Self-harm in adolescence

2017 ◽  
Vol 10 (4) ◽  
pp. 202-208
Author(s):  
Anna Paes

Self-harm in adolescents is not only an important public health concern but also a prevalent maladaptive behaviour. The behaviour is poorly understood, and these young people still face stigma within our health service, as well as in society. To date, their management has been inadequate, due to some unhelpful attitudes, patchy provision of services and lack of training. This article aims to increase awareness and understanding of why adolescents self-harm, the importance of risk assessment, and how to provide appropriate support and care in general practice.

2019 ◽  
Vol 2 (1) ◽  
pp. 77-78
Author(s):  
Niresh Thapa ◽  
Muna Maharjan

Diabetes is an important public health concern which is increasing rapidly in developing countries. It is challenging to prevent and manage diabetes in a rural setting. The Integrated Diabetic Clinic is comprehensive diabetes care under one roof. Its aim is to provide efficient accessible and affordable comprehensive care. It will make a huge difference in the management of diabetes. This clinic will play a major role in unifying different aspects of health care under one roof and offer the most comprehensive and cost-effective accessible health care to minimize mortality and morbidity associated with diabetes.


2012 ◽  
Vol 200 (4) ◽  
pp. 330-335 ◽  
Author(s):  
Rory C. O'Connor ◽  
Susan Rasmussen ◽  
Keith Hawton

BackgroundAdolescent self-harm is a major public health concern, yet little is known about the factors that distinguish adolescents who think about self-harm but do not act on these thoughts from those who act on such thoughts.AimsWithin a new theoretical model, the integrated motivational–volitional model, we investigated factors associated with adolescents having thoughts of self-harm (ideators)v.those associated with self-harm enaction (enactors).MethodObservational study of school pupils employing an anonymous self-report survey to compare three groups of adolescents: self-harm enactors (n= 628)v.self-harm ideators (n= 675)v.those without any self-harm history (n= 4219).ResultsEnactors differed from ideators on all of the volitional factors. Relative to ideators, enactors were more likely to have a family member/close friend who had self-harmed, more likely to think that their peers engaged in self-harm and they were more impulsive than the ideators. Enactors also reported more life stress than ideators. Conversely, the two self-harm groups did not differ on any of the variables associated with the development of self-harm thoughts.ConclusionsAs more adolescents think about self-harm than engage in it, a better understanding of the factors that govern behavioural enaction is crucial in the effective assessment of the risk of self-harm.


2015 ◽  
Vol 34 (4) ◽  
pp. 346-348 ◽  
Author(s):  
John Michael Sauer ◽  
Thomas Hartung ◽  
Marcel Leist ◽  
Thomas B. Knudsen ◽  
Julia Hoeng ◽  
...  

Risk assessment, in the context of public health, is the process of quantifying the probability of a harmful effect to individuals or populations from human activities. With increasing public health concern regarding the potential risks associated with chemical exposure, there is a need for more predictive and accurate approaches to risk assessment. Developing such an approach requires a mechanistic understanding of the process by which xenobiotic substances perturb biological systems and lead to toxicity. Supplementing the shortfalls of traditional risk assessment with mechanistic biological data has been widely discussed but not routinely implemented in the evaluation of chemical exposure. These mechanistic approaches to risk assessment have been generally referred to as systems toxicology. This Symposium Overview article summarizes 4 talks presented at the 35th Annual Meeting of the American College of Toxicology.


2020 ◽  
Vol 217 (6) ◽  
pp. 661-662
Author(s):  
Allan House ◽  
David Owens

SummarySelf-harm remains a serious public health concern, not least because of its strong link with suicide. Twenty-five years ago we lamented the deficits in UK services, research and policy. Since then, there has not been nearly enough effective action in any of these three domains. It is time for action.


2021 ◽  
Vol 17 ◽  
Author(s):  
Airton Cunha Martins ◽  
Alessanda Antunes Dos Santos ◽  
Ana Carolina B. Almeida Lopes ◽  
Anatoly V. Skalny ◽  
Michael Aschner ◽  
...  

: Hypertension is an important public health concern that affects millions globally, leading to a large number of morbidities and fatalities. The etiology of hypertension is complex and multifactorial, and it involves environmental factors including heavy metals. Indeed, cadmium and mercury are toxic elements commonly distributed in the environment which contribute to hypertension. We aimed to assess the role of cadmium and mercury-induced endothelial dysfunction in the development of hypertension. A narrative review was carried out through database searches. In this review, we discussed the critical roles of cadmium and mercury in the etiology of hypertension and provide new insights into potential mechanisms of their effect, focusing primarily on endothelial dysfunction. Although, the mechanisms by which cadmium and mercury induce hypertension have yet to be completely elucidated, evidence for both implicates impaired nitric oxide signaling in their hypertensive etiology.


2012 ◽  
Vol 102 (1) ◽  
pp. 54-56 ◽  
Author(s):  
Bright Chen ◽  
Analiza Mitchell ◽  
David Tran

Background: Foot and ankle health among the homeless is an important public health concern. There are limited studies done thus far on foot and ankle conditions and the podiatric medical needs of homeless populations. A literature review was undertaken to evaluate any studies published about the lower-extremity health needs among the homeless. Methods: We did a literature search through PubMed, the US National Library of Medicine’s database of biomedical citations and abstracts for relevant publications from 1988 through 2008. We also searched the references cited in the articles found for any studies relevant to podiatric needs for homeless populations. Results: We found three relevant articles that addressed the needs of podiatric care for the homeless. The articles highlighted the community health importance of foot care for homeless populations, especially in helping prevent potentially limb-threatening pathologies. Conclusions: The small number of studies published so far all emphasize the major public health need for podiatric care among homeless populations. More studies are needed to help address this important public health concern. (J Am Podiatr Med Assoc 102(1): 54–56, 2012)


2019 ◽  
Vol 7 (3) ◽  
pp. 662-669
Author(s):  
Yoga Pratama ◽  
Liesbeth Jacxsens

Acrylamide, a carcinogenic and neurotoxic compound, is a public health concern in fried food products. This paper demonstrated, for the first time, the exposure assessment and risk characterization of acrylamide through consumption of deep fried fritters, a popular snack of Indonesian population which commonly sold as street food. Acrylamide concentration data were collected from selected monitoring data and laboratory simulated researches, while the consumption data covered 263 respondents (adult, age 16-40). Exposure assessment was conducted with probabilistic approach and followed by Margin of Exposure (MoE) calculation. Estimated mean, median (P50) and P95 acrylamide intake were 14.85, 4.10 and 76.06 µg/kg- bw/week, respectively. Thus, resulted in estimated 17.4% of population exceed the reported tolerable intake value (18.2 µg/kg-bw/week). MoE derived from average exposure was 75, indicating significant risk and need of risk management action. Possible mitigation of 70% acrylamide level reduction was simulated and MoE shifted towards 248. Although the MoE was increased, the value was still lower than 10,000 indicating a public health concern. The risk assessment study can be a valuable input for risk managers such as food safety authorities across Indonesia or neighboring countries consuming fried street foods.


2018 ◽  
Vol 9 (1) ◽  
pp. 31-41 ◽  
Author(s):  
Sorbari Igbiri ◽  
Nnaemeka A. Udowelle ◽  
Osazuwa C. Ekhator ◽  
Rose N. Asomugha ◽  
Zelinjo N. Igweze ◽  
...  

2018 ◽  
Vol 4 (2) ◽  
pp. 35-38
Author(s):  
Pema Lethro ◽  
Kinga Jamphel ◽  
Vandana Joshi ◽  
Chandralal Mongar ◽  
Lobzang Tshering ◽  
...  

Introduction: Stillbirth is an important public health concern; yet there is no reliable stillbirth rate for Bhutan. Hence the aim of this study was to estimate the stillbirth rate for Bhutan. Methods: A retrospective study was carried out for live and stillbirths recorded in delivery registers of all 253 health facilities across the country for a period of one year commencing 1st January till 31st December 2015. Results: There were a total of 11,126 live births and 108 stillbirths documented in delivery registers. The stillbirth rate from this data set was 10 per 1000 live births. Conclusions: The stillbirth rate for Bhutan from this study is 10 per 1000 live births lower than 16 per 1000 live births estimated in Lancet Series 2015. In order to find the true burden of stillbirths in the country, a surveillance may be instituted which can facilitate the prevention efforts while at the same time enable to strengthen information system.


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