scholarly journals Investigating the relationship between childhood sexual abuse, self-harm repetition and suicidal intent: mixed-methods study

BJPsych Open ◽  
2021 ◽  
Vol 7 (4) ◽  
Author(s):  
Maria Isabela Troya ◽  
Grace Cully ◽  
Dorothy Leahy ◽  
Eugene Cassidy ◽  
Anvar Sadath ◽  
...  
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Sexual Abuse ◽  
Mixed Methods ◽  
Childhood Sexual Abuse ◽  
Mixed Methods Study ◽  
Health Conditions ◽  
Suicidal Intent ◽  
Mental Health Conditions ◽  
Self Harm

Background Research into the association between childhood sexual abuse (CSA) and self-harm repetition is limited. Aims We aimed to examine the association between self-harm repetition, mental health conditions, suicidal intent and CSA experiences among people who frequently self-harm. Method A mixed-methods study was conducted including consecutive patients aged ≥18 years, with five or more self-harm presentations, in three Irish hospitals. Information was extracted from psychiatric records and patients were invited to participate in a semi-structured interview. Data was collected and analysed with a mixed-methods, convergent parallel design. In tandem, the association between CSA and self-harm repetition, suicidal intent and mental health conditions was examined with logistic regression models and independent sample t-test, with psychiatric records data. Thematic analysis was conducted with interview data, to explore CSA experiences and self-harm repetition. Results Between March 2016 and July 2019, information was obtained on 188 consecutive participants, with 36 participants completing an interview. CSA was recorded in 42% of the total sample and 72.2% of those interviewed. CSA was positively associated with self-harm repetition (odds ratio 6.26, 95% CI 3.94−9.94, P = 0.00). Three themes emerged when exploring participants’ CSA experiences: CSA as a precipitating factor for self-harm, secrecy of CSA accentuating shame, and loss experiences linked to CSA and self-harm. Conclusions CSA was frequently reported among people who frequently self-harm, and associated with self-harm repetition. Identification of patients at risk of repetition is key for suicide prevention. This is an at-risk group with particular characteristics that must be considered; comprehensive patient histories can help inform and tailor treatment pathways.

Suicidal ideation in Iraq and Afghanistan veterans with mental health conditions at risk for homelessness.

2021 ◽  
Author(s):  
Amber V. Keller ◽  
Jillian M. R. Clark ◽  
Chantal M. Muller-Cohn ◽  
Amy J. Jak ◽  
Colin A. Depp ◽  
...  
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Suicidal Ideation ◽  
Health Conditions ◽  
Mental Health Conditions

Engaging women at risk for poor perinatal mental health outcomes: A mixed-methods study

2014 ◽  
Vol 24 (3) ◽  
pp. 241-252 ◽  
Author(s):  
Karen A. Myors ◽  
Maree Johnson ◽  
Michelle Cleary ◽  
Virginia Schmied
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Mixed Methods ◽  
Health Outcomes ◽  
Mixed Methods Study ◽  
Mental Health Outcomes ◽  
Perinatal Mental Health

scholarly journals Understanding the Impact of Childhood Sexual Abuse on Men’s Risk Behavior: Protocol for a Mixed-Methods Study

2018 ◽  
Vol 7 (2) ◽  
pp. e62 ◽  
Author(s):  
Martin J Downing Jr ◽  
Dominique Brown ◽  
Jeffrey Steen ◽  
Ellen Benoit
Keyword(s):  
Sexual Abuse ◽  
Mixed Methods ◽  
Childhood Sexual Abuse ◽  
Risk Behavior ◽  
Mixed Methods Study ◽  
The Impact

How Stereotypes Deceive Us

2021 ◽  
Author(s):  
Katherine Puddifoot
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Conceptual Framework ◽  
Social Attitudes ◽  
Health Conditions ◽  
Specific Context ◽  
Mental Health Conditions ◽  
Negative Effect ◽  
The Individual ◽  
Correct Judgement

Stereotypes sometimes lead us to make poor judgements of other people, but they also have the potential to facilitate quick, efficient, and accurate judgements. How can we discern whether any individual act of stereotyping will have the positive or negative effect? How Stereotypes Deceive Us addresses this question. It identifies various factors that determine whether or not the application of a stereotype to an individual in a specific context will facilitate or impede correct judgements and perceptions of the individual. It challenges the thought that stereotyping only and always impedes correct judgement when the stereotypes that are applied are inaccurate, failing to reflect social realities. It argues instead that stereotypes that reflect social realities can lead to misperceptions and misjudgements, and that inaccurate but egalitarian social attitudes can facilitate correct judgements and accurate perceptions. The arguments presented in this book have important implications for those who might engage in stereotyping and for those at risk of being stereotyped. They have implications for those who work in healthcare and those who have mental health conditions. How Stereotypes Deceive Us provides a new conceptual framework—evaluative dispositionalism—that captures the epistemic faults of stereotypes and stereotyping, providing conceptual resources that can be used to improve our own thinking by avoiding the pitfalls of stereotyping, and to challenge other people’s stereotyping where it is likely to lead to misperception and misjudgement.

scholarly journals Coping with mental health conditions at work and its impact on self-perceived job performance

2020 ◽  
Vol 42 (3) ◽  
pp. 626-645
Author(s):  
Sophie Hennekam ◽  
Sarah Richard ◽  
François Grima
Keyword(s):  
Mental Health ◽  
Job Performance ◽  
Coping Strategies ◽  
Health Conditions ◽  
Content Type ◽  
Mental Health Conditions ◽  
Work Strategies ◽  
Self Harm ◽  
The Impact ◽  
Number Of Individuals

PurposeThis exploratory qualitative study examines both the impact of mental health conditions on self-perceived job performance and how individuals with mental health conditions cope with their conditions at work.Design/methodology/approachA total of 257 responses to a qualitative questionnaire and 17 in-depth interviews with individuals with mental health conditions are analyzed.FindingsThe findings show that mental health conditions can negatively impact self-perceived job performance in the form of lower quality of one's work, slower pace, and more mistakes. In addition, the findings reveal coping strategies that positively and negatively affect one’s performance at work. Strategies that negatively influence one’s performance include substance abuse and self-harm, suppressing and hiding one's symptoms, and forcing oneself to continue to work when feeling unwell. Coping strategies that tend to positively affect their performance include accepting one's condition and taking time off, medication and counseling, mindfulness activities, transparent communication, humor, and a compensation strategy.Originality/valueA growing number of individuals struggle with mental health conditions at work, impacting both organizations and employees. However, little is known about the influence of mental health conditions on one's performance at work, how individuals cope with their mental health conditions at work, and what effect those coping strategies have on organization-relevant outcomes.

scholarly journals Characterizing non-monosexual women at risk for poor mental health outcomes: A mixed methods study

2017 ◽  
Vol 108 (3) ◽  
pp. e296-e305 ◽  
Author(s):  
Lori E. Ross ◽  
Melissa H. Manley ◽  
Abbie E. Goldberg ◽  
Alia Januwalla ◽  
Keisha Williams ◽  
...  
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Mixed Methods ◽  
Health Outcomes ◽  
Poor Mental Health ◽  
Mixed Methods Study ◽  
Mental Health Outcomes

scholarly journals A population-based comparison study of the mental health of patients with intentional and unintentional burns

2018 ◽  
Vol 6 ◽  
Author(s):  
Thirthar P Vetrichevvel ◽  
Sean M Randall ◽  
Fiona M Wood ◽  
Suzanne Rea ◽  
James H Boyd ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Morbidity ◽  
Population Based ◽  
Health Conditions ◽  
Hospital Death ◽  
Burn Patients ◽  
Mental Health Conditions ◽  
Admission Rates ◽  
High Prevalence ◽  
Self Harm

Abstract Background A number of studies report high prevalence of mental health conditions among burn patients. However there is a need to understand differences in the temporal relationship between mental health conditions and intentional and unintentional burns to hasten psychological prevention and intervention. This study aims to compare the socio-demographic profile, burn characteristics and pre- and post-burn psychiatric morbidity of burn patients by intent-of-injury. Methods De-identified linked hospital, death and mental health (MH) case registry data of burn patients hospitalised in Western Australia between 1 January 1980 and 30 June 2012 were analysed. Crude (observed) post-burn rates of mental health admissions were generated by burn intent-of-injury. Descriptive statistics were performed to compare the characteristics of the burn patients. Results A total of 30,997 individuals were hospitalised for a first burn; 360 (1.2%) had self-harm burns and 206 (0.7%) assault burns. Over the study period, admission rates for assault burns increased by 4.8% per year (95% confidence interval (CI) 3.1–6.5%) and self-harm burns increased 6.9% per year (95% CI 4.8–9.1%). Self-harm and assault burns occurred mainly among those aged 15 to 44 years (median age, interquartile range (IQR): self-harm 30 years, 22–40; assault 31 years, 23–38). Those with self-harm burns had a longer index hospital stay (median (IQR): self-harm 15 days (5–35) vs 4 days (1–11) assault vs 4 days (1–10) unintentional) and higher in-hospital mortality (7.2% self-harm vs 1.9% assault burns vs 0.8% unintentional). More than half (55.0%) of self-harm burns had a prior hospitalisation (5-year lookback) for a MH condition vs 10.7% of assault burns and 2.8% of unintentional burns. Crude post-burn rates of MH admissions per 100 person-years (PY) by intent-of-burn subgroups: self-harm 209 per 100 PY, assault burns 11 per 100 PY and unintentional burns 3 per 100 PY. Conclusions Intentional burn patients experienced significantly higher pre- and post-burn mental health morbidity along with significant adverse outcome in comparison with unintentional burns. Early psychological assessment and intervention could help in improving the MH of these patients.

scholarly journals Process and outcomes evaluation of a pre-academic arts program for individuals with mental health conditions: a mixed methods study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e025604
Author(s):  
Maayan Salomon-Gimmon ◽  
Hod Orkibi ◽  
Cochavit Elefant
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
Mixed Methods ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Community Integration ◽  
Management Team ◽  
Health Conditions ◽  
Job Market ◽  
Mental Health Conditions

IntroductionTheGarageis a multidisciplinary pre-academic arts school for people with artistic abilities who are coping with mental health conditions (MHC). The programme, supported by the National Insurance Institute and the Ministry of Health in Israel, is an innovative rehabilitation service designed to impart and enhance artistic-professional skills and socioemotional abilities to ultimately facilitate participants’ integration into higher education and the job market.Methods and analysisThis mixed methods longitudinal study will include an embedded design in which the qualitative data are primary and the quantitative data are secondary, thus providing complementary information. The study will examine the contribution of the Garage to changes in participants’ personal recovery, well-being, creative self-concept and community integration as well as possible mechanisms that may account for these changes. Qualitative data will be collected using focus groups with graduates and students (a total of ~60 participants). Quantitative data will be ‎collected by self-report questionnaires only from students attending the programme (before, during and at the end of the academic year). Data on the graduates’ integration into higher education and the job market after completing the programme will also be collected from the management team. The qualitative data will be analysed following the grounded theory approach and the quantitative data will be analysed with correlations, paired tests to examine pre–post changes and regression analyses. A merged data analysis will be conducted for data integration.Ethics and disseminationThe University’s Human Research Ethics Committee approved the design and procedures of the study (approval #357–16). All participants will sign an informed consent form where it is clarified that participation in the study is on a voluntary basis, and anonymity and confidentiality are guaranteed. The results will be submitted for peer-reviewed journal publications, presented at conferences and disseminated to the funder and the programme’s management team.

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