La santé mentale est une composante à part entière de la santé. La promotion du bien-être, l'offre de soins et l'inclusion sociale des personnes atteintes de troubles psychiques constituent des enjeux majeurs pour notre société. Les problèmes de santé mentale représentaient déjà un enjeu majeur de santé publique avant la crise sanitaire de la Covid-19. Cette dernière a largement contribué à leur intensification, avec des effets qui risquent de s'inscrire dans la durée notamment si les politiques de prévention et de prise en charge ne sont pas renforcées. La crise sanitaire a toutefois permis une prise de conscience collective. Celle que nous avons tous une santé mentale, qu'elle est en grande partie déterminée par des facteurs environnementaux et que la préserver ne relève pas seulement de notre responsabilité individuelle, mais d'une responsabilité sociale et politique.
Adolescent self‐harm is a major public health concern. To date there is a limited evidence‐base for prevention or intervention, particularly within the school setting. To develop effective approaches, it is important to first understand the school context, including existing provision, barriers to implementation, and the acceptability of different approaches.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
In this cohort comparison study, patients who visited the emergency department for suicide-related concerns and received the Safety Planning Intervention with structured follow-up telephone contact were half as likely to exhibit suicidal behavior and more than twice as likely to attend mental health treatment during the 6-month follow-up period compared with their counterparts who received usual care following their ED visit.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
A euthanasia advocate, who was convicted in June after assisting in the death of Alzheimer's sufferer Graeme Wylie, has taken her life. Caren Jenning, 75, who was convicted of being an accessory to manslaughter after helping Mr Wylie take a lethal dose of veterinary drug Nembutal, had been suffering breast cancer.
Two high court judges rejected Debbie Purdy's request for guidelines from the Director of Public Prosecutions on when assisted suicide cases would be prosecuted, saying it was a matter for parliament and not the courts.
There has been growing concern in recent years about whether current law is adequate to deal with misuse of the internet to promote suicide and suicide methods. The Government share the concerns that have been expressed about such misuse, in particular about suicide websites and the influence they may have over vulnerable people, especially young people.
In 2004, Mrs Carol Savage was one of 165 who took their own life while receiving treatment as a psychiatric in-patient.1 With the trial yet to take place, few facts are presently known. The day after voluntarily attending Runwell Hospital, she was detained for treatment under section 3 of the Mental Health Act 1983 (‘the 1983 Act’) with a diagnosis of paranoid schizophrenia. Having made a number of attempts to leave the open acute psychiatric ward, checks on her whereabouts were prescribed for every 30 minutes. Believed to be at low risk of suicide, Mrs Savage was allegedly left unsupervised on hospital grounds from which she was able to flee, walking 2 miles to Wickford railway station before fatally jumping in front of a train. A coroner's jury concluded that the preventive precautions in place were ‘inadequate’. And her daughter, Ms Anna Savage, claimed that the hospital had breached her mother's right to life by allowing her to escape.
Doctors were forced to allow a young woman to die as she had made a "living will" requesting no medical help if she attempted suicide. They would have risked breaking the law by treating Kerrie Wooltorton, 26, of Norwich, an inquest heard. Miss Wooltorton wrote her living will in September 2007, asking for no intervention if she tried to take her own life.
Following advance directives in emergencies throws up some complicated problems, as Stephen Bonner and colleagues found. We asked an emergency doctor, a medical defence adviser, and an ethicist what they would do in the circumstances
Two daughters who sat with their mother for four days as she lay dying will not be charged with assisted suicide. Jane Aiken Hodge, 91, who had high blood pressure and mild leukaemia, held a “Do not resuscitate” card. She wrote a letter to her GP saying she did not want to be revived when she took an overdose of sleeping pills in June last year. Michael Jennings, a reviewing lawyer for the Crown Prosecution Service, said that he was satisfied the death was an independent suicide.
A Minnesota judge on Wednesday sentenced a former nurse to nearly a year's worth of jail time — spread out over the next decade — for helping to persuade two people, including a Brampton, Ont., woman, to kill themselves. William Melchert-Dinkel, 48, was ordered to serve 360 days total behind bars, but only 320 of those days will be served consecutively. For the remainder of the sentence, he will be forced to return to prison for two-day spells every year for a decade on the anniversaries of both of his victims' deaths.
Australians in their 20s and 30s are killing themselves with the drug that euthanasia advocate, Dr Philip Nitschke, has promoted as the ''peaceful pill''. The Victorian Institute of Forensic Medicine has found that 51 people in Australia have died from an overdose of Nembutal in the past 10 years. While the lethal barbiturate is only available for veterinarians to euthanise animals in Australia, Dr Nitschke has been helping people obtain it from Mexican vets and other overseas sources since the late 1990s.
At least one in 10 suicides in England is by someone with a chronic or terminal illness, found researchers who tried to obtain information on the subject from local health authorities. Coroners told them that people were increasingly killing themselves at a younger age, rather than waiting until they were in severe pain in their 80s or 90s. And two of 15 coroners interviewed also indicated they deliberately avoided probing into possible cases of assisted suicide - which remains illegal in Britain - "often for fear of causing problems for the friends and family left behind".
Most senior doctors in England and Wales feel that rational suicide is possible. There was no association with specialty. Strong religious belief was associated with disagreement, although levels of agreement were still high in people reporting the strongest religious belief. Most doctors who were opposed to physician assisted suicide believed that rational suicide was possible, suggesting that some medical opposition is best explained by other factors such as concerns of assessment and protection of vulnerable patients.
End-of-life decision making is fraught with ethical challenges. Withholding or withdrawing life support therapy is widely considered ethical in patients with high treatment burden, poor premorbid status, or significant projected disability even when such treatment is not “futile.” Whether such withdrawal of therapy in the aftermath of attempted suicide is ethical is not well established in the literature. We provide a clinical vignette and propose criteria under which such withdrawal would be ethical. We suggest that it is appropriate to withdraw life support, regardless of the cause of the critical illness or disability, when the following criteria are met: (1) Surrogates request withdrawal of care and the adequacy of surrogates is confirmed, (2) an external reasonability standard is met, (3) passage of time, perhaps 72 hours, to allow certainty regarding the patient's wishes, and (4) psychiatric morbidity should be considered as grounds for withdrawal only in truly treatment-refract
A Toronto man’s decision to end his life, simply because he felt it was time to die, has raised questions and concerns among family, friends and experts, some of whom say it could take the assisted suicide debate down a "slippery slope." John Alan Lee, a former professor of sociology at the University of Toronto, died in December. He had carefully planned his own death for months and discussed his decision with a CBC crew. "I can be satisfied," he told the CBC’s Duncan McCue when describing his life and the choice to end it. "I can say it’s been great. It’s enough."
Insomnia is associated with increased risk for suicide. The Food and Drug Administration (FDA) has mandated that warnings regarding suicide be included in the prescribing information for hypnotic medications. The authors conducted a review of the evidence for and against the claim that hypnotics increase the risk of suicide. : Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
As many as 16% of people who self-harm will do so again within the subsequent year.1 Likewise, mental disorders are associated with high risks of lifetime suicidal behaviour; 4·3% of men and 2·1% of women with previous contact to secondary mental health services were found to later die by suicide.2 It is thus of great interest to generate evidence on how suicidal behaviour in high risk populations might be prevented. Pharmacological treatment has shown positive results in randomised controlled trials (RCTs),3 although some studies are criticised for excluding patients at risk of suicide. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Psychosocial and behavioural interventions that address suicidal thoughts and behaviour during treatment (direct interventions) might be more effective in preventing suicide and suicide attempts than indirect interventions that address symptoms associated with suicidal behaviour only (eg, hopelessness, depression, anxiety, quality of life). To test this hypothesis, we did a systematic review and meta-analysis of psychosocial and behavioural interventions aimed at preventing suicide and suicide attempts. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Psychology of Addictive Behaviors 30.2 (Mar 2016): 263-269.
Individuals with pathological gambling have an increased risk for suicidal events. Additionally, the prevalence of comorbid psychiatric disorders is high among pathological gamblers. This study analyzes whether the type of gambling is associated with suicidal events in pathological gamblers independently from comorbidity. To read the full article, log in using your NHS OpenAthens details
Psychology of Men & Masculinity 17.2 (Apr 2016): 147-155.
A composite of clinical cases treated by the authors is presented to illustrate the complexity of understanding nonsuicidal self-harm as it occurs in men, particularly in the context of Non-Suicidal Self-Injury (NSSI) disorder, a condition for further study in the fifth edition of Diagnostic and Statistical Manual of Mental Disorders. As a function of adherence to masculine norms, intentionality, social acceptability, and functions of self-harm behaviors common among men do not appear to be in line with diagnostic criteria for NSSI disorder, despite these behaviors resulting in serious tissue damage worthy of clinical and research attention. Suggestions for novel approaches to the assessment and treatment of self-harm, particularly in light of men’s difficulty identifying and discussing intentionality of self-harm behaviors, are presented along with specific recommendations clinical practice. To read the full article, log in using your NHS OpenAthens details
Practice Innovations 1.1 (Mar 2016): 3-19.
This article reviews the existing literature on prevalence rates and risk factors for suicidal thoughts and behaviors in children under the age of 12. This review is followed by a discussion of important considerations for assessment and treatment and an overview of 1 potential treatment option (the Collaborative Assessment and Management of Suicidality) and its use in 3 case study examples. Although completed suicides are rare in this population, they do occur. Furthermore, a significant number of children in both clinical and community samples experience suicidal ideation and verbalize thoughts of suicide and death. To read the full article, log in using your NHS OpenAthens details
Heterogeneity in suicidal ideation over time in patients with first-episode psychosis is expected, but prototypical trajectories of this have not yet been established. We aimed to identify trajectories of suicidal ideation over a 3-year period and to examine how these trajectories relate to subsequent suicidality. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Comment. Psychotic disorders, particularly schizophrenia, are disabling and common disorders with similar prevalence rates worldwide. In addition to the substantial toll they inflict on affected individuals and their families, these disorders are also associated with a substantial risk of suicide.1 Death by suicide in individuals with schizophrenia usually occurs early in the course of the disorder; thus, not surprisingly, suicide is the leading cause of premature death in first-admission and new-onset populations. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Compared to the rate for males in most developed countries, the suicide rate in females is comparatively low. Suicide is rarer still in females during the perinatal period (usually defined as the time of pregnancy up to and including one year after giving birth).
Despite this seeming rarity, suicide now represents the leading cause of maternal mortality in developed nations (Oates, 2003), principally as more physiological causes of maternal death, such as haemorrhage, obstetric embolisms, and pre-eclampsia/eclampsia, have become rarer with the routine health screening and care that pregnant women in developed nations now receive (Palladino et al, 2011).
This article describes the use of emotion talk in the context of using a manualised approach to family therapy where the presenting problem is self-harm. Whilst we understand that there is an internal aspect to emotion, we also consider emotions to be socially purposeful, culturally constructed and interactional. We found that within the presenting families, negative emotions were often talked about as located within the young person. Through using ‘emotion talk’ (Fredman, 2004) in deconstructing and tracking emotions and exploring how emotions connected to family-of-origin and cultural contexts, we developed an interactional understanding of these emotions. This led to better emotional regulation within the family and offered alternative ways of relating. The article discusses the use of relational reflexivity, and using the therapist and team's emotions to enable the therapeutic process, encouraging reflexivity on the self of the therapist in relation to work with emotions. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
In 2014 Jonny Benjamin launched a campaign to find the man who helped him when he was at his lowest. After a global search, he and Neil are now good friends. Today they are meeting with the Duke and Duchess of Cambridge, to raise awareness of mental illness and suicide.
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Open access. Most of the research conducted on people who harm themselves has been undertaken in secondary healthcare settings. Little is known about the frequency of self-harm in primary care patient populations. This is the first study to describe the epidemiology of self-harm presentations to primary care using broadly representative national data from across the United Kingdom (UK).
Although substance misuse is a key risk factor in suicide, relatively little is known about the relationship between lifetime misuse and misuse at the time of suicide. Library Services do not currently have access to this journal through this site, but you can request a copy of the article online and we will get a copy to you: http://bit.ly/1Xyazai
Presentation at an accident and emergency (A&E) department is a key opportunity to engage with a young person who self-harms. The needs of this vulnerable group and their fears about presenting to healthcare services, including A&E, are poorly understood. Library Services do not currently have access to this journal through this site, but you can request a copy of the article online and we will get a copy to you: http://bit.ly/1Xyazai
To determine the correlates (psychiatric profiles, long-term outcome) of mechanical ventilation used as a proxy to define somatic severity during a self-poisoning. Library Services do not currently have access to this journal through this site, but you can request a copy of the article online and we will get a copy to you: http://bit.ly/1Xyazai
To evaluate the risk of suicide attempts by antidepressant drug class and the presence or absence of depression. Library Services do not currently have access to this journal through this site, but you can request a copy of the article online and we will get a copy to you: http://bit.ly/1Xyazai
This study examined the demographic, diagnostic, and service characteristics of veterans who received services for “other psychological or physical stress, not elsewhere classified” (ICD-9-CM V62.89) in the month following a suicide attempt. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://www.sssft.nhs.uk/library
Crisis: The Journal of Crisis Intervention and Suicide Prevention (Feb 2, 2016).
Abstract. Background: In this article we focused on analyzing surveyed patient-generated responses based on two outcome questions derived from a suicide-specific framework called the Collaborative Assessment and Management of Suicidality (CAMS).... To read the full article, log in using your NHS OpenAthens details
Refers To: Emmert Roberts, Simon Wessely, Trudie Chalder, Chin-Kuo Chang, Matthew Hotopf
Mortality of people with chronic fatigue syndrome: a retrospective cohort study in England and Wales from the South London and Maudsley NHS Foundation Trust Biomedical Research Centre (SLaM BRC) Clinical Record Interactive Search (CRIS) Register
The Lancet, Available online 10 February 2016, Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://www.sssft.nhs.uk/library
Suicide is a major cause of death in adulthood and specifically in patients suffering from mental illnesses. The Depressive Symptom Inventory Suicidality Subscale (DSI-SS) is widely used to detect and prevent suicidal ideation. The aim of the present study was to determine optimal cut points for the DSI-SS in different populations. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - www.sssft.nhs.uk/library
B. Wheeler, D. Gunnell, C. Metcalfe, P. Stephens, and R. Martin. BMJ (Clinical research ed.), 336 (7643):
542-5(March 2008)4942<m:linebreak></m:linebreak>LR: 20081120; JID: 8900488; 0 (Serotonin Uptake Inhibitors); CIN: BMJ. 2008 Mar 8;336(7643):515-6. PMID: 18276665; OID: NLM: PMC2265377; 2008/02/14 aheadofprint; ppublish;.
N. Wallerstein, and N. Wiggins. La Santé en action, (décembre 2018)Tiré du dossier EMPOWERMENT DES JEUNESURL : http://inpes.santepubliquefrance.fr/SLH/sommaires/446.asp?.