scholarly journals Contemporary principles of suicide prevention

2016 ◽  
Vol 69 (11-12) ◽  
pp. 367-371 ◽  
Author(s):  
Dragana Ljusic ◽  
Dragan Ravanic ◽  
Snezana Filipovic-Danic ◽  
Ivan Soldatovic ◽  
Jovana Cvetkovic ◽  
...  
Keyword(s):  
Risk Factors ◽  
Suicide Prevention ◽  
Suicide Ideation ◽  
Public Health Problem ◽  
Risk Groups ◽  
The World ◽  
Scientific Papers ◽  
Significant Public Health ◽  
Meta Analyses ◽  
Different Characteristics

Introduction. Suicide remains a significant public health problem worldwide. This study is aimed at analyzing and presenting contemporary methods in suicide prevention in the world as well as at identifying specific risk groups and risk factors in order to explain their importance in suicide prevention. Material and Methods. The literature search covered electronic databases PubMed, Web of Science and Scopus. In order to select the relevant articles, the authors searched for the combination of key-words which included the following medical subject heading terms (suicide or suicide ideation or attempted) and (prevention or risk factors) and (man or elders or mental disorders). Data analysis covered meta-analyses, systematic reviews and original scientific papers with different characteristics of suicide preventions, risk factors and risk groups. Results. Worldwide evidence-based interventions for suicide prevention are divided in universal, selective and indicated interventions. Restricted approach to various methods of committing suicide as well as pharmacotherapy contributes to a lower suicide rate. Suicide risk factors can be categorized as proximal and distal. The following groups are at highest risk of committing suicide: males, older persons and persons with registered psychiatric disorders. Conclusion. There is a lot of evidence that suicide is preventable. It is known that only 28 countries in the world have national suicide prevention strategies and Serbia is not one of them.

Risk Evaluation in the Emergency Department: An Algorithm for Suicide Prevention

2017 ◽  
Vol 41 (S1) ◽  
pp. S292-S293 ◽  
Author(s):  
T. Duarte ◽  
C. Ferreira ◽  
N. Santos ◽  
D. Sampaio
Keyword(s):  
Risk Factors ◽  
Emergency Room ◽  
World Health Organization ◽  
Suicide Prevention ◽  
Suicide Ideation ◽  
World Health ◽  
Ambulatory Treatment ◽  
Pubmed Database ◽  
The World ◽  
Health Organization

IntroductionSuicide is one of the biggest challenges that psychiatrists face, especially in the emergency room. According to the World Health Organization, there are approximately 3000 suicides every day: one every 40 seconds. About half of all violent deaths in the world are suicides with economic costs of billions of euros. The risk assessment is still based on a subjective approach, with no screening or evaluation tools that support the decision about in-hospital or ambulatory treatment for these patients.ObjectivesCreation of a decision tree algorithm that can be used in the emergency room to guide the clinical decision.AimsIncrease the number of avoided suicides.MethodsPubMed database was searched and articles with the words “emergency”, “suicide”, “attempt” “screening” and “prevention” were included. Articles that used the most reliable and valid measurement tools (i.e., Beck Scale for Suicide Ideation and Suicide Probability Scale) for patient evaluation were selected. World Health Organization guidelines and the Portuguese Suicide Prevention Plan were analyzed and an algorithm was designed based on the major risk factors identified.ResultsNo isolated risk factor was successful for preventing suicide: most are chronic and non-individualized. Having family history of suicide, a mental health disease, a suicide plan and previous suicide attempts are considered major risk factors. The algorithm is based on these factors and takes into account interpersonal variability.ConclusionsThe best way to prevent a suicide is to ask patients for major risk factors, and then, by using this algorithm, treat them accordingly.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Female sexual dysfunction: a problem hidden in the shadows

2021 ◽  
Vol 27 ◽  
Author(s):  
Konstantinos P. Imprialos ◽  
Konstantinos Koutsampasopoulos ◽  
Aleksandra Katsimardou ◽  
Sofia Bouloukou ◽  
Iakovos Theodoulidis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sexual Dysfunction ◽  
Female Sexual Dysfunction ◽  
Treatment Options ◽  
Public Health Problem ◽  
Management Options ◽  
Significant Public Health Problem ◽  
Significant Public Health ◽  
Cv Disease

Background: Female sexual dysfunction (FSD) has mainly been underdiagnosed and undertreated due to the lack of concrete definitions, validated assessment methods, and efficient treatments. However, during the last few decades, there has been significant progress in the clinical management and research of FSD. Objective: The purpose of this review is to describe the pathophysiology of FSD, report the prevalence of the disease in the setting of cardiovascular (CV) risk factors and disease, and review current and under investigation treatment options. Methods: A comprehensive literature review was performed to identify studies examining the association of FSD with CV risk factors and/or disease and studies reporting appropriate management options. Results: The prevalence of FSD is increased in the general population (approximately 40%) and is significantly higher in patients with hypertension, diabetes mellitus, and dyslipidemia. In patients with overt CV disease, FSD is even more prevalent (up to 90%). The cause of FSD is multifactorial and includes various vascular, hormonal, interpersonal, and psychological factors, which are all intertwined. Several treatment options exist that are efficient in improving female sexual function, while a cluster of other alternatives has been shown to offer benefits. Conclusion: FSD is a significant public health problem with a great impact on the patients’ quality of life. In the setting of increased CV burden, FSD is even more prevalent. Increased awareness is needed for the physician to establish a trustful environment with the patient, discuss such issues, and offer suitable management options.

scholarly journals Hepatitis E: an underestimated emerging threat

2019 ◽  
Vol 6 ◽  
pp. 204993611983716 ◽  
Author(s):  
Glynn W. Webb ◽  
Harry R. Dalton
Keyword(s):  
Burden Of Disease ◽  
Public Health Problem ◽  
Hepatitis E ◽  
Industrialized Countries ◽  
Zoonotic Infections ◽  
Wide Range ◽  
The World ◽  
Significant Public Health ◽  
History Of

Hepatitis E virus (HEV) is the most common cause of viral hepatitis in the world. It is estimated that millions of people are infected every year, resulting in tens of thousands of deaths. However, these estimates do not include industrialized regions and are based on studies which employ assays now known to have inferior sensitivity. As such, this is likely to represent a massive underestimate of the true global burden of disease. In the developing world, HEV causes large outbreaks and presents a significant public-health problem. Until recently HEV was thought to be uncommon in industrialized countries, and of little relevance to clinicians in these settings. We now know that this is incorrect, and that HEV is actually very common in developed regions. HEV has proved difficult to study in vitro, with reliable models only recently becoming available. Our understanding of the lifecycle of HEV is therefore incomplete. Routes of transmission vary by genotype and location: endemic regions experience large waterborne epidemics, while sporadic cases in industrialized regions are zoonotic infections likely spread via the food chain. Both acute and chronic infection has been observed, and a wide range of extrahepatic manifestations have been reported. This includes neurological, haematological and renal conditions. As the complete clinical phenotype of HEV infection is yet to be characterized, a large proportion of cases go unrecognized or misdiagnosed. In many cases HEV infection does not feature in the differential diagnosis due to a lack of knowledge and awareness of the disease amongst clinicians. In combination, these factors have contributed to an underestimation of the threat posed by HEV. Improvements are required in terms of recognition and diagnosis of HEV infection if we are to understand the natural history of the disease, improve management and reduce the burden of disease around the world.

scholarly journals Trends, Coverage and Influencing Determinants of Influenza Vaccination in the Elderly: A Population-Based National Survey in Spain (2006–2017)

Vaccines ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 327
Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino
Keyword(s):  
Influenza Vaccination ◽  
Chronic Diseases ◽  
Vaccination Coverage ◽  
Public Health Problem ◽  
Risk Groups ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significant Public Health

Influenza is a significant public health problem and the elderly are at a greater risk of contracting the disease. The vaccination coverage of the elderly is below the Spanish target of 65% for each influenza season. The aims of this study were to report the coverage of influenza vaccination in Spain among the population aged ≥65 years and high-risk groups for suffering chronic diseases, to analyze the time trends from 2006 to 2017 and to identify the factors which affect vaccination coverage. A nationwide cross-sectional study was conducted including 20,753 non-institutionalized individuals aged ≥65 years who had participated in the Spanish National Health Surveys in 2006, 2011/2012, and 2017. Sociodemographic, health-related variables, and influenza vaccination data were used. A logistic regression analysis was performed to determine the variables associated with influenza vaccination. Influenza vaccination coverage was 60%. By chronic condition, older people with high cholesterol levels and cancer had the lowest vaccination coverage (62.41% and 60.73%, respectively). This coverage declined from 2006 to 2017 in both groups. Higher influenza vaccination was associated with males, Spanish nationality, normal social support perceived, polypharmacy, worse perceived health, participation in other preventive measures, and increasing age and the number of chronic diseases.

Towards Prevention and Early Recognition of Stroke: The Australian Context

2011 ◽  
Vol 12 (3) ◽  
pp. 223-230
Author(s):  
Evrim G. March
Keyword(s):  
At Risk ◽  
Stroke Prevention ◽  
Early Recognition ◽  
Public Health Problem ◽  
Risk Groups ◽  
Effective Prevention ◽  
Australian Context ◽  
The Status ◽  
Significant Public Health ◽  
Policies And Programs

AbstractStroke is a preventable disease leading to physical, cognitive and emotional disability. Its high prevalence and poor outcome shifts this disease from the clinical, medical realm to a significant public health problem. This article provides an overview of the problem, and the status of stroke prevention in the Australian context. To achieve this, it first examines the recent Australian surveillance data on stroke, identifying the at-risk groups. It then argues for targeted stroke prevention, assesses relevant policies and programs in the international and Australian contexts, and briefly reviews approaches for increased awareness and recognition of stroke symptoms. The article concludes by emphasising the need to account for the at-risk-groups when developing targeted health promotion campaigns for effective prevention of stroke in Australia.

Prevalence of Suicidal Ideation in Patients with Covid-19 in the World: Systematic Review and Meta-Analysis Protocol (Preprint)

2021 ◽  
Author(s):  
Alireza Razzaghi ◽  
Fatemeh Sadat Asgarian ◽  
Hossein Akbari
Keyword(s):  
Suicidal Ideation ◽  
Critical Appraisal ◽  
Suicide Ideation ◽  
Meta Analysis ◽  
Prevalence Data ◽  
Related Data ◽  
The World ◽  
Review Study ◽  
Meta Analyses ◽  
Analysis Protocol

BACKGROUND The pandemic of Covid-19 started in China in late 2019 and has spread rapidly around the world. Psychological problems such as suicide ideation of Covid-19 is one of the main consequences of this pandemic, which needs more attention OBJECTIVE This study aims to determine a comprehensive estimate of the prevalence of suicidal ideation in patients with Covid-19 in the world. METHODS The review study will be based on the following databases: databases of Web of Sciences, Mediline/Pubmed, Proquest, Scopus, Science Direct. This study is limited to original studies published in peer-reviewed journals in English. RESULTS The quality assessment of studies will be done using the Joanna Briggs Institute’s (JBI) critical appraisal checklist for reporting the prevalence data. The overall synthetized measurement will be presented as Prevalence with 95% confidence intervals. CONCLUSIONS This review and meta-analyses will be the first study that explores the prevalence of suicide ideation related to Covid-19. Summarizing the related data can create an image of the dimensions of the problem across the world and provide plans to prevent that.

Contrasting Crash- and Non-Crash-Involved Riders: Analysis of Data from the Motorcycle Crash Causation Study

2019 ◽  
Vol 2673 (7) ◽  
pp. 122-131 ◽  
Author(s):  
Hitesh Chawla ◽  
Ilker Karaca ◽  
Peter T. Savolainen
Keyword(s):  
Risk Factors ◽  
Public Health Problem ◽  
The United States ◽  
Crash Risk ◽  
Volume Data ◽  
Logistic Regression Models ◽  
Significant Public Health Problem ◽  
Significant Public Health ◽  
Paired Control ◽  
Motorcycle Crashes

Motorcycle crashes and fatalities remain a significant public health problem as fatality rates have increased substantially as compared to other vehicle types in the United States. Analysis of causal factors for motorcycle crashes is often challenging given a lack of reliable traffic volume data and the fact that such crashes comprise a relatively small portion of all traffic crashes. Given these limitations, on-scene crash investigations represent an ideal setting through which to investigate the precipitating factors for motorcycle-involved crashes. This study examines motorcycle crash risk factors by employing data recently made available from the Federal Highway Administration Motorcycle Crash Causation Study (MCCS). The MCCS represents a comprehensive investigative effort to determine the causes of motorcycle crashes and involved the collection of in-depth data from 351 crashes, as well as the collection of comparison data from 702 paired control observations in Orange County, California. This dataset provides a unique opportunity to understand how the risk of crash involvement varies across different segments of the riding population. Logistic regression models are estimated to identify the rider and vehicle attributes associated with motorcycle crashes. The results of the study suggest that motorcycle crash risks are related to rider age, physical status, and educational attainment. In addition to such factors outside of the rider’s control, several modifiable risk factors, which arguably affect the riders’ proclivity to take risks, were also found to be significantly associated with motorcycle crash risk, including motorcycle type, helmet coverage, motorcycle ownership, speed, trip destination, and traffic violation history.

Suicide ideation, plans and attempts in Ukraine: findings from the Ukraine World Mental Health Survey

2007 ◽  
Vol 37 (6) ◽  
pp. 807-819 ◽  
Author(s):  
EVELYN J. BROMET ◽  
JOHAN M. HAVENAAR ◽  
NATHAN TINTLE ◽  
STANISLAV KOSTYUCHENKO ◽  
ROMAN KOTOV ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Psychiatric Disorders ◽  
Service Utilization ◽  
Suicide Ideation ◽  
World Health ◽  
Functional Impairments ◽  
World Mental Health ◽  
Co Morbidity ◽  
The World

Background. Because the suicide rates in Eastern Europe have increased, the epidemiology of suicide behaviors in this part of the world is in urgent need of study. Using data from the Ukraine site of the World Mental Health (WMH) Survey Initiative, we present the first population-based findings from a former Soviet country on the descriptive epidemiology of suicide ideation, plans and attempts, and their links to current functioning and service utilization.Method. In 2002, a nationally representative sample of 4725 adults in Ukraine was interviewed with the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Risk factors included demographic characteristics, trauma, smoking, and parental and personal psychiatric disorders. Current functional impairments and recent service utilization were assessed.Results. The lifetime prevalence of suicide ideation was 8·2%. The average age of onset was 31. The key risk factors were female sex, younger age, trauma, parental depression, and prior alcohol, depressive and intermittent explosive disorders, especially the presence of co-morbidity. Ideators had poorer functioning and greater use of health services. One-third of ideators had a plan, and one-fifth made an attempt. Among ideators, young age, smoking and prior psychiatric disorders were risk factors for these behaviors.Conclusions. Together with the increasing suicide rate, these results suggest that suicide intervention programs in Ukraine should focus on the generation of young adults under 30. The associations with co-morbidity, impairments in current functioning and greater service use indicate that a physician education program on suicidality should be comprehensive in scope and a public health priority in Ukraine.

Escalated Suicidal Rate of the Undergraduate Students of Bangladesh - Social Impact and Recommendations to Overcome

2021 ◽  
Vol 6 (4) ◽  
Author(s):  
Rahman MA ◽  
◽  
Islam MT ◽  
Rahmani N ◽  
Sultana E ◽  
...  
Keyword(s):  
Public Health ◽  
Undergraduate Students ◽  
Social Impact ◽  
Suicide Ideation ◽  
Public Health Problem ◽  
Global Public Health ◽  
The World ◽  
The University ◽  
The Impact ◽  
University Undergraduate Students

Suicide has become one of the leading causes of deaths all over the world. It is considered as a global public health problem and a deviant behavior. People of different ages are committing suicide every day around the world for different reasons. University students, who are supposed to be the future of a country, are also accepting this path of deaths. Bangladeshi undergraduate students are also becoming the victims of suicide every day. In recent times, suicide ideation among the university undergraduate students is increasing. This article reveals the prevalence of suicide among the university undergraduate students and the factors associated with suicide ideation among the university undergraduate students of Bangladesh. It also focuses on the impact of these suicides on the family and society. To overcome this grave situation, some precautionary steps have been recommended at the end of this article. Keywords: Behavioral health; Mental disorder; Psychology; Public health; Suicide

scholarly journals Risk Factors of Stunting in Developing Countries: A Scoping Review

2020 ◽  
Vol 8 (F) ◽  
pp. 155-160
Author(s):  
Titih Huriah ◽  
Nurjannah Nurjannah
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Scoping Review ◽  
Public Health Problem ◽  
Asian Countries ◽  
Inclusion Criteria ◽  
Children Under Five ◽  
Under Five ◽  
Nutritional Problem ◽  
The World

BACKGROUND: Stunting remains a nutritional problem in children in Indonesia and some other developing countries. It has become a public health problem that must be taken seriously and continuously. Although there was an improvement in 2018, the incidence of stunting in Indonesia is still quite high (36.4%), compared to other Southeast Asian countries such as Malaysia (20%) and Thailand (10.5%). In the world, Indonesia occupies the 17th position of 117 countries for the stunting incidence. AIM: This study aims to describe the risk factors of stunting in children under five in developing countries. METHODS: This research is a scoping review. The sources were drawn from multiple databases such as Ebsco, PubMed, ProQuest, and Science Direct with the keyword “stunting” AND “risk factors” AND “developing countries.” Inclusion criteria include the research must be related to the risk factors of stunting, should be conducted in developing countries, should be full texted in English, and published in 2015–2019. RESULTS: The search of databases found 3605 articles, with the details of 10 articles from Ebsco, 45 articles from PubMed, 20 articles from ProQuest, and 3530 articles from Science Direct. According to all the databases, only 9 articles were reviewed that met the inclusion criteria of this study. CONCLUSION: Parent factors, toddler factors, and environmental factors are risk factors of stunting in children under five.

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