scholarly journals Do Suicide Attempts of Mood Disorder Patients Directly Increase the Risk for a Reattempt?

2020 ◽  
Vol 11 ◽  
Author(s):  
Kari I. Aaltonen ◽  
Tom Rosenström ◽  
Pekka Jylhä ◽  
Irina Holma ◽  
Mikael Holma ◽  
...  
Keyword(s):  
Suicide Attempt ◽  
Mood Disorder ◽  
Major Depressive Episode ◽  
Suicide Attempts ◽  
Ordinal Number ◽  
Major Depressive ◽  
Individual Level ◽  
Level Data ◽  
Depressive States

Background: Preceding suicide attempts strongly predict future suicidal acts. However, whether attempting suicide per se increases the risk remains undetermined. We longitudinally investigated among patients with mood disorders whether after a suicide attempt future attempts occur during milder depressive states, indicating a possible lowered threshold for acting.Methods: We used 5-year follow-up data from 581 patients of the Jorvi Bipolar Study, Vantaa Depression Study, and Vantaa Primary Care Depression Study cohorts. Lifetime suicide attempts were investigated at baseline and during the follow-up. At follow-up interviews, life-chart data on the course of the mood disorder were generated and suicide attempts timed. By using individual-level data and multilevel modeling, we investigated at each incident attempt the association between the lifetime ordinal number of the attempt and the major depressive episode (MDE) status (full MDE, partial remission, or remission).Results: A total of 197 suicide attempts occurred among 90 patients, most during MDEs. When the dependencies between observations and individual liabilities were modeled, no association was found between the number of past suicide attempts at the time of each attempt and partial remissions. No association between adjusted inter-suicide attempt times and the number of past attempts emerged during follow-up. No indication for direct risk-increasing effects was found.Conclusion: Among mood disorder patients, repeated suicide attempts do not tend to occur during milder depressive states than in the preceding attempts. Previous suicide attempts may indicate underlying diathesis, future risk being principally set by the course of the disorder itself.

Nearly Lethal Resuscitated Suicide Attempters Have No Low Serum Levels of Cholesterol and Triglycerides

2010 ◽  
Vol 106 (3) ◽  
pp. 785-790 ◽  
Author(s):  
Maurizio Pompili ◽  
David Lester ◽  
Marco Innamorati ◽  
Paolo Girardi ◽  
Roberto Tatarelli
Keyword(s):  
Suicide Attempt ◽  
Mood Disorders ◽  
Serum Cholesterol ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
Serum Levels ◽  
Small Sample ◽  
Major Depressive ◽  
Lower Serum ◽  
Lower Serum Cholesterol

To verify the hypothesis that suicide attempts are associated with lower serum cholesterol and triglyceride levels of patients with mood disorders, 26 patients with mood disorders (bipolar disorder and major depressive disorder) were admitted after a medically serious suicide attempt to the emergency department and then hospitalized in the psychiatric unit of the Sant'Andrea Hospital (Rome, Italy). Controls were 87 patients who had not made a recent suicide attempt. Attempters and nonattempters did not differ in the levels of serum cholesterol or triglycerides. Indeed, attempters had nonsignificantly higher serum levels of cholesterol and lower serum levels of triglycerides. The use of biologic indicators such as levels of serum cholesterol and triglycerides in the prediction of suicide risk in mood disorders was not fully supported from this small sample.

scholarly journals Overtime Work as a Predictor of Major Depressive Episode: A 5-Year Follow-Up of the Whitehall II Study

PLoS ONE ◽  
2012 ◽  
Vol 7 (1) ◽  
pp. e30719 ◽  
Author(s):  
Marianna Virtanen ◽  
Stephen A. Stansfeld ◽  
Rebecca Fuhrer ◽  
Jane E. Ferrie ◽  
Mika Kivimäki
Keyword(s):  
Depressive Episode ◽  
Major Depressive Episode ◽  
Major Depressive ◽  
Overtime Work

The Prevalence of The Burnout Syndrome among Population Examined at The Psychiatric Emergency Department for attempted Suicide

2016 ◽  
Vol 33 (S1) ◽  
pp. S443-S443
Author(s):  
E. Perju ◽  
E. Gallois
Keyword(s):  
Suicide Attempt ◽  
Suicide Attempts ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
The Public ◽  
Foreign Population ◽  
The Social ◽  
Competing Interest ◽  
Public Environment

IntroductionThe intention of this study is to show the frequency of the burnout syndrome among the population seen at psychiatric ER for the most severe complication of the burnout, the suicide attempt.Objective(a) To demonstrate the frequency of burnout among the population examined at psychiatric ER for suicide attempt.(b) To establish a correlation between the frequency of burnout and:– the socio-demographic characteristics;– the psychiatric follow-up;– the type of personality found.MethodsDescriptive study on a sample of 92 patients examined at psychiatric ER between 01/02/2014 and 01/06/2014 after a suicide attempt, seen by a single doctor. The patients received the Maslach Burnout inventory (MBI).ResultsThe frequency of burnout among the population consulted for suicide attempts is 8.7%. The limitations of this study were: the use of MBI questionnaire only by one doctor and a collection of data carried on a certain period of time.I managed to characterize the population seen after the suicide attempt induced by the burnout: 88% women; 25% foreign population working in a context with many responsibilities; the predominance of obsessive personality – 50%, followed by anxious personality type – 25%; the suicide attempt was done by a population without psychiatric history and without psychiatric follow-up – 75%; the studied population is divided between patients working in a high responsibility environment – 36% and patients working in the social or the public environment – 63%.Eighty-eight percent of patients were brought in after their first suicide attempt.ConclusionDespite the fact that until now a unanimous definition has not been formulated on the CIM-10, the burnout syndrome is one of the most popular disorders.The problematic is real, considering that this syndrome, which starts with a psychological distress, can escalade to a self-aggressive behaviour.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Income disparities in life expectancy in the City of Toronto and Region of Peel, Ontario

2012 ◽  
Vol 32 (4) ◽  
pp. 208-215 ◽  
Author(s):  
J. Stratton ◽  
D.L. Mowat ◽  
R. Wilkins ◽  
M. Tjepkema
Keyword(s):  
Life Expectancy ◽  
Immigrant Status ◽  
Individual Level ◽  
Probability Of Survival ◽  
Income Disparities ◽  
Income Adequacy ◽  
Level Data ◽  
Calculated Period ◽  
The City

Introduction To understand the lack of a gradient in mortality by neighbourhood income in a previous study, we used individual-level data from the 1991–2001 Canadian census mortality follow-up study to examine income-related disparities in life expectancy and probability of survival to age 75 years in the City of Toronto and Region of Peel. Methods We calculated period life tables for each sex and income adequacy quintile, overall and separately for immigrants and non-immigrants. Results For all cohort members of both sexes, including both immigrants and non-immigrants, there was a clear gradient across the income quintiles, with higher life expectancy in each successively richer quintile. However, the disparities by income were much greater when the analysis was restricted to non-immigrants. The lesser gradient for immigrants appeared to reflect the higher proportion of recent immigrants in the lower income quintiles. Conclusion These findings highlight the importance of using individual-level ascertainment of income whenever possible, and of including immigrant status and period of immigration in assessments of health outcomes, especially for areas with a high proportion of immigrants.

scholarly journals Evaluation of Early Psychological symptoms of Major Limb Amputation in a Tertiary Hospital

2020 ◽  
Vol 3 (3) ◽  
pp. 389-395
Author(s):  
SB Yilleng ◽  
DD Dapap
Keyword(s):  
Depressive Episode ◽  
Major Depressive Episode ◽  
Psychological Symptoms ◽  
Skill Training ◽  
Functional Independence ◽  
Tertiary Hospital ◽  
Limb Amputation ◽  
Psychological Outcome ◽  
Major Depressive

Amputation may be used to treat a diseased limb or improve its function, and it is considered the last, albeit valuable option when limb salvage is impossible. The decision to amputate a limb is an emotional process for the patient and the patient's family. The result is often loss of economic power of the individual and his/her independence when not sufficiently rehabilitated back into the society. The aim of the study was to determine early psychological outcome of major limb amputation. This was a prospective study, where 54 consenting patients admitted via either the accident and emergency unit or general outpatient clinic of a tertiary hospital for major limb amputation that met the inclusion criteria were recruited into the study consecutively over a period of one year. They were assessed for depression with Mini International Neuropsychiatric Interview (MINI) Instrument, while Rehabilitation outcome was graded using functional independence measure. Intensive counseling with psycho education was commence before amputation and continues after amputation by counselors. Physiotherapy, occupational therapy, coping skills and other life skill training commence after amputation to 3 months of follow up. Only 1 (1.9%) of the respondents was diagnosed with major depressive episode out of the 54 that completed the study. Some of the remaining 53 (98.1%) had few symptoms of depression but did not fulfilled the diagnostic criteria for major depressive episode according to M.I.N.I. The rehabilitation of all the patients were good with a mean functional measure score of 117.59 (sd=3.328) and a P-value of 0.00 at discharge and even after follow up. Our findings show that early and proper rehabilitation of amputees seem to reduce their psychological symptoms. Tendency to get depressed following amputation is more common in the younger age group, female gender and in amputations as a result of trauma while rehabilitation seems better in same and vice versa.

scholarly journals Work related sexual harassment and risk of suicide and suicide attempts: prospective cohort study

BMJ ◽  
2020 ◽  
pp. m2984 ◽  
Author(s):  
Linda L Magnusson Hanson ◽  
Anna Nyberg ◽  
Ellenor Mittendorfer-Rutz ◽  
Fredrik Bondestam ◽  
Ida E H Madsen
Keyword(s):  
Cohort Study ◽  
Sexual Harassment ◽  
Suicide Attempt ◽  
Prospective Cohort Study ◽  
Suicidal Behaviour ◽  
Prospective Cohort ◽  
Suicide Attempts ◽  
Men And Women ◽  
Work Related

Abstract Objective To analyse the relation between exposure to workplace sexual harassment and suicide, as well as suicide attempts. Design Prospective cohort study. Setting Sweden. Participants 86 451 men and women of working age in paid work across different occupations responded to a self-report questionnaire including exposure to work related sexual harassment between 1995 and 2013. The analytical sample included 85 205 people with valid data on sexual harassment, follow-up time, and age. Main outcome measures Suicide and suicide attempts ascertained from administrative registers (mean follow-up time 13 years). Results Among the people included in the respective analyses of suicide and suicide attempts, 125 (0.1%) died from suicide and 816 (1%) had a suicide attempt during follow-up (rate 0.1 and 0.8 cases per 1000 person years). Overall, 11 of 4095 participants exposed to workplace sexual harassment and 114 of 81 110 unexposed participants committed suicide, and 61/4043 exposed and 755/80 513 unexposed participants had a record of suicide attempt. In Cox regression analyses adjusted for a range of sociodemographic characteristics, workplace sexual harassment was associated with an excess risk of both suicide (hazard ratio 2.82, 95% confidence interval 1.49 to 5.34) and suicide attempts (1.59, 1.21 to 2.08), and risk estimates remained significantly increased after adjustment for baseline health and certain work characteristics. No obvious differences between men and women were found. Conclusions The results support the hypothesis that workplace sexual harassment is prospectively associated with suicidal behaviour. This suggests that suicide prevention considering the social work environment may be useful. More research is, however, needed to determine causality, risk factors for workplace sexual harassment, and explanations for an association between work related sexual harassment and suicidal behaviour.

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