Suicide Risk Factors in Outpatients With Suicide Behaviour in a Community Mental Health Unit

2018 ◽  
Author(s):  
Olalla Santamaria
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Community Mental Health ◽  
Suicide Risk ◽  
Health Unit ◽  
Suicide Behaviour ◽  
Suicide Risk Factors ◽  
Mental Health Unit

scholarly journals The impact of unemployment on mental health examined in a community mental health unit during the recent financial crisis in Greece

Psychiatriki ◽  
2020 ◽  
Vol 30 (4) ◽  
pp. 281-290 ◽  
Author(s):  
G Konstantakopoulos ◽  
K. Pikouli ◽  
D Ploumpidis ◽  
E Bougonikolou ◽  
K Kouyanou ◽  
...  
Keyword(s):  
Mental Health ◽  
Financial Crisis ◽  
Community Mental Health ◽  
Health Unit ◽  
Recent Financial Crisis ◽  
The Impact ◽  
Mental Health Unit

How to increase the role of social workers in suicide preventive interventions

2020 ◽  
Vol 32 (4) ◽  
pp. 186-195
Author(s):  
Joshua Levine ◽  
Leo Sher
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Social Work ◽  
Social Workers ◽  
Suicide Prevention ◽  
Suicide Risk ◽  
Preventive Interventions ◽  
Suicide Risk Factors ◽  
Suicidal Patients

AbstractObjective:Suicide is a serious public health issue that affects individuals, families and societies all over the world. International studies provide consistent evidence that the presence of psychiatrists in a region is associated with lesser suicide rates. However, many psychiatric patients including suicidal patients do not have access to psychiatrists. This indicates that mental health and non-mental health social workers need to be involved in suicide prevention efforts. This paper is the first comprehensive work that discusses how to increase the role of social workers in the area of suicide prevention.Methods:A review of the relevant literature.Results:Increasing the role of social workers in suicide prevention efforts may reduce suicide risk in groups and people at elevated risk for suicide, as well as the general population.Conclusion:Recommendations are provided for how the social work profession can improve upon suicide prevention while incorporating universal, selective and indicated suicide preventive interventions. Social work research efforts should focus on how to increase the role of social workers in suicide prevention and the management of suicidal patients. Social work education programmes should modify their curricula and increase their attention on suicide prevention. Mental health social workers need to educate the patient and their family on suicide risk factors. Furthermore, mental health and non-mental health social workers need to educate the general public on suicide risk factors.

Directing Geriatric Health Care: Some Practical Issues

1984 ◽  
Vol 6 (3-4) ◽  
pp. 7-8 ◽  
Author(s):  
Dennis Wiedman
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Human Behavior ◽  
Care Delivery ◽  
Culturally Appropriate ◽  
Health Unit ◽  
Geriatric Population ◽  
Advantages And Disadvantages ◽  
Mental Health Unit

In fifteen month's experience as Director of a geriatrics community mental health unit I have seen my anthropologist role changing from teacher and researcher to applied clinical anthropologist/gerontologist, from non-judgemental objective scientist to objective decision maker and modifier of human behavior. This article details some of the advantages and disadvantages of a Ph.D. in anthropology for such a clinical position. While particular applications of anthropological methods and theories can facilitate the management of culturally appropriate health care delivery to a geriatric population, other areas of training not usually taught to anthropologists could be of value in a medically responsible clinical position.

An analysis of the work of the school mental health unit of a community mental health board.

1962 ◽  
Vol 32 (1) ◽  
pp. 99-108 ◽  
Author(s):  
Margaret Morgan Lawrence ◽  
Irene J. Spanier ◽  
Mildred W. Dubowy
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
School Mental Health ◽  
Health Board ◽  
Health Unit ◽  
Mental Health Unit

scholarly journals Treatment Engagement of Psychotic Patients with a Mobile Mental Health Unit in Rural Areas in Greece: A Five-Year Study

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Vaios Peritogiannis ◽  
Athina Tatsioni ◽  
Nefeli Menti ◽  
Aikaterini Grammeniati ◽  
Vassiliki Fotopoulou ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Low Income ◽  
Rural Areas ◽  
Psychotic Disorders ◽  
Low Income Countries ◽  
Community Mental Health Service ◽  
Health Unit ◽  
Mobile Mental Health ◽  
Mental Health Unit

Objectives. Treatment of psychotic disorders is impended by high rates of disengagement from mental health services and poor adherence to antipsychotic medication. This study examined the engagement rates of psychotic patients with a community mental health service during a 5-year period.Methods. The Mobile Mental Health Unit of Ioannina and Thesprotia (MMHU I-T) delivers services in remote, rural, mountainous areas using the resources of the primary care system. Clinical and demographic information for patients with a diagnosis of schizophrenia and related psychoses was obtained from the medical records of our unit.Results. A total of 74 psychotic patients initially engaged in treatment with our unit. In half of cases treatment was home-based. With the exclusion of patients who died or discharged, engagement rates were 67.2%. Statistical analysis was performed for 64 patients, and no differences were found between engaged and disengaged patients regarding clinical and demographic parameters. All engaged patients regularly refilled their antipsychotic prescriptions.Conclusion. Engagement rates in our study were comparable to previous research, involving urban settings and shorter follow-up duration. Community mental health teams may ensure treatment continuation for psychotic patients in deprived, remote areas. This is important for low-income countries, affected by economic crisis, such as Greece.

Observational study of suicide attempts in a community mental health unit

2017 ◽  
Vol 41 (S1) ◽  
pp. s887-s888
Author(s):  
M. Guerrero Jiménez ◽  
C.M. Carrillo de Albornoz Calahorro ◽  
J.M. Gota Garcés
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Disorder ◽  
Suicide Attempts ◽  
Outpatient Setting ◽  
Suicide Mortality ◽  
List Type ◽  
Health Unit ◽  
Competing Interest ◽  
Mental Health Unit

IntroductionConcurrent with the recent global economic crisis there is a rising concern about the effect of recession on suicide mortality rates.AimTo record patients treated urgently in community mental health unit of Motril, Granada (Spain) by attempted suicide.MethodsDescriptive study recording patients treated urgently in Motril community mental health unit who have done any suicide gesture from February 2015 until December of that year.ResultsIn total, 39 urgent assessments were recorded during the observational period.The month of highest incidence was November, with 6 visits followed by August and October (5).The most common method was voluntary drug intake.Origin:– 59% were remitted from the general hospital emergency department;– critical care and emergency ambulatory devices: 1;– primary care: 10;– another specialist: 2;– own initiative: 2.Discharge diagnosis:– 35.8% individuals did not meet criteria for any mental disorder, although some of them were classified with V or Z diagnosis according to ICD-10 for making a reactive gesture to a emotional crisis, couple breakups or economic problems;– 11 of them meet criteria for various anxiety disorders, obsessive compulsive and adaptative crisis.DiscussionKnowing some peculiar characteristics in suicidal populations as well as the most prevalent pathologies, it could be adapted both the profile of nurse attendance and the type of resources needed to ensure effective patient care.ConclusionProfile of patients attended for suicide attempt in an outpatient setting in a semi-rural coastal area is variated. It is worth to mention that one-third of this population did not meet criteria for any mental disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Prevalence of Suicide Risk Factors and Suicide-Related Outcomes in the National Mental Health Study, Colombia

2009 ◽  
Vol 39 (4) ◽  
pp. 408-424 ◽  
Author(s):  
José Posada-Villa ◽  
Juan Camilo Camacho ◽  
José Ignacio Valenzuela ◽  
Arturo Arguello ◽  
Juan Gabriel Cendales ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Suicide Risk ◽  
Health Study ◽  
Suicide Risk Factors ◽  
National Mental Health ◽  
Mental Health Study

scholarly journals Identifying Risk Factors for Re-admission: A Service Evaluation from an Adult Inpatient Mental Health Unit

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S59-S59
Author(s):  
Kirsty Ward ◽  
Suveera Prasad
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Personality Disorder ◽  
Substance Misuse ◽  
P Value ◽  
Health Unit ◽  
P Values ◽  
Adult Mental Health ◽  
Emotionally Unstable Personality Disorder ◽  
Mental Health Unit

AimsTo identify risk factors for re-admission to an acute inpatient general adult mental health ward. There is need to ensure that mental health services adapt to the increasing demand for inpatient bedsMethodWe conducted a single centre retrospective analysis of electronic records of 85 discharges from an adult mental health unit from 4th March 2019 – 5th August 2019. We collected information on demographics, admission details, substance use, forensic history, diagnosis as per the International Classification of Diseases 10th Edition (ICD-10), and discharge details and compared two cohorts; those re-admitted within three months of discharge and those who were not. Odds ratio (OR), 95% confidence intervals (CI) and p values were calculated where possible.ResultAmong seventeen service users who were re-admitted within the three month period there were nine women and eight men. There was no difference in ethnicity, employment or marital status. The mean length of admission for those readmitted was 48.2 days (range 1–140 days) and 47.1 days (range 1–350 days) for those who were not readmitted. Certain features were more prevalent among the readmitted group including forensic history (58.8% [10] vs 26.5% [18], OR 3.97, CI 1.31–11.9, p value 0.007), substance misuse history (70.6% [12] vs 55.9% [38], OR 1.89, CI 0.60–5.97, p value 0.138), previous contact with mental health services (100% [17] vs 76.5% [52]) and the rate of detention under the Mental Health Act at point of admission (76.5% [13] vs 66.2% [45], OR 1.66, CI 0.49, 5.67, p value 0.209).Among those readmitted, a diagnosis of emotionally unstable personality disorder (17.6% [3] vs 10.3% [7], OR 1.87, CI 0.43,-8.14, p values 0.203) and substance misuse disorder (41.2 % [7] vs 17.6 % [12], OR 3.27, CI 1.04–10.31, p value 0.218) were more prevalent. They were more likely to use illicit substances whilst they were an inpatient (23.5% [4] versus 7.6% [5], OR 3.88, CI 0.92–16.43, p value 0.033) and to be involved in police incidents (35.3% [6] versus 17.6% [12], OR 2.55, CI 0.79–8.23, p value 0.059).ConclusionOur trends demonstrate that people with substance misuse, emotionally unstable personality disorder and forensic history are more likely to be readmitted to an adult mental health inpatient unit. They were more likely to misuse illicit substances and be involved with police during admission.

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