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1.
Mymensingh Med J ; 30(2): 426-431, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33830124

RESUMEN

Though, suicide is a preventable public health problem but prediction is almost impossible. Nevertheless, past suicidal behaviors are important risk factors which should be considered to prevent deaths by suicides. We aimed to explore the suicidal behaviors among currently employed nurses working in a referral hospital of Bangladesh. This cross-sectional study was conducted from August to September 2018 among 203 currently working nurses of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Data were collected by face to face interview with pre-tested semi-structured questionnaire and analyzed by Statistical Package for the Social Sciences software version 20.0. Among the 203 respondents; 175 were female and 28 were male, whose mean age was 28.96±4.08 years, ranging from 22-40 year. About 71% were married, 75% had educational attainment of diploma in nursing, 2% had family history of mental illness and suicide, and another one percent had family history of suicidal attempts. Prevalence of life time suicidal ideation was found as 10%, one-year prevalence rate 4%, one month 2% and within last two days it was found as 1.5%. Mean age of onset of suicidal ideation of the respondents was 23.81±4.9 year ranging from 17-35 year. Late adolescence was found as the entry time of the suicidal thoughts among this specific group. About one in ten nurses had suicidal ideation in their life time. Further larger scale and longitudinal studies are warranted to find out more precise information.


Asunto(s)
Ideación Suicida , Suicidio , Adolescente , Adulto , Bangladesh/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Prevalencia , Factores de Riesgo , Intento de Suicidio , Centros de Atención Terciaria , Adulto Joven
2.
Rev Infirm ; 70(270): 24-28, 2021 Apr.
Artículo en Francés | MEDLINE | ID: mdl-33832725

RESUMEN

Knowing how to assess the suicidal risk of people in crisis, knowing how to orient them, welcome them, treat them and look after them are the keys to these multidisciplinary health care.


Asunto(s)
Intervención en la Crisis (Psiquiatría) , Ideación Suicida , Suicidio , Humanos , Evaluación en Enfermería , Medición de Riesgo , Suicidio/prevención & control
3.
Rev Infirm ; 70(270): 29-31, 2021 Apr.
Artículo en Francés | MEDLINE | ID: mdl-33832726

RESUMEN

Suicide is not the inevitable outcome of a suicidal crisis. The people concerned are most often sensitive to preventive actions, which can prevent them from committing self-destructive acts. Preventing the suicidal crisis and suicide requires the involvement of healthcare professionals. It is also everyone's business.


Asunto(s)
Ideación Suicida , Suicidio , Humanos , Conducta Autodestructiva/enfermería , Suicidio/prevención & control
4.
Psychiatr Hung ; 36(1): 4-11, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33686011

RESUMEN

INTRODUCTION: There is a growing in te rest in the possible association between perfectionism and suicide. Smith and colleagues (2018) gave an up-to-date overview on this topic in a meta-analysis including quantitative studies and found that perfectionism disp la yed positive associations with suicide ideation and attempts. The current article's purpose was to conduct a systematic review on this topic, focusing on studies with qualitative research method. METHOD: A systematic literature search was conducted on four databases (PsychInfo, PubMed, Ovid MEDLINE, Web of Science) with the following keywords: (*perfectionism or self-criticism) and (suicide* or suicidality*). Inclusion criteria were: peer-reviewed journals and publications written in Eng lish and qualitative methodology. Exclusion criteria were the absence of empirical data. RESULTS: Altogether eight articles were identified, which met the inclusion criteria. All studies found strong correlation between perfectionism and suicidal behaviour. We also differentiated the studies using clinical or community sample and found the same, that perfectionism strongly connects to suicidal behaviour in both groups. DISCUSSION: This review of studies using qualitative research method supports those previous studies with quantitative method, which suggest that perfectionism can play an important role in suicidal behaviour.


Asunto(s)
Perfeccionismo , Ideación Suicida , Intento de Suicidio/psicología , Humanos , Investigación Cualitativa , Autoevaluación
5.
Prev Med ; 146: 106465, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33647353

RESUMEN

Despite the large amounts of research currently being conducted and the high number of editorials warning about the potential mental health impacts, there is a stunning lack of longitudinal mental health data on the effects of the pandemic. Yet, the pandemic may have sizable long-term impacts on psychological distress and health behaviors-these effects may be long-lasting and may disproportionately affect some demographic groups more than others. Data came from a longitudinal international study of the impacts of the COVID-19 pandemic on adults' psychological distress and wellbeing (N = 1567). We found high rates of depression (55% were diagnosable with probable depression at baseline), anxiety (65%), and risk for PTSD (51%). More than one-third of participants who reported that they drank alcohol indicated that their drinking had increased since the start of the pandemic. Over time, depressive symptoms and suicidal thoughts and behaviors increased significantly, but acute stress symptoms decreased. Specific demographic groups (people of color and sexual and gender minorities) appeared to be at high risk of distress across analyses. Our findings suggest high rates of depression, anxiety, acute stress, and other signs of distress like isolation, hopelessness, and use of substances to cope-even at five-month follow-up. Our findings suggest a need to prioritize availability of, and access to, mental health care during both the pandemic and the recovery.


Asunto(s)
Ansiedad/epidemiología , Depresión/epidemiología , Salud Mental , Distrés Psicológico , Estrés Psicológico/epidemiología , Adaptación Psicológica , Adolescente , Adulto , Anciano , Niño , Femenino , Conductas Relacionadas con la Salud , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Apoyo Social , Ideación Suicida , Adulto Joven
8.
J Korean Acad Nurs ; 51(1): 40-53, 2021 Feb.
Artículo en Coreano | MEDLINE | ID: mdl-33706330

RESUMEN

PURPOSE: The purpose of this study was to develop and compare the prediction model for suicide attempts by Korean adolescents using logistic regression and decision tree analysis. METHODS: This study utilized secondary data drawn from the 2019 Youth Health Risk Behavior web-based survey. A total of 20 items were selected as the explanatory variables (5 of sociodemographic characteristics, 10 of health-related behaviors, and 5 of psychosocial characteristics). For data analysis, descriptive statistics and logistic regression with complex samples and decision tree analysis were performed using IBM SPSS ver. 25.0 and Stata ver. 16.0. RESULTS: A total of 1,731 participants (3.0%) out of 57,303 responded that they had attempted suicide. The most significant predictors of suicide attempts as determined using the logistic regression model were experience of sadness and hopelessness, substance abuse, and violent victimization. Girls who have experience of sadness and hopelessness, and experience of substance abuse have been identified as the most vulnerable group in suicide attempts in the decision tree model. CONCLUSION: Experiences of sadness and hopelessness, experiences of substance abuse, and experiences of violent victimization are the common major predictors of suicide attempts in both logistic regression and decision tree models, and the predict rates of both models were similar. We suggest to provide programs considering combination of high-risk predictors for adolescents to prevent suicide attempt.


Asunto(s)
Conducta del Adolescente , Árboles de Decisión , Intento de Suicidio/psicología , Adolescente , Depresión/patología , Femenino , Humanos , Internet , Modelos Logísticos , Masculino , Factores de Riesgo , Aislamiento Social , Estrés Psicológico , Trastornos Relacionados con Sustancias/patología , Ideación Suicida , Encuestas y Cuestionarios
9.
Trials ; 22(1): 171, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33648555

RESUMEN

BACKGROUND: The coronavirus-19 (COVID-19) has reached pandemic status and is affecting countries all over the world. The COVID-19 pandemic is accompanied by various stressors that require adjustment in everyday life and possibly changes in personal future prospects. While some individuals cope well with these challenges, some develop psychological distress including depressive symptoms, anxiety, or stress. Internet-based self-help interventions have proven to be effective in the treatment of various mental disorders such as depression and anxiety. Based on that, we developed an internet-based self-help program for individuals with psychological distress due to the situation surrounding the COVID-19 pandemic. The 3-week self-help program consists of 6 modules comprising texts, videos, figures, and exercises. Participants can request guidance within the self-help program (guidance on demand). The primary aim of this study is to evaluate the efficacy and feasibility of the self-help program compared to a waiting control condition. METHODS: The design is a parallel group randomized controlled trial. Participants are allocated to a 3-week self-help intervention plus care as usual or a 3-week waiting period with only care as usual. There are follow-ups after 6 weeks and 18 weeks. At least 80 participants with COVID-19 pandemic related psychological distress will be recruited. Primary outcome are depressive symptoms. Secondary outcomes include anxiety and chronic stress, suicidal experiences and behavior, health-related quality of life, generalized optimism and pessimism, embitterment, optimistic self-beliefs, emotion regulation skills, loneliness, resilience, and the satisfaction with and usability of the self-help program. DISCUSSION: To the best of our knowledge, this is one of the first studies investigating the efficacy of an internet-based self-help program for psychological distress due to the situation surrounding the COVID-19 pandemic. Thus, the results of this study may give further insight into the use of internet-based self-help programs in pandemic-related psychological distress. TRIAL REGISTRATION: ClinicalTrials.gov NCT04380909 . Retrospectively registered on 8 May 2020.


Asunto(s)
Ansiedad/terapia , Depresión/terapia , Intervención basada en la Internet , Autocuidado , Estrés Psicológico/terapia , Ansiedad/psicología , Depresión/psicología , Regulación Emocional , Humanos , Soledad , Optimismo , Cuestionario de Salud del Paciente , Satisfacción del Paciente , Pesimismo , Distrés Psicológico , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como Asunto , Resiliencia Psicológica , Autoeficacia , Automanejo , Estrés Psicológico/psicología , Ideación Suicida
10.
Artículo en Inglés | MEDLINE | ID: mdl-33672120

RESUMEN

Background: In March 2020, Alberta Health Services launched Text4Hope, a free mental health text-message service. The service aimed to alleviate pandemic-associated stress, generalized anxiety disorder (GAD), major depressive disorder (MDD), and suicidal propensity. The effectiveness of Text4Hope was evaluated by comparing psychiatric parameters between two subscriber groups. Methods: A comparative cross-sectional study with two arms: Text4Hope subscribers who received daily texts for six weeks, the intervention group (IG); and new Text4Hope subscribers who were yet to receive messages, the control group (CG). Logistic regression models were used in the analysis. Results: Participants in the IG had lower prevalence rates for moderate/high stress (78.8% vs. 88.0%), likely GAD (31.4% vs. 46.5%), and likely MDD (36.8% vs. 52.1%), respectively, compared to respondents in the CG. After controlling for demographic variables, the IG remained less likely to self-report symptoms of moderate/high stress (OR = 0.56; 95% CI = 0.41-0.75), likely GAD (OR = 0.55; 95% CI = 0.44-0.68), and likely MDD (OR = 0.50; 95% CI = 0.47-0.73). The mean Composite Mental Health score, the sum of mean scores on the PSS, GAD-7, and PHQ-9 was 20.9% higher in the CG. Conclusions: Text4Hope is an effective population-level intervention that helps reduce stress, anxiety, depression, and suicidal thoughts during the COVID-19 pandemic. Similar texting services should be implemented during global crises.


Asunto(s)
Trastornos de Ansiedad , Trastorno Depresivo Mayor , Servicios de Salud Mental , Ideación Suicida , Envío de Mensajes de Texto , Adulto , Alberta , Trastornos de Ansiedad/epidemiología , Estudios Transversales , Trastorno Depresivo Mayor/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias
11.
East Asian Arch Psychiatry ; 31(1): 3-8, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33753570

RESUMEN

OBJECTIVES: To compare older adults with late-life depression (LLD) and healthy controls in terms of suicidal ideation during the COVID-19 pandemic, and to determine predictors of suicidal ideation. METHODS: Between March and April 2020, old adults diagnosed with major depressive disorder (single or recurrent episode) as defined by the DSM-5 were recruited from psychiatric clinics or inpatient wards, whereas 31 healthy older adults without a history of depression or other psychiatric illnesses were recruited from voluntary organisations or elderly community centres. Their depressive symptoms, perceived severity of the pandemic, perceived time spent on receiving related information, perceived health, levels of loneliness, perceived coping efficacy, suicidal ideation, and the level of symptomatic responses to a specific traumatic stressor in the past week were assessed. RESULTS: In total, 21 men and 43 women aged 61 to 89 years were interviewed through telephone by trained research assistants. Of them, 33 were older adults with LLD (cases) and 31 were healthy older adults (controls). Older people with LLD had a higher level of suicidal ideation than healthy controls, after controlling for the level of depression and medical comorbidity (F (1, 59) = 5.72, p = 0.020). Regression analyses showed that coping efficacy and loneliness accounted for a significant portion of the variance in suicidal ideation, and loneliness significantly predicted the level of stress. Mediation analyses reveal an indirect effect between group and suicidal ideation through coping efficacy (Z = 2.43, p = 0.015). CONCLUSIONS: Older people with LLD are at increased suicidal risk and require timely mental health support. Coping efficacy and loneliness are important predictors for suicidal ideation and stress.


Asunto(s)
Trastorno Depresivo Mayor , Trastornos Mentales , Enfermedades no Transmisibles , Ideación Suicida , Suicidio , Adaptación Psicológica , Anciano , /prevención & control , Estudios de Casos y Controles , Depresión/diagnóstico , Depresión/etiología , Trastorno Depresivo Mayor/diagnóstico , Trastorno Depresivo Mayor/epidemiología , Trastorno Depresivo Mayor/psicología , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Femenino , Hong Kong/epidemiología , Humanos , Soledad/psicología , Masculino , Trastornos Mentales/diagnóstico , Trastornos Mentales/epidemiología , Trastornos Mentales/psicología , Enfermedades no Transmisibles/epidemiología , Enfermedades no Transmisibles/psicología , Sistemas de Apoyo Psicosocial , Estrés Psicológico/diagnóstico , Estrés Psicológico/etiología , Suicidio/prevención & control , Suicidio/psicología
12.
Med. U.P.B ; 40(1): 19-27, 03/03/2021. tab, Ilus
Artículo en Español | LILACS, COLNAL | ID: biblio-1177485

RESUMEN

Objetivo: Determinar la asociación entre experiencias psicóticas y trastornos mentales no psicóticos en población general. Metodología: Estudio de prevalencia analítico con fuente de información secundaria en población general de 15 a 65 años seleccionados de modo aleatorio por muestreo probabilístico. El instrumento de recolección de la información fue el CIDI (por su sigla en inglés), que realiza diagnóstico de 23 trastornos mentales según criterios DSM-IV (por su sigla en inglés). Se evaluaron variables sociodemográficas, clínicas psiquiátricas y seis experiencias psicóticas (alucinaciones e ideas delirantes) como variable principal. El estudio primario fue aprobado por el Comité de Investigación y de Ética Universitario. Se consideró significancia estadística valor de p<0.05. Se calcularon como medidas de asociación OR con su IC95%. Resultados: Se evaluaron 2 072 personas, el 1.85% presentó experiencias psicóticas, de los cuales el 53.3 % eran mujeres, y el 44.4 %, adolescentes. Hubo asociación entre experiencias psicóticas e ideación suicida (OR 3.51, IC95% 1.49-8.29]), ser adolescente (OR 2.29, IC95% 1.24-4.22]) y pertenecer al régimen contributivo de salud (OR 0.34, IC95% 0.18-0.63). Conclusiones: Los jóvenes y aquellas personas con ideación suicida tuvieron mayor probabilidad de reportar experiencias psicóticas. Dentro del intento global por comprender mejor para actuar de forma más efectiva frente al comportamiento suicida especialmente en la población más joven, una mejor comprensión del papel que desempeñan las experiencias psicóticas (EP) puede ser de ayuda.


Objective: To determine the association between psychotic experiences and non-psychotic mental disorders in the general population. Methodology: Analytical prevalence study with secondary information source applied in the general population aged 15 to 65 years old, randomly selected by probabilistic sampling. The instrument for collecting the information was the Composite International Diagnosis Interview (CIDI), which diagnoses 23 mental disorders according to the DSM-IV criteria (Diagnostic and Statistical Manual of Mental Disorders). Sociodemographic and psychiatric clinical variables were assessed, but the main variable evaluated consisted in six psychotic experiences (hallucinations and delusions). The primary study was approved by the University Research and Ethics Committee. The p-value <0.05 was the threshold for statistical significance. OR and its 95% CI were calculated as association measures. Results: 2072 people were evaluated, 1.85% presented psychotic experiences, of which 53.3% were women and 44.4% were adolescents. An association was found between psychotic experiences and suicidal ideation (OR 3.51, 95% CI [1.49-8.29]), being an adolescent (OR 2.29, 95% CI [1.24-4.22]) and belonging to the contributory health system (OR 0.34, 95% CI [0.18-0.63]).Conclusions: Young people and those with suicidal ideation were more likely to report psychotic experiences. Within the overall attempt to better understand in order to act more effectively in the face of suicidal behavior, especially in the younger population, a better understanding of the role of psychotic experiences (PE) can be of help


Objetivo: Determinar a associação entre experiências psicóticas e transtornos mentais não psicóticos na população em geral. Metodologia: Estudo analítico de prevalência com fonte secundária de informação na população geral de 15 a 65 anos, selecionada aleatoriamente por amostragem probabi-lística. O instrumento de coleta de informações foi o CIDI (por sua sigla em inglês), que faz o diagnóstico de 23 transtornos mentais de acordo com os critérios do DSM-IV (por sua sigla em inglês). Variáveis sociodemográficas, clínicas psiquiátricas e seis experiências psicóticas (alucinações e delírios) foram avaliadas como a variável principal. O estudo principal foi aprovado pelo Comitê de Ética e Pesquisa da Universidade. A significância estatística foi considerada um valor de p <0,05. Eles foram calculados como medidas de associação OR com seu IC 95%. Resultados: foram avaliadas 2.072 pessoas, 1,85% apresentaram experiências psicóticas, sendo 53,3% mulheres e 44,4% adolescentes. Houve associação entre experiências psi-cóticas e ideação suicida (OR 3,51, IC 95% 1,49-8,29]), ser adolescente (OR 2,29, IC 95% 1,24-4,22]) e pertencer ao regime contributivo de saúde (OR 0,34, 95 % CI 0,18-0,63). Conclusões: Jovens e aqueles com ideação suicida foram mais propensos a relatar ex-periências psicóticas. Na tentativa geral de compreender melhor como agir de maneira mais eficaz diante do comportamento suicida, especialmente na população mais jovem, pode ser útil uma melhor compreensão do papel das experiências psicóticas (TP).


Asunto(s)
Humanos , Adolescente , Adulto , Ideación Suicida , Universidades , Conducta , Deluciones , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Alucinaciones , Trastornos Mentales
13.
Eur Psychiatry ; 64(1): e18, 2021 02 03.
Artículo en Inglés | MEDLINE | ID: mdl-33686933

RESUMEN

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic is a major threat to the public. However, the comprehensive profile of suicidal ideation among the general population has not been systematically investigated in a large sample in the age of COVID-19. METHODS: A national online cross-sectional survey was conducted between February 28, 2020 and March 11, 2020 in a representative sample of Chinese adults aged 18 years and older. Suicidal ideation was assessed using item 9 of the Patient Health Questionnaire-9. The prevalence of suicidal ideation and its risk factors was evaluated. RESULTS: A total of 56,679 participants (27,149 males and 29,530 females) were included. The overall prevalence of suicidal ideation was 16.4%, including 10.9% seldom, 4.1% often, and 1.4% always suicidal ideation. The prevalence of suicidal ideation was higher in males (19.1%) and individuals aged 18-24 years (24.7%) than in females (14.0%) and those aged 45 years and older (11.9%). Suicidal ideation was more prevalent in individuals with suspected or confirmed infection (63.0%), frontline workers (19.2%), and people with pre-existing mental disorders (41.6%). Experience of quarantine, unemployed, and increased psychological stress during the pandemic were associated with an increased risk of suicidal ideation and its severity. However, paying more attention to and gaining a better understanding of COVID-19-related knowledge, especially information about psychological interventions, could reduce the risk. CONCLUSIONS: The estimated prevalence of suicidal ideation among the general population in China during COVID-19 was significant. The findings will be important for improving suicide prevention strategies during COVID-19.


Asunto(s)
/epidemiología , Pandemias , Ideación Suicida , Adolescente , Adulto , China/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Prevalencia , Cuarentena/psicología , Cuarentena/estadística & datos numéricos , Factores de Riesgo , Estrés Psicológico/epidemiología , Suicidio/prevención & control , Suicidio/psicología , Suicidio/estadística & datos numéricos , Desempleo/psicología , Desempleo/estadística & datos numéricos , Adulto Joven
14.
Environ Health Prev Med ; 26(1): 30, 2021 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-33673802

RESUMEN

BACKGROUND: We aimed to estimate the prevalence of depressive symptoms as well as suicide-related ideation among Japanese university students during the stay-home order necessitated by the coronavirus disease 2019 pandemic in Japan, and offer evidence in support of future intervention to depression and suicide prevention strategies among college and university students. METHODS: The data for this cross-sectional study were derived from the Student Mental Health Survey conducted from May 20 to June 16, 2020 at a national university in Akita prefecture. Among the 5111 students recruited, 2712 participated in this study (response rate, 53%; mean age ± standard deviation, 20.5 ±3.5 years; men, 53.8%). Depressive symptoms were identified by using the Patient Health Questionnaire-9 (PHQ-9). RESULTS: The prevalence of moderate depressive symptoms based on a PHQ-9 score ≥10 and suicide-related ideation based on question 9 of PHQ-9 ≥1, which encompasses thoughts of both suicide and self-harm, was 11.7% and 6.7%, respectively. Multivariable logistic regression analyses showed that risk factors for depression included being a woman, smoking, alcohol consumption, and social network communication using either video or voice. For suicide-related ideation, alcohol consumption was the only risk factor. Exercise and having someone to consult about worries were associated with decreased risk of both depressive symptoms and suicide-related ideation. CONCLUSIONS: Negative lifestyles of smoking and drinking, and being a woman, may be important risk factors for depressive symptoms, whereas exercise and having someone to consult about worries may be protective factors.


Asunto(s)
/psicología , Depresión/epidemiología , Estudiantes/psicología , Ideación Suicida , Adolescente , Consumo de Bebidas Alcohólicas , Estudios Transversales , Femenino , Humanos , Japón/epidemiología , Modelos Logísticos , Masculino , Análisis Multivariante , Pandemias , Factores de Riesgo , Fumar , Encuestas y Cuestionarios , Adulto Joven
15.
Artículo en Inglés | MEDLINE | ID: mdl-33530647

RESUMEN

Many studies cited the importance of social factors as protective and risk factors for suicide. However, there is a lack of evidence on the influences of cultural and moral values. This study aims to examine the association between cultural values and suicidal ideation risks detected on an online social media platform. We collected a total of 5.1 billion pieces of Weibo posts from 2010 to 2018 to calculate their suicidal ideation risks as measured by psychache in the Chinese Suicide Dictionary. We calculated the word frequencies of cultural and moral values based on Cultural Value Dictionary and Moral Foundation Dictionary. We collected economic and population data from the China National Bureau of Statistics. Two-way fixed-effect models were performed to analyze the association between culture, economy, and population factors and suicidal ideation risks. The results confirm the relations between high suicidal ideation risk and public concerns of vice under the Chinese context such as harm (ß = 0.193, p < 0.01), betrayal (ß = 0.096, p < 0.01), and dirty (ß = 0.624, p < 0.001). In addition, extremely individualistic or collectivistic values of the public were associated with high suicidal ideation risks. The finding indicated the significant impact of social culture on suicide risk apart from the influence of the social economy and population characteristics. Our evidence informs population-based suicide prevention policymakers that incorporating cultural and moral values can help prevent suicidal ideation in China.


Asunto(s)
Medios de Comunicación Sociales , Suicidio , China/epidemiología , Humanos , Estudios Longitudinales , Factores de Riesgo , Ideación Suicida
16.
Artículo en Inglés | MEDLINE | ID: mdl-33572911

RESUMEN

Clinical and research interest is growing in mental health support for elite athletes, based on findings from epidemiological surveys conducted in Australia, the United States, and European countries. However, little is known about the mental health status of elite athletes in Asia, including Japan. In the current study, we examine the prevalence of mental health problems and suicidal ideation and its risk factors in Japan Rugby Top League players. We analyze anonymous web-based self-reported data from 251 currently competing Japan Rugby Top League male players. During the off-season from December 2019 to January 2020, data on anxiety and depression symptoms were collected using the Japanese version of the 6-item Kessler-6. Suicidal ideation was assessed using the Baron Depression Screener for Athletes. Among the players, 81 players (32.3%) had experienced symptoms of mild anxiety and depression during the previous 30 days, while 12 (4.8%) and 13 (5.2%) had suffered from moderate and severe symptoms, respectively. Nineteen athletes (7.6%) reported that they had experienced suicidal ideation during the previous 2 weeks. Players with mental health problems experienced more events in competitions and daily life, including reduced subjective performance, missing opportunities to play during the last season, changes in health condition, and thinking about a career after retirement, compared with players without such problems. Mental health issues in Japan Rugby Top League players, as elite athletes, may be common, and research and practice development is expected in the near future.


Asunto(s)
Fútbol Americano , Ansiedad/epidemiología , Asia , Atletas , Australia , Depresión/epidemiología , Europa (Continente) , Humanos , Japón/epidemiología , Masculino , Ideación Suicida
17.
JAMA Netw Open ; 4(2): e210207, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33635325

RESUMEN

Importance: Despite the high level of impairment for adolescents with persistent postconcussive symptoms, few studies have tested whether such problems can be remediated. Objective: To examine whether collaborative care treatment is associated with improvements in postconcussive, quality of life, anxiety, and depressive symptoms over 1 year, compared with usual care. Design, Setting, and Participants: The Collaborative Care Model for Treatment of Persistent Symptoms After Concussion Among Youth II Trial was a randomized clinical trial conducted from March 2017 to May 2020 with follow-up assessments at 3, 6, and 12 months. Participants were recruited from pediatric primary care, sports medicine, neurology, and rehabilitation clinics in western Washington. Adolescents aged 11 to 18 years with a diagnosed sports-related or recreational-related concussion within the past 9 months and with at least 3 symptoms persisting at least 1 month after injury were eligible. Data analysis was performed from June to September 2020. Interventions: The collaborative care intervention included cognitive behavioral therapy and care management, delivered mostly through telehealth, throughout the 6-month treatment period, with enhanced medication consultation when warranted. The comparator group was usual care provided in specialty clinics. Main Outcomes and Measures: Primary outcomes were adolescents' reports of postconcussive, quality of life, anxiety, and depressive symptoms. Secondary outcomes were parent-reported symptoms. Results: Of the 390 eligible adolescents, 201 (51.5%) agreed to participate, and 200 were enrolled (mean [SD] age, 14.7 [1.7] years; 124 girls [62.0%]), with 96% to 98% 3- to 12-month retention. Ninety-nine participants were randomized to usual care, and 101 were randomized to collaborative care. Adolescents who received collaborative care reported significant improvements in Health Behavior Inventory scores compared with usual care at 3 months (3.4 point decrease; 95% CI, -6.6 to -0.1 point decrease) and 12 months (4.1 point decrease; 95% CI, -7.7 to -0.4 point decrease). In addition, youth-reported Pediatric Quality of Life Inventory scores at 12 months improved by a mean of 4.7 points (95% CI, 0.05 to 9.3 points) in the intervention group compared with the control group. No differences emerged by group over time for adolescent depressive or anxiety symptoms or for parent-reported outcomes. Conclusions and Relevance: Although both groups improved over time, youth receiving the collaborative care intervention had fewer symptoms and better quality of life over 1 year. Intervention delivery through telehealth broadens the reach of this treatment. Trial Registration: ClinicalTrials.gov Identifier: NCT03034720.


Asunto(s)
Ansiedad/psicología , Terapia Cognitivo-Conductual/organización & administración , Depresión/psicología , Síndrome Posconmocional/terapia , Calidad de Vida , Telemedicina , Adolescente , Niño , Terapia Cognitivo-Conductual/métodos , Femenino , Cefalea/fisiopatología , Cefalea/psicología , Humanos , Masculino , Grupo de Atención al Paciente , Cuestionario de Salud del Paciente , Satisfacción del Paciente , Síndrome Posconmocional/fisiopatología , Síndrome Posconmocional/psicología , Derivación y Consulta , Sueño , Ideación Suicida
18.
Nan Fang Yi Ke Da Xue Xue Bao ; 41(2): 299-304, 2021 Feb 25.
Artículo en Chino | MEDLINE | ID: mdl-33624606

RESUMEN

OBJECTIVE: To explore the relationship between childhood trauma and suicidal risk in prisoners and the mediating effect of alexithymia in this relationship. OBJECTIVE: We investigated a total of 362 male prisoners in Guangdong Province using Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Twenty-item Toronto Alexithymia Scale (TAS-20) and Suicidal Behaviors-Revised Questionnaire (SBQ-R). OBJECTIVE: Thirty-five (9.7%) prisoners had a high risk of suicide. The total score and the dimension scores of the CTQ-SF was positively correlated with the total score of SBQ-R (r=0.065-0.358, P < 0.01) and the total score of TAS-20 (except for the dimension score of sexual abuse) (r=0.156-0.255, P < 0.01). The total score of TAS-20, the dimensions scores for difficulty in identifying and describing feeling and the dimension score for externally oriented thinking were positively correlated with the total score of SBQ-R (r=0.330, P < 0.01; r=0.294-0.305, P < 0.01; and r=0.130, P < 0.05, respectively). The results of structural equation analysis showed that alexithymia had a partial mediating effect on childhood trauma and suicide risks (ß=0.07, 95%CI: 0.023-0.12, P < 0.05). OBJECTIVE: Childhood trauma affects suicidal risk in prisoners not only directly but also indirectly through the mediating effect of alexithymia.


Asunto(s)
Síntomas Afectivos , Prisioneros , Síntomas Afectivos/epidemiología , Niño , Emociones , Humanos , Masculino , Ideación Suicida , Encuestas y Cuestionarios
19.
Yonsei Med J ; 62(2): 159-163, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33527795

RESUMEN

PURPOSE: Nearly one third of all patients with an eating disorder (ED) present with non-suicidal self-injury (NSSI). Although it is necessary to pay attention clinically to NSSI in ED patients due to an increased suicidal risk, there are limited data on potential predictors of NSSI in ED. We conducted this study to uncover predictors of NSSI in ED. MATERIALS AND METHODS: A total of 1355 ED patients who visited an ED clinic was evaluated through structured interviews by psychiatrists. The demographic and clinical characteristics of ED patients with NSSI (NSSI group) and ED patients without NSSI (non-NSSI group) were analyzed to identify potential predictors of NSSI in ED. RESULTS: Among all ED individuals, 242 (17.9%) reported a history of NSSI. Compared to the non-NSSI group, the NSSI group reported more severe eating symptomatology, more comorbid psychiatric disease, and more suicidal risk. Comorbid alcohol use disorder, depressive disorder, purging behavior, history of suicide attempt, and rumination symptoms were uncovered as predictors of NSSI in ED. CONCLUSION: The findings of the study are meaningful in that they highlight predictors of NSSI in ED in a large clinical sample. Understanding risk factors of NSSI and offering appropriate interventions are important to preventing suicidality in ED.


Asunto(s)
Trastornos de Alimentación y de la Ingestión de Alimentos/psicología , Conducta Autodestructiva/diagnóstico , Adolescente , Femenino , Humanos , Factores de Riesgo , Conducta Autodestructiva/psicología , Ideación Suicida , Intento de Suicidio/psicología , Adulto Joven
20.
Epidemiol Psychiatr Sci ; 30: e17, 2021 Feb 18.
Artículo en Inglés | MEDLINE | ID: mdl-33597061

RESUMEN

AIMS: To investigate potential age, period and birth cohort effects in the prevalence of suicide ideation in European ageing population. METHODS: A total of 50 782 community-dwelling adults (aged + 50) from 20 different European countries were collected in the Survey Health Ageing and Retirement study. A multilevel logistic regression model of repeated measures was modelled to assess the effects of age and other variables, including the variability of observations over three levels: birth cohort groups, time period assessment and individual differences. RESULTS: The larger effect of variability was attributed to individual-level factors (57.8%). Youngest-old people (65-79 years) showed lower suicide ideation than middle-aged people (50-64 years). No significative differences were found for suicide ideation between middle-aged people and oldest-old (80 + years). Only 0.85% and 0.13% of the total variability of suicide ideation accounted for birth cohort and period effects, respectively. Cohorts born between 1941 and 1944 possessed the lowest estimates of suicide ideation. Conversely, suicide ideation started to rise with post-War generations and reached a significant level for people born from 1953-1957 to 1961-1964. Regarding the time period, participants assessed in 2006-2007 showed a lower likelihood of suicide ideation. The rest of the cohorts and period groups did not show any significant effect on the prevalence of suicide ideation. CONCLUSIONS: Our results suggest that age and suicide ideation relationship is not linear in middle and older age. The European Baby boomers born from 50s to mid-60s might report higher suicide ideation than their ancestors. This scenario would imply a greater need for mental healthcare services for older people in the future.


Asunto(s)
Envejecimiento , Efecto de Cohortes , Trastornos Mentales/epidemiología , Ideación Suicida , Adulto , Anciano , Europa (Continente)/epidemiología , Femenino , Encuestas Epidemiológicas , Humanos , Vida Independiente , Masculino , Persona de Mediana Edad , Prevalencia , Factores de Riesgo
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