scholarly journals Ethical considerations in sensitive suicide research reliant on non-clinical researchers

2016 ◽  
Vol 13 (3-4) ◽  
pp. 173-183 ◽  
Author(s):  
Sarah K Mckenzie ◽  
Cissy Li ◽  
Gabrielle Jenkin ◽  
Sunny Collings
Keyword(s):  
Mental Health ◽  
Suicide Attempts ◽  
Ethics Committees ◽  
Health Impacts ◽  
Cumulative Exposure ◽  
Sensitive Data ◽  
Clinical Notes ◽  
Ethical Implications ◽  
The Impact ◽  
Research Assistants

The impact on researchers of working with sensitive data is often not considered by ethics committees when approving research proposals. We conducted interviews with eight research assistants processing clinical notes on emergency department presentations for deliberate self-harm and suicide attempts during a suicide prevention trial. Common experiences of working with the data included feeling unprepared for the level of detail in the records, being drawn deeply into individual stories, emotional exhaustion from the cumulative exposure to the data over long periods of time while working alone, and experiencing a heightened awareness of the fragility of life and the need for safety. The research assistants also reported on some of the strategies they had developed to cope with the sensitive nature of the data and the demands of the work. The ethical implications for suicide research reliant on non-clinically trained researchers exploring sensitive data are considered. These include the need for research leaders and ethics committees to be aware of the potential adverse mental health impacts for these researchers examining sensitive data and to make appropriate arrangements to minimize the mental health impacts of such work.

scholarly journals Does the Type of Exposure to Workplace Violence Matter to Nurses’ Mental Health?

Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 41
Author(s):  
Farinaz Havaei
Keyword(s):  
Mental Health ◽  
Workplace Violence ◽  
Violence Exposure ◽  
Mental Health Problems ◽  
Survey Methods ◽  
Health Problems ◽  
Cumulative Exposure ◽  
Post Traumatic Stress ◽  
Indirect Exposure ◽  
The Impact

Workplace violence is a prevalent phenomenon in healthcare, particularly among nursing professionals. Exposure to workplace violence may be direct through firsthand involvement, indirect through secondhand witnessing, or both. Even though implications for victims of workplace violence have been well-studied, less is known about the various types of exposure and their effects on nurse mental health. The purpose of this study is to examine the impact of workplace-violence exposure types on the mental health of nurses, while accounting for the intensity of the incident/s. This study employs an exploratory correlational design with survey methods. Nurses from British Columbia (BC), Canada, were invited by the provincial nurses’ union to complete an electronic survey in Fall 2019. A total of 2958 responses from direct-care nurses in acute-care settings were analyzed using logistic regression. The results showed that mental-health problems increased with cumulative exposure; even though nurses with solely indirect exposure to workplace violence did not report greater mental-health problems, those experiencing solely direct exposure, or both direct and indirect exposure, were two to four times more likely to report high levels of post-traumatic stress disorder (PTSD), anxiety, depression and burnout compared to their counterparts with no exposure. There is an urgent need for better mental-health support, prevention policies and practices that take into account the type of workplace-violence exposure.

Self-injurious behaviour in forensic mental health care: a study into the prevalence and characteristics of incidents of self-injury

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Vivienne de Vogel ◽  
Nienke Verstegen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Suicide Attempts ◽  
Psychiatric Patients ◽  
Forensic Mental Health ◽  
Content Type ◽  
Self Injury ◽  
Forensic Psychiatric ◽  
The Impact

Purpose Incidents of self-injury by forensic psychiatric patients often have a deleterious impact on all those involved. Moreover, self-injurious behaviour is an important predictor for violence towards others during treatment. The aim of this study is to analyse methods and severity of incidents of self-injury of patients admitted to forensic psychiatry, as well as the diagnoses of self-injuring patients. Design/methodology/approach All incidents of self-injury during treatment in a forensic psychiatric centre recorded between 2008 and 2019 were analysed and the severity was coded with the modified observed aggression scale+ (MOAS+). Findings In this period, 299 incidents of self-injury were recorded, displayed by 106 patients. Most of these incidents (87.6%) were classified as non-suicidal. Methods most often used were skin cutting with glass, broken plates, a razor or knife and swallowing dangerous objects or liquids. Ten patients died by suicide, almost all by suffocation with a rope or belt. The majority of the incidents was coded as severe or extreme with the MOAS+. Female patients were overrepresented and they caused on average three times more incidents than male patients. Practical implications More attention is warranted for self-injurious behaviour during forensic treatment considering the distressing consequences for both patients themselves, supervisors and witnesses. Adequate screening for risk of self-injurious behaviour could help to prevent this behaviour. Further research is needed in different forensic settings into predictors of self-injurious behaviour, more specifically, if there are distinct predictors for aggression to others versus to the self. Originality/value Incidents of self-injury occur with some regularity in forensic mental health care and are usually classified as severe. The impact of suicide (attempts) and incidents of self-injurious behaviour on all those involved can be enormous. More research is needed into the impact on all those involved, motivations, precipitants and functions of self-injurious behaviour and effective treatment of it.

The Impact of Marijuana on Mental Health

2018 ◽  
pp. 122-164 ◽  
Author(s):  
Christine L. Miller
Keyword(s):  
Mental Health ◽  
Legal Status ◽  
Psychotic Disorders ◽  
Strong Association ◽  
Marijuana Use ◽  
Psychiatric Epidemiology ◽  
Clinical Findings ◽  
Health Impacts ◽  
Public Health Programs ◽  
The Impact

The association between marijuana use and several mental health outcomes is examined, with particular reference to commonly held views on the lack of proof for a causal basis. Rather than relying on a single, key criterion for proof of causation, a collective approach is taken to the question through reviewing studies testing different criteria. Exploration of the psychiatric epidemiology on marijuana reveals trends in early reports that have been confirmed through more detailed studies in recent years and further bolstered by clinical findings. A significant, causal role for marijuana use in chronic psychotic disorders is substantiated by the literature, as well as a strong association with mood disorders and suicidal behaviors. This chapter reinforces the importance of considering marijuana’s mental health impacts when formulating appropriate public health programs and when fashioning drug control policies concerning its legal status.

scholarly journals Environmental Stressors: The Mental Health Impacts of Living Near Industrial Activity

2005 ◽  
Vol 46 (3) ◽  
pp. 289-305 ◽  
Author(s):  
Liam Downey ◽  
Marieke Van Willigen
Keyword(s):  
Mental Health ◽  
Negative Impact ◽  
Well Being ◽  
Health Impacts ◽  
Toxic Release Inventory ◽  
Neighborhood Disorder ◽  
Industrial Activity ◽  
Individual Level ◽  
The Poor ◽  
The Impact

A growing literature examines whether the poor, the working class, and people of color are disproportionately likely to live in environmentally hazardous neighborhoods. This literature assumes that environmental characteristics such as industrial pollution and hazardous waste are detrimental to human health, an assumption that has not been well tested. Drawing upon the sociology of mental health and environmental inequality studies, we ask whether industrial activity has an impact on psychological well-being. We link individual-level survey data with data from the U.S. Census and the Toxic Release Inventory and find that residential proximity to industrial activity has a negative impact on mental health. This impact is both direct and mediated by individuals' perceptions of neighborhood disorder and personal powerlessness, and the impact is greater for minorities and the poor than it is for whites and wealthier individuals. These results suggest that public health officials need to take seriously the mental health impacts of living near industrial facilities.

Adolescents Transitioning to High School: Sex Differences in Bullying Victimization Associated With Depressive Symptoms, Suicide Ideation, and Suicide Attempts

2017 ◽  
Vol 33 (6) ◽  
pp. 467-479 ◽  
Author(s):  
Susan G. Williams ◽  
Jennifer Langhinrichsen-Rohling ◽  
Cory Wornell ◽  
Heather Finnegan
Keyword(s):  
Mental Health ◽  
High School ◽  
Sex Differences ◽  
Depressive Symptoms ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Male Students ◽  
Bullying Victimization ◽  
The Impact ◽  
Physical Bullying

Adolescents transitioning to high school may be at greater risk of depression and suicide if they are victims of bullying behavior. This study explored sex differences in bullying victimization (physical, verbal/social, and cyberbullying) and the impact on depressive symptoms and suicidal behaviors in ninth-grade students ( N = 233). Females reported significantly more verbal/social and cyberbullying than male students. There were no significant sex differences in physical bullying; male students who reported physical bullying victimization were more likely to experience depressive symptoms. Verbal/social bullying predicted depressive symptoms in males and females. Females who reported being victims of cyberbullying were more likely to report depressive symptoms, suicide ideation, and suicide attempts. Eighteen students reported suicide attempts, and each also experienced verbal/social bullying. School nurses are positioned to reach out to transitioning students, screen for mental health issues, provide a safe place to talk about bullying experiences, and promote positive mental health.

The Impact of Patient Suicide on the Professional Reactions and Practices of Mental Health Caregivers and Social Workers

Crisis ◽  
2010 ◽  
Vol 31 (4) ◽  
pp. 202-210 ◽  
Author(s):  
Alida Gulfi ◽  
Dolores Angela Castelli Dransart ◽  
Jean-Luc Heeb ◽  
Elisabeth Gutjahr
Keyword(s):  
Mental Health ◽  
Suicide Attempts ◽  
Institutional Setting ◽  
Patient Suicide ◽  
Wide Range ◽  
French Speaking ◽  
Working Practices ◽  
The Impact ◽  
Professional Impact ◽  
Deceased Patient

Background: Mental health and social professionals are at high risk of experiencing at least one patient suicide during their career. Aims: This paper investigates the impact of patient suicide on the reactions and working practices of mental health and social professionals. It also examines how such an impact may vary depending on the professionals’ characteristics, their relationship with the patient, as well as the institutional setting in which they work. Methods: 275 professionals working in sociomedical institutions in French-speaking Switzerland completed a questionnaire. Results: Patient suicide can cause a wide range of long-lasting reactions and changes in the working practices of mental health and social professionals. Professional’s gender, place of suicide, as well as responsibility for and emotional attachment to the patient significantly influence the impact that a patient suicide has on such professionals. Professional’s age, the type of profession, the number of suicides experienced, and previous suicide attempts by the deceased patient were also found to play a significant role with regard to changes in working practices. Conclusions: Beyond the emotional and professional impact, patient suicide may have also a formative influence, encouraging professionals to review and improve their working practices. Recommendations to help mental health and social professionals who have experienced a patient suicide are discussed.

The impact of inequality on mental illness: thematic analysis on clinical notes

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kristina Brenisin ◽  
Elizabeth Akinwande ◽  
Aile Trumm ◽  
Kieran Breen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Thematic Analysis ◽  
Well Being ◽  
Qualitative Approach ◽  
Living Environment ◽  
Early Years ◽  
Content Type ◽  
Clinical Notes ◽  
The Impact

Purpose The concept of inequality can be described as not being treated equally to everyone else in society. While previous studies have explored the concept of inequality and its impact on mental illness, these have been primarily quantitative. The details of experiences and potential impacts of inequalities by patients prior to admission into secure care have not been investigated comprehensively using a qualitative approach, which will identify individualised factors that may contribute to the development of mental ill-health. This study aims to explore whether those with multiple disadvantages are at greater risk of developing mental illness. Design/methodology/approach A qualitative study of patients’ clinical notes upon admission to a secure in-patient facility was conducted using a thematic analytical approach to investigate the key inequalities reported by patients with mental health problems. The topic of inequality was examined by assessing the clinical notes of 21 patients who were under treatment at the time of the study. Findings The majority of patients experienced multiple inequalities which impacted negatively on their mental health status. Three main themes that were identified were – a disrupted living environment, disturbed childhood and the importance of support. The thematic analysis has shown that the majority of the patients were exposed to numerous societal disadvantages in association with challenging life events in their early years and these have impacted significantly on their subsequent well-being. Practical implications When assessing the background to mental illness, it is important to gain a deep understanding of many inequalities that patients have faced prior to them developing their condition and, in particular, how these have combined to initiate the clinical manifestation. The study highlights the importance of raising awareness of how being treated unfairly, whether based on protected or non-protected characteristics, can contribute towards people becoming disadvantaged in society and ultimately making them more vulnerable to the development of mental health difficulties. Results of the study may inform the future use of inequalities as an integral component in the development of trauma-informed care. Originality/value This is the first study, to the authors’ knowledge, to consider intersectionality and admission to mental health units by adopting qualitative approach, specifically by reviewing patients’ clinical notes.

Moral injury and peri- and post-military suicide attempts among post-9/11 veterans

2022 ◽  
pp. 1-10
Author(s):  
Shira Maguen ◽  
Brandon J. Griffin ◽  
Dawne Vogt ◽  
Claire A. Hoffmire ◽  
John R. Blosnich ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicide Attempt ◽  
Military Service ◽  
Suicide Attempts ◽  
Moral Injury ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nationally Representative ◽  
Military Suicide ◽  
The Impact

Abstract Background Our goal was to examine the association between moral injury, mental health, and suicide attempts during military service and after separation by gender in post-9/11 veterans. Methods A nationally representative sample of 14057 veterans completed a cross-sectional survey. To examine associations of exposure to potentially morally injurious events (PMIEs; witnessing, perpetrating, and betrayal) and suicidal self-directed violence, we estimated two series of multivariable logistic regressions stratified by gender, with peri- and post-military suicide attempt as the dependent variables. Results PMIE exposure accounted for additional risk of suicide attempt during and after military service after controlling for demographic and military characteristics, current mental health status, and pre-military history of suicidal ideation and attempt. Men who endorsed PMIE exposure by perpetration were 50% more likely to attempt suicide during service and twice as likely to attempt suicide after separating from service. Men who endorsed betrayal were nearly twice as likely to attempt suicide during service; however, this association attenuated to non-significance after separation in the fully adjusted models. In contrast, women who endorsed betrayal were over 50% more likely to attempt suicide during service and after separation; PMIE exposure by perpetration did not significantly predict suicide attempts before or after service among women in the fully adjusted models. Conclusions Our findings indicate that suicide assessment and prevention programs should consider the impact of moral injury and attend to gender differences in this risk factor in order to provide the most comprehensive care.

Health Impacts of Floods

2010 ◽  
Vol 25 (3) ◽  
pp. 265-272 ◽  
Author(s):  
Weiwei Du ◽  
Gerard Joseph FitzGerald ◽  
Michele Clark ◽  
Xiang-Yu Hou
Keyword(s):  
Mental Health ◽  
Conceptual Framework ◽  
Health Workers ◽  
Poor Mental Health ◽  
Health Impacts ◽  
Extensive Literature ◽  
Number Of Factors ◽  
Underlying Causes ◽  
The Impact

AbstractIntroduction:Floods are the most common hazard to cause disasters and have led to extensive morbidity and mortality throughout the world. The impact of floods on the human community is related directly to the location and topography of the area, as well as human demographics and characteristics of the built environment.Objectives:The aim of this study is to identify the health impacts of disasters and the underlying causes of health impacts associated with floods. A conceptual framework is developed that may assist with the development of a rational and comprehensive approach to prevention, mitigation, and management.Methods:This study involved an extensive literature review that located >500 references, which were analyzed to identify common themes, findings, and expert views. The findings then were distilled into common themes.Results:The health impacts of floods are wide ranging, and depend on a number of factors. However, the health impacts of a particular flood are specific to the particular context. The immediate health impacts of floods include drowning, injuries, hypothermia, and animal bites. Health risks also are associated with the evacuation of patients, loss of health workers, and loss of health infrastructure including essential drugs and supplies. In the medium-term, infected wounds, complications of injury, poisoning, poor mental health, communicable diseases, and starvation are indirect effects of flooding. In the long-term, chronic disease, disability, poor mental health, and poverty-related diseases including malnutrition are the potential legacy.Conclusions:This article proposes a structured approach to the classification of the health impacts of floods and a conceptual framework that demonstrates the relationships between floods and the direct and indirect health consequences.

scholarly journals Racial surveillance and the mental health impacts of electronic monitoring on migrants

Race & Class ◽  
2021 ◽  
Vol 62 (3) ◽  
pp. 18-36
Author(s):  
Monish Bhatia
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Electronic Monitoring ◽  
Criminal Court ◽  
Psychological Effects ◽  
Health Impacts ◽  
Ethnographic Research ◽  
Surveillance Studies ◽  
The Government ◽  
The Impact

Since the late 1990s, the government has used outsourced electronic monitoring (also known as tagging) in England and Wales for criminal sentencing and punishment. Under the Asylum and Immigration (Treatment of Claimants) Act 2004, s36, the use of this technology extended to immigration controls, and individuals deemed as ‘high risk’ of harm, reoffending or absconding can be fitted with an ankle device and subjected to curfew. The tagging of migrants is not authorised by the criminal court and therefore not considered a punitive sanction. It is managed by the immigration system and treated as an administrative matter. Nevertheless, people who are tagged experience it as imprisonment and punishment. Drawing on data from an eighteen-month ethnographic research project, this article examines the impact of electronic monitoring on people seeking asylum, who completed their sentences for immigration offences. It uncovers the psychological effects and mental health impacts of such technologies of control. The article sheds light on how tagging is experienced by racialised minorities, and adds to the literature on migration, surveillance studies, state racism and violence.

Sign in / Sign up

Export Citation Format

Share Document