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1.
Brasília, D.F.; OPAS; 2020-04-28.
en Portugués | PAHO-IRIS | ID: phr2-52044

RESUMEN

[Sumário]: Pandemias de Influenza ocorrem em intervalos imprevisíveis e causam considerável morbimortalidade. O vírus da Influenza é rapidamente transmissível entre pessoas, principalmente durante contato próximo e é de difícil controle. Nos estágios iniciais de epidemias e pandemias de Influenza, pode haver demora na disponibilidade de vacinas específicas e oferta limitada de drogas antivirais. Intervenções não farmacológicas (INFs) são o único grupo de medidas de combate, prontamente, disponíveis em todos os momentos e em todos os países. Os impactos potenciais das INFs em uma epidemia ou pandemia de Influenza são retardar a introdução do vírus da pandemia na população; retardar a altura e pico da epidemia, caso ela já tenha começado; reduzir a transmissão através de medidas de proteção pessoal ou ambiental; reduzir o número total de infecções e, portanto, o número total de casos graves. O presente documento fornece recomendações para o uso de INFs em futuras epidemias e pandemias de Influenza baseadas nos atuais documentos de orientação e na literatura científica recente. Recomendações específicas baseiam-se na revisão sistemática das evidências sobre a efetividade das INFs, inclusive medidas de proteção individual, medidas ambientais, medidas de distanciamento social e medidas relacionadas a viagens. As informações aqui fornecidas serão úteis para autoridades nacionais que estejam elaborando ou atualizando seus planos para mitigação do impacto de epidemias e pandemias de Influenza.


Asunto(s)
Pandemias , Virus de la Influenza A , Virus de la Influenza B , Intervención en la Crisis (Psiquiatría) , Epidemias , Prevención y Mitigación
2.
Washington, D.C.; PAHO; 2020-04-14. (PAHO/PHE/IM/Covid-19/20-006).
en Inglés | PAHO-IRIS | ID: phr-52028

RESUMEN

Infection prevention and control practices need to be implemented to guarantee the safety of healthcare workers and patients in healthcare settings, it is fundamental to prevent cross contamination and containment of spread of COVID 19. As of the day of this publication, the following precautions are recommended for the care of patients with suspected or confirmed cases of COVID-19: - For any suspected or confirmed cases of COVID-19: standard + contact + droplet precautions. -For any suspected or confirmed cases of COVID-19 and Aerosol Generated Procedure: standard + contact + airborne precautions. - The results of the application of this evaluation tool, in addition to other tools, will provide an overview regarding compliance with the activities of prevention and control of infections associated with provision of care in acute healthcare services in a health setting, without making judgments about the individual risk of patients, nor on particular cases. By its nature, this tool is only an external diagnostic to support IPC professionals and managers to assess the gaps and take corrective measures. To provide a tool for assessment of infection prevention and control practices in isolation areas in acute healthcare settings in the context of the novel coronavirus (COVID-19). These recommendations are preliminary and subject to review as new evidence becomes available.


Asunto(s)
Infecciones por Coronavirus , Hospitales , Brotes de Enfermedades , Intervención en la Crisis (Psiquiatría) , Servicio de Urgencia en Hospital
3.
Acta Chir Orthop Traumatol Cech ; 87(1): 62-67, 2020.
Artículo en Checo | MEDLINE | ID: mdl-32131974

RESUMEN

Recently, there has been an apparent increase in terrorism-related incidents. The security experts believe that the risk of terrorist attacks cannot be fully ruled out in the Czech Republic either. For this reason, it is appropriate to obtain information from regions with more experience with terrorism and to learn from their mistakes. Based on the analysis of terrorist attacks in Madrid (2004), Israel (2001-2012) and Paris (2015) and our own experience gained during the humanitarian missions in Libya, Syria, Iraq and Ukraine, adequate recommendations for crisis management are presented. An integral part of the preparedness is also a regular training of activation of disaster management plan and simulation of reaction to a mass casualty incident. Key words: mass casualty incident, terrorist attack, disaster management plan.


Asunto(s)
Intervención en la Crisis (Psiquiatría) , Incidentes con Víctimas en Masa , Terrorismo , República Checa , Humanos
5.
Neuropsychiatr ; 34(1): 15-21, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32002764

RESUMEN

Little research has been performed so far on the mental health state of grieving and recently traumatized children. "The Buoy" ("Die Boje"), a low threshold ambulatory provides non-bureaucratic help and short time psychotherapy to children and adolescents in need of professional support at no charge and treats about 1400 minors per year. Whilst performing a study on these patients with special regard to their social network, we found the process of recruitment to be extraordinarily challenging. Only about 25% of the eligible patients could be recruited successfully within during the period of one year. In this paper we try to examine the barriers we had to overcome in gaining access to the sensitive field of grieving and traumatized children and adolescents who rely on low threshold psychotherapeutic and neuropsychiatric support and analyze the factors leading to the high number of dropouts. In addition, the consequences for our results will be discussed.


Asunto(s)
Intervención en la Crisis (Psiquiatría) , Salud Mental , Menores/psicología , Trauma Psicológico/psicología , Trauma Psicológico/terapia , Psicoterapia , Adolescente , Niño , Femenino , Pesar , Humanos , Masculino
8.
Rev. psiquiatr. salud ment. (Barc., Ed. impr.) ; 12(4): 207-212, oct.-dic. 2019. tab
Artículo en Español | IBECS | ID: ibc-187019

RESUMEN

Introducción: A pesar del desarrollo de la hospitalización domiciliaria en España durante los últimos años, es llamativa la escasez de literatura. El siguiente estudio pretende exponer los datos obtenidos por la Unidad de Hospitalización a Domicilio de Psiquiatría del Hospital del Mar (HADMar). HADMar es un programa de hospitalización domiciliaria creado hace 2años, que recibe pacientes procedentes de servicios comunitarios y hospitalarios con un seguimiento limitado en el tiempo. Al alta, el paciente es derivado a la unidad de referencia ambulatoria apropiada para cada caso. Material y métodos: Se seleccionó a todos los pacientes visitados desde 2015 hasta la actualidad. Se llevó a cabo un estudio descriptivo que define las características sociodemográficas de la muestra. Las variables clínicas estudiadas fueron la gravedad de los síntomas, el riesgo de suicidio y los cambios en la funcionalidad. Resultados: Un total de 135 pacientes fueron incluidos en la muestra. La edad media de los pacientes fue de 44,6 años y no hubo diferencias entre ambos sexos. De ellos, 26 pacientes tenían un historial de intentos autolíticos y el 11,1% vivían solos. El 51,1% fueron diagnosticados de un trastorno psicótico. La puntuación media en la escala GEP en la variable gravedad de los síntomas psiquiátricos fue 2,39 y el riesgo medio de suicidio 0,49. La puntuación de EEAG al alta era mayor que al ingreso. Conclusiones: Los resultados obtenidos en nuestro estudio son consistentes con resultados reportados en estudios previos. Los equipos de hospitalización domiciliaria han demostrado ser una alternativa a la hospitalización tradicional. Sin embargo, se necesitan más estudios que apoyen estos resultados


Introduction: Although home hospitalization has begun to develop widely in recent years there is a notable lack of studies. The following study includes data from the Psychiatric Home Hospitalization Unit of the Hospital del Mar (HADMar). This program has been running for 2years and takes place in a socio-demographically depressed area in Barcelona. It receives patients from community and hospital services. Monitoring is limited in time and at discharge patient are referred to the ambulatory unit. Material and methods: All patients visited from 2015 to the present time were selected. A total of 135 patients were included in the sample. A qualitative descriptive study was carried out in order to define the socio-demographic characteristics. The severity of symptoms, suicidal risk and changes in the functionality were considered as clinical outcomes. Results: The mean age of patients was 44.6 years and there were no gender differences. A total of 26 patients had a history of suicidal attempts and 11.1% lived alone; 51.1% were diagnosed with a psychotic disorder. The mean GEP score for the severity of the psychiatric symptoms was 2.39 and the mean risk of suicide was 0.49. There is an increase in the EEAG score from admission to discharge, which means an improvement in the functionality of patients. Conclusions: The results obtained in our study are consistent with previous results. Home crisis intervention teams have proved to be an alternative to traditional hospitalization. However, more studies are needed to support these results


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Trastornos Mentales/terapia , Servicios de Atención a Domicilio Provisto por Hospital/organización & administración , Trastornos Psicóticos/terapia , Índice de Severidad de la Enfermedad , Ideación Suicida , Epidemiología Descriptiva , Trastorno de la Conducta/psicología , Centros Comunitarios de Salud Mental/organización & administración , Intervención en la Crisis (Psiquiatría)/organización & administración
9.
East Asian Arch Psychiatry ; 29(4): 129-135, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31871310

RESUMEN

OBJECTIVE: The application of restraints during psychiatric crises is a serious adverse event. We aimed to reduce the number of injuries sustained by patients during the application of restraints. METHODS: Structured interviews were conducted with 10 staff to determine six root causes of patient injury during restraint. Three plan-do-study-act cycles were implemented: (1) reorganising shift rosters to pair trained staff with inexperienced staff, (2) holding monthly session for practising de-escalation and restraint techniques as a team in a supervised setting, and (3) rotating the responsibility for leading the de-escalation in real crises. RESULTS: Pre-intervention period was from January 2014 to December 2014 (28 251 inpatient bed days). Intervention period was from January 2015 to March 2015 (7121 inpatient bed days). Post-intervention period was from April 2015 to December 2016 (51 735 inpatient bed days). Data extracted included the dates and numbers of crises, activation of the crisis team, use of restraints, and injuries. During pre-intervention and intervention periods, only two minor and three moderate injuries were recorded. During post-intervention period, no injury was recorded and the number of restraints decreased gradually although the number of crisis team activations increased in the early phase. Eventually restraints were used only upon arrival of the crisis team. CONCLUSION: Our quality improvement project identified six root causes and implemented three plan-do-study-act cycles to successfully eliminated patient injuries during the use of restraints.


Asunto(s)
Intervención en la Crisis (Psiquiatría)/métodos , Servicio de Psiquiatría en Hospital , Restricción Física/métodos , Heridas y Traumatismos/prevención & control , Adulto , Humanos , Pacientes Internos , Entrevistas como Asunto , Masculino , Restricción Física/efectos adversos , Singapur
10.
Psychiatr Danub ; 31(4): 479-482, 2019 Dec.
Artículo en Alemán | MEDLINE | ID: mdl-31698405

RESUMEN

Crisis Intervention is a professional method to help people suffering from acute psychosocial crisis. The basis of effective crisis intervention is a collaborative relationship facilitated by genuineness, respect and acceptance. A thorough assessment of possible endangerment including self harm and suicidal ideations or danger of being a target of violence or even being harmful to others must be established. A facing dialogue offering the possibilities to express and communicate difficult emotional feelings, helping to restore emotional stability and to restore adaptive functioning is an essential basis and might in addition be complemented by medical and/or legal support.


Asunto(s)
Intervención en la Crisis (Psiquiatría)/métodos , Primeros Auxilios/métodos , Conducta Autodestructiva/prevención & control , Conducta Autodestructiva/psicología , Emociones , Primeros Auxilios/psicología , Humanos , Ideación Suicida
12.
J Emerg Nurs ; 45(6): 612-613, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31706445
13.
Aten. prim. (Barc., Ed. impr.) ; 51(8): 471-472, oct. 2019. tab, ilus
Artículo en Español | IBECS | ID: ibc-185749

RESUMEN

Objetivo: Conocer y comprender las estrategias que llevan a cabo los familiares de personas con problemas mentales en las crisis de sus familiares enfermos. Diseño: Estudio cualitativo. Emplazamiento: Servicio de Salud Mental (SESCAM) y centros sociosanitarios de Castilla-La Mancha. Participantes: Veinticuatro familiares adultos que conviven y cuidan de un familiar que sufre crisis de salud mental; contactados a través de la dirección de salud del área y de una fundación socio sanitaria. Se seleccionaron con propósito y en bola de nieve. Método: Veintidós entrevistas semiestructuradas y analizadas según los procedimientos de teoría fundamentada constructivista desarrolladas entre enero del 2014 y febrero del 2016. El muestreo teórico guio la obtención de los datos que finalizó con la saturación de las categorías emergentes. Resultados: La persona con un problema mental durante las crisis se convierte en un ser extraño e inaccesible para los familiares. En esta situación los esfuerzos se dirigen a recuperar al familiar, a sacarlo de la sinrazón y a conservarlo en una normalidad cotidiana y construida para ellos. Gracias a esto el familiar enfermo está integrado en la vida familiar. Conclusiones: Los familiares cuidadores de personas con problemas mentales luchan por no perderles en las crisis y por conservar los vínculos familiares. Los profesionales de Atención Primaria deben dar importancia a estos vínculos pues determinan sus estrategias de cuidado durante una crisis y las estrategias para conservar al familiar


Aim: To know and understand the strategies carried out by the relatives of people with mental health problems in the care of their sick relatives. Design: Qualitative study. Setting: Mental Health Service (SESCAM) and Social Health Centres of Castilla-La Mancha region (Spain). Participants: Twenty-four adult family members who live and care for a family member who suffers a mental health crisis. The participants were contacted both through the health directorate of the area and a social health foundation. They were selected with purpose and by snowball sampling. Method: Twenty-two semi-structured were conducted and analysed according to the constructivist grounded theory procedures between January 2014 and February 2016. The theoretical sampling guided the obtaining of the data that ended with the saturation of the emerging categories. Results: A person with a mental problem during a crisis becomes a stranger and is inaccessible to family members. In this situation the efforts are aimed at the recovery of the relative, to take them out of the unreason and to keep them in a day-to-day normality constructed for them. Thanks to this, the ill relative is integrated into family life. Conclusions: Family caregivers of people with mental problems struggle not to lose them in a crisis and to maintain family ties. Primary care professionals must give importance to these links, because it determines their care strategies during a crisis and the strategies to conserve the family member


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Salud Mental , Cuidadores , Familia , 25783 , Intervención en la Crisis (Psiquiatría)/métodos , Apoyo Social
14.
Prax Kinderpsychol Kinderpsychiatr ; 68(6): 475-487, 2019 Sep.
Artículo en Alemán | MEDLINE | ID: mdl-31480944

RESUMEN

Chances of Psychotherapeutic Interventions and Stabilization with Unaccompanied Minor Refugees During Clearing Procedure and During the Transition Phase to Youth Welfare In the present clinical report, the experiences with psychotherapeutic crisis intervention for unaccompanied refugee minors in an initial reception and clearing office in Berlin, which have been financed since December 2016 by the association Spatz e. V. from the St Joseph hospital in Berlin-Tempelhof, is reflected. The financing offer results due to the developments in 2015 - a year with an above-average increase in incoming refugees. The significant increase also led to significantly longer waiting times in the clearing process. The forced persistence in a provisional state often led to instability of the psychic coping capacity of the adolescents. However, although there is a high level of psychological distress, post-traumatic as well as depressive symptoms the refugee adolescents have no access to outpatient psychotherapy during the clearing procedure (or the financial coverage of the discussions by health insurance or youth welfare offices). Despite uncertain framework conditions by an unclear future perspective and the resulting lack of "external safety", psychotherapeutic sessions with a focus on stabilization, empowerment and psychoeducation is nevertheless helpful in order to support young people in crisis situation, to counteract acute crisis and to counteract chronification of existing symptoms.


Asunto(s)
Intervención en la Crisis (Psiquiatría) , Menores/psicología , Psicoterapia , Refugiados/psicología , Adolescente , Niño , Depresión/psicología , Depresión/terapia , Humanos , Trastornos por Estrés Postraumático/psicología , Trastornos por Estrés Postraumático/terapia
15.
Psychiatr Danub ; 31(Suppl 3): 418-420, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31488764

RESUMEN

BACKGROUND: A reformation of psychiatry was set up in Belgium with the establishment of mobile crisis teams. SUBJECTS AND METHODS: We performed a retrospective analysis of the patients referred to the mobile team "Pharos" in the period between December 2013 and December 2018. RESULTS: The number of patients is growing over the years and the most common referral reasons are suicidal thoughts and depressive mood. We have a high percentage of inclusions, maybe because the main referrers are GPs. Alcohol withdrawal at home is feasable and safe. CONCLUSION: Many psychiatric crisis situations can be managed at home with support of mobile teams, but further research is needed to provide evidence on outcome and cost effectiveness.


Asunto(s)
Intervención en la Crisis (Psiquiatría)/estadística & datos numéricos , Servicios de Urgencia Psiquiátrica/provisión & distribución , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Psiquiatría/métodos , Psiquiatría/organización & administración , Trastornos Relacionados con Alcohol/terapia , Bélgica/epidemiología , Depresión/epidemiología , Depresión/terapia , Humanos , Estudios Retrospectivos , Ideación Suicida
17.
Rev. psiquiatr. salud ment. (Barc., Ed. impr.) ; 12(3): 163-169, jul.-sept. 2019. 10.1016/j.rpsm.2018.03.007
Artículo en Español | IBECS | ID: ibc-187010

RESUMEN

Introducción: La selección del antipsicótico adecuado para el tratamiento de pacientes con trastorno bipolar (TB) debe basarse en los síntomas presentes, así como en las necesidades terapéuticas de cada paciente y en los posibles efectos adversos asociados al tratamiento. Asenapina es un antipsicótico de segunda generación indicado para el tratamiento de pacientes con TB de tipoI, cuyo perfil farmacocinético y farmacodinámico presenta características diferenciales con respecto al resto de antipsicóticos. Material y métodos: Este documento de recomendaciones ha sido elaborado por un panel de expertos con experiencia en el uso de asenapina en los ámbitos de la atención psiquiátrica de urgencias, hospitalaria y ambulatoria. Las recomendaciones se debatieron en una única reunión y fueron elaboradas a partir de la práctica clínica de los expertos y la evidencia proporcionada por la literatura científica. Resultados: Se describe el perfil de pacientes que mejor se ajusta a las características farmacodinámicas de asenapina, así como las ventajas y limitaciones del perfil farmacocinético asociado a la administración sublingual. Se abordan también las principales características de seguridad de asenapina, así como las posibles medidas a tomar para mitigar los efectos adversos más frecuentes. Finalmente, el documento proporciona una orientación acerca de la dosificación y el manejo general del fármaco, incluyendo las combinaciones con otros fármacos y el cambio de otros antipsicóticos a asenapina. Conclusiones: Este artículo proporciona una orientación para el uso adecuado de asenapina, así como para la identificación de los pacientes en los que este antipsicótico puede resultar más adecuado


Introduction: The choice of an antipsychotic should be based on bipolar disorder (BD) symptoms and the particular needs of each patient, as well as the adverse events potentially associated with treatment. Asenapine is an atypical antipsychotic indicated for the management of type-I BD, with distinct pharmacokinetic and receptor affinity profiles. Material and methods: Recommendations document developed by a panel of experts with extensive experience in the use of asenapine in psychiatric care, including emergency department, hospital, and outpatient care. Recommendations were discussed in a single meeting and were based on both the clinical experience of the panel of experts and the empirical evidence provided in the scientific literature. Results: The present document describes the patient profile that best suits the pharmacodynamic characteristics of asenapine, as well as the advantages and limitations of the pharmacokinetics associated with the sublingual route. The document also addresses the main safety issues of asenapine and suggests interventions aimed at mitigating the most frequent adverse reactions associated with asenapine treatment. Finally, the article provides advice on dosing and overall management of asenapine treatment, including the combination with other treatments and the switch from other antipsychotics to asenapine. Conclusions: In this recommendations document, we provide clinicians with guidance on the use of asenapine in real-life practice, including the identification of patients who best suit the characteristics of this antipsychotic


Asunto(s)
Humanos , Trastorno Bipolar/tratamiento farmacológico , Antipsicóticos/uso terapéutico , Intervención en la Crisis (Psiquiatría)/métodos , Agonistas de Dopamina/farmacocinética , Agonistas de Receptores de Serotonina/farmacocinética , Agonistas Adrenérgicos/farmacocinética , Administración Sublingual
18.
Artículo en Inglés | MEDLINE | ID: mdl-31404975

RESUMEN

Live-stream suicide has become an emerging public health problem in many countries. Regular users are often the first to witness and respond to such suicides, emphasizing their impact on the success of crisis intervention. In order to reduce the likelihood of suicide deaths, this paper aims to use psycholinguistic analysis methods to facilitate automatic detection of negative expressions in responses to live-stream suicides on social media. In this paper, a total of 7212 comments posted on suicide-related messages were collected and analyzed. First, a content analysis was performed to investigate the nature of each comment (negative or not). Second, the simplified Chinese version of the LIWC software was used to extract 75 psycholinguistic features from each comment. Third, based on 19 selected key features, four classification models were established to differentiate between comments with and without negative expressions. Results showed that 19.55% of 7212 comments were recognized as "making negative responses". Among the four classification models, the highest values of Precision, Recall, F-Measure, and Screening Efficacy reached 69.8%, 85.9%, 72.9%, and 47.1%, respectively. This paper confirms the need for campaigns to reduce negative responses to live-stream suicides and support the use of psycholinguistic analysis methods to improve suicide prevention efforts.


Asunto(s)
Psicolingüística , Medios de Comunicación Sociales , Suicidio , Grupo de Ascendencia Continental Asiática , Intervención en la Crisis (Psiquiatría) , Recolección de Datos , Humanos , Recuerdo Mental , Probabilidad , Salud Pública , Programas Informáticos
19.
Actas esp. psiquiatr ; 47(4): 127-136, jul.-ago. 2019. tab
Artículo en Español | IBECS | ID: ibc-185163

RESUMEN

Introducción. Existe una fuerte asociación entre quienes repiten un intento de suicidio (IS) y quienes lo consuman. Por ello el seguimiento de la intervención de estos pacientes es fundamental. En este estudio: se establece el perfil sociodemográfico y clínico de personas atendidas en urgencias psiquiátricas por un IS, en función del sexo; se determina la prevalencia de reintentos en un periodo de seis meses; se compara el perfil de los pacientes que repiten o no el IS; y se evalúan variables predictoras de la repetición. Metodología. Se entrevistó a 207 pacientes (122 mujeres y 85 hombres) que acudieron a urgencias psiquiátricas por un IS (enero-octubre de 2015), y se revisó su historia clínica a los 6 meses. Resultados. Las mujeres presentaron una menor letalidad en la conducta suicida. Un 14% de la muestra (n=29) repitió un IS en los 6 meses siguientes y 2 personas fallecieron por suicidio; 3 fallecieron por otras causas. Los pacientes ingresados en la Unidad de Hospitalización Psiquiátrica presentaron más reintentos (X2=4,1; g.l.=1; p=0,043). En el análisis multivariable, de todas las variables analizadas, la única asociada a la repetición del intento fue encontrarse en tratamiento en salud mental al incluirse en el estudio (OR=3,504; p=,009; I.C.95%=1,361-9,018). En el periodo de seguimiento se incrementó un 21,7% los pacientes tratados en salud mental. Conclusiones. El riesgo de repetición tras ser tratado en urgencias psiquiátricas por IS es crítico los meses posteriores, siendo necesario mejorar los programas de prevención e intervención destinados a mejorar estas cifras


Introduction. There is a strong association between those who re-attempt a suicide attempt and those who complete it. Therefore, follow-up on the interventions car-ried out for suicidal patients is essential. This study investigated the sociodemographic and clinical profiles of individuals admitted as psychiatric emergencies after a suicide attempt according to sex, determined the prevalence of re-attempts in a period of six months, compared the profiles of patients who engaged in repeated suicide attempts to those who did not, and evaluated predictive variables for repeated suicide attempts. Methodology. A total of 207 patients (122 women and 85 men) who went to the psychiatric emergency room for a suicide attempt (January-October 2015) were interviewed, and their clinical histories were reviewed at 6 months. Results. Lethal suicidal behaviour was lower in women. Fourteen percent of the sample (n=29) repeated a suicide attempt in the following 6 months, and 2 people died by suicide; 3 died from other causes. The patients admitted to the Psychiatric Hospitalization Unit presented with more re-attempts (X2=4.1; d.f.=1; p=0.043). In the multivariate analysis, of all the variables analysed, the only one associated with repeated suicide attempts was having been in mental health treatment upon inclusion into the study (OR=3.504, p=0.009, CI95%: 1.361-9.018). In the follow-up period, the percentage of patients who engaged in mental health treatment increased 21.7%.Conclusions. The risk of recurrence after being treated for a suicide attempt psychiatric emergency is high in the months following an attempt, and it is necessary to improve prevention and intervention programmes aimed at improving these figures


Asunto(s)
Humanos , Masculino , Femenino , Intento de Suicidio/psicología , Estudios de Seguimiento , Recurrencia , Intervención en la Crisis (Psiquiatría)/métodos , Servicios de Urgencia Psiquiátrica/métodos , Salud Mental , Estudios Longitudinales
20.
Emerg Med J ; 36(7): 444-445, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31320337

RESUMEN

A short cut review was carried out to establish whether a staff debriefing session after involvement in a traumatic resuscitation reduces stress and anxiety, reduces sickness, improves team working and morale and improves staff retention. Four papers presented the best evidence to answer the question. The author, date and country of publication, group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that there is no evidence about the efficacy of team debriefing in the ED. However, there is some desire among staff for it to occur. Further research is needed and in the meantime local advice should be followed.


Asunto(s)
Resucitación/psicología , Adolescente , Actitud Frente a la Muerte , Intervención en la Crisis (Psiquiatría)/métodos , Humanos , Masculino , Resucitación/métodos , Estrés Psicológico/etiología , Estrés Psicológico/psicología
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