thai students had the highest levels of anxiety but the lowest levels of confidence in pandemic control and available resources for fighting COVID-19. Factors associated with higher anxiety differed across countries. Less perceived satisfactory support was associated with more suicidal thoughts among Indonesian students. On the other hand, Taiwanese students were more negatively affected by information gathered from the internet and from medical staff than were Indonesian or Thai students. CONCLUSIONS Our findings suggest that health care providers in Thailand may need to pay special attention to Thai university students given that high levels of anxiety were observed in this study population. In addition, health care providers should establish a good support system for university students, as the results of this study indicate a negative association between support and suicidal thoughts.

Perceptions of “Male Sensitive” Health Services Among Men in Trinidad and Tobago

2020 ◽  
pp. 104365962096861
Author(s):  
Oscar Noel Ocho ◽  
Cynthia Archer Gift
Keyword(s):  
Health Care ◽  
Health Services ◽  
Focus Groups ◽  
Trinidad And Tobago ◽  
Health Care Providers ◽  
Service Providers ◽  
Care Providers ◽  
Utilization Of Health Services ◽  
Semistructured Interviews ◽  
And Behavior

Introduction While Caribbean researchers have explored masculinity, socialization, and behavior, the literature has been silent on masculinity and “male sensitive” health services. This study explored masculinity and perceptions of “male sensitive” health services. Method An interpretative, phenomenological, qualitative design that used 14 focus groups and 12 semistructured interviews among men between the ages 18 and 65 years. Results The notion of “male sensitive” services were more of preferences like having more females, timeliness, and privacy of services rather than a specific set of services unique to men. Services were expected to be professional, offered in private spaces, timely, and as an “all in one” service with more male service providers. Discussion Male utilization of health services may be a problem if they are not considered “sensitive” to their needs. This has implications for the reorientation of services, as well as, personnel, including increased involvement of males as health care providers.

Conversation Cards for Adolescents ©: a patient-centered communication and behavior change tool for adolescents with obesity and health care providers

2020 ◽  
Vol 13 (2) ◽  
pp. 79-88
Author(s):  
Maryam Kebbe ◽  
Arnaldo Perez ◽  
Annick Buchholz ◽  
Tara-Leigh F. McHugh ◽  
Shannon D. Scott ◽  
...  
Keyword(s):  
Health Care ◽  
Behavior Change ◽  
Health Care Providers ◽  
Care Providers ◽  
Patient Centered ◽  
And Behavior

scholarly journals Effects of Climate Change on Avalanche Accidents and Survival

2021 ◽  
Vol 12 ◽  
Author(s):  
Giacomo Strapazzon ◽  
Jürg Schweizer ◽  
Igor Chiambretti ◽  
Monika Brodmann Maeder ◽  
Hermann Brugger ◽  
...  
Keyword(s):  
Climate Change ◽  
Health Care ◽  
Snow Cover ◽  
Health Care Providers ◽  
Survival Rates ◽  
Mitigation Strategies ◽  
Care Providers ◽  
Snow Avalanches ◽  
Secondary Injuries ◽  
And Behavior

Avalanches are major natural hazards in snow-covered mountains, threatening people and infrastructure. With ongoing climate change, the frequency and types of snow avalanches may change, affecting the rates of avalanche burial and survival. With a wetter and warmer snow climate, consequences of burial may become more severe. In this review, we assess the potential effects of climate change on the frequency and characteristics of avalanches. We then discuss how these changes might affect the survival rates of subjects buried by avalanches and might influence the responses of search and rescue (SAR) teams and health care providers. While climate change is inevitable, the effects on avalanches remain elusive. The frequency of human triggered avalanches may not change, because this depends largely on the number and behavior of winter recreationists. Blunt trauma and secondary injuries will likely become more frequent as terrain roughness is expected to rise and snow cover to become thinner. Higher snow densities in avalanche debris will likely interfere with the respiration of completely buried victims. Asphyxia and trauma, as causes of avalanche death, may increase. It is unlikely that SAR and health care providers involved in avalanche rescue will have to change their strategies in areas where they are already established. The effects of climate change might foster the expansion of mitigation strategies and the establishment of mountain rescue services in areas subject to increased avalanche hazards caused by changes in snow cover and land use.

scholarly journals Anxiety and Suicidal Thoughts During the COVID-19 Pandemic: Cross-Country Comparative Study Among Indonesian, Taiwanese, and Thai University Students

10.2196/24487 ◽  
2020 ◽  
Vol 22 (12) ◽  
pp. e24487
Author(s):  
Iqbal Pramukti ◽  
Carol Strong ◽  
Yajai Sitthimongkol ◽  
Agus Setiawan ◽  
Moses Glorino Rumambo Pandin ◽  
...  
Keyword(s):  
Health Care ◽  
University Students ◽  
Health Care Providers ◽  
Care Providers ◽  
Sources Of Information ◽  
Cross Sectional Survey ◽  
Suicidal Thoughts ◽  
Cross Sectional ◽  
Thai Students ◽  
Thai University

Background The COVID-19 pandemic has negatively affected the mental health of university students. Objective This study examined the psychological responses toward COVID-19 among university students from 3 countries—Indonesia, Taiwan, and Thailand. Methods We used a web-based, cross-sectional survey to recruit 1985 university students from 5 public universities (2 in Indonesia, 1 in Thailand, and 1 in Taiwan) via popular social media platforms such as Facebook, LINE, WhatsApp, and broadcast. All students (n=938 in Indonesia, n=734 in Thailand, and n=313 in Taiwan) answered questions concerning their anxiety, suicidal thoughts (or sadness), confidence in pandemic control, risk perception of susceptibility to infection, perceived support, resources for fighting infection, and sources of information in the context of the COVID-19 pandemic. Results Among the 3 student groups, Thai students had the highest levels of anxiety but the lowest levels of confidence in pandemic control and available resources for fighting COVID-19. Factors associated with higher anxiety differed across countries. Less perceived satisfactory support was associated with more suicidal thoughts among Indonesian students. On the other hand, Taiwanese students were more negatively affected by information gathered from the internet and from medical staff than were Indonesian or Thai students. Conclusions Our findings suggest that health care providers in Thailand may need to pay special attention to Thai university students given that high levels of anxiety were observed in this study population. In addition, health care providers should establish a good support system for university students, as the results of this study indicate a negative association between support and suicidal thoughts.

Health Care Providers’ Perspectives on Family Compliance and Behavior Change in a Childhood Obesity Program

2019 ◽  
Vol 46 (4) ◽  
pp. 582-591
Author(s):  
Michelle Pannor Silver ◽  
Shawna M. Cronin
Keyword(s):  
Health Care ◽  
Childhood Obesity ◽  
Behavior Change ◽  
Health Care Providers ◽  
Low Income ◽  
Behavior Modification ◽  
Care Providers ◽  
Low Income Families ◽  
Family Based ◽  
And Behavior

Background. Evidence suggests that children and adolescents growing up in low-income families and those with underrepresented ethnocultural backgrounds tend to have high prevalence rates of obesity and more difficulty adhering to childhood obesity interventions. However, less is known about how intergenerational, family-based approaches to lifestyle interventions for childhood obesity support sustained behavior change. Aims. The aim of this study was to explore the perspectives of health care providers regarding family adherence and behavior change in a childhood obesity program that served ethnoculturally diverse and low-income families. Method. Semistructured in-person interviews were conducted with 18 providers at one of three hospitals participating in a Canadian family-based childhood obesity program. Data were thematically analyzed using a constant comparative approach. Results. The following key themes emerged as challenges from the provider’s perspective for family adherence and behavior modification in the childhood obesity program: divergent views about obesity, complicated lives and logistical priorities, parental role modeling, and intergenerational tensions. Discussion and Conclusion. This examination of providers’ perspectives on family adherence and behavior modification relevant to the management of childhood obesity highlight the importance of tailoring childhood obesity programs to the complex and diverse needs of families from diverse backgrounds. Recommendations include methods of service delivery that address logistical challenges and are better suited to extended families, particularly grandparents.

scholarly journals Cross-Talk for Health Care Providers: Part Two/Nutrition and Behavior as it Applies to Systemic and Ocular Disease

2009 ◽  
Vol 71 (4) ◽  
pp. 15
Author(s):  
Larry Alexander
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cross Talk ◽  
Ocular Disease ◽  
Care Providers ◽  
And Behavior

Cross-Talk for Health Care Providers: Part Two/Nutrition and Behavior as it Applies to Systemic and Ocular Disease

Educational Program to Improve Provider Knowledge, Attitudes, and Behavior in Lesbian, Gay, Bisexual, and Transgender Self-Disclosure

2017 ◽  
Vol 10 (1) ◽  
pp. 65-70 ◽  
Author(s):  
Amber Henry
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Educational Program ◽  
Care Providers ◽  
Self Disclosure ◽  
Fear Of Victimization ◽  
Bisexual And Transgender ◽  
And Behavior ◽  
Attitudes And Behavior

Lesbian, gay, bisexual, and transgender (LGBT) individuals have long been subject to discrimination. This has led to the fear of victimization and the overall avoidance of health care services and increasing health disparities in this group. Health care providers, including nurses who have limited knowledge, poor attitudes, and behavior, have been shown to significantly dilute the patient–provider relationship. This reduces self-disclosure and increases likelihood of poor outcomes of the LGBT individual. An educational program was developed to focus on health care providers (n = 8) knowledge, attitudes, and behavior in LGBT self-disclosure. A pretest, posttest methodology was used to assess the aforementioned concepts using a 29-item sexual orientation counselor competency scale. All measured concepts showed clinical significance with highest being self disclosure, which revealed both clinical and statistical significance from (SD) 1.0 to 1.63, a 63% increase. The implications of these findings on the current and future practice of health care providers and nurses support cultural competency training for both practicing health care professionals and students in educational curriculums.

scholarly journals Development and Evaluation of a Web-Based Resource for Suicidal Thoughts: NowMattersNow.org (Preprint)

2018 ◽  
Author(s):  
Ursula Whiteside ◽  
Julie Richards ◽  
David Huh ◽  
Rianna Hidalgo ◽  
Rebecca Nordhauser ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
User Experience ◽  
Health Care Providers ◽  
Negative Emotions ◽  
Care Providers ◽  
Suicidal Thoughts ◽  
Web Based ◽  
Experience Survey ◽  
Suicidal Patients

BACKGROUND Nearly half of people who die by suicide see a health care provider in the month before their death. With the release of new care guidelines, detection of suicidal patients will likely increase. Providers need access to suicide-specific resources that can be used as part of immediate, brief interventions with a suicidal patient. Web-based suicide prevention resources have the potential to address this need. OBJECTIVE This study aimed to describe the development of the NowMattersNow.org website as a resource for individuals with suicidal thoughts and to evaluate the utility of the site via user experience surveys. METHODS NowMattersNow.org is an online video-based free public resource that provides evidence-based teachings, examples, and resources for managing suicidal thoughts and intense emotions focused largely around skills from dialectical behavior therapy. Developed with assistance from mental health consumers, it is intended to address gaps in access to services for suicidal patients in health care systems. Visitors stay an average of a minute and a half on the website. From March 2015 to December 2017, a user experience survey measured self-reported changes on a 1 (not at all) to 5 (completely overwhelming) scale regarding intensity of suicidal thoughts and negative emotions while on the website. Longitudinal regression analyses using generalized estimating equations evaluated the magnitude and statistical significance of user-reported changes in suicidal ideation and negative emotion. In secondary analyses, user-reported changes specific to subgroups, including men aged 36 to 64 years, mental health care providers, and other health care providers were evaluated. RESULTS During the period of analysis, there were 138,386 unique website visitors. We analyzed surveys (N=3670) collected during that time. Subsamples included men aged 36 to 64 years (n=512), mental health providers (n=460), and other health care providers (n=308). A total of 28% (1028/3670) of survey completers rated their suicidal thoughts as a 5 or “completely overwhelming” when they entered the website. We observed significant reductions in self-reported intensity of suicidal thoughts (–0.21, P<.001) and negative emotions (–0.32, P<.001), including decreases for users with the most severe suicidal thoughts (–6.4%, P<.001), most severe negative emotions (–10.9%, P<.001), and for middle-aged men (–0.13, P<001). Results remained significant after controlling for length of visit to website (before the survey) and technology type (mobile, desktop, and tablet). CONCLUSIONS Survey respondents reported measurable reductions in intensity of suicidal thoughts and emotions, including those rating their suicidal thoughts as completely or almost completely overwhelming and among middle-aged men. Although results from this user-experience survey administered at one point in time to a convenience sample of users must be interpreted with caution, results provide preliminary support for the potential effectiveness of the NowMattersNow.org website as a tool for short-term management of suicidal thoughts and negative emotions.

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