Role of Parental and Friend Support to Prevent Suicide Attempts in French Sexual Minority Adolescents

2021 ◽  
Author(s):  
Xavier wang ◽  
Mireille Cosquer ◽  
Min Zhuang ◽  
Aminata Ali ◽  
Bruno Falissard ◽  
...  

This present study aimed to search for parental and friend support roles to prevent suicide attempts among adolescents who identify as lesbian, gay, and bisexual (LGB) in France. Data were drawn from a French cross-sectional study entitled “Portrait d’Adolescents”. An anonymous self-questionnaire was fulfilled by 14,265 French adolescents (ages from 13 to 20) in 2013, and 637 (4.47%) were identified as LGB. Chi-square analysis was used to estimate statistical differences between self-reported suicide and non-suicide attempters in the whole sample and then in LGB and heterosexual subgroups separately. Multiple logistic regression analyses were then performed to examine the associations of self-reported suicide attempts (dependent variable) with the effects of parental and friend support and other factors based on the whole data and further on the data subsets among the LGB and the heterosexual subjects. Suicide attempt was independently associated with sexual orientation (30.7% vs 10.6%; OR=2.04 [1.62-2.56]; p<0.0001). Both parental and friend support appeared protective factors in the heterosexuals (OR=0.52 [0.45-0.60] and OR=0.75 [0.61-0.93]), whereas only parental support was significant in the LGB group (OR=0.51 [0.31-0.82]), independently of other variables. French adolescents who identify as LGB have a higher risk for suicidality than their heterosexual peers. Special attention needs to be given to this vulnerable population when developing suicide prevention programs. Parental support identified as an effective protective factor should be systematically searched to prevent suicidality among LGB.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bingsi Gao ◽  
Yu-Ligh Liou ◽  
Yang Yu ◽  
Lingxiao Zou ◽  
Waixing Li ◽  
...  

AbstractThis cross-sectional study investigated the characteristics of cervical HPV infection in Changsha area and explored the influence of Candida vaginitis on this infection. From 11 August 2017 to 11 September 2018, 12,628 outpatient participants ranged from 19 to 84 years old were enrolled and analyzed. HPV DNA was amplified and tested by HPV GenoArray Test Kit. The vaginal ecology was detected by microscopic and biochemistry examinations. The diagnosis of Candida vaginitis was based on microscopic examination (spores, and/or hypha) and biochemical testing (galactosidase) for vaginal discharge by experts. Statistical analyses were performed using SAS 9.4. Continuous and categorical variables were analyzed by t-tests and by Chi-square tests, respectively. HPV infection risk factors were analyzed using multivariate logistic regression. Of the total number of participants, 1753 were infected with HPV (13.88%). Females aged ≥ 40 to < 50 years constituted the largest population of HPV-infected females (31.26%). The top 5 HPV subtypes affecting this population of 1753 infected females were the following: HPV-52 (28.01%), HPV-58 (14.83%), CP8304 (11.47%), HPV-53 (10.84%), and HPV-39 (9.64%). Age (OR 1.01; 95% CI 1–1.01; P < 0.05) and alcohol consumption (OR 1.30; 95% CI 1.09–1.56; P < 0.01) were found to be risk factors for HPV infection. However, the presence of Candida in the vaginal flora was found to be a protective factor against HPV infection (OR 0.62; 95% CI 0.48–0.8; P < 0.001). Comparing with our previous study of 2016, we conclude that the subtype distribution of HPV infection is relatively constant in Changsha. Our data suggest a negative correlation between vaginal Candida and HPV, however, more radical HPV management is required in this area for perimenopausal women and those who regularly consume alcohol.


2021 ◽  
Vol 5 (1) ◽  
pp. 018-021
Author(s):  
Gómez Elena ◽  
Guzmán Marianela ◽  
Torres Oriol Yuguero

Introduction: Psychiatric emergencies constitute between 1% - 10% of general emergencies in Spain, of which a quarter will end up being hospital admissions. There is little literature on patients who are referred from general to specialized hospitals. Methods: Cross-Sectional study of all the patients referred in 2018. Sociodemographic variables and clinical variables, such as diagnosis and discharge destination, were analyzed. An analysis was performed by comparing means with the Chi Square test. Results: 433 derived emergencies were analyzed. Most of the patients were women. The main reason for derivation were suicide attempts. Of those patients, 40% required hospitalizations. More than 50% of the derived emergencies were referred to the home and followed up on an outpatient basis. Conclusion: Most derived emergencies are referred to the home after evaluation. This implies that most are not life-threatening and that with adequate tools for evaluating suicide risk, we could avoid transfers and improve the resolution of these cases.


2020 ◽  
Vol 35 (6) ◽  
pp. 1028-1028
Author(s):  
Bain K ◽  
Marceaux J ◽  
Kruzelock A

Abstract Objective To investigate the incremental utility of the optional MoCA Memory Index Score (MIS) for detection of cognitive impairment. Method This cross-sectional study utilized data collected from a mixed clinical sample of 153 veterans referred for clinical neuropsychological evaluations at a VA hospital. The sample was 87% male (n = 133), with an average age of 63.23 years (range 20–91) and average education level of 13.6 years (range 6–20). All participants completed the MoCA, including the MIS items. Participants meeting criteria for mild (n = 66) or major neurocognitive disorder (n = 24) were classified as cognitively impaired (CI). Sixty-three participants who did not meet criteria for a neurocognitive disorder were classified as having no cognitive impairment (NCI). Chi square analysis and logistic regression were utilized to determine the sensitivity of the MoCA total score for detection of cognitive impairment, and to determine whether the MIS significantly improved classification accuracy. Results The MoCA total score was a significant predictor of cognitive impairment status (X2 = 40.92, p &lt; .001), with 73% sensitivity, 67% specificity, and 71% classification accuracy. When the MIS was added, the model retained significance (X2 = 41.13, p &lt; .001), but overall sensitivity, specificity, and classification accuracy were unchanged; MIS was not a significant predictor in the combined model. Conclusions The optional MIS score did not significantly improve the sensitivity of the MoCA for detection of cognitive impairment.


Author(s):  
Leila Ghahremani ◽  
Mahin Nazari ◽  
Maryam Changizi ◽  
Mohamad Hossein Kaveh

Abstract Background and objectives High-risk behaviors are considered to be a serious threat among adolescents. This study aimed to investigate the frequency of unhealthy and high-risk behaviors and their relationship with demographic features in adolescents living in Shiraz, Iran. Materials and methods The present descriptive, cross-sectional study was conducted on 483 students in the 10th grade of high school. The data were collected using a demographic information form and a modified adolescents high-risk behaviors questionnaire. The reliability of the questionnaire was assessed using the test-retest method. Afterwards, the data were entered into the SPSS statistical software (IBM), version 22 and were analyzed using the chi-square (χ2) test, logistic regression analysis and one-way analysis of variance (ANOVA). Results High-risk health behaviors were significantly correlated to adolescents’ gender, parents’ occupations and education levels, length of residency in Shiraz and talking about important things with one’s parents (p < 0.03). Gender predicted 52% of variance of bullying behaviors at school [Exp(B) = 0.502, p < 0.03, 95% confidence interval (CI) = 0.261–0.996]. In fact, most high-risk behaviors were associated with gender (p < 0.001). Indeed, bullying was mostly reported in boys, while being hopeless or sad, suicide attempts and appropriate weight loss behaviors were mostly reported among girls. Additionally, the frequency of smoking cigarettes and using hookahs was higher among girls compared to boys (23.1% for smoking cigarettes and 39.6% for using hookahs). However, no significant correlation was observed between gender and smoking cigarettes and using hookahs (p > 0.704 for smoking cigarettes and p > 0.118 for using hookahs). The most prevalent high-risk behaviors were physical fighting (51.1%), being sad or hopeless (35.2%), alcohol abuse (26.7%), overweight (14.7%) and obesity (8.1%) in both genders. Based on the results, only 26.5% of the adolescents had sufficient physical activity. Besides, the adolescents’ weight scores were significantly correlated to eating green salads (p < 0.01), which was seen more among overweight adolescents. Conclusion The findings indicated that adolescents’ gender and their parents’ roles should be taken into consideration in designing health promotion programs, such as mental health and its related skills. This would eventually result in the prevention and reduction of unhealthy habits.


2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Amreen Mahmood ◽  
Vevita Blaizy ◽  
Aparajita Verma ◽  
Joel Stephen Sequeira ◽  
Dola Saha ◽  
...  

Background. Stroke is a leading cause of disability and requires continued care after hospital discharge. Mobile-based interventions are suitable to reduce the cost of stroke rehabilitation and facilitate self-management among stroke survivors. However, before attempting to use mobile-based home exercise program, it is crucial to recognize the readiness of stroke survivors and their caregivers to opt for such interventions. Objective. To assess the acceptability and attitude towards a mobile-based home exercise program among stroke survivors and their primary caregivers. Methods. A cross-sectional study was conducted among 102 participants to understand their attitude and acceptability towards mobile-based home exercise program. A validated 10-item questionnaire was adapted for the study. The questions which assessed the attitude were rated on a three-point Likert scale, with three denoting agree and one denoting disagree. The acceptability was assessed by their willingness to opt for a mobile-based home program services. A Chi-square analysis and cross-tabulation were performed to test differences between caregivers and patients. A logistic regression was performed to determine the effects of age, gender, and mobile phone on acceptability. Results. Ninety-two percent of caregivers and 90% of patients showed willingness to opt for mobile-based intervention. Majority of the participants showed a positive attitude towards this mode of treatment. There was no difference in the attitude noted among caregivers and patients (p>0.05) towards mobile-based intervention. Conclusion. The stroke survivors and caregivers welcomed the concept of mobile-based home exercise program even in a low-resource settings, but further studies to understand treatment and cost-effectiveness of this technology among the stroke survivors would lead to better implementation.


2020 ◽  
Vol 7 (2) ◽  
pp. 61-69
Author(s):  
Bagus Laksono Samudro ◽  
M. Hendro Mustaqim ◽  
Fuadi Fuadi

Skizofrenia merupakan sekelompok gangguan psikotik, dengan gangguan dasar pada kepribadian, distorsi khas pada proses pikir. Kadang–kadang mempunyai perasaan bahwa dirinya sedang di kendalikan kekuatan dari luar. Gangguan skizofrenia pada umumnya ditandai dengan adanya gangguan pada pikiran dan persepsi yang salah dan khas, dan efek yang tidak serasi atau tumpul. Skizofrenia merupakan gangguan jiwa yang umum terjadi dengan karakteristik adanya kerusakan pada pikiran, persepsi, emosi, pergerakan dan perilaku. Dukungan keluarga menjadi faktor penting dalam upaya meningkatkan motivasi sehingga dapat berpengaruh positif terhadap kesehatan psikologis. Keluarga yang berhubungan dengan pasien skizofrenia memerlukan lebih banyak informasi tentang gangguan skizofrenia dan cara memperlakukan pasien dengan lebih baik. Tujuan penelitian ini adalah untuk mendapatkan bukti emperis tentang: hubungan dukungan keluarga dengan kesembuhan pasien penderita skizofrenia di Instalasi Rawat Jalan Rumah Sakit Jiwa Banda Aceh. Jenis penelitian yang dilakukan adalah deskriptif observasional menggunakan desain cross sectional study dengan metode chi-square. Jumlah sampel dalam penelitian ini sebanyak 150 orang. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan peran dukungan keluarga terhadap kesembuhan pada pasien penderita skizofrenia dengan nilai p = 0,01 (< 0,05) di Instalasi Rawat Jalan Rumah Sakit Jiwa Banda Aceh. Keluarga diharapkan dapat mendampingi pasien Skizofrenia dengan mendampingi dan memberi dukungan emosional sehingga pasien skizofrenia merasa diperdulikan untuk kesembuhan pasien.   Schizophrenia is a common mental disorder with charcteristics of damage to the mind, perception, emotions, movement and behavior.This type of research is descriptive observational using a cross sectional study design with one observation at a certain time.The problem of this study is to see: (1) the relation  of Family Support, with Skizoprenia’s Patient recovery  in  Patient care Instalation of Psichiatric Hospital Banda Aceh. The purpose of this study was to obtain empirical evidence of: Family Support, with Skizoprenia’s Patient recovery  in  Patient care Instalation  Psichiatric Hospital of Banda Aceh. In connection with the research objectives, the population of this study is side family of is 150 peoples. Data analysis method with Chi Square Analysis ( X² ).The results showed that: Family Support have a relation with Skizoprenia’s Patient recovery  in  Patient care Instalation of Psichiatric Hospital of Banda Aceh with X²  value ≤ 0,005 84 in Patient care Instalation  Psichiatric Hospital of Banda Aceh Keywords: Schizophrenia, Family Support, Skizofrenia’s Recovery.


2019 ◽  
Vol 61 (2) ◽  
pp. 50
Author(s):  
Anudha Moodley ◽  
Ozayr Mahomed

Background: The contraceptive implant (Implanon) has been recognised as one of the most effective family planning methods and is a healthier choice for women in Africa due to its efficacy and convenience. Despite the evidence of effectiveness and safety of the implant, the actual uptake for Implanon use in the Ugu district of KwaZulu-Natal is relatively low. The aim of the study was to determine factors associated with Implanon uptake in Ugu North Sub District 2016/17.Methods: An observational cross-sectional study with an analytical component using self-administered questionnaires to collect information from 385 participants using randomised systematic sampling was conducted at family planning clinics at GJ Crookes Hospital and seven surrounding primary health care clinics. The chi-square test and multivariate logistic regression was used to determine associations.Results: Some 16% (n = 60) of the participants utilised Implanon. Despite having the correct knowledge 65.7% (n = 220) were not willing to use Implanon if it were offered. In addition, 55% of participants (n = 177) believed Implanon had more side effects. Parity ( 4 children) was found to be a statistically significant protective factor against (p 0.05) Implanon uptake.Conclusion: Implanon is a highly unattractive method of contraception for women residing in the Ugu North Sub District. Fear of side effects and invasive method of insertion were identified as the major barriers to Implanon use. Education and increased patient awareness are strategies to increase the desirability and uptake of Implanon.


2021 ◽  
Vol 21 (1) ◽  
pp. 15-19
Author(s):  
Ahmad Ghiffari ◽  
Syahrul Muhammad ◽  
M. Avif Ababil

The level of stress in each education programs differ between medical students and other scholars. Students should able to cope to normalize their stress. The study aims to determine the relationship between the duration of reading the Qur'an with the level of stress on students. The study design was a cross-sectional study, with a simple random sampling. The collecting data technique was using the Depression Anxiety Stress Scale (DASS) questionnaires and duration questionnaires followed by the chi-square analysis. The respondents are 90 medical students of Universitas Muhammadiyah Palembang. The results showed that the duration of reading the Qur'an among students is poor, and the moderate duration is correlated with a good stress level (p=0,002). Concluded that there is a relation to the duration of reading The Qur'an with the level of stress in medical students.


2014 ◽  
Vol 8 (3) ◽  
pp. 177 ◽  
Author(s):  
Zilda Oktarina ◽  
Trini Sudiarti

This study was aimed to analyze risk factors of stunting in underfive children aged 24—59 months in Sumatera. A cross sectional study was conducted in 1 239 children at Aceh, North Sumatera, South Sumatera, and Lampung Provinces who have complete variable data of the National Basic Health Research 2010. The data were collected by questionnaires and anthropometric assessment. Chi square analysis and logistic regression were used to assess the association between risk factors and stunting in children. The result showed that prevalence of stunting among children were 44.1%. The significant risk factors of stunting among subjects (p&lt;0.05) were mother’s height (OR=1.36), fat intake (OR=1.30), family size (OR=1.38), and drinking water resources (OR=1.36). The dominant factor that associated with stunting in children was family size (OR=1.38). Researcher suggest that family can control total children with family planning program.<br /><br /><br />


2019 ◽  
Vol 1 (1) ◽  
pp. 49-57
Author(s):  
Susi Susi ◽  
Didin Kustantiningtyastuti ◽  
Yona Ladyventini

Dental caries and gum disease (gingivitis) is a disease which are often found in elementary school’s student in Indonesia. One of the cause of the oral and dental problems  is behavior factor or neglect of oral hygiene. This study aims to determine the relationship of children's behaviors to health and dental hygiene with caries incidence in permanent first molars in SDN 15 Eastern District of  Padang. The design of this study is the Cross Sectional Study. The research was conducted at the Elementary School District 15 East Padang Padang Padang in January 2012. This study sample was a student of class IV, V, VI amounted to 80 people. The data was collected through questionnaires and dental examinations by chi-square analysis.


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