scholarly journals Suicide Prevention through Shared Information

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Lloyd Balbuena ◽  
Rudy Bowen ◽  
Marilyn Baetz
Keyword(s):  
Suicide Prevention ◽  
Administrative Data ◽  
Health Workers ◽  
Interdisciplinary Team ◽  
Data Access ◽  
Uk Biobank ◽  
Patient Advocates ◽  
Self Harm ◽  
Crisis Line ◽  
Imminent Risk

ABSTRACT ObjectivesAlthough mental health clinicians are in the best position to assess a person’s risk for suicide, people at imminent risk may first seek the help of crisis workers, the police, hospital staff, or family members. The present project will use international (UK Biobank), provincial, and local crisis line data to elucidate imminent risks for suicide. An interdisciplinary team will discuss whether a common protocol for handling acute cases is warranted. The possibility of sharing a minimal set of information across services will also be discussed. ApproachThe conceptual framework is that suicide is a probabilistic outcome of risks (comprised of inherited traits, habits, and environmental stressors) that can be put in temporal order as distal, proximate, and immediate antecedents. Local, provincial, and international data will be mined for risks corresponding to each epoch. The evidence will be assessed by an interdisciplinary team composed of patient advocates, psychiatrists, the police service, community health workers and academic researchers with the objective of reaching an agreement on a common protocol for suicidality assessment. The possibility of sharing a minimal dataset that is relevant to saving the lives of people at imminent risk of suicide will be explored. Finally, the efficacy of coordinated care across services will be evaluated by comparing suicide and self-harm rates will be assessed by comparing suicide and self-harm rates before and after the adoption of the protocol. ResultsAn interdisciplinary team has been formed and funding for the project is being sought. An application for data access to the UK Biobank received preliminary approval and is being evaluated by the scientific committee. Applications for access to provincial administrative data as well as telephone crisis line data for the last 10 years are being prepared. ConclusionRoutinely collected administrative data is a resource for the collective decision-making of an interdisciplinary team of experts and patient advocates. The ability of critical information to flow across organizational boundaries may be an important tool in suicide prevention. Dialogues regarding the ethical dilemma between potentially saving lives and potentially breaking privacy may need to happen.

Root Cause Analyses of Suicides of Mental Health Clients

Crisis ◽  
2015 ◽  
Vol 36 (5) ◽  
pp. 316-324 ◽  
Author(s):  
Donna Gillies ◽  
David Chicop ◽  
Paul O'Halloran
Keyword(s):  
Mental Health ◽  
Suicide Prevention ◽  
Common Factor ◽  
Data Collection Tool ◽  
Related Factors ◽  
Root Cause ◽  
Communication Problems ◽  
The Individual ◽  
Mental Health Clients ◽  
Imminent Risk

Abstract. Background: The ability to predict imminent risk of suicide is limited, particularly among mental health clients. Root cause analysis (RCA) can be used by health services to identify service-wide approaches to suicide prevention. Aims: To (a) develop a standardized taxonomy for RCAs; (b) to quantitate service-related factors associated with suicides; and (c) to identify service-related suicide prevention strategies. Method: The RCAs of all people who died by suicide within 1 week of contact with the mental health service over 5 years were thematically analyzed using a data collection tool. Results: Data were derived from RCAs of all 64 people who died by suicide between 2008 and 2012. Major themes were categorized as individual, situational, and care-related factors. The most common factor was that clients had recently denied suicidality. Reliance on carers, recent changes in medication, communication problems, and problems in follow-through were also commonly identified. Conclusion: Given the difficulty in predicting suicide in people whose expressions of suicidal ideation change so rapidly, services may consider the use of strategies aimed at improving the individual, stressor, support, and care factors identified in this study.

scholarly journals Self-harm and suicidal behaviour in Ghana: a systematic review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e053144
Author(s):  
Emmanuel Nii-Boye Quarshie ◽  
Kwaku Oppong Asante ◽  
Johnny Andoh-Arthur
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Global Health ◽  
Protective Factors ◽  
Suicide Prevention ◽  
Suicidal Behaviour ◽  
Observational Studies ◽  
Risk And Protective Factors ◽  
Prevalence Estimates ◽  
Self Harm

IntroductionSelf-harm and suicidal behaviour represent major global health problems, which account for significant proportions of the disease burden in low-income and middle-income countries, including Ghana. This review aims to synthesise the available and accessible evidence on prevalence estimates, correlates, risk and protective factors, the commonly reported methods and reasons for self-harm and suicidal behaviour in Ghana.Methods and analysisWe will conduct a systematic review reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (2009) recommendations. Regional and global electronic databases (African Journals OnLine, African Index Medicus, APA PsycINFO, Global Health, MEDLINE and PubMed) will be searched systematically up to December 2021 for observational studies and qualitative studies that have reported prevalence estimates, correlates, risk and protective factors, methods and reasons for self-harm and suicidal behaviour in Ghana. The electronic database searches will be supplemented with reference harvesting and grey literature searching in Google Scholar and ProQuest Dissertations & Theses Global for postgraduate dissertations. Only records in English will be included. The Mixed Methods Appraisal Tool (2018) will be used to assess the methodological quality of included studies. Meta-analysis or narrative synthesis or both will be used, contingent on the extent of heterogeneity across eligible observational studies.Ethics and disseminationConsidering that this is a systematic review of accessible and available literature, we will not seek ethical approval. On completion, this review will be submitted to a peer-reviewed journal, be disseminated publicly at (mental) health conferences with focus on self-harm and suicide prevention. The important findings would also be shared with key national stakeholder groups in Ghana: Ghana Association for Suicide Prevention, Ghana Mental Health Authority, Ghana Psychological Association, Centre for Suicide and Violence Research, Accra and the Parliamentary Select Committee on Health.Prospero registration numberCRD42021234622.

Suicide Prevention in New South Wales Correctional Centres

Crisis ◽  
1997 ◽  
Vol 18 (4) ◽  
pp. 163-169 ◽  
Author(s):  
Simon Eyland ◽  
Simon Corben ◽  
Jenny Barton
Keyword(s):  
Suicide Prevention ◽  
Preventive Measures ◽  
New South ◽  
New South Wales ◽  
The Self ◽  
Prevention Measures ◽  
South Wales ◽  
Self Harm ◽  
Incarcerated Population

The New South Wales Department of Corrective Services has introduced a number of suicide prevention measures in order to deal with the problem of inmate suicides. This article describes the measures. The article also shows that the characteristics of the incarcerated population differ greatly from those in the community. Findings from the self-harm database 1991-1995 show that, nevertheless, there are some unique characteristics of the group of self-harmers and fatal self-harmers. These findings are discussed in relation to the preventive measures that are introduced in the NSW correctional centers.

The significance ascribed to contacting a diaconal suicide-prevention crisis line in Norway: a qualitative study

2020 ◽  
Vol 23 (2) ◽  
pp. 113-126
Author(s):  
Ingvild E. Vattø ◽  
Sigrid H. K. Haug ◽  
Valerie DeMarinis ◽  
Lars Lien ◽  
Lars J. Danbolt
Keyword(s):  
Qualitative Study ◽  
Suicide Prevention ◽  
Crisis Line

scholarly journals Helping Callers to the National Suicide Prevention Lifeline Who Are at Imminent Risk of Suicide: Evaluation of Caller Risk Profiles and Interventions Implemented

2015 ◽  
Vol 46 (2) ◽  
pp. 172-190 ◽  
Author(s):  
Madelyn S. Gould ◽  
Alison M. Lake ◽  
Jimmie Lou Munfakh ◽  
Hanga Galfalvy ◽  
Marjorie Kleinman ◽  
...  
Keyword(s):  
Suicide Prevention ◽  
Risk Profiles ◽  
Imminent Risk

Using Canadian administrative data to evaluate primary and oncology care of breast cancer patients post-treatment: Subset of the CanIMPACT Study.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 5-5 ◽  
Author(s):  
Mary L McBride ◽  
Patti Groome ◽  
Donna Turner ◽  
Margaret Jorgensen ◽  
Cynthia Kendell ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Cancer Patients ◽  
Administrative Data ◽  
Cancer Care ◽  
Data Access ◽  
Post Treatment ◽  
Breast Cancer Patients ◽  
Oncology Care

5 Background: CanIMPACT is a multi-provincial Canadian research team funded to identify and address key issues faced by cancer patients and providers at the intersection of primary and specialist oncology care. Canada has national healthcare standards, but provincial/territorial healthcare delivery systems. One facet will use administrative data from the population-based, publicly-funded healthcare system to evaluate issues during pre-diagnosis, treatment, and post-treatment survivorship for breast cancer patients. For the survivorship phase, we aim to conduct the following analyses and compare across provinces: 1) Utilization of physician services overall and by specialty, including oncologists, non-oncology specialists, and primary care; 2) Assessment of adherence to ASCO and Canadian follow-up guideline for breast cancer care, use of surveillance breast imaging, and metastatic investigations; 3) Assessment of adherence to recommended care of chronic illness and preventive care; 4) Quantification of the cost of follow-up overall and by specialty; 5) Comparison of inter- and intra-provincial variation for all outcomes by health administrative region and for vulnerable groups (age ≥ 75 at diagnosis, northern/rural/remote, low income, immigrants), and examine the effect of continuity of primary care and chronic disease on post-treatment care. Methods: Patients will be identified from provincial cancer registries and linked to data extracted from: outpatient physician service claims, hospital inpatient and outpatient data, and cancer facility medical records. Results: Participating provinces have finalized the core questions and detailed protocols, and assessed data comparability. They are in the process of obtaining the required ethics and data access approvals, and data acquisition for processing and analysis. Conclusions: Results will address existing information gaps that can be used to improve transition and care across the cancer care trajectory. Importantly, results will be combined with those of a CanIMPACT qualitative study to inform design of a pragmatic randomized trial focused on improving coordination and quality of care.

scholarly journals Mobile Health Technology Interventions for Suicide Prevention: Systematic Review (Preprint)

2018 ◽  
Author(s):  
Ruth Melia ◽  
Kady Francis ◽  
Emma Hickey ◽  
John Bogue ◽  
Jim Duggan ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Prevention ◽  
Mobile Health ◽  
Cochrane Library ◽  
Outcome Variable ◽  
Controlled Trials ◽  
Safe Practice ◽  
Mhealth Intervention ◽  
Self Harm ◽  
Mhealth Technology

BACKGROUND Digital interventions are proposed as one way by which effective treatments for self-harm and suicidal ideation may be improved and their scalability enhanced. Mobile devices offer a potentially powerful medium to deliver evidence-based interventions with greater specificity to the individual when the intervention is needed. The recent proliferation of publicly available mobile apps designed for suicide prevention underlines the need for robust evidence to promote safe practice. OBJECTIVE This review aimed to examine the effectiveness of currently available mobile health (mHealth) technology tools in reducing suicide-specific outcomes. METHODS The following databases were searched: Cochrane Central Register of Controlled Trials (The Cochrane Library), MEDLINE, EMBASE, PsycINFO, and relevant sources of gray literature. All published and unpublished randomized controlled trials (RCTs), pseudo-RCTs, and pre-post observational studies that evaluated the effectiveness of mHealth technology in suicide prevention delivered via mobile computing and communication technology were included. Studies were included if they measured at least one suicide outcome variable (ie, suicidal ideation, suicidal intent, nonsuicidal self-injurious behavior, and suicidal behavior). A total of 2 review authors independently extracted data and assessed study suitability, in accordance with the Cochrane Collaboration Risk of Bias Tool, on July 31, 2018. Owing to the heterogeneity of outcomes found across studies, results were not amenable for pooled synthesis, and a meta-analysis was not performed. A narrative synthesis of the available research is presented here. RESULTS A total of 7 studies met criteria for inclusion . Four published articles that reported on the effectiveness of the following mobile phone apps were included: iBobbly, Virtual Hope Box, BlueIce, and Therapeutic Evaluative Conditioning. Results demonstrated some positive impacts for individuals at elevated risk of suicide or self-harm, including reductions in depression, psychological distress, and self-harm and increases in coping self-efficacy. None of the apps evaluated demonstrated the ability to significantly decrease suicidal ideation compared with a control condition. In addition, 3 unpublished and recently completed trials also met criteria for inclusion in the review. CONCLUSIONS Further research is needed to evaluate the efficacy of stand-alone mHealth technology–based interventions in suicide prevention. The small number of studies reported in this review tentatively indicate that such tools may have a positive impact on suicide-specific outcomes. Future mHealth intervention evaluations would benefit from addressing the following 3 main methodological limitations : (1) heterogeneity of outcomes: a lack of standardized measurement of suicide outcomes across studies; (2) ecological validity: the tendency to exclude potential participants because of the elevated suicide risk may reduce generalizability within clinical settings; and (3) app regulation and definition: the lack of a standardized classification system for mHealth intervention type points to the need for better definition of the scope of such technologies to promote safe practice.

scholarly journals An Analysis of Depression, Self-Harm, and Suicidal Ideation Content on Tumblr

Crisis ◽  
2017 ◽  
Vol 38 (1) ◽  
pp. 44-52 ◽  
Author(s):  
Patricia A. Cavazos-Rehg ◽  
Melissa J. Krauss ◽  
Shaina J. Sowles ◽  
Sarah Connolly ◽  
Carlos Rosas ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Social Networking ◽  
Risk Behaviors ◽  
Suicide Prevention ◽  
Research Team ◽  
Median Number ◽  
Self Harm

Abstract. Background: Social networking about depression can be indicative of self-reported depression and/or can normalize risk behaviors such as self-harm and suicidal ideation. Aim: To gain a better understanding of the depression, self-harm, and suicidal content that is being shared on Tumblr. Method: From April 16 to May 10, 2014, 17 popular depression-related Tumblr accounts were monitored for new posts and engagement with other Tumblr users. A total of 3,360 posts were randomly selected from all historical posts from these accounts and coded based on themes ascertained by the research team. Results: The 17 Tumblr accounts posted a median number of 185 posts (range = 0–2,954). Content was engaged with (i.e., re-blogged or liked) a median number of 1,677,362 times (range = 0–122,186,504). Of the 3,360 randomly selected posts, 2,739 (82%) were related to depression, suicide, or self-harm. Common themes were self-loathing (412, 15%), loneliness/feeling unloved (405, 15%), self-harm (407, 15%), and suicide (372, 14%). Conclusion: This study takes an important first step at better understanding the displayed depression-related references on Tumblr. The findings signal a need for suicide prevention efforts to intervene on Tumblr and use this platform in a strategic way, given the depression and suicidal content that was readily observed on Tumblr.

scholarly journals NEPS Starting Cohort 6 survey data linked to administrative data of the IAB (NEPS-SC6-ADIAB)

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Nadine Bachbauer
Keyword(s):  
Survey Data ◽  
Administrative Data ◽  
Linked Data ◽  
Panel Study ◽  
Data Access ◽  
Data Sources ◽  
Employment Agency ◽  
Educational Trajectories ◽  
Analytical Potential ◽  
Site Access

BackgroundNEPS-SC6-ADIAB is a new linked data product containing survey data of Starting Cohort 6 of the German National Educational Panel Study (NEPS) and administrative employment data from the Institute for Employment Research (IAB), the research institute of the Federal Employment Agency. NEPS is provided by the Leibniz Institute for Educational Trajectories (LIfBi). Starting Cohort 6 of this panel survey includes adults in their professional life, the survey focuses on education in adulthood and lifelong learning. The administrative data in NEPS-SC6-ADIAB consist of comprehensive information on the employment histories. ObjectivesCombining these two data sources increases for example the information about individual employment history. Overall, the data volume is increased by the linkage between the survey data and the administrative data. MethodsA record linkage process was used to link the two data sources. The data access is free for the whole scientific community. In addition to a large number of On-site access locations within Germany, there are also international On-site access locations. Including London and Colchester. In addition a Remote Data Access is offered. ConclusionsThis data linkage project is very innovative and creates an extensive database, which results in extensive analytical potential. A short application example is made to exemplify the comprehensive analytical potential of NEPS-SC6-ADIAB. This ongoing project deals with nonresponse in survey data. The linked data has a variety of variables collected in both data sources, administratively and through the NEPS survey, allowing for comparative analyses. In this case an idea to compensate nonresponse in income data with administrative data is drawn.

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