scholarly journals The meanings of self-harm behavior: internet study results

2020 ◽  
Vol LII (1) ◽  
pp. 19-21
Author(s):  
Tat’yana I. Medvedeva ◽  
Ol’ga M. Boyko ◽  
Oksana Yu. Vorontsova ◽  
Ol’ga Yu. Kazmina ◽  
Sergej N. Enikolopov

Self-harming is one of the most acute problems that mental health professionals face in their work. This explains the relevance of developing the most effective ways to work with it. The aim of the work is a study of subjective meaning of self-harm behavior in the sample of internet users. The methods. The materials for the study were the responses of 156 people above 18 years of age received during an online survey. The methods were the questions about subjective meaning of self-harm behavior. The data were processed by the method of calculation of a percentage each of meaning of self-harm behavior in the total sample. The results show heterogeneity of meaning of self-harm behavior. 8.5% of the responses (meaning an alternative to suicide) demonstrate the actual suicidal risk. 25.4% of the responses (meaning confirmation of reality of myself, stop panic attack, episode of anxiety, hysteric, obsession thoughts, filling inner emptiness) show to psychopathological symptoms among respondents. 61.5% of the responses (meanings relief of emotional pain, rest, sedation, stress reduction, cope with aggression, mental strain) demonstrate low tolerance for emotional tension and negative feelings. 5.3% of the responses (meanings revenge, raise awareness to themselves) could be explained by poverty of the communicative skills. Etiology of some meanings is a need to be examined in each specific case The findings indicate an importance of studying the subjective meaning of self-harm behavior. Its allow us to highlight several areas of work. (1) Psychiatric treatment of psychopathological symptoms. (2) Prevention of suicidal risk. (3) Training in emotional self-regulation skills. (4) Depending on the meaning of self-harm behavior, optimal psychotherapeutic approaches will vary.

2020 ◽  
Vol 9 (11) ◽  
pp. 3787
Author(s):  
Jessica Burrai ◽  
Paolo Roma ◽  
Benedetta Barchielli ◽  
Silvia Biondi ◽  
Pierluigi Cordellieri ◽  
...  

Most studies on well-being during the COVID-19 pandemic have focused on the mental health of the general population; far less attention has been given to more specific populations, such as patients with mental illness. Indeed, it is important to examine the psychiatric population, given its vulnerability. The present study aimed at assessing the psychological and emotional impact of isolation on patients in Residential Rehabilitation Communities, compared to healthy controls. A questionnaire was administered cross-sectionally on an online survey platform and both psychiatric patients and healthy controls accessed via a designed link. The results showed significant differences between psychiatric patients and controls on Anxiety, Stress, Worry, and Risk Perception variables. Psychiatric patients scored lower on Stress compared to healthy controls and higher on Anxiety, Perceived Risk of getting infected with COVID-19 and Worry about the emergency situation. The results showed that, during the Italian lockdown, psychiatric patients living in residential communities received unbroken support from peers and mental health professionals, maintained their usual medication treatment, and were informed of COVID-19 consequences. This finding provides insight into the differences between residential and healthy populations and highlights the importance of continuous support for psychiatric patients, especially during stressful situations such as a pandemic.


Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Brooke A. Ammerman ◽  
Sarah P. Carter ◽  
Heather M. Gebhardt ◽  
Jonathan Buchholz ◽  
Mark A. Reger

Abstract. Background: Patient disclosure of prior suicidal behaviors is critical for effectively managing suicide risk; however, many attempts go undisclosed. Aims: The current study explored how responses following a suicide attempt disclosure may relate to help-seeking outcomes. Method: Participants included 37 veterans with a previous suicide attempt receiving inpatient psychiatric treatment. Veterans reported on their most and least helpful experiences disclosing their suicide attempt to others. Results: Veterans disclosed their suicide attempt to approximately eight individuals. Mental health professionals were the most cited recipient of their most helpful disclosure; romantic partners were the most common recipient of their least helpful disclosures. Positive reactions within the context of the least helpful disclosure experience were positively associated with a sense of connection with the disclosure recipient. Positive reactions within the most helpful disclosure experience were positively associated with the likelihood of future disclosure. No reactions were associated with having sought professional care or likelihood of seeking professional care. Limitations: The results are considered preliminary due to the small sample size. Conclusion: Findings suggest that while positive reactions may influence suicide attempt disclosure experiences broadly, additional research is needed to clarify factors that drive the decision to disclose a suicide attempt to a professional.


Author(s):  
Fabiana Silva Ribeiro ◽  
Flávia H. Santos ◽  
Luis Anunciação ◽  
Lucas Barrozo ◽  
Jesus Landeira-Fernandez ◽  
...  

The COVID-19 pandemic is a public health emergency of international concern, and the main measures to contain the spread of the coronavirus causing COVID-19 were social distancing, quarantine, and self-isolation. Although these policies are effective in containing the spread of the virus, they might represent a challenge to psychological well-being, increasing levels of depressive and anxiety-related symptoms. Aims: We explored the frequency of anxiety and depression symptoms during COVID-19 restrictions and associations with sociodemographic factors in a Brazilian sample. Method: Data of a total of 936 Brazilian adults (68.2% women) aged 18 to 77 years old (M = 38.95, SD = 13.91) were collected through an online survey. Results: In general, we observed a frequency of 17.36% for severe anxiety and 66.13% for severe depression symptoms, in which younger participants (18–39 years old) and women showed higher scores in anxiety and depression scales compared to older age groups. Logistic regressions showed that women were more likely to present severe symptoms of anxiety (20.4%) compared to men (10.9%), as well as respondents in the educational sector (24.3%) compared to those in the health sector (10%). Conclusions: We highlight the importance of mental health professionals in developing strategies to help younger adults to mitigate the effects of social restriction.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Philippe Golay ◽  
Louise Ostertag ◽  
Alessandra Costanza ◽  
Bénédicte Van der Vaeren ◽  
Yves Dorogi ◽  
...  

Abstract Background Self-harm (SH) is among the strongest predictors of further episodes of SH, suicide attempt, and death by suicide. People who repeteadly harm themselves are at even higher risk for suicide. Factors influencing the repetition are important to identify when assessing suicidal risk and thereafter to offer specific interventions. Therefore, this study aimed to compare first versus multiple episodes characteristics in a large sample of patients in french-speaking Switzerland. Method We used the database from the French-speaking Swiss program for monitoring SH. Data of the psychiatric assessment of all adults admitted for SH were collected in the emergency department of four Swiss city hospitals between December 2016 and October 2019. Results 1730 episodes of SH were included. Several variables were significantly associated with multiple episodes, including diagnosis (over representation of personality disorders and under representation of anxiety disorders), professional activity (Invalidity insurance more frequent) and prior psychiatry care. Conclusions Patients suffering from a personality disorder and those with invalidity insurance are at risk for multiple episodes of SH and should be targeted with specific interventions.


Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Sonika Sethi ◽  
Aditi Kumar ◽  
Anandadeep Mandal ◽  
Mohammed Shaikh ◽  
Claire A. Hall ◽  
...  

Abstract Background Developing a safe and effective vaccine will be the principal way of controlling the COVID-19 pandemic. However, current COVID-19 vaccination trials are not adequately representing a diverse participant population in terms of age, ethnicity and comorbidities. Achieving the representative recruitment targets that are adequately powered to the study remains one of the greatest challenges in clinical trial management. To ensure accuracy and generalisability of the safety and efficacy conclusions generated by clinical trials, it is crucial to recruit patient cohorts as representative as possible of the future target population. Missing these targets can lead to reduced validity of the study results and can often slow down drug development leading to costly delays. Objective This study explores the key factors related to perceptions and participation in vaccination trials. Methods This study involved an anonymous cross-sectional online survey circulated across the UK. Statistical analysis was done in six phases. Multi-nominal logistic models examined demographic and geographic factors that may impact vaccine uptake. Results The survey had 4884 participants of which 9.44% were Black Asian Minority Ethnic (BAME). Overall, 2020 (41.4%) respondents were interested in participating in vaccine trials; 27.6% of the respondents were not interested and 31.1% were unsure. The most interested groups were male (OR = 1.29), graduates (OR = 1.28), the 40–49 and 50–59 age groups (OR = 1.88 and OR = 1.46 respectively) and those with no health issues (OR = 1.06). The least interested groups were BAME (OR = 0.43), those from villages and small towns (OR = 0.66 and 0.54 respectively) and those aged 70 and above (OR = 1.11). Conclusions In order to have a vaccination that is generalisable to the entire population, greater work needs to be done in engaging a diverse cohort of participants. Public health campaigns need to be targeted in improving trial recruitment rates for the elderly, BAME community and the less educated rural population.


2021 ◽  
pp. 1-12
Author(s):  
Fitri Trapsilawati ◽  
Nadhiya Ulhaq Priatna ◽  
Titis Wijayanto ◽  
Ari Widyanti ◽  
Utami Dyah Syafitri ◽  
...  

Abstract Investigating the underlying predictors of speeding behaviour deserves the full attention of research. This study aims to examine the effects of demographic variables on the perceived deterrent mechanisms and to predict speeding behaviour to target appropriate prevention programmes. In this study, 212 randomly selected drivers having a valid car driving licence participated in an online survey. The results revealed that demographic variables influenced drivers’ perceptions towards social and legal sanctions as well as material loss. The model revealed that two sanction-related constructs, that is, legal sanction (b = −0⋅227, P = 0⋅007) and material loss (b = −0⋅218, P = 0⋅005), as well as lax perception towards traffic accident (b = −0⋅176, P = 0⋅025), were the significant predictors of speeding behaviour. These findings suggested that prevention programmes should prioritise young and single drivers. The most effective targeted prevention programmes are highlighted accordingly based on the study results.


Author(s):  
Yi-Ping Hsieh ◽  
Cheng-Fang Yen ◽  
Chia-Fen Wu ◽  
Peng-Wei Wang

During the COVID-19 pandemic, the number of hospital visits and attendance at scheduled appointments have dropped significantly. We used the health belief model (in three dimensions) to examine the determinants of non-attendance of scheduled appointments in outpatient clinics due to the COVID-19 pandemic. Participants in Taiwan (n = 1954) completed an online survey from 10 April 10 to 23 April 2020, which assessed how people perceived and responded to the outbreak of a fast-spreading infectious disease. We performed both univariate and multivariate logistic regression to examine the roles of cognitive, affective, and behavioral health belief constructs in nonattendance at scheduled appointments. The results indicated that individuals who perceived high confidence in coping with COVID-19 were less likely to miss or cancel their doctor’s appointments, whereas individuals who reported high anxiety and practiced more preventive health behaviors, including avoiding crowded places, washing hands more often, and wearing a mask more often, were more likely to miss or cancel their appointments due to the COVID-19 pandemic. Non-heterosexual participants had a lower rate of nonattendance at scheduled appointments compared with heterosexual ones. The study results increase our understanding of the patients’ cognitive health beliefs, psychological distress, and health behaviors when assessing adherence to medical appointments during a pandemic.


Assessment ◽  
2020 ◽  
pp. 107319112097338
Author(s):  
Naheed Ahmed

Background: Hate crimes against Muslim Americans have increased exponentially in the past 20 years, but there is currently no scale for measuring perceived anti-Muslim discrimination in the United States. To fill this gap, this study used a mixed-method approach to develop scales for measuring perceived anti-Muslim discrimination. Method: Qualitative data informed the development and validation of the 19-item Societal Anti-Muslim Discrimination Index and the 9-item Interpersonal Anti-Muslim Discrimination Index. Quantitative data ( N = 347) were collected from Muslim Americans using an online survey and used to assess the anti-Muslim indexes. Results: Qualitative data contributed to the refinement scale items. Quantitative results indicated one-component models and modest to high reliability of the Interpersonal Anti-Muslim Discrimination Index (.77) and Societal Anti-Muslim Discrimination Index (.88) scales. Discussion: Study results established the validity of these novel scales for measuring the distinct facets of anti-Muslim discrimination not captured by the Everyday Discrimination Index. These scales will facilitate research on anti-Muslim discrimination and the health implications of this form of religious-based discrimination.


2016 ◽  
Vol 42 (2) ◽  
pp. 97-109 ◽  
Author(s):  
Stephanie L. Day ◽  
Carol McDonald Connor

Children with stronger self-regulation skills generally demonstrate greater overall success in school both academically and socially. However, there are few valid and reliable measures of self-regulation in middle elementary school. Such a measure could help identify whether a child is truly having difficulties. Thus, the Remembering Rules and Regulation Picture Task (RRRP) was developed. The aim of this study was to develop scoring systems for the RRRP and then to examine the associations between RRRP and independent measures of self-regulation and academic achievement in mathematics and reading. Children ( N = 282) from 34 third-grade classrooms in Florida participated in this study. Results revealed that the RRRP captured three constructs: working memory, attentional flexibility, and inhibitory control. Hierarchical linear modeling (HLM) demonstrated that the RRRP was significantly and positively associated with other measures of self-regulation. The RRRP was significantly and positively associated with mathematics and reading as well. The RRRP appears to be a promising measure of children’s self-regulation skills.


Author(s):  
A. V. Pesha ◽  
◽  
A. V. Litun ◽  

In the context of the worldwide acute shortage of qualified personnel in healthcare organizations, one of the most relevant tools for attracting talented doctors to work is an employer brand. The authors analyzed the views of potential job seekers of a medical organization about an attractive, “ideal” employer. Basic research methods are a content analysis of scientific works and an online survey. Based on the content analysis of publications of two abstract databases – eLIBRARY and Web of Science, the work presents the dynamics of the authors’ activity over the past five years, the key focus of the work, and the representation of an employer brand in medical organizations. The analysis reveals that among the abundance and against the background of positive trends in the number of works, only four papers on the employer brand deals with the study of the context in health care organizations, which does not allow judging the disclosure of this topic and offers opportunities for further scientific research. The authors identified the main components of the concept of an employer brand followed by the world scientific community – the presence of a positive image; the set of benefits associated with working in a particular company; and a holistic employer image. These elements formed the basis of the survey. One hundred twenty-nine respondents took part in the empirical part of the study. The study results reflect key factors of the attractiveness of a medical organization as an employer – reputation, personnel care, the existence of a strong leader, competitive salary, possibility of development, and human relations. The paper presents the ideal employer characteristics, according to the respondents, stated in the authors’ concept.


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