scholarly journals Pemikiran Bunuh Diri dalam Kalangan Lelaki Gay yang Mengalami Kemurungan: Satu Kajian Kes

2021 ◽  
Vol 25 (2) ◽  
pp. 145-160
Author(s):  
Khadijah Nasrah ◽  
Rezki Perdani Sawai ◽  
Joki Perdani Sawai
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
High Risk ◽  
Gay Men ◽  
Suicide Ideation ◽  
Single Case ◽  
Minority Group ◽  
Internalized Homophobia ◽  
Well Being ◽  
Suicidal Thoughts

Gay men are among high-risk minority groups that are vulnerable to depression and suicidality, having three times the rate of depression compared to the general adult population. They are also at high risk for suicidality. Despite the high prevalence of such disorders, medical practitioners have tended to focus more on aspects related to diseases and their medical treatment and rarely explore factors contributing to those mental issues. In general, gay men have weak coping strategies when dealing with mental health issues. This research explores a single case study of a gay male who had depression that led to suicidal thoughts. SBQ-R is used to measure the level of suicidal thoughts, and in-depth interviews were employed to explore the risk factors contributing to suicide ideation. The findings show that risk factors underlying depression and suicidality among gay men include lack of family acceptance of their sexual identities, low social support, internalized homophobia, and societal stigma. The paper discusses in detail the barriers preventing gay men from seeking help as well as how mental health practitioners might advance the well-being of this underserved minority group by effectively addressing depression and suicidality. Abstrak Lelaki gay adalah kumpulan minoriti berisiko tinggi yang terdedah kepada kemurungan dan bunuh diri. Jumlah kemurungan dalam kalangan lelaki gay adalah tiga kali lebih tinggi daripada populasi dewasa umum. Mereka juga berisiko tinggi untuk bunuh diri. Walaupun terdapat kemunculan kemurungan dan bunuh diri yang tinggi, pengamal perubatan cenderung memberi tumpuan kepada masalah kesihatan seperti virus dan ubat-ubatan tetapi jarang sekali mereka menekankan faktor-faktor yang menyebabkan mereka mengalami kemurungan. Justeru itu, lelaki gay mempunyai strategi daya tindak yang negatif ketika menangani masalah kesihatan mental. Kajian ini meneroka satu kajian kes lelaki gay yang mengalami kemurungan dan membawa kepada pemikiran bunuh diri. Inventori Kecenderungan Bunuh Diri (IKBD) telah digunakan untuk mengukur kecenderungan pemikiran bunuh diri dan temubual mendalam untuk meneroka faktor risiko yang menyumbang kepada ideasi bunuh diri. Dapatan kajian menunjukkan terdapat beberapa faktor risiko kemurungan dan bunuh diri dalam kalangan lelaki gay termasuk kekurangan penerimaan keluarga berkaitan identiti seksual mereka, sokongan sosial, budaya homofobia, dan stigma masyarakat. Halangan untuk mendapatkan bantuan juga dibincangkan secara terperinci, bagaimana pengamal kesihatan mental dapat membantu mengatasi kemurungan dan bunuh diri dan seterusnya mencapai kesejahteraan mental kumpulan minoriti yang kurang terlindung ini.

Behavioral Emergencies and Crises

2010 ◽  
pp. 739-762
Author(s):  
Phillip M. Kleespies ◽  
Justin M. Hill
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
High Risk ◽  
Work Environment ◽  
Emotional Impact ◽  
High Risk Patients ◽  
Risk Patients ◽  
Life Threatening ◽  
Behavioral Emergencies ◽  
And Training

This chapter illustrates the mental health clinician’s relationship with behavioral emergencies. The chapter begins by distinguishing the terms behavioral emergency and behavioral crisis, and underlying themes among all behavioral emergencies are identified. Given that most clinicians will face a behavioral emergency in their careers, the importance of enhancing the process of educating and training practitioners for such situations far beyond the minimal training that currently exists is highlighted. The chapter continues by exploring various aspects of evaluating and managing high-risk patients (i.e., those who exhibit violent tendencies toward themselves or others, and those at risk for victimization). It includes a discussion of the benefits and limitations to estimating life-threatening risk factors and specific protective factors. The chapter concludes by discussing the emotional impact that working with high-risk patients has on clinicians, and an emphasis is placed on the importance of creating a supportive work environment.

Suicide risk assessment in a large public mental health service: do suicide risk classifications identify those at risk?

2021 ◽  
pp. 103985622098403
Author(s):  
Marianne Wyder ◽  
Manaan Kar Ray ◽  
Samara Russell ◽  
Kieran Kinsella ◽  
David Crompton ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Risk Assessment ◽  
High Risk ◽  
Suicide Risk ◽  
Public Mental Health ◽  
Assessment Tools ◽  
Suicide Risk Assessment ◽  
Public Mental Health Service ◽  
Risk Assessment Tools

Introduction: Risk assessment tools are routinely used to identify patients at high risk. There is increasing evidence that these tools may not be sufficiently accurate to determine the risk of suicide of people, particularly those being treated in community mental health settings. Methods: An outcome analysis for case serials of people who died by suicide between January 2014 and December 2016 and had contact with a public mental health service within 31 days prior to their death. Results: Of the 68 people who had contact, 70.5% had a formal risk assessment. Seventy-five per cent were classified as low risk of suicide. None were identified as being at high risk. While individual risk factors were identified, these did not allow to differentiate between patients classified as low or medium. Discussion: Risk categorisation contributes little to patient safety. Given the dynamic nature of suicide risk, a risk assessment should focus on modifiable risk factors and safety planning rather than risk prediction. Conclusion: The prediction value of suicide risk assessment tools is limited. The risk classifications of high, medium or low could become the basis of denying necessary treatment to many and delivering unnecessary treatment to some and should not be used for care allocation.

scholarly journals Mental well-being of patients from ethnic minority groups during critical care: a qualitative ethnographic study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e014075 ◽  
Author(s):  
Rose Lima Van Keer ◽  
Reginald Deschepper ◽  
Luc Huyghens ◽  
Johan Bilsen
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Critical Care ◽  
Ethnic Minority ◽  
Healthcare Professionals ◽  
Minority Groups ◽  
Mental Health Problems ◽  
Well Being ◽  
Ethnic Minority Groups ◽  
Mental Well Being

ObjectivesTo investigate the state of the mental well-being of patients from ethnic minority groups and possible related risk factors for the development of mental health problems among these patients during critical medical situations in hospital.DesignQualitative ethnographic design.SettingOneintensive care unit (ICU) of a multiethnic urban hospital in Belgium.Participants84 ICU staff members, 10 patients from ethnic-minority groups and their visiting family members.ResultsPatients had several human basic needs for which they could not sufficiently turn to anybody, neither to their healthcare professionals, nor to their relatives nor to other patients. These needs included the need for social contact, the need to increase comfort and alleviate pain, the need to express desperation and participate in end-of-life decision making. Three interrelated risk factors for the development of mental health problems among the patients included were identified: First, healthcare professionals’ mainly biomedical care approach (eg, focus on curing the patient, limited psychosocial support), second, the ICU context (eg, time pressure, uncertainty, regulatory frameworks) and third, patients’ different ethnocultural background (eg, religious and phenotypical differences).ConclusionsThe mental state of patients from ethnic minority groups during critical care is characterised by extreme emotional loneliness. It is important that staff should identify and meet patients’ unique basic needs in good time with regard to their mental well-being, taking into account important threats related to their own mainly biomedical approach to care, the ICU’s structural context as well as the patients’ different ethnocultural background.

A Review of Psychosocial Protective and Risk Factors for the Mental Well-Being of Rural LGBTQ+ Adolescents

2021 ◽  
pp. 0044118X2110359
Author(s):  
Kayla J. Elliott ◽  
Jeanne-Marie R. Stacciarini ◽  
Isidro A. Jimenez ◽  
Andrea P. Rangel ◽  
Dany Fanfan
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Coming Out ◽  
Well Being ◽  
Health Issues ◽  
Community Size ◽  
Gender Diverse ◽  
Fear Of Rejection ◽  
Sexual Exploration ◽  
Mental Well Being

Lesbian, gay, bisexual, transgender, questioning/queer, and other gender diverse (LGBTQ+) adolescents face daunting hardships within the rural contexts they navigate (e.g., community, school), and these onerous demands make it difficult for them to maintain optimal mental well-being. This scoping review described the psychosocial protective and risk factors that shape mental well-being for rural LGBTQ+ adolescents and identified the mental health issues commonly reported by them. About 30 articles published between 2005 and 2020 were examined. A myriad of factors indicated protection of or risks to LGBTQ+ rural adolescents’ mental well-being through the social-ecological levels: individual (e.g., pressure to conform to gender norms, sexual exploration, coming out), interpersonal (e.g., connectedness, fear of rejection, religious beliefs), institutional/school (e.g., bullying victimization, social exclusion, peer/teacher intervention), and rural community (e.g., community size, local ties, social isolation). More research is needed to better understand and address rural mental health disparities for this vulnerable group.

Psychological well-being and risk perceptions of mothers in Kyiv, Ukraine, 19 years after the Chornobyl disaster

2011 ◽  
Vol 57 (6) ◽  
pp. 637-645 ◽  
Author(s):  
Richard E. Adams ◽  
Lin T. Guey ◽  
Semyon F. Gluzman ◽  
Evelyn J. Bromet
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Risk Perceptions ◽  
Nuclear Power ◽  
Well Being ◽  
Population Based ◽  
Post Traumatic Stress ◽  
Psychological Well Being ◽  
Epidemiologic Risk

Background: The Chornobyl nuclear power plant explosion in April 1986 was one of the worst ecological disasters of the 20th century. As with most disasters, its long-term mental health consequences have not been examined. Aims: This study describes the psychological well-being and risk perceptions of exposed women 19–20 years later and the risk factors associated with mental health. Methods: We assessed Chornobyl-related post-traumatic stress disorder (PTSD), major depressive episode (MDE) and overall distress among three groups of women in Kyiv, Ukraine ( N = 797): mothers of small children evacuated to Kyiv in 1986 from the contaminated area near the plant (evacuees); mothers of their children’s classmates (neighbourhood controls); and population-based controls from Kyiv. Risk perceptions and epidemiologic correlates were also obtained. Results: Evacuees reported poorer well-being and more negative risk perceptions than controls. Group differences in psychological well-being remained after adjustment for epidemiologic risk factors but became non-significant when Chornobyl risk perceptions were added to the models. Conclusions: The relatively poorer psychological well-being among evacuees is largely explained by their continued concerns about the physical health risks stemming from the accident. We suggest that this is due to the long-term, non-resolvable nature of health fears associated with exposure.

scholarly journals Psychosocial risk factors associated with mental health of adolescents amidst the COVID-19 pandemic outbreak

2020 ◽  
pp. 002076402097100
Author(s):  
Muhammad Syawal Amran
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Low Income ◽  
Online Communication ◽  
Well Being ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Psychosocial Risks ◽  
Factors Associated ◽  
At Home

Background: An outbreak of global pandemic COVID-19 profoundly affects life around the globe. Prolonged isolation, contact restriction and economic shutdown impose a deeply change to the psychosocial environment. These indicate a tendency to threaten the mental health of adolescents’ significantly. Detecting adolescents’ psychosocial risk during Pandemic COVID-19, particularly when they stay at home, may be helpful to better understand their mental health well- being. Aims: The current study aimed to explore psychosocial risk factors associated with mental health of adolescents’ in the midst of the outbreak. Method: This research uses a qualitative approach which focuses on focus group discussions interviews. This research took 6 weeks via online communication platform involving ( n = 15) adolescents from the Low Income Household. Result: The participants adolescents’ psychosocial risk experience during amidst of Outbreak Covid-19 Pandemic are composed of (1) self- conflict (develop negative thought at home, unplanned of daily activities, changing sleep pattern and irregular wake up time and massively use internet) (2) Family Members (Conflict between parent and miscommunication between siblings) (3) School (Piling up on homework, Inadequate guidance for homework and Inability to comprehend online learning). These psychosocial risk factors have caused disruption to daily life adolescents’ during outbreaks and almost inevitably trigger a spike in mental health issues. Conclusion: Overall of study emphasized that psychosocial risks are important factors that can be addressed in order to reduce mental health problem.

Positive mental health as a moderator of the association between risk factors and suicide ideation/behavior in psychiatric inpatients

2019 ◽  
Vol 273 ◽  
pp. 678-684 ◽  
Author(s):  
Paula Siegmann ◽  
Ulrike Willutzki ◽  
Nathalie Fritsch ◽  
Peter Nyhuis ◽  
Marcus Wolter ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Suicide Ideation ◽  
Psychiatric Inpatients ◽  
Positive Mental Health
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