Depressão e ideação suicida na adolescência: implementação e avaliação de um programa de intervenção

Objetivo: Desarrollar, implementar y evaluar un programa de prevención del suicidio dirigido a adolescentes.Materiales y Métodos: Estudio cuasi experimental, del tipo antes y después, con adolescentes de una institución educativa en São Luís, Maranhão, Brasil. El estudio siguió las etapas de desarrollo, implementación y evaluación de un programa de intervención para la prevención del suicidio. Se administraron tres instrumentos de evaluación antes y después de la intervención: la escala de ideación suicida de Beck; el Inventario de Depresión de Beck y la Escala de Desesperanza de Beck.Resultados: Antes de la intervención, participaron 102 adolescentes, 30 (29.4%) tenían ideación suicida y síntomas depresivos. Después de la intervención, los instrumentos se aplicaron a los 30 adolescentes seleccionados, 12 (40.0%) continuaron con la ideación. Antes de la intervención, el Inventario de depresión promedio fue de 23.83 y luego de 7.17 (p <0.0001). En cuanto a la desesperanza, el promedio obtenido antes fue 7.23 y luego 2.17 (p <0.0001); Con respecto a la ideación suicida, el promedio obtenido antes fue de 10.50 y luego de 2.57 (p <0.0001).Conclusión: Hubo una disminución en los síntomas depresivos, la desesperanza y la ideación suicida después de la implementación del elaborado programa de intervención. Objective: To develop, implement and evaluate a suicide prevention program aimed at adolescents.Material and Methods: A quasi-experimental study, before and after, with adolescents from an educational institution in São Luís, Maranhão, Brazil. The study followed the stages of development, implementation and evaluation of a suicide prevention intervention program. Three assessment instruments were administered before and after the intervention: Beck's Suicidal Ideation Scale; Beck's Depression Inventory and Beck's Hopelessness Scale. Results: Before the intervention, 102 adolescents participated, 30 (29.4%) had suicidal ideation and depressive symptoms. After the intervention the instruments were applied to the 30 selected adolescents, 12 (40.0%) continued with ideation. Prior to intervention, the average Depression Inventory was 23.83 and then 7.17 (p <0.0001). As for hopelessness, the average obtained before was 7.23 and then 2.17 (p <0.0001); Regarding suicidal ideation, the average obtained before was 10.50 and then 2.57 (p <0.0001). Conclusion: There was a decrease in depressive symptoms, hopelessness and suicidal ideation after the implementation of the elaborated intervention program.

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Efectos del programa CIPRES sobre el riesgo suicida en adolescentes

Revista de Psicopatología y Psicología Clínica ◽

10.5944/rppc.23667 ◽

2019 ◽

Vol 24 (2) ◽

pp. 83

Author(s):

Marly Johana Bahamón ◽

Yolima Alarcón-Vásquez ◽

Ana María Trejos-Herrera ◽

Stefano Vinaccia Alpi ◽

Andres Cabezas ◽

...

Keyword(s):

Suicidal Ideation ◽

Suicide Risk ◽

Psychological Intervention ◽

Control Group ◽

Assessment Instruments ◽

Suicidal Risk ◽

Before And After ◽

Quasi Experimental ◽

Self Harm ◽

Experimental Group

Abstract: Effects of the CIPRES program on suicidal risk in adolescents. The objective of the study was to evaluate the specific changes generated by the CIPRES program on suicidal risk in adolescents. The sample comprised 106 adolescents aged between 13 and 18 years old (53 in the experimental group, 53 in the control group), of which 54.7% were women (n = 58). The study used a quasi-experimental design of repeated pretest-posttest measures with a control group. Two assessment instruments were administered before and after the program: The Scale of the Suicide Risk (ERS) and the Inventory of Positive and Negative Suicidal Ideation (PANSI). The pretest-posttest ANCOVAs showed that the program significantly reduced (p < .05) the scores of suicidal ideation, planning, self-harm, isolation/social support, lack of family support, and global suicide risk. In addition, it significantly increased positive ideation scores. The results support the relevance of this program to reduce suicidal risk in adolescents.Keywords: CIPRES; suicide risk; adolescents; psychological intervention; quasi-experiment.Resumen: El estudio tuvo por objetivo evaluar los cambios específicos generados por el programa CIPRES sobre el riesgo suicida en adolescentes. La muestra se configuró con 106 adolescentes entre los 13 y 18 años (53 experimentales, 53 controles), de los cuales el 54.7% eran mujeres (n = 58). El estudio utilizó un diseño cuasi-experimental de medidas repetidas pretest-postest con grupo de control. Se administraron dos instrumentos de evaluación antes y después de la aplicación del programa: la Escala de Riesgo Suicida (ERS) y el Inventario de Ideación Suicida Positiva y Negativa (PANSI). Los ANCOVAs pretest-postest evidenciaron que el programa redujo significativamente (p < .05) las puntuaciones en ideación suicida, planificación, autolesión, aislamiento/soporte social, falta de apoyo familiar, y riesgo suicida global. Además, aumentó significativamente las puntuaciones en ideación positiva. Los resultados apuntan a la relevancia de este programa para reducir el riesgo suicida en adolescentes.Palabras clave: CIPRES; riesgo de suicidio; adolescentes; intervención psicológica; cuasiexperimento.

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An effective suicide prevention program in the Israeli Defense Forces: A cohort study

European Psychiatry ◽

10.1016/j.eurpsy.2015.10.004 ◽

2016 ◽

Vol 31 ◽

pp. 37-43 ◽

Cited By ~ 18

Author(s):

L. Shelef ◽

L. Tatsa-Laur ◽

E. Derazne ◽

J.J. Mann ◽

E. Fruchter

Keyword(s):

Cohort Study ◽

Suicide Prevention ◽

Suicide Rate ◽

Prevention Program ◽

Help Seeking ◽

Intervention Program ◽

Economic Status ◽

Warning Signs ◽

Before And After ◽

Mandatory Service

AbstractObjectiveTo evaluate the effectiveness of the IDF Suicide Prevention Program, implemented since 2006.DesignQuasi-experimental (before and after) cohort study.ParticipantsTwo cohorts of IDF mandatory service soldiers: the first inducted prior to (1992–2005, n = 766,107) and the second subsequent to (2006–2012, n = 405,252) the launching of the intervention program.ExposureThe IDF Suicide Prevention Program is a population-based program, incorporating: reducing weapon availability, de-stigmatizing help-seeking behavior, integrating mental health officers into service units, and training commanders and soldiers to recognize suicide risk factors and warning signs.Main outcome measureSuicide rate and time to suicide in cohorts before and after exposure to the Suicide Prevention Program.ResultsTrend analysis showed lower suicide rates in the cohort after intervention. The hazard ratio for the intervention effect on time to suicide was 0.44 (95% CI = 0.34–0.56, P < .001) among males. Lower risk was associated with: male gender; born in Israel; higher socio-economic status; higher intelligence score; and serving in a combat unit (HR = 0.43: 95% CI = 0.33–0.55).ConclusionsThere was a 57% decrease in the suicide rate following the administration of the IDF Suicide Prevention Program. The effect of the intervention appears to be related to use of a weapon, and being able to benefit from improved help-seeking and de-stigmatization. Future efforts should seek to extend the program's prevention reach to other demographic groups of soldiers. The success of the IDF program may inform suicide prevention in other military organizations and in the civilian sector.

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Promotion of Early and Exclusive Breastfeeding in Neonatal Care Units in Rural Rwanda: a Quasi-experimental Study

10.21203/rs.3.rs-119415/v1 ◽

2020 ◽

Author(s):

Saidath Gato ◽

Francois Biziyaremye ◽

Catherine M. Kirk ◽

Chiquita Palha De Sousa ◽

Alain Mukuralinda ◽

...

Keyword(s):

Experimental Study ◽

Exclusive Breastfeeding ◽

Child Survival ◽

Neonatal Care ◽

Post Intervention ◽

Factors Associated ◽

Before And After ◽

Quasi Experimental ◽

Evidenced Based ◽

Additional Support

Abstract Background: Early initiation of breastfeeding after birth and ongoing exclusive breastfeeding for the first 6 months improves child survival, nutrition and health outcomes. However, only 42% of newborns worldwide are breastfed within the first hour of life. Small and sick newborns are at greater risk of not receiving breastmilk and often require additional support for feeding. This study compares breastfeeding practices in Rwandan neonatal care units (NCUs) before and after the implementation of a package of interventions aimed to improve breastfeeding, aligned with the Baby Friendly Hospital Initiative for small and sick newborns.Methods: A pre-post quasi experimental study was conducted at two District hospital NCUs in rural Rwanda from October 2017–December 2017 (pre-intervention) and September 2018–March 2019 (post-intervention). Only newborns admitted before their second day of life (DOL) were included. Data was extracted from patient charts for clinical and demographic characteristics, feeding throughout admission, and patient outcomes. Bivariate analyses were conducted using Fisher’s exact and Wilcoxon rank sum tests. Logistic regression was used to evaluate factors associated with exclusive breastfeeding at discharge following a backwards stepwise procedure.Results: Pre-intervention, 255 newborns were admitted in the NCUs and 793 were admitted in the post-intervention period. The percentage of infants who were exclusively breastfed on their day of birth, or day-of-life zero (DOL0) increased from 5.4% to 35.9% (p<0.001). For newborns discharged alive, the proportion exclusively breastfeeding increased from 69.6% to 87.0% (p<0.001). The mortality rate for all admitted newborns decreased from 16.1% to 10.5% (p<0.019). Factors associated with greater odds of exclusive breastfeeding at discharge included post-intervention time point (Odds Ratio (OR): 4.91, 95% Confidence Interval (CI) 1.99-12.11, p<0.001), and admission for infection (OR 2.99, 95%CI 1.13-7.93, p=0.027). Home deliveries (OR 0.15, 95%CI 0.05-0.47, p=0.001), preterm delivery (OR 0.36, 95%CI 0.15-0.87, p=0.0260 and delayed first breastmilk feed (OR=0.04 for DOL3 vs. DOL0, 95%CI 0.01, 0.35, p=0.004) reduced odds of exclusive breastfeeding at discharge. Conclusion: Expansion and adoption of evidenced-based guidelines, using innovative approaches, aimed at the unique needs of small and sick newborns should be expanded and adapted in similar settings to improve outcomes for these infants.

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Immunization competence retention in medical students: a comparation between conventional lectures and lectures with simulations method

Paediatrica Indonesiana ◽

10.14238/pi55.6.2015.339-44 ◽

2016 ◽

Vol 55 (6) ◽

pp. 339 ◽

Cited By ~ 1

Author(s):

Hartono Gunadi ◽

Rini Sekartini ◽

Retno Asti Werdhani ◽

Ardi Findyartini ◽

Muhammad Arvianda Kevin Kurnia

Keyword(s):

Experimental Study ◽

Medical Students ◽

Medical School ◽

Intervention Group ◽

Control Group ◽

Vaccine Preventable Diseases ◽

Before And After ◽

Quasi Experimental

Background Immunization is recognized as one of the strategiesto reduce vaccine preventable diseases. Competency related toimmunization are consequently important for medical students andthe medical school needs to assure the competence acquisition.Objective To assess competence related to immunization andits retention following lectures with simulations compared tolectures only.Methods A quasi-experimental study was conducted to the 5th yearstudents of University of Indonesia Medical School during the ChildAdolescent Health Module in 2012-2013. The intervention grouphad lectures with simulations and the control group had lecturesonly. Immunization knowledge was assessed with a 30 multiplechoice question (MCA) items performed before and after themodule. Competence retention was assessed by MCQ (knowledge)and OSCE (skills) 2-6 months afterwards.Results Sixty eight subjects for each group with similarcharacteristics were analyzed. There was significant differenceafter module MCQ score between two groups. Competenceretention in 2-6 months after module completion was betterin intervention group, both for the knowledge (median MCQscore of 70.00 (range 37-93) vs. mean score of 58.01 (SD 12.22),respectively; P<0.001) and skill (OSCE mean scores of 75.21 (SD10.74) vs. 62.62 (SD 11.89), respectively; P < 0.001). Proportionof subjects in the intervention group who passed both the MCQand OSCE were also significantly greater.Conclusion Lectures with simulations are proved to bemore effective in improving medical students’ immunizationcompetence as well as its retention compared to lectures onlyapproach.

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Use of digital game therapy among elderly persons undergoing dialytic treatment: cognitive aspects and depressive symptoms

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562018021.170184 ◽

2018 ◽

Vol 21 (4) ◽

pp. 447-455

Author(s):

Sirlei Ricarte Bento ◽

Ana Carolina Ottaviani ◽

Allan Gustavo Brigola ◽

Vânia Paula de Almeida Neris ◽

Fabiana de Souza Orlandi ◽

...

Keyword(s):

Depressive Symptoms ◽

Depressive Symptom ◽

Intervention Program ◽

Depression Scale ◽

Elderly Persons ◽

Post Intervention ◽

Therapeutic Game ◽

Significant Difference ◽

Before And After ◽

The Mean

Abstract Objective :to evaluate the presence of depressive symptoms and cognitive disorders before and after an intervention program with a digital therapeutic game among elderly persons undergoing hemodialysis. Method: a quasi-experimental study was carried out with 26 elderly patients on hemodialysis. For the data collection, a questionnaire relating to sociodemographic and health conditions, the Geriatric Depression Scale - 15 items and Addenbrooke’s Cognitive Examination Revised were used. The intervention with the digital therapeutic game was performed over 5 sessions. Results: of the participants, 80.8% were male, with a mean age of 66.7 (± 5.8) years. The mean pre-intervention depressive symptom score was 3.9 (± 3.0) while post-intervention it was 2.8 (± 2.9), representing a statistically significant difference (p = 0.005). Regarding cognitive function, there was no statistically significant difference before and after the intervention. There was a statistically significant difference in the mean of the depressive symptom scores, which were lower after the intervention. In addition, there was no statistically significant difference in the mean of the cognitive assessments. Conclusion: intervention studies with patients undergoing hemodialysis treatment are still scarce and this study describes the positive results of an intervention with a digital therapeutic game, demonstrating improvement in the depressive symptoms of the participants.

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Telephone interventions for adherence to colpocytological examination

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1683.2844 ◽

2017 ◽

Vol 25 (0) ◽

Author(s):

Thais Marques Lima ◽

◽

Ana Izabel Oliveira Nicolau ◽

Francisco Herlânio Costa Carvalho ◽

Camila Teixeira Moreira Vasconcelos ◽

...

Keyword(s):

Cervical Cancer ◽

Experimental Study ◽

Educational Intervention ◽

Educational Interventions ◽

Inclusion Criteria ◽

Examination Method ◽

Before And After ◽

Quasi Experimental ◽

Behavioral Group ◽

Health Education And Promotion

ABSTRACT Objective: to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. Method: quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. Results: on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283) with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p < 0.0001), with greater adherence of women participating in the behavioral group (66.8%). Conclusion: the behavioral and educational interventions by phone were effective in the adherence of women to colpocytological examination, representing important strategies for permanent health education and promotion of care for the prevention of cervical cancer.

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FEASIBILITY OF A MANUALIZED FAMILY-BASED SUICIDE PREVENTION STRATEGY TO REDUCE ADOLESCENT SUICIDE RISK AMONG EMERGENCY DEPARTMENT REFERRED YOUTH: A QUALITY IMPROVEMENT PROJECT

Paediatrics & Child Health ◽

10.1093/pch/pxy054.136 ◽

2018 ◽

Vol 23 (suppl_1) ◽

pp. e54-e54

Author(s):

Matthew Tracey ◽

Gillian Rowney ◽

Antonio Pignatiello ◽

Suneeta Monga ◽

Daphne Korczak

Keyword(s):

Emergency Department ◽

Depressive Symptoms ◽

Suicidal Ideation ◽

Suicide Prevention ◽

Controlled Trial ◽

Standard Of Care ◽

Improvement Project ◽

Care Clinic ◽

Ensure Patient Safety ◽

Increased Risk

Abstract BACKGROUND Suicide is the second leading cause of death among Canadian children and adolescents. Youth who present at an Emergency Department (ED) for suicidal ideation and risk behaviours (SRB) are at increased risk for eventual suicide. Despite this risk, current approaches to standard of care are referral to community resources or primary care where waitlists are common, and interventions may not be evidence-based or incorporate crisis management or family participation. OBJECTIVES To determine the feasibility and acceptability of a manualized, family-centered suicide prevention intervention administered in an outpatient clinic for ED-referred youth. DESIGN/METHODS Youth (aged 12 – 18) and parents presenting to the ED for SRB and referred to the Urgent Psychiatry Care clinic were eligible for the QI program, consisting of weekly individual and family sessions delivered over a 6-week period. The therapist addressed common symptoms and concerns of suicidal youth, sources of conflict within the family, and ways to improve communication and ensure patient safety. Patients were excluded if they did not have a parent or caregiver able to participate. Suicidal ideation and behavior were assessed using youth-report measures, the Suicidal Ideation Questionnaire-Junior (SIQ-JR) and the Harkavy-Asnis Suicide Scale (HASS), at baseline and following program completion. The Mood and Feeling Questionnaire (MFQ) was used to measure depressive symptoms. Participant and therapist feedback was collected at follow-up using quantitative and qualitative measures. RESULTS Ten patients were enrolled and completed baseline measures, however four participants withdrew prior to 6 week completion: two withdrew at week 2 and one participant each withdrew at weeks 3 and 6. As such, 7/10 completed 5 weeks of the intervention. Significant improvement in both suicidal ideation (SIQ-JR, x̅ = -16.67; t(5) = 3.125, p = .026) and SRB (HASS, x̅ = -20.17; t(5) = 3.204, p = .024) were observed. Depressive symptoms also decreased (MFQ, x̅ = -15.5, t(5) = 2.724, p = .042). Youth and caregivers rated the program favorably. Improved family communication was most frequently reported by both patients and caregivers as a main benefit of the program. CONCLUSION These preliminary data indicate that SRB may be improved by a brief manualized, family-focused therapy. Early data suggest that the protocol is feasible and acceptable for adolescents presenting to the ED with safety concerns, and warrant further examination in a controlled trial.

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A quasi-experimental study on stethoscopes contamination with multidrug-resistant bacteria: Its role as a vehicle of transmission

PLoS ONE ◽

10.1371/journal.pone.0250455 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0250455

Author(s):

Raeseok Lee ◽

Su-Mi Choi ◽

Sung Jin Jo ◽

Songyi Han ◽

Yun Jeong Park ◽

...

Keyword(s):

Experimental Study ◽

Education And Training ◽

Multidrug Resistant ◽

Blood Agar Plate ◽

Resistant Bacteria ◽

Contamination Rate ◽

Nosocomial Pathogens ◽

Before And After ◽

Quasi Experimental ◽

And Training

Stethoscopes have been suggested to be a possible vector of contact transmission. However, only a few studies have focused on the prevalence of contamination by multidrug-resistant (MDR) bacteria and effectiveness of disinfection training to reduce. This study is to investigate the burden of stethoscope contamination with nosocomial pathogens and multidrug-resistant (MDR) bacteria and to analyze habit changes in disinfection of stethoscopes among healthcare workers (HCWs) before and after education and training. We performed a prospective pre and post quasi-experimental study. A total of 100 HCWs (55 doctors and 45 nurses) were recruited. HCWs were surveyed on their disinfection behavior and stethoscopes were cultured by pressing the diaphragm directly onto a blood agar plate before and after education on disinfection. Pulsed-field gel electrophoresis was performed to determine the relatedness of carbapenem-resistant Enterobacteriaceae. Most of the stethoscopes were contaminated with microorganisms before and after the intervention (97.9% and 91.5%, respectively). The contamination rate of stethoscopes with nosocomial pathogens before and after education was 20.8% and 19.2%, respectively. Stethoscope disinfection habits improved (55.1% vs 31.0%; p<0.001), and the overall bacterial loads of contamination were reduced (median colony-forming units, 15 vs 10; p = 0.019) after the intervention. However, the contamination rate by nosocomial pathogens and MDR bacteria did not decrease significantly. A carbapenemase-producing Klebsiella pneumoniae isolates from a stethoscope was closely related to isolates from the patients admitted at the same ward where the stethoscope was used. Stethoscopes were contaminated with various nosocomial pathogens including MDR bacteria and might act as a vehicle of MDR bacteria. Continuous, consistent education and training should be provided to HCWs using multifaceted approach to reduce the nosocomial transmission via stethoscopes.

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KAKSA Orang Tua Siswa TK : Komunitas Anti Kekerasan Seksual pada Anak

Gadjah Mada Journal of Professional Psychology (GamaJPP) ◽

10.22146/gamajpp.48589 ◽

2019 ◽

Vol 5 (1) ◽

pp. 83

Author(s):

Ira Paramastri

Keyword(s):

Experimental Study ◽

Quantitative Analysis ◽

Primary Prevention ◽

General Education ◽

Child Protection ◽

Knowledge Test ◽

Before And After ◽

Quasi Experimental ◽

The Difference ◽

The One

Currently, primary prevention efforts for child sexual abuse (CSA) are mostly done as general education program for children at school. The program is criticized for placing responsibility of child protection solely on the children and rarely involves family, community, and children’s surrounding neighborhood. This study aimed to examine CSA psychoeducational prevention toward kindergarteners parents’ knowledge after an intervention in form of psychoeducational leaflets and booklets. The study was quasi-experimental study with the one group pretest-posttest design. Twenty six parents of kindergarteners participated in the study. Istruments used for the study was CSA knowledge test. Quantitative analysis was used to describe the difference of kindergarteners parents’ knowledge before and after the program (p=0.006, p<0.05). Psychoeducation with booklet and leaflet was able to improve kindergarteners parents’ knowledge on CSA prevention.

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Efecto de la práctica de actividad física gamificada en el estado de ánimo de jugadoras de baloncesto en etapa de confinamiento (Effect of gamified physical activity practice on the mood of female basketball players in confinement stage)

Retos ◽

10.47197/retos.v43i0.87177 ◽

2021 ◽

Vol 43 ◽

pp. 10-16

Author(s):

Alberto Rodríguez Cayetano ◽

Estela Vicente Rivera ◽

José Manuel De Mena Ramos ◽

Salvador Pérez Muñoz

Keyword(s):

Mental Health ◽

Physical Activity ◽

Experimental Study ◽

Mood States ◽

Profile Of Mood States ◽

Emotional States ◽

Basketball Players ◽

Before And After ◽

Quasi Experimental ◽

Salud Mental

El objetivo principal de esta investigación es analizar el efecto en el estado de ánimo de jugadoras de baloncesto, a través de la práctica de actividad física gamificada durante la etapa de confinamiento debido a la COVID-19. La muestra utilizada fue de 26 jugadoras de tres categorías diferentes: infantil, juvenil y senior, con una media de edad de 16.65 (±3.84) años. Para analizar el efecto sobre el estado de ánimo, se realizó un estudio cuasi-experimental a través de un estudio con un pretest, una intervención y un postest final, proporcionando el cuestionario de Profile of Mood States (POMS) antes y después de cada sesión. Los resultados obtenidos mostraron mejoras en el estado de ánimo, disminuyendo los valores que se relacionan con estados emocionales negativos. Durante etapas de confinamiento, es importante aportar programas de actividad física para mejorar la salud mental de las jugadoras de baloncesto, las cuales están acostumbradas a una práctica de actividad física regular. Abstract. The main objective of this research is to analyze the effect on the mood of female basketball players, through the practice of gamified physical activity during the confinement stage due to COVID-19. The sample used was 26 players from three different categories: U14, U18 and senior, with an average age 16.65 (3.84) years. To analyze the effect on the players' mood, a quasi-experimental study was conducted through a pretest, an intervention and a final posttest, providing the Profile of Mood States (POMS) questionnaire before and after each session. The results obtained showed improvements in the players' mood was produced due to the practice of gamified physical activity, decreasing the values that are related to negative emotional states. During times of confinement, it is important to provide physical activity programs to improve the mental health of female basketball players, who are accustomed to practice regular physical activity.

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