scholarly journals Value of measuring suicidal intent in the assessment of people attending hospital following self-poisoning or self-injury

2005 ◽  
Vol 186 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Louise Harriss ◽  
Keith Hawton ◽  
Daniel Zahl
Keyword(s):  
Demographic Data ◽  
Patient Characteristics ◽  
Self Report ◽  
First Year ◽  
Suicidal Intent ◽  
Female Patients ◽  
Suicide Intent ◽  
Self Harm ◽  
Measuring Scale

BackgroundSelf-harm is associated with a high risk of suicide. It is unclear whether suicidal intent at the time of self-harm is a risk factor for future suicidal behaviour.AimsTo investigate the relationship between suicidal intent and patient characteristics, repetition of self-harm, and suicide.MethodClinical and demographic data on 4415 patients presenting to hospital following self-harm between 1993 and 2000 were analysed. Suicidal intent was measured using the Beck Suicide Intent Scale (SIS). Follow-up information on repetition of self-harm and suicide was investigated for 2489 patients presenting between 1993 and 1997.ResultsSuicidal intent at the time of self-harm was associated with risk of subsequent suicide, especially within the first year and among female patients. Suicide was more strongly associated with scores on the circumstances section of the SIS than the self-report section. The association between repetition of self-harm and SIS scores was different for male and female patients.ConclusionsThe measurement of suicidal intent in the assessment of self-harm patients is beneficial for the evaluation of future suicide risk. A shortened measuring scale might be useful in clinical practice.

Gender Differences in Suicidal Intent and Choice of Method Among Suicide Attempters

Crisis ◽  
2008 ◽  
Vol 29 (4) ◽  
pp. 209-212 ◽  
Author(s):  
Merete Nordentoft ◽  
Jacob Branner
Keyword(s):  
Gender Differences ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Suicidal Intent ◽  
Suicide Intent ◽  
Suicidal Intention ◽  
National Patient ◽  
Prevention Center ◽  
Suicide Prevention Center

The objective was to examine gender differences in choice of method and suicidal intent among persons referred to a suicide prevention center. A total of 351 consecutive patients who had attempted suicide were interviewed using the European Parasuicide Study Interview Schedule I (EPSIS I) while participating in a 2-week inpatient treatment program. They were invited to a 1-year follow-up interview, and followed in the National Patient Register. Compared to women, men who had attempted suicide were older, had better self-esteem, fewer depressive symptoms, and higher total suicidal intention scores, but they were not more likely to use violent methods. Neither use of violent method nor dangerousness of the attempt was associated with suicidal intention. Although men had higher suicide intent scores than women, there were no significant gender differences in the number of repeat suicide attempts during a 1-year follow-up period. Suicidal intent was not related to dangerousness of suicide method.

Impact of perceived social support and parental bonding in predicting suicidal intent among self-harm patients

2021 ◽  
pp. 1-11
Author(s):  
Naila Yaqoob ◽  
Sadaf Ahsan
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Perceived Social Support ◽  
Demographic Variable ◽  
Parental Bonding ◽  
Cross Sectional ◽  
Suicidal Intent ◽  
Suicide Intent ◽  
Self Harm ◽  
The Impact

Objective: The present study investigated the impact of perceived social-support and parental-bonding in predicting suicidal intent among self-harm patients.Methods: Cross-sectional research design was used in current study. Study was conducted at Foundation University, Rawalpindi from February, 2019 to September, 2019. A purposive sample of 50 self-harm patients was collected from different mental health departments of hospitals of Rawalpindi, Jhelum and Peshawar. Participants were administered Multidimensional Scale of Perceived Social Support (MSPSS), Parental-Bonding Instrument (PBI) and Beck Suicide Intention Scale (BSIS). Data was analyzed through SPSS using correlation, t test and regression. Differences on the basis of demographic variable were also studied.Results: The main results of the study specified that social support and parental bonding’ factor ‘care’ had significant negative correlation with suicide intent. Moreover, it negatively predicted suicide intent. Whereas, parental boding’ factor ‘overprotectiveness’ had significant positive correlation with suicide intent and significantly positively predicted suicide intent. Conclusion: The outcomes of present study emphasized that social-support and parental bonding both can play substantial roles in saving lives. Researchers and mental health experts will be able to start examine about the factors that distinguish deliberate self-harm from attempted suicide as well as the characteristics common to both conducts. Continuous...

Concordance of clinical estimation of suicidal intent

2002 ◽  
Vol 19 (3) ◽  
pp. 84-85 ◽  
Author(s):  
Helen S Keeley ◽  
Carmel McAuliffe ◽  
Paul Corcoran ◽  
Ivan J Perry
Keyword(s):  
Multicentre Study ◽  
Suicidal Intent ◽  
Deliberate Self Harm ◽  
Statistical Comparison ◽  
Accident And Emergency ◽  
Psychometric Instruments ◽  
Suicide Intent ◽  
Self Harm ◽  
Clinical Records ◽  
Level Of Agreement

AbstractObjective: The aim of this paper is to assess the level of agreement between clinical estimates of suicidal intent based entirely on information recorded in the Accident and Emergency acute assessment and Beck's Suicide Intent Scale (SIS) scores.Method: As part of the WHO/EURO Multicentre Study of Parasuicide, cases of deliberate self-harm (DSH) in Cork city hospitals were monitored. Over the period 1995-1997, the information recorded in the Accident and Emergency acute assessment was examined by a psychiatrist and, if possible on the available evidence, clinical estimates were made at three levels of suicidal intent: minimal, moderate and definite. Seventy-nine of these cases had fully completed Beck's SIS. Statistical comparison was made between the results of the SIS and the clinical estimate of suicide intent.Results: The agreement (Kappa = 0.146, p = 0.046) and concordance (Lin's concordance coefficient = 0.330, p = 0.001) between the two ratings are statistically significant but both are low. The overlap between those identified as high or low intent is low.Conclusions: These findings indicate low agreement between a clinician's rating of suicide intent based on clinical records and Beck's SIS. This is especially relevant given the increasing reliance on psychometric instruments in assessment in psychiatry. However, further investigation is necessary to clarify which is the more valid method.

scholarly journals An Exploration of Differences Between Deliberate Self-Harm with and without Suicidal Intent Amongst a Clinical Sample of Young People in Singapore: A Cross-Sectional Study

2020 ◽  
Vol 17 (4) ◽  
pp. 1429
Author(s):  
Ellaisha Samari ◽  
Shazana Shahwan ◽  
Edimansyah Abdin ◽  
YunJue Zhang ◽  
Rajeswari Sambasivam ◽  
...  
Keyword(s):  
Mental Illness ◽  
Young People ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Clinical Sample ◽  
Self Report ◽  
Suicidal Intent ◽  
Deliberate Self Harm ◽  
People With Mental Illness ◽  
Self Harm

This study examined differences between young people with mental illness who engage in deliberate self-harm with and without suicidal intent, as well as socio-demographic and clinical factors that are related to the increased likelihood of suicide attempt amongst self-harming young people. A total of 235 outpatients with mental illness who had engaged in deliberate self-harm were recruited from a tertiary psychiatric hospital in Singapore. Participants completed a self-report questionnaire which collected information on their socio-demographic background, self-harm history, diagnosis, depressive symptoms and childhood trauma. A total of 31.1% had reported a history of attempted suicide. Multiple logistic regression conducted found that engaging in self-harm ideation between 1 and 7 days (OR = 4.3, p = 0.30), and more than 1 week (OR = 10.5, p < 0.001) (versus no engagement in any self-harm ideation at all), were significantly associated with greater likelihood of attempted suicide. This study reports a relatively high prevalence rate of reported suicide attempts amongst young people with mental illness who engaged in self-harm. Identifying self-harm behaviors and treating it early could be the first step in managing potential suicidal behaviors among those who engage in self-harm.

scholarly journals Mortality in a cohort of 3.1 million children, adolescents and young adults

2020 ◽  
Vol 74 (3) ◽  
pp. 260-268 ◽  
Author(s):  
Joel G Ray ◽  
Astrid Guttmann ◽  
Jose Silveira ◽  
Alison L Park
Keyword(s):  
Young Adults ◽  
Cohort Study ◽  
Urban Areas ◽  
Demographic Variables ◽  
Adolescents And Young Adults ◽  
First Year ◽  
Preventive Strategies ◽  
Self Harm ◽  
First Year Of Life

BackgroundMany youth deaths occur in the first year of life, from prematurity and anomalies. Detailing mortality after age 1 year may differentially guide preventive strategies in children, adolescents and young adults.MethodsA cohort study in Ontario, Canada comprised 3 139 698 children born from 1990 to 2016. Adjusted HR (aHR) for death between 1 and 24 years were generated, comparing demographic variables and parity.ResultsAfter a median of 13.7 years of follow-up, 6930 deaths occurred between ages 1 and 24 years (incidence rate 17.0 per 100 000 person-years), peaking at age 23 years (43.7 per 100 000). The aHR for death was higher among males than females (1.44, 95% CI 1.37 to 1.51), rural versus urban areas (1.48, 95% CI 1.39 to 1.58), lowest versus highest income areas (1.39, 95% CI 1.29 to 1.51) and at parity 1 (1.16, 95% CI 1.10 to 1.23), parity 2 (1.34, 95% CI 1.23 to 1.45), parity 3+ (1.96, 95% CI 1.74 to 2.21), each relative to a child without an older sibling. Among males, the proportion of deaths due to injury jumped from 30% before age 15 years to 65% thereafter, and in females, from 28% to 51%. Intentional self-harm/assault explained 11% of injury-related deaths among males before age 15 years, and 20% thereafter, with respective figures of 18% and 17% for females. Deaths outside of hospital increased with age, from 35% at age 1 year, to 66% at age 22 years.ConclusionThere is a heightened susceptibility of dying starting at age 15 years, especially among males, from injury, and arising outside of hospital.

Abstract 047: Variation by Provider in Echocardiographic Surveillance of Mitral Regurgitation

2017 ◽  
Vol 10 (suppl_3) ◽  
Author(s):  
Varsha Tanguturi ◽  
Michael Hidrue ◽  
Michael Picard ◽  
Steven Atlas ◽  
Jeffrey Weilburg ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Ventricular Remodeling ◽  
Demographic Data ◽  
Random Effect ◽  
Patient Characteristics ◽  
Left Ventricular ◽  
Outcome Variable ◽  
Time Interval ◽  
Provider Practice

Clinical outcomes after surgical treatment of mitral regurgitation (MR) are worse if intervention occurs after deterioration of left ventricular (LV) size and function. Echocardiographic surveillance of patients with MR is therefore indicated to avoid ventricular remodeling that could worsen patient outcomes. However, overly frequent trans-thoracic echocardiograms (TTEs) can impair access for other patients and reduce value in the delivery of care. Given the balance between timeliness of surveillance and possible over-utilization of TTE in valvular disease, we sought to investigate patient and provider factors contributing to variation in TTE utilization. We hypothesized that there was variation attributable to provider practice even after adjustment for patient characteristics. We obtained records of all TTEs from 2001-2016 ordered at a large echocardiography laboratory. For each TTE, we linked to patient demographic data from hospital administrative records. To control for both clinical and demographic predictors of frequency of echocardiography, we constructed a hierarchical mixed-effects linear regression model with the individual physician as the random effect in the model. The outcome variable was time interval between TTEs. Intra-class correlation coefficient (ICC) was used to assess the proportion of total variation in the outcome variable due to provider practice, and shrinkage estimates were used to measure the contribution of individual providers. After application of exclusion criteria, 79,194 TTEs corresponding to 55,663 TTE intervals remained. The mean interval between TTEs was 11.9 months for severe MR, 15.4 months for moderate MR, and 17.6 and 17.7 months for mild and trace MR respectively. After multivariate adjustment, male gender (Rate Ratio (RR) 0.96; 95% CI 0.94-0.98) was associated with shorter follow up, and Hispanic race (RR 1.11; 95% CI 1.01-1.21) was associated with longer follow-up intervals. Eight hundred and sixty-seven physicians were included in the analysis. After adjustment for patient factors, 31% of the variation in intervals was associated with provider practice and 19% of providers (161 of 867) were over-utilizers of TTEs and 24% (210 of 867) were under-utilizers. We conclude that substantial variation exists in follow up intervals for TTE assessment of MR even after risk-adjustment for clinical and demographic variables, likely due to provider factors including specialty and experience. The association of TTE interval with race and gender warrants further investigation. Improving standardization of follow-up intervals may offer opportunity to reduce both overutilization and underutilization of echocardiography.

scholarly journals Clinical profiles of serious suicide attempters consecutively admitted to a university-based hospital: a cluster analysis study

2005 ◽  
Vol 27 (4) ◽  
pp. 285-289 ◽  
Author(s):  
Claudemir Benedito Rapeli ◽  
Neury José Botega
Keyword(s):  
Cluster Analysis ◽  
General Hospital ◽  
Suicide Attempts ◽  
Patient Characteristics ◽  
Grouped Data ◽  
Suicide Attempters ◽  
Suicidal Intent ◽  
Psychometric Scales ◽  
Clinical Profiles

OBJECTIVE: To verify the presence of different groups of medically serious suicide attempters who had more clinical or surgical seriousness and required admission to a general hospital. METHODS: 121 patients admitted consecutively were assessed. A questionnaire containing items on the patient characteristics and psychometric scales to assess the suicidal intent and lethality were used. A cluster analysis was performed using the K-means method. RESULTS: Three groups were identified: 1) 43 subjects (mostly female) characterized by self-poisoning with medication and low suicidal intent, with highly impulsive suicide attempts; 2) 53 subjects (mostly males) who ingested pesticides and presented both moderate degrees of lethality and suicidal intent; 3) 17 subjects (predominantly males) who used more violent methods and presented high levels of lethality and suicidal intent. CONCLUSIONS: Grouped data of these inpatients could be misleading for follow-up research purposes as our findings indicate that there are relatively distinct clinical profiles among suicide attempters admitted to a general hospital.

scholarly journals Factors that predict weight gain among first-year college students

2019 ◽  
Vol 79 (1) ◽  
pp. 94-103 ◽  
Author(s):  
Zi Yan ◽  
Alexandra Harrington
Keyword(s):  
College Students ◽  
Weight Gain ◽  
Body Weight Gain ◽  
Self Report ◽  
Baseline Survey ◽  
First Year ◽  
Environmental Barriers ◽  
First Year College ◽  
First Year College Students

Aim and objectives: In the USA, undergraduate students gain more weight in the first year in college than at any other point in their lives. However, the factors that predict their weight gain are unknown. The purpose of this study was to explore the predictors of weight gain among first-year college students at a US college over a 3-month period. Design: Correlational longitudinal study using baseline and follow-up self-report survey data. Setting: A private college in the Northeastern USA. Methods: A total of 110 first-year college students were invited to complete both baseline and follow-up surveys 3 months apart. The baseline survey examined participants’ knowledge, self-efficacy, attitudes, intentions and practices regarding physical activity, diet and stress management. The follow-up survey evaluated barriers to diet and exercise practices. Results: Knowledge, attitudes, intentions and behavioural practices did not predict weight change. However, students who gained weight perceived significantly more personal and environmental barriers than those who did not change weight on the following variables: lack of motivation to exercise, no time to eat healthily, perception of lack of healthy food options and impact of bad weather on exercise. Conclusion: Even living in the same college environment, students perceive environmental barriers differently, which was associated with body weight gain. Health education and promotion professionals should guide students to overcome barriers to healthy eating and exercise, as well as making the campus environment more conducive to healthy behaviour.

scholarly journals Suicide and non-suicide mortality after self-harm in Taipei City, Taiwan

2012 ◽  
Vol 200 (5) ◽  
pp. 405-411 ◽  
Author(s):  
Chian-Jue Kuo ◽  
David Gunnell ◽  
Chiao-Chicy Chen ◽  
Paul S. F. Yip ◽  
Ying-Yeh Chen
Keyword(s):  
Suicide Mortality ◽  
First Year ◽  
Western Countries ◽  
Taipei City ◽  
Physical Disorders ◽  
Prevention Programmes ◽  
Self Harm ◽  
Standardised Mortality Ratios

BackgroundMost previous studies of long-term mortality risk following self-harm have been conducted in Western countries with few studies from Asia.AimsTo investigate suicide and non-suicide mortality after non-fatal self-harm in Taipei City, Taiwan.MethodProspective cohort study (median follow-up 3.3 years) of 7601 individuals presenting to hospital with self-harm (January 2004 to December 2006). Standardised mortality ratios (SMRs) for suicide and non-suicide mortality were calculated.ResultsSuicide risk in the year following self-harm was over 100 times higher than in the general population (SMR = 119.6, 95% CI 99.6–142.5). Males and middle-aged and older adults had the highest subsequent risk of suicide. Compared with people who took an overdose, individuals who used hanging or charcoal burning in their index episode had the highest risk of suicide. For non-suicide mortality the SMRs were 6.7 (95% CI 5.7–7.8) in the first year and 4.4 (95% CI 3.9–4.9) during the whole follow-up period.ConclusionsPatterns of increased all-cause and suicide mortality following an episode of self-harm are similar in Taipei City to those seen in Western countries. Designing better aftercare following non-fatal self-harm, particularly for those with underlying physical disorders or who have used lethal self-harm methods, should be a priority for suicide prevention programmes in Asia.

Long Term Evaluation of Paraumbilical Hernioplasty by Onlay Technique

2021 ◽  
Vol 15 (12) ◽  
pp. 3289-3291
Author(s):  
Aqeel Ahmad ◽  
Syed Tahir Muhammad Shah ◽  
Muhammad Rizwan Qadir ◽  
Muhammad Usman Aslam ◽  
Imran Yousaf ◽  
...  
Keyword(s):  
Demographic Data ◽  
Long Term Results ◽  
Paraumbilical Hernia ◽  
Female Patients ◽  
Onlay Technique ◽  
Onlay Mesh ◽  
One Year ◽  
Mesh Hernioplasty

Objective: To evaluate long term results of paraumbilical hernioplasty by onlay technique. Material & Methods: This prospective study was started in Jan 2017 and completed in Oct 2021. A total number of 196 patients having paraumbilical hernia were included in the study by convenient sampling. Patients with recurrent, strangulated and obstructed hernia as well as patients with ulcerated skin over the hernia were excluded from the study. All the patients were operated under general anesthesia with muscle relaxants. A non-absorbable standard prolene mesh (15x15 cm or 30x30 cm) was used and fixed with prolene 3-0 suture. Redivac drain was used over the mesh for minimum of three days. After discharge, all the operated cases were advised to visit the outpatient department after one week, one month, three months, six months, one year and two years. Maximum follow-up was two years and minimum was one year to assess the long term complication including recurrence. Demographic data along with diagnosis, complication, were collected and analyzed with Excel 2019. Results: Total 196 patients were operated for paraumbilical hernia. From which 53 were male and 143 were female. Minimum age was 18 years old and oldest patient was 78 years old. Average age was 40.19± 10 years, median age was 38 years. Seroma was seen in 04 patients. Superficial wound infection was observed in 02 patient no deep-seated infection was reported in our study. During three months of follow-up, numbness was noted in 03 patients and 02 patients had pain at the operation site during manual work. After two years recurrence was observed in two female patients, who failed to control their weight. Conclusion: Paraumbilical hernia is very common presentation in female patients. In order to prevent complication of hernia like, incarceration, strangulation and obstruction, early repair of the hernia is recommended in all the cases. Onlay mesh hernioplasty is one of the safest techniques which is relatively easy procedure, has a short learning curve with promising results. It has a low recurrence rate. Keywords: Onlay Mesh hernioplasty, Paraumbilical Hernia, PUH.

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