scholarly journals The investigation of the relationship between probability of suicide and reasons for living in psychiatric inpatients

2017 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Reyhan Eskiyurt ◽  
Birgul Ozkan
Keyword(s):  
Psychiatric Inpatients ◽  
Reasons For Living ◽  
The Relationship

Presence and Persistence of Sleep-Related Symptoms and Suicidal Ideation in Psychiatric Inpatients

Crisis ◽  
2014 ◽  
Vol 35 (6) ◽  
pp. 398-405 ◽  
Author(s):  
Michael R. Nadorff ◽  
Thomas E. Ellis ◽  
Jon G. Allen ◽  
E. Samuel Winer ◽  
Steve Herrera
Keyword(s):  
Risk Factor ◽  
Suicidal Ideation ◽  
Inpatient Treatment ◽  
Improve Method ◽  
Sleep Problems ◽  
Psychiatric Inpatients ◽  
Poor Sleep ◽  
Treatment Termination ◽  
Suicidal Patients ◽  
The Relationship

Background: Although sleep is an important risk factor for suicidal behavior, research has yet to examine the association between sleep problems and suicidality across the course of inpatient treatment. This study examined the relationship among sleep-related symptoms and suicidal ideation across inpatient treatment. Aims: To examine whether poor sleep at admission longitudinally predicts less improvement in suicidal ideation over the course of treatment. Further, to examine whether suicidal ideation is reduced in patients whose sleep does not improve. Method: The study utilized the Beck Depression Inventory (BDI)-II, which contains items measuring depressive symptoms, sleep-related symptoms, and suicidal ideation. The study sample consisted of 1,529 adult psychiatric inpatients. Patients were assessed at admission, biweekly, and at treatment termination. Results: Admission fatigue, loss of energy, and change in sleep pattern were associated with higher levels of suicidal ideation at admission and discharge. Fatigue at admission predicted suicidal ideation at termination independent of admission depression and suicidal ideation. Individuals whose sleep did not improve over the course of treatment had significantly higher suicidal ideation scores at termination relative to those whose sleep symptoms improved, after controlling for sleep, depression, and suicidal ideation scores at admission. Conclusion: These findings suggest that persistence of sleep-related symptoms warrants clinical attention in the treatment of suicidal patients.

Reasons for Living in Substance Abusing Adolescent Psychiatric Inpatients

2007 ◽  
Author(s):  
Melinda J. Collingwood ◽  
Osman Chowdhry ◽  
Ashley Salvatore ◽  
Thomas C. Mack ◽  
Augustine Osman ◽  
...  
Keyword(s):  
Psychiatric Inpatients ◽  
Substance Abusing ◽  
Reasons For Living

SWAY: Sleep disturbance as an early warning sign of suicidality in psychiatric inpatients transitioning to the community: an ecological momentary assessment study protocol (Preprint)

2021 ◽  
Author(s):  
Lindsay Dewa ◽  
Sofia Pappa ◽  
Talya Greene ◽  
James Cooke ◽  
Lizzie Mitchell ◽  
...  
Keyword(s):  
Hospital Discharge ◽  
Psychiatric Hospital ◽  
Ecological Momentary Assessment ◽  
Psychiatric Inpatients ◽  
Poor Sleep ◽  
Inpatient Setting ◽  
Initial Hospital ◽  
Ecological Momentary ◽  
The Relationship ◽  
Momentary Assessment

BACKGROUND Patients are at high risk of suicidal behaviour and death by suicide immediately following discharge from an inpatient psychiatric hospital. Furthermore, there is a high prevalence of sleep problems in inpatient settings which is associated with worse outcomes following hospitalisation. However, it is unknown whether poor sleep is associated with suicidality following initial hospital discharge. Our study aim is to examine the relationship between sleep and suicidality in discharged patients using ecological momentary assessment (EMA). OBJECTIVE To examine the relationship between subjective and objective sleep parameters and suicidality in young psychiatric inpatients transitioning to the community, and to explore the underlying mechanisms of this relationship using an adapted Integrated Motivational-Volitional (IMV) model. METHODS Our study will be the first co-produced prospective EMA using a wearable device to examine the sleep-suicide relationship during the transition from acute inpatient care to the community. Prospectively discharged inpatients aged 18-35 with a mental disorder (n>50) will be assessed for eligibility and recruited across two sites. Data on suicidal ideation, behaviour and imagery, non-suicidal self-harm and imagery, defeat, entrapment, and hopelessness, affect and sleep will be collected on the Pro-Diary V wrist-worn electronic watch for up to 14 days. Objective sleep and daytime activity will be measured using the inbuilt MotionWare software. Questionnaires will be administered face-to-face at baseline and follow-up while data will also be collected on the acceptability and feasibility of using the Pro-Diary V watch to monitor the transition following discharge. The study has been, and will continue to be, co-produced with young people with experience of being in an inpatient setting and suicidality. RESULTS South Birmingham Research Ethics Committee (Ref: 21/WM/0128) approved the study on June 28th 2021. We expect to see a relationship between poor sleep and post-discharge suicidality. Results will be available in 2022. CONCLUSIONS This will be the first EMA study to examine the relationship between sleep and suicidality, and to apply the IMV model in young patients transitioning from psychiatric hospital to community. We expect findings will directly influence policy and clinical practice, including the introduction of digital monitoring of suicidality and/or sleep before and after initial hospital discharge.

Does Mood Affect Reasons for Living? Yes

1989 ◽  
Vol 3 (3) ◽  
pp. 223-232 ◽  
Author(s):  
Jon B. Ellis ◽  
Lillian M. Range
Keyword(s):  
College Students ◽  
High Risk ◽  
Brief Intervention ◽  
Suicidal Behavior ◽  
Mood Induction ◽  
Reasons For Living ◽  
Mood Manipulation ◽  
Reasons For Living Inventory ◽  
And Coping ◽  
The Relationship

Adaptive life-maintaining characteristics, which may be present in non-suicidal people and absent in suicidal people, have received little attention. This study examined the relationship between these adaptive characteristics and mood by giving the Reasons for Living Inventory (RFL) to 199 college students, a group that has recently been shown to be at high risk for suicidal behavior. Subjects completed the RFL, experienced a mood induction or served as a control, and then completed the RFL a second time. Analyses of variance of RFL change scores indicated that elated subjects differed from all others in overall RFL and responsibility to family scores, which improved while others remained about the same. Also, depressed subjects differed from all others in their survival and coping beliefs, which dropped while others remained about the same. These results suggest that a brief intervention such as a mood manipulation technique may positively or negatively affect reasons that people have for not committing suicide.

Bedside Stuffed Animals and Borderline Personality

1996 ◽  
Vol 79 (2) ◽  
pp. 624-626 ◽  
Author(s):  
Lawrence A. Labbate ◽  
David M. Benedek
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Adult Female ◽  
Psychiatric Diagnosis ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Female Patients ◽  
Clinical Clue ◽  
The Relationship

We explored the relationship between psychiatric diagnosis and the presence of stuffed animals at the bedside in a population of adult female psychiatric inpatients. One of the authors made approximately weekly surveys of the wardrooms of adult psychiatric inpatients over twelve months for the presence of displayed stuffed animals. The observer was blind to the diagnosis of 80% of the patients, and the study or its hypothesis was not known to other physicians. The discharge diagnoses of patients displaying stuffed animals were recorded and compared with those of the ward population in general. Among 36 female patients who displayed stuffed animals in their rooms, Borderline Personality Disorder was diagnosed in 22 (61%) of these patients. Of 447 adult female patients admitted to the same unit over the same period, only 17% were noted to be diagnosed Borderline Personality Disorder. Stuffed animals as a bedside clinical clue may suggest evaluation for Borderline Personality Disorder.

Intelligence and Emotional/Behavioral Factors as Correlates of Achievement in Child Psychiatric Inpatients

1988 ◽  
Vol 63 (1) ◽  
pp. 163-170 ◽  
Author(s):  
A. J. Finch ◽  
Ronald L. Blount ◽  
Conway F. Saylor ◽  
Vicky V. Wolfe ◽  
Thomas P. Pallmeyer ◽  
...  
Keyword(s):  
Academic Achievement ◽  
Trait Anxiety ◽  
Emotionally Disturbed ◽  
Psychiatric Inpatients ◽  
Behavioral Factors ◽  
Verbal Iq ◽  
Behavioral Indices ◽  
Child Psychiatric ◽  
Highly Correlated ◽  
The Relationship

This study investigated the extent to which IQ and emotional/behavioral factors were related to tested academic achievement in 56 child psychiatric inpatients. The first part of the study replicated and extended previous research; WISC—R IQs were highly correlated with tested achievement, Verbal IQs being more highly correlated with achievement than were Performance or Full Scale IQs. In the second part of the study which examined the relationship between the emotional/behavioral indices and achievement, only Trait Anxiety correlated significantly with achievement. However, after the relationship between Trait Anxiety and Verbal IQ was partialed out, the correlation between anxiety and achievement was no longer significant. These findings raise questions regarding the magnitude of the relationship between measures of emotional/behavioral status and tested academic achievement within a single sample of emotionally disturbed children and adolescents.

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