scholarly journals Psychodynamic approaches to suicide and self-harm

2018 ◽  
Vol 24 (1) ◽  
pp. 37-45
Author(s):  
Jessica Yakeley ◽  
William Burbridge-James
Keyword(s):  
Risk Assessment ◽  
Suicide Attempts ◽  
List Type ◽  
Relational Context ◽  
Transference And Countertransference ◽  
Assessment And Treatment ◽  
Self Harm ◽  
Psychoanalytic Theories ◽  
Risk Assessment And Management

SUMMARYRates of suicide and self-harm are rising in many countries, and it is therapeutically important to explore the personal stories and relationships that underlie this behaviour. In this article psychoanalytic and psychodynamic principles and concepts in relation to violence towards the self are introduced and the various unconscious meanings of suicide and self-harm are explored within a relational context and attachment framework. We describe how a psychodynamic approach may enhance the risk assessment and treatment of patients presenting with self-harm and suicidality, particularly examining the role of transference and countertransference within the therapeutic relationship.LEARNING OBJECTIVES•Understand historical and contemporary psychoanalytic theories and concepts regarding the aetiology of suicide and self-harm•Understand the different meanings and expressions of acts of suicide and self-harm•Understand the use of countertransference in the risk assessment and management of self-harm and suicide attemptsDECLARATION OF INTERESTNone.

scholarly journals Psychodynamic approaches to violence

2018 ◽  
Vol 24 (2) ◽  
pp. 83-92
Author(s):  
Jessica Yakeley
Keyword(s):  
Risk Assessment ◽  
Mental Health Professionals ◽  
Therapeutic Interventions ◽  
Violence Risk ◽  
List Type ◽  
Violent Behaviour ◽  
Mentally Disordered ◽  
Assessment And Treatment ◽  
Actuarial Risk ◽  
Psychoanalytic Theories

SUMMARYThe assessment and management of violent behaviour in mentally disordered patients are no longer the sole domain of forensic psychiatrists, but are increasingly part of the day-to-day work of all psychiatrists and mental health professionals. Violence risk assessment has become a huge industry, and although the importance of dynamic, as well as actuarial, risk factors is now recognised, a more systematic approach exploring the psychodynamics in the aetiology, assessment and treatment of violent behaviour is often lacking. In this article I revisit some of the key psychodynamic principles and concepts relevant to an understanding of violence, summarising the historical contributions of key psychoanalytic writers on violence and aggression, and exploring the ideas of more contemporary writers working in the field of forensic psychotherapy. A psychodynamic framework for working with violent patients is introduced, focusing on the setting and containment, specific therapeutic interventions and monitoring countertransference reactions.LEARNING OBJECTIVES•Understand historical and contemporary psychoanalytic theories of the aetiology of aggression and violence•Utilise a psychodynamic framework for working with violent patients and offenders•Understand the use of countertransference in the risk assessment and treatment of violenceDECLARATION OF INTERESTNone.

Psychological, Structural, Social and Economic Determinants of Suicide Attempt: Risk Assessment and Decision Making Strategies

2021 ◽  
pp. 003022282110034
Author(s):  
Azam Farmani ◽  
Mojtaba Rahimianbougar ◽  
Yousef Mohammadi ◽  
Hossein Faramarzi ◽  
Siamak Khodarahimi ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Suicide Attempt ◽  
Suicide Attempts ◽  
Psychological Services ◽  
Cross Sectional ◽  
Economic Determinants ◽  
History Of ◽  
Cross Sectional Design ◽  
High Level ◽  
Risk Assessment And Management

The aim of this research was to conduct a risk assessment and management of psychological, structural, social and economic determinants (PSSED) in a suicide attempt. The sample consisted of 353 individuals who had a recorded history of suicidal attempt; and 20 professional individuals by purposive sampling method within a descriptive cross-sectional design. Worksheets for RAM and AHP were used for data collection in this study. The rate of suicide attempt was 7.21 per 100,000 population in this study. Analysis showed that depression and mental disorders; personality disorders; family problems; socio-cultural and economic problems; lack of awareness; and low level of education have a high level of risk for suicide attempts. Psychiatric and psychological services; awareness and knowledge of life skills; medical services to dysfunctional families; development of community-based planning for PSSED of suicide; and employment and entrepreneurship services may lower suicide attempt risk.

scholarly journals Charting unknown waters-On the role of surprise in flood risk assessment and management

2015 ◽  
Vol 51 (8) ◽  
pp. 6399-6416 ◽  
Author(s):  
B. Merz ◽  
S. Vorogushyn ◽  
U. Lall ◽  
A. Viglione ◽  
G. Blöschl
Keyword(s):  
Risk Assessment ◽  
Flood Risk ◽  
Flood Risk Assessment ◽  
Risk Assessment And Management

scholarly journals The effect of sexual abuse and dissociation on suicide attempt

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Silje Støle Brokke ◽  
Thomas Bjerregaard Bertelsen ◽  
Nils Inge Landrø ◽  
Vegard Øksendal Haaland
Keyword(s):  
Sexual Abuse ◽  
Risk Factor ◽  
Suicide Attempt ◽  
Indirect Effects ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Suicidal Thoughts ◽  
Dissociative Experiences ◽  
Self Harm

Abstract Background Suicide attempt is the most predictive risk factor of suicide. Trauma – especially sexual abuse – is a risk factor for suicide attempt and suicide. A common reaction to sexual abuse is dissociation. Higher levels of dissociation are linked to self-harm, suicide ideation, and suicide attempt, but the role of dissociation in suicidal behavior is unclear. Methods In this naturalistic study, ninety-seven acute psychiatric patients with suicidal ideation, of whom 32 had experienced sexual abuse, were included. Suicidal behaviour was assessed with The Columbia suicide history form (CSHF). The Brief trauma questionnaire (BTQ) was used to identify sexual abuse. Dissociative symptoms were assessed with Dissociative experiences scale (DES). Results Patients who had experienced sexual abuse reported higher levels of dissociation and were younger at onset of suicidal thoughts, more likely to self-harm, and more likely to have attempted suicide; and they had made more suicide attempts. Mediation analysis found dissociative experiences to significantly mediate a substantive proportion of the relationship between sexual abuse and number of suicide attempts (indirect effects = 0.17, 95% CI = 0.05, 0.28, proportion mediated = 68%). Dissociative experiences significantly mediated the role of sexual abuse as a predictor of being in the patient group with more than four suicide attempts (indirect effects = 0.11, 95% CI = 0.02, 0.19, proportion mediated = 34%). Conclusion The results illustrate the importance of assessment and treatment of sexual abuse and trauma-related symptoms such as dissociation in suicide prevention. Dissociation can be a contributing factor to why some people act on their suicidal thoughts.

scholarly journals Evaluation of Subclinical Organ Damage for Risk Assessment and Treatment in the Hypertensive Patient: Role of Microalbuminuria

2006 ◽  
Vol 17 (4 suppl 2) ◽  
pp. S112-S114 ◽  
Author(s):  
Roberto Pontremoli ◽  
Giovanna Leoncini ◽  
Francesca Viazzi ◽  
Elena Ratto ◽  
Valentina Vaccaro ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Hypertensive Patient ◽  
Organ Damage ◽  
Patient Role ◽  
Assessment And Treatment

scholarly journals Current Insights: Evolving Principles and Controversies of Cancer Risk Assessment and Management of Hereditary Cancers

2020 ◽  
Vol 18 (7.5) ◽  
pp. 964-967
Author(s):  
Robert Pilarski ◽  
Jennifer M. Weiss ◽  
Susan M. Domchek ◽  
Moderated by Tuya Pal
Keyword(s):  
Risk Assessment ◽  
Genetic Testing ◽  
Cancer Risk Assessment ◽  
Annual Conference ◽  
Cancer Risks ◽  
Hereditary Cancers ◽  
Direct To Consumer ◽  
Consumer Testing ◽  
Risk Assessment And Management

With the introduction of panel and direct-to-consumer testing, genetic testing has become commonplace in recent years, paving the way for both increased awareness around prevalent genetic cancer risks, and also an onslaught of misinformation. At the NCCN 2020 Virtual Annual Conference, Dr. Tuya Pal led a panel of experts in discussing the utility and difficulties associated with multigene testing, the emerging role of moderate-penetrance genes in defining risks for hereditary cancer, and the controversies associated with direct-to-consumer genetic testing services.

Learning to Expect Surprise: Hurricanes Harvey, Irma, Maria, and Beyond

2017 ◽  
Vol 04 (03) ◽  
pp. 1771001 ◽  
Author(s):  
L Dilling ◽  
R Morss ◽  
O Wilhelmi
Keyword(s):  
Risk Assessment ◽  
Extreme Events ◽  
Research Community ◽  
Dynamic Nature ◽  
Climate Variability And Change ◽  
Multiple Factors ◽  
Weather And Climate ◽  
Risk Assessment And Management ◽  
Climate Disasters

Extreme events often bring unexpected situations and impacts, as the sequence of hurricanes and other natural disasters in summer and fall 2017 demonstrated. To reduce the risks associated with such events, many have focused on reducing uncertainty in prediction or reducing vulnerability. Although both are worthy goals, we suggest that the research community should also be focusing on the nature of surprise itself, to investigate the role of surprise in extreme events and its implications. Surprise arises when reality differs from people’s expectations. Multiple factors contribute to creating surprise, including the dynamic nature of natural and human systems, the limitations of scientific knowledge and prediction, and the ways that people interpret and manage risks, not to mention climate variability and change. We argue that surprise is an unavoidable component of weather and climate disasters — one that we must acknowledge, learn to anticipate, and incorporate into risk assessment and management efforts. In sum, although it may seem paradoxical, we should be learning how to expect surprise.

Self-harm and suicide attempts among migrants in jail: the role of trauma and substance abuse

2020 ◽  
Vol 133 ◽  
pp. 110011
Author(s):  
S. Ferrari ◽  
C. Artoni ◽  
M. Marchi ◽  
F. Longo ◽  
F. Magarini ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Suicide Attempts ◽  
Self Harm
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