scholarly journals Predictive Validity of the Short-Term Assessment of Risk and Treatability (START) for Aggression and Self-Harm in a Secure Mental Health Service: Gender Differences

2015 ◽  
Vol 14 (2) ◽  
pp. 132-146 ◽  
Author(s):  
Laura E. O'Shea ◽  
Geoffrey L. Dickens
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Mental Health Service ◽  
Health Service ◽  
Predictive Validity ◽  
Short Term ◽  
Self Harm

Learning together about the needs of parents with a mental illness and their children: The implementation of the Mums' and Dads' Practice Research Project

2004 ◽  
Vol 29 (2) ◽  
pp. 35-40 ◽  
Author(s):  
Carmel Alakus
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Parent Education ◽  
Consumer Satisfaction ◽  
Practice Research ◽  
Short Term ◽  
Adult Mental Health ◽  
Difficult Issue

The busy clinical practitioner, while being encouraged to innovate and formally evaluate his or her work, has less time than ever before to do either.The Mums' and Dads' Project represented a modest attempt to implement a short-term parent education project in adult mental health and review it in the style of practice-research. A number of qualitative methods were employed to research the Project conducted in the Mid West Area Mental Health Service exploring consumer satisfaction and parents' perspectives of their children's needs.Consumers attended the sessions readily, demonstrating knowledge of child development and a willingness to confront the difficult issue of informing children about mental illness. They reiterated how much they appreciated meeting other parents with a mental illness.Service delivery to parents with a mental illness and their children deserves dedicated funding if their needs are to be addressed and programs carefully evaluated.

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.

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.

scholarly journals Self-harm presentations to Emergency Departments and Place of Safety during the ‘first wave’ of the UK COVID-19 pandemic: South London and Maudsley data on service use from February to June 2020

2020 ◽  
Author(s):  
Eleanor Nuzum ◽  
Evangelia Martin ◽  
Gemma Morgan ◽  
Rina Dutta ◽  
Christoph Mueller ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Substantial Impact ◽  
Mental Health Support ◽  
Self Harm ◽  
Health Support ◽  
Clinical Records ◽  
The Impact

AbstractThe lockdown and social distancing policy imposed due to the COVID-19 pandemic has had a substantial impact on both mental health service delivery, and the ways in which people are accessing these services. Previous reports from the South London and Maudsley NHS Trust (SLaM; a large mental health service provider for around 1.2m residents in South London) have highlighted increased use of virtual contacts by mental health teams, with dropping numbers of face-to-face contacts over the first wave of the pandemic. There has been concern that the impact of the COVID-19 pandemic would lead to higher mental health emergencies, particularly instances of self-harm. However, with people advised to stay at home during the ‘first wave’ lockdown, it is as yet unclear whether this impacted mental health service presentations. Taking advantage of SLaM’s Clinical Records Interactive Search (CRIS) data resource with daily updates of information from its electronic mental health records, this paper describes overall presentations to Emergency Department (ED) mental health liaison teams, and those with self-harm. The paper focussed on three periods: i) a pre-lockdown period 1st February to 15th March, ii) a lockdown period 16th March to 10th May and iii) a post-lockdown period 11th May to 28th June. In summary, all attendances to EDs for mental health support decreased during the lockdown period, including those with self-harm. All types of self-harm decreased during lockdown, with self-poisoning remaining the most common. Attendances to EDs for mental health support increased post-lockdown, although were only just approaching pre-lockdown levels by the end of June 2020.

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