The perinatal period is a time of high risk for onset of depressive disorders and is associated with substantial morbidity and mortality, including maternal suicide. Perinatal depression comprises a heterogeneous group of clinical subtypes, and further refinement is needed to improve treatment outcomes. We sought to empirically identify and describe clinically relevant phenotypic subtypes of perinatal depression, and further characterise subtypes by time of symptom onset within pregnancy and three post-partum periods. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The wellbeing of women is a crucial, albeit difficult to achieve, goal. Improved maternal health was an important Millennium Development Goal and maternal mortality is a persistent challenge.1 Maternal mental health and its determinants, often overlooked in goal-setting, are also very important to both mothers' and their offsprings' wellbeing and development. Only fairly recently has maternal suicide in pregnancy and post partum been acknowledged as a problem, following earlier thinking was that pregnancy was protective for mental health and prevented suicide. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The Joint Committee on Human Rights issues an interim report calling on the Government to bring forward legislation in the next Parliament to address the shocking rise in self-harm and suicide in prisons. The number of self-inflicted deaths in prison in England and Wales has risen steadily from 58 in 2010 to 119 in 2016, with a particularly sharp increase in the number of self-inflicted deaths amongst women prisoners.
In results published April 29, 2017 in JAMA Psychiatry , the largest ED-based suicide intervention trial ever conducted in the United States examined how screening in emergency departments, followed by safety planning guidance and periodic phone check-ins led to a 30 percent decrease in suicide attempts over the 52 weeks of follow-up, compared to standard emergency department care.
There is good evidence to suggest that certain outpatient psychological treatments, and particularly cognitive behavioural therapy (CBT), are effective in reducing repetition of self-harm and, to a lesser extent, suicide.4 Because of resourcing limitations, however, patients often face delays of up to several weeks before their first appointment; even in countries with well-resourced psychiatric services.5 Yet almost half of all patients who repeat self-harm will do so in this period.6 Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
We investigated whether a volitional helpsheet (VHS), a brief psychological intervention, could reduce repeat self-harm in the 6 months following a suicide attempt. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Commentary. Patrick Sullivan's emphasis on the importance of supporting autonomy and independence among vulnerable people who self-injure is fundamental to good clinical practice. Although people who self-injure typically experience overwhelming emotions and may be prone to impulsive behaviour, self-injury is nonetheless a choice and must accordingly be treated as such.1 In addition, patients who self-injure when not acutely mentally ill typically retain decision-making capacity in relation to self-injury.2 This is why some forms of harm minimisation, such as encouraging reflection, responsibility, safe cutting and where appropriate self-aftercare, are uncontroversial and already widely practised within community settings. The situation is different, however, with respect to both secure and non-secure inpatient settings....To read the full article, log in using your NHS OpenAthens details.
This paper considers the ethical justification for the use of harm minimisation approaches with individuals who self-injure. While the general issues concerning harm minimisation have been widely debated, there has been only limited consideration of the ethical issues raised by allowing people to continue injuring themselves as part of an agreed therapeutic programme. I will argue that harm minimisation should be supported on the basis that it results in an overall reduction in harm when compared with more traditional ways of dealing with self-injurious behaviour. It will be argued that this is an example of a situation where healthcare professionals sometimes have a moral obligation to allow harm to come to their patients. To read the full article, log in using your NHS OpenAthens details.
Letter. SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
A British doctor who campaigned for the public to be warned about increased suicide risk in young people taking antidepressants has said that US drug regulators should consider including adults in warnings. To read the full article, log in using your NHS OpenAthens details
Views and Reviews. The use of physical restraint in mental health facilities should not be routine practice—especially not against women and girls
More than half of women who have mental health problems have experienced abuse—and the links are particularly pronounced for those with more severe illnesses. To be physically restrained—especially face-down—has the potential to retraumatise.
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Professional Psychology: Research and Practice48.2 (Apr 2017): 98-106.
Recent increases in death by suicide in the United States have led to national calls for improvements in how suicide risk screening and assessments are conducted. As health care providers and leaders in mental health practice, psychologists should be immersed in cutting edge education and training in suicide assessment. In this article, we describe the limits of the traditional medical model approach and review modern developments in suicide risk assessment. To read the full article, log in using your NHS OpenAthens details.
Professional Psychology: Research and Practice48.2 (Apr 2017): 107-114.
Clinicians are often tasked with identifying and managing patients who are at risk for suicide. Therefore, greater understanding of factors that impact the efficacy of suicide risk assessments (SRAs) are of critical importance. One potential factor that may affect assessments of risk severity is the timing of the evaluation during clinical interview. Given that some patients are reluctant to disclose suicide-related symptoms, it is possible that asking about suicide at the beginning of an interview elicits more false negatives. It is also possible that if risk assessments are conducted in a manner that is encouraging to the patient, timing does not significantly impact patient report. This study examined whether SRA timing within an initial intake interview affects risk severity ratings. To read the full article, log in using your NHS OpenAthens details.
Journal of Consulting and Clinical Psychology (Apr 17, 2017).
Objective: Although a large number of risk markers for suicide ideation have been identified, little guidance has been provided to prospectively identify adolescents at risk for suicide ideation within community settings. The current study addressed this gap in the literature by utilizing classification tree analysis (CTA) to provide a decision-making model for screening adolescents at risk for suicide ideation. To read the full article, log in using your NHS OpenAthens details.
The campaign uses posters featuring local men to encourage others to seek help with their mental health. The campaign is unique in that it gets the precious 30 seconds of a person’s time to read a message, remember it, know there is a contact and if needed use it.”
The Royal College of Nursing (RCN) has backed calls for suicide awareness training to be made mandatory for all health professionals. Login using your SSSFT NHS OpenAthens details 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 requesting.
In this systematic review and meta-analysis of randomized clinical trials, outcomes of psychotherapies (most notably dialectical behavior therapy and psychodynamic approaches) significantly improved borderline-relevant outcomes (symptoms, self-harm, and suicide) compared with control interventions. However, differences dissipated in well-designed and implemented trials or if the control group was balanced for manualization of treatment or the involvement of the study team in treatment. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The interpersonal theory of suicide posits that thwarted belongingness (TB) and perceived burdensomeness (PB) increase suicide ideation; however, studies have found mixed results regarding this hypothesis among psychiatric inpatients. This study aimed to (a) demonstrate how assessing TB and PB using the Interpersonal Needs Questionnaire (INQ) can provide clinically useful information and (b) investigate how statistical methodology may impact the clinical application of the INQ. Login using your SSSFT NHS OpenAthens 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.
Letter. 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.