Needs and Strengths Associated With Acute Suicidal Ideation and Behavior in a Sample of Adolescents in Mental Health Treatment: Youth and Family Correlates

2014 ◽  
Vol 31 (3) ◽  
pp. 171-187 ◽  
Author(s):  
Cintia V. Quiroga ◽  
Betty Walton
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Mental Health Treatment ◽  
Health Treatment ◽  
And Behavior

scholarly journals A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Arianne Reis ◽  
Sandro Sperandei ◽  
Paula Galdino Cardin de Carvalho ◽  
Thiago Félix Pinheiro ◽  
Ferdinando Diniz de Moura ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Suicidal Ideation ◽  
Sex Work ◽  
Mental Health Treatment ◽  
Multivariate Regression ◽  
Suicide Attempts ◽  
Health Treatment ◽  
History Of ◽  
Trans Women

Abstract Background Trans women have been shown to experience disproportionately poor outcomes in physical and mental health. Although it is common to talk about the violence against trans people, little is still known about mental health outcomes and experiences of suicidality among trans women, particularly in developing countries. This study aims to investigate risk factors and associations with mental health, suicide ideation and suicide attempts among trans women in the largest metropolitan area in Brazil. Methods Trans women living in São Paulo were recruited between May 2017 and July 2019 using the long-chain peer referral method Respondent-Driven Sampling. Multivariate regression models were used to investigate the associations with K10 score classification (logistic) and suicidal ideation/suicide attempt (ordinal logistic). Results A total of 763 trans women were included in the study. Over one quarter (26.5%) of trans women had been diagnosed with anxiety in the past, and close to one in five (19.1%) trans women had received a diagnosis of depression. More than two in five (41.9%) trans women had moderate to severe psychological distress. More than half of all participating trans women reported having previously either experienced suicidal ideation or attempted to take their own lives (25.0 and 31.2% respectively). In multivariate regression, moderate to severe psychological distress was associated with homelessness, income, current sex work, use of stimulant drugs, history of physical abuse, depression diagnosis and access to mental health treatment. Suicidal ideation and suicide attempts were associated with race/skin color, living arrangements, marital status, current sex work, history of sexual violence, depression and PTSD diagnoses, access to mental health treatment and psychological distress. Conclusions This study showed that there is a significant association between mental health conditions, lack of treatment for these conditions and suicidality among trans gender women. Findings point to the need for a structural transformation in Brazil that enables a reduction in the social inequality and violence that impact the mental health of trans women. A number of recommendations to achieve this are provided.

scholarly journals Evidence-Based Approaches to Suicide in Older Adults—Collaborative Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 625-625
Author(s):  
Michael Schoenbaum
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Suicidal Ideation ◽  
Collaborative Care ◽  
Mental Health Treatment ◽  
Evidence Based ◽  
Care Model ◽  
Health Treatment ◽  
Collaborative Care Model

Abstract This individual symposium abstract will focus another evidence-based approach to mental health treatment and in older adults, the collaborative care model. Collaborative care is a consultation-based approach in primary care that has been described with multiple clinical trials, with significant benefit for access and treatment. The Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT) using the collaborative care model found that those older adults receiving the intervention had a higher utilization of mental health treatment (psychotherapy and/or antidepressant treatment) and had a 2.2 times greater decline in suicidal ideation over 24 months. The authors will describe the utility of using the collaborative care model on the identification of suicidal ideation and subsequent mental health treatment for older adults. The authors will also share about challenges and successes related to collaborative care implementation in healthcare settings for older adults, and relevant policy and financing components for the model.

scholarly journals The Relation between Perceived Need for Mental Health Treatment, DSM Diagnosis, and Quality of Life: A Canadian Population-Based Survey

2005 ◽  
Vol 50 (2) ◽  
pp. 87-94 ◽  
Author(s):  
Jitender Sareen ◽  
Murray B Stein ◽  
Darren W Campbell ◽  
Thomas Hassard ◽  
Verena Menec
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Suicidal Ideation ◽  
Mental Health Treatment ◽  
Population Based ◽  
Health Treatment ◽  
Need For Treatment ◽  
Perceived Need ◽  
Perceived Need For Treatment

Objectives: Prevalence estimates of mental disorders were designed to provide an indirect estimate of the need for mental health services in the community. However, recent studies have demonstrated that meeting criteria for a DSM-based disorder does not necessarily equate with need for treatment. The current investigation examined the relation between self-perceived need for mental health treatment and DSM diagnosis, with respect to quality of life (QoL) and suicidal ideation. Methods: Data came from an Ontario population-based sample of 8116 residents (aged 15 to 64 years). The University of Michigan Composite International Diagnostic Interview was used to diagnose mood, anxiety, substance use, and bulimia disorder according to DSM-III-R criteria. We categorized past-year help seeking for emotional symptoms and (or) perceiving a need for treatment without seeking care as self-perceived need for treatment. We used a range of variables to measure QoL: self-perception of mental health status, a validated instrument that measured well-being, and restriction of activities (current, past 30 days, and long-term). Results: Independent of subjects' meeting criteria for a DSM-III-R diagnosis, self-perceived need for treatment was significantly associated with poor QoL (on all measures) and past-year suicidal ideation. Conclusions: Self-perceived need for mental health treatment, in addition to DSM diagnosis, may provide valuable information for estimating the number of people in the population who need mental health services. The relation between self-perceived need for treatment and objective measures of treatment need requires future study.

scholarly journals A Cross-Sectional Study of Mental Health and Suicidality Among Trans Women in São Paulo, Brazil

2021 ◽  
Author(s):  
Arianne Reis ◽  
Sandro Sperandei ◽  
Paula Galdino Cardin de Carvalho ◽  
Thiago Félix Pinheiro ◽  
Ferdinando Diniz de Moura ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Suicidal Ideation ◽  
Sex Work ◽  
Mental Health Treatment ◽  
Multivariate Regression ◽  
Suicide Attempts ◽  
Health Treatment ◽  
History Of ◽  
Trans Women

Abstract Background Trans women have also been shown to experience disproportionately poor outcomes in physical and mental health. Although it is common to talk about the violence against trans people, little is still known about mental health outcomes and experiences of suicidality among trans women, particularly in developing countries. This study aims to investigate risk factors and associations with mental health, suicide ideation and suicide attempts among trans women in the largest metropolitan area in Brazil. Methods We surveyed 763 adult trans women living in São Paulo between May 2017 and July 2019. Multivariate regression models were used to investigate the associations with K10 score classification (logistic) and suicidal ideation/suicide attempt (ordinal logistic). Results Over one quarter of trans women had been diagnosed with anxiety in the past, and close to one in five trans women had received a diagnosis of depression. More than two in five trans women had moderate to severe psychological distress. More than half of all participating trans women reported having previously either experienced suicidal ideation or attempted to take their own lives. In multivariate regression, moderate to severe psychological distress was correlated with homelessness, income, current sex work, use of stimulant drugs, history of physical abuse, depression diagnosis and access to mental health treatment. Suicidal ideation and suicide attempts were correlated with race, living arrangements, marital status, current sex work, history of sexual violence, depression and PTSD diagnoses, access to mental health treatment and psychological distress. Conclusions This study showed that there is a clear association between mental health conditions, lack of treatment for these conditions and suicidality among trans gender women. This is the largest published empirical study of trans women’s mental health outcomes and related socioeconomic risk factors in Brazil and, to our knowledge, one of the largest worldwide.

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