scholarly journals Clinical and psychological features of addict people with an incomplete suicide attempt

2015 ◽  
Vol 5 (4) ◽  
pp. 49-70 ◽  
Author(s):  
T.V. Zhuravleva ◽  
S.N. Enikolopov ◽  
O.V. Zubareva ◽  
M.I. Chernaia

The article presents results of social, psychological and clinical aspects of suicidal behaviour of alcohol addicts and drug addicts with incomplete suicide attempts, admitted to the Department of crisis states and psychosomatic disorders, Sklifosovsky Research Institute of Ambulance Service from November 2014 to June 2015. The majority of addicts (70%) showed an affective kind of suicidal actions. During an acute post-suicidal period all examined patients revealed value-oriented approach to life. Conflict becomes irrelevant as a result of expressed fear of death and fear of social and transcendental consequences of an suicide act. Alcohol addicts feel guilty towards relatives and others, and need of their support. They have significantly increased fear to loss of social identity. Drug addicts have maintained negative view of near and distant future events, they consider the act of suicide as an effective and radical way of solving life problems. Based on our findings we concluded that the risk of repeat suicide attempts in patients with alcohol dependence can be caused by the weakness of self-management skills and lack of microsocial environmental support, while a similar risk in persons with drug addiction can be due to negative view of their own future and the degree of social maladjustment.

1999 ◽  
Vol 33 (3) ◽  
pp. 361-371 ◽  
Author(s):  
Meredith Nirui ◽  
Lynn Chenoweth

Objective: This paper describes a small qualitative research study conducted in the area of suicide. Family and close friends of 15 young people who lived in Sydney, New South Wales, prior to their suicide, between 1990 and 1995, were interviewed to elicit their perceptions of the healthcare support given to the suicidees prior to their death. Method: Content analysis of in-depth interview transcripts identifying common themes in the description of the participants' experiences and impressions was carried out. A recurring theme was their call for more proactive management and support programs for people at risk of suicide, as well as education and support for close family and friends. Result: Participants claimed that they believed there were inadequate supports in place, that information and education were uncoordinated and sparse, and that healthcare workers were not effective in preventing suicide attempts because they lacked adequate diagnostic and management skills and displayed poor attitudes towards suicidees. Conclusion: Experiences of care received and suggestions for improving them by people closely associated with suicide, provide healthcare staff with important information about the types of information, education and support that those at risk of suicide and their loved ones require at a time of crisis.


2019 ◽  
Vol 72 (2) ◽  
pp. 159-164
Author(s):  
Ulyana В. Mykhaylyshyn

Introduction: The article considers the psychological features of motivational sphere of drug addicts. The article presents the results of the empirical study of the specifics of motivational sphere of drug addicts with the subsequent statistical analysis. The aim of this study is to identify psychological characteristics of motivational sphere of drug addicts. Materials and methods: The research has been conducted at Transcarpathian Oblast Narcological Dispensary (Uzhhorod, Ukraine). The experiment involved 30 drug addicts of different age and sexes. In order to diagnose the motivational sphere of drug addicts, the following methods have been used: Diagnostics of motivation to avoid failure by T. Ehlers; Measuring the motivation to success by T. Ehlers; Diagnostics of risk attitude by G. Schubert. Results: It has been found that the determining factors of motivation for drug abuse are: social and psychological conditions of life, factors of group influence, direct psychophysiological influence of drugs, daring illusory satisfaction. It has been determined that young people with unstable spiritual needs and lack of stable positive interests are the category who is the most inclined to drug abuse. Conclusions: The data of statistical, quantitative and qualitative analysis has been obtained allowing concluding that the development of destructive motivation affects the inclination to using the narcotic substances.


Author(s):  
Kim Werner ◽  
Olga Junek ◽  
Chunlei Wang

The recent Covid-19 pandemic has caused the event industry and providers of tertiary event management courses to reflect on the nature of future events and the form they will take. With hybrid, virtual and innovative events being foreseen for the coming years, skills taught in the relevant programs and courses also need to be reassessed and restructured. Using qualitative, semi-structured interviews, this research explores the viewpoints on requisite future skills from three groups of event stakeholders – professionals, lecturers, and students – across three countries, China, Germany and Australia. The results show agreement on what event management skills will be needed, among which technical and digital expertise, communication, innovation and leadership are seen as the most important.


1994 ◽  
Vol 28 (1) ◽  
pp. 50-57 ◽  
Author(s):  
Peter M. Yellowlees ◽  
Anil V. Kaushik

The objective of this clinical study was to examine the differential effects of adversity on pathology. Data obtained from a previously described consecutive series of 707 patients was re-analysed to this effect. A series of specific life events, as well as behaviours that were likely to be secondary to psychiatric disorder, were examined. High rates of life problems such as incest, sexual assault, domestic violence, suicide attempts, and alcohol, tranquilliser and substance abuse were found in the group of patients in general. There were no major differences in the prevalence of these problems in patients with major functional disorders, anxiety disorders, short-lived minor psychiatric disorders, or in “control” patients with no primary Axis I or Axis II diagnosis. Patients with personality disorders as their major psychiatric diagnosis did, however, experience higher levels of the majority of these problems. The clinical implications of the findings are discussed. It is concluded that patients who develop chronic psychiatric illnesses are probably more psychologically or biologically vulnerable than those patients who develop short-lived disorders and who do not achieve a major psychiatric diagnosis from the practising clinician.


1992 ◽  
Vol 71 (1) ◽  
pp. 80-82 ◽  
Author(s):  
John F. Curry ◽  
Ylana Miller ◽  
Stella Waugh ◽  
William B. Anderson

To study the relation between specific coping-response preferences and three dimensions of psychological disturbance in adolescents, 41 adolescents who had been admitted to an inpatient psychiatry program completed measures of depression, social maladjustment, suicidality, and coping responses to stressful life events. Analysis indicated that lower affective regulation was associated with increased depression, higher emotional discharge was associated with increased social maladjustment, and lower problem solving was associated with suicide attempts.


2013 ◽  
Vol 28 (5) ◽  
pp. 288-292 ◽  
Author(s):  
U. Hegerl ◽  
R. Mergl ◽  
D. Quail ◽  
E. Schneider ◽  
M. Strauß ◽  
...  

AbstractPurpose:The speed of onset of depressive episodes is a clinical aspect of affective disorders that has not been sufficiently investigated. Thus, we aimed to explore whether patients with fast onset of the full-blown depressive symptomatology (≤ 7 days) differ from those with slow onset (> 7 days) with regard to demographic and clinical aspects.Subjects and methods:Data were obtained within an observational study conducted in outpatients with major depression who were treated with duloxetine (30–120 mg/day). Onset of depression (without any preceding critical life event) was fast in 416 (less than one week) and slower in 2220 patients.Results:Compared to patients with slow onset, those with fast onset of depression had more suicide attempts in the previous 12 months (2.7% versus 1.3%, P = 0.046) and less somatic comorbidity (61.7% versus 74.1%, P < 0.0001). In addition, they were slightly younger at onset of depression (mean ± SD 40.2 ± 14.6 versus 42.8 ± 14.2 years, P < 0.001) and used analgesics at baseline significantly less frequently (22.8% versus 33.4%, P < 0.0001).Discussion and conclusion:The speed of onset of depression has to be regarded as a relevant clinical characteristic in patients with unipolar depression.


2007 ◽  
Vol 7 (2) ◽  
pp. 140-143 ◽  
Author(s):  
Saida Fišeković ◽  
Lejla Burnazović

Epileptic psychoses as the most complex psychopathological phenomena represent unexplored states for prognosis. Clinical trials, conveyed in order to found risk factors still are not consistent in their conclusions. By this research results of all biological, clinical, psychological and social, as well as demographic factors will contribute to opportunity to find variables which could finally prevent these conditions. In this study we tried to evaluate clinical variables which could foresee manifestation of interictal and postictal psychosis. This research study is epidemiological, clinical, retrospective and analytical. In total 567 patients were included in this study, which belonged to the diagnostic criteria F 0.6 according to ICD-10 classification, among which 14 patients with the diagnosed epileptic psychosis (06,8) were followed. All patients were hospitalized and evaluated at the Psychiatric Clinic in University of Sarajevo Clinics Centre, during time period between 01.01.2000 - 31.08.2006. Within baseline all relevant clinical and demographic variables were evaluated. Among patients most dominant form of behavior was expansive, with emphasized paranoid ideations and perception of auditory hallucinations. A correlation between intensive psychological trauma as an exacerbation factor and prolonged illness is determined, as well as between expression of psychotic symptoms and forced normalization by antiepileptic medications. Also is proven that among postictal psychosis more dominant are suicide attempts and aggressive behavior.


2011 ◽  
Vol 26 (S1) ◽  
pp. s63-s64
Author(s):  
A. Blumenfeld

A Mega Mass-Casualty Event (MMCE) is a unique and exceptional event, that results in a very large number of casualties (500–5000) needing emergency care in the prehospital and hospital settings. This type of event usually goes beyond the capabilities of a certain region and requires reinforcement of resources from adjacent and remote regions. Due to its exceptional nature, a MMCE dictates a different organization of all emergency services and agencies involved. As a result of the recent experience, and in order to adequately prepare for such future events, a novel MMCE doctrine was developed by a committee of diverse emergency professionals. This doctrine was transferred to guidelines referring to MMCE recognition and the following series of actions that need to taken at all levels. It holds organizational, operational, and clinical aspects, as well as command and control elements. In November 2009, a large-scale drill of 1,000 mock casualties was performed in order to validate and evaluate the MMCE plan. This drill emphasized the need for the involvement of all pertinent emergency services and agencies, and their optimal collaboration and coordination, subjected to regional and national headquarters' command and control. In addition, the need for dedicated educational programs and o-going training was recognized. It was accepted that adequate planning is obligatory for better outcomes in the future.


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