Suicide & Self-Harm
Youth with self-harm should be a prioritized group for assessment and targeted treatment.
Associations Among Gender Nonconformity, Mental Distress, and Substance Use Among High School Students
These findings demonstrate the importance of developing support systems within schools for gender-nonconforming students.
Approximately 15% of incarcerated people have serious mental illness, although that number can vary depending on the type of illness.
Rumination is common in individuals experiencing suicide bereavement and is unique compared with the responses to bereavement for other reasons.
This research highlights the urgency of allocating proper psychiatric resources to college students, particularly those who belong to minority groups.
Although the disproportionate suicide rate among transgender youth may be daunting, family acceptance and support are associated with reduced disparities in depression between transgender and cisgender children.
These findings point to the need to continue and expand clinical understanding of the variables contributing to suicidal behavior and the role of suicidal ideation.
Study results showed that when accounting for information bias in the context of socially stigmatized exposure and outcome, the estimated lifetime prevalence of suicide attempts is increased among sexual minorities.
Researchers identified risk factors for suicidal ideation and suicide attempts in patients with fibromyalgia.
Clinicians may find these data useful in considering the mediating effects of family function and psychiatric comorbidities among patients with ADHD.
Researchers sought to identify risk factors for recurrent suicide attempts, controlling for gender and addictive substance exposure.
Researchers found 3 distinct subgroups of patients in relation to suicidal ideation and effects of ketamine, with one group's suicidal ideation completely eliminated and the other group's improvement independent of depressed mood.
Cognitive behavioral therapy for anxiety-related disorders was associated with improvements in suicide ideation rather than exacerbation.
In the United States, self-injury mortality exceeded diabetes as a cause of death in 2015, with the gap expanding in 2016.
This study suggests that parental spirituality may affect offspring mental health, particularly regarding suicidal behaviors.
Clinicians assessing individuals with major depressive episodes are urged to inquire about prior suicide attempts, recurrent thoughts of death, quality of life, and the severity of depressive symptomatology.
In this retrospective study, Traumatic Brain Injury (TBI) was associated with a doubling in deaths by suicide, especially within the 6 months post-TBI.
Regarding both depression and suicide, no baseline differences were observed between patients exposed to efavirenz and nevirapine compared with those never exposed.
Individuals with medical contact for traumatic brain injury have increased risk for suicide.
Researchers found a suicide attempt rate of 12.0% in first-episode, drug-naive inpatients.
The rate of suicide attempts in participants assigned to intervention plus treatment as usual was half of that in participants in the treatment as usual-alone group.
The use of intrinsic brain activity to differentiate acute suicidal acts from current suicidal thoughts is a promising step toward the development of an objective measure of imminent suicide risk.
Implementing the Safety Planning Intervention in EDs along with a follow-up telephone call may be an effective brief suicide prevention intervention.
Although emotional abuse and neglect may not be as easily detected as other forms of maltreatment, professionals must be aware of their long-term effect on nonsuicidal self-injury likelihood.
The investigators argue that safety planning and active outreach, a set of low-burden strategies, are valuable elements in an effective suicide prevention program.
Prior Suicide Attempts Associated With Poorer Clinical, Functional Outcomes in Adolescents, Young Adults
These data highlight the necessity of more targeted interventions for patients with a history of high-risk behavior, such as self-harm or suicide ideation.
Patients with these cardiovascular diseases would benefit from early psychiatric help.
The researchers believe this study is the first to detect a statistically significant, unexpected inverse association between efavirenz use and depression.
The researchers found significant advantages from dialectical behavior therapy in all primary outcomes.
Suicide prevention needs to be a public health priority.
These models substantially outperform existing tools for suicide prevention, indicating a potential need for modification of currently available interventions.
Suicide rates have increased significantly in the US since 1999.
These results challenge the public perception that suicide rates are uniformly higher among white children compared with black children.
Carbamazepine, in particular, was associated with lower hazards for depression and anxiety in secondary analyses.
From 2008 to 2015 there was an increase in encounters for suicide ideation and suicide attempts among US children.
The percentage of patients seen at children's hospitals for suicidal ideation and suicide attempts more than doubled between 2008 and 2015. The academic school year may play a role.
Suicide is the second leading cause of death among Americans between the ages of 15 and 24 years.
Analyses revealed that the likelihood of suicide attempts during or after second deployment were twice as high in soldiers whose first deployment occurred within their initial 12 months of service.
A number of factors including chronic pain co-occurring with posttraumatic stress disorder and pain interference may predict suicidal ideation and violent impulses in US veterans with chronic pain.
Mortality rates decreased for alcohol use disorders, self-harm, and interpersonal violence between 1980 and 2014. Mortality rates for drug use disorders increased both nationally and in each county over the same period.
Strong state firearm laws were associated with lower firearm suicide and homicide rates and overall suicide rates regardless of surrounding state laws. States with weak firearm laws only had lower rates of firearm homicide if they were surrounded by states with strong laws.
If approved, esketamine has the potential to be the first treatment for patients with major depressive disorder at imminent risk for suicide.
Children who were described as both highly depressed/anxious and highly irritable were 2 times as likely to report suicidal thinking and attempts compared with children who exhibited neither depression nor irritability.
Investigators sought to identify distinct pathways toward suicidal behaviors in older adults with major depression.
Suicidal thinking may influence affect in a reinforcing manner, partially explaining its persistent nature in subsets of patients.
Adolescents have an increased risk of suicide after nonfatal self-harm.
Researchers calculated age-standardized mortality rates on a county level in the United States between 1980 and 2014, specifically examining rates for self-harm, interpersonal violence, alcohol use, and drug use.
Adverse mental health outcome rates are higher in adolescent cancer survivors.
The majority of patients who commit suicide visit a healthcare provider within months of their death, representing an important opportunity to intercede and connect them with mental health resources.
These results indicate the need for thorough preoperative psychiatric history assessment in patients considering bariatric surgery, as well as postoperative surveillance.
Suicide in prisons is multifactorial, with contributing factors that include medical and mental health issues as well as those involving family, lack of purposeful activity, and conditions of the specific prison environment, as well as the stress of adjusting to incarceration.
Screening for childhood mistreatment can assess the risk for nonsuicidal self-injury.
Suicide attempts were shown to increase in the summer and during periods of warmer temperatures in people age 15 to 25.
Suicide-related behavior was not found to be linked with epilepsy status or AEDs.
Many adults in the US do not believe that guns in the house increase the risk of suicide.
Lithium is the only medication to demonstrate an antisuicidal effect over and above its action on mood episodes in bipolar disorder.
The use of lithium is underused for treating mood disorders.
Perfectionist tendencies are positively associated with suicide attempts and ideation.
The number of suicide attempts has risen in younger adults with less formal education and with mental illness.
Research has shown psychotic experiences to be associated with subsequent suicidal thoughts and behaviors, particularly in children younger than 12.
Frequent cannabis use was shown to be associated with an increased risk of major depressive disorder and suicidal ideation.
NRX-100 followed by NRX-101 has been granted Fast Track status by the Food and Drug Administration.
Young adults with diseases such as asthma, are 4 times more likely to attempt suicide.
Suicidal ideation in patients is often missed by psychiatrists who use questions biased toward confirming patients are not suicidal.
Emergency departments may reduce subsequent suicide attempts and risk, according to multiple university studies.
The Netflix show 13 Reasons Why, brought up concerns that viewers may be inspired to act on suicidal thoughts.
Ketamine can provide acute benefits for treatment-resistant depression, bipolar depression, and major depressive disorder with suicidal ideation.
Teens suffering from depression are more likely to say they are "stressed" or "anxious" or "down."
A brief screening tool can identify patients at risk for suicide without significantly interrupting the flow of acute care.
Suicide attempts and sleep in adults are associated with Internet addiction.
Self-injury treatment strategies can be challenging because some patients are ambivalent about receiving help.
Borderline personality disorder symptoms, self-harm, and suicide were effectively reduced by psychotherapy treatment.
States with universal background checks experienced a decrease in suicides between 2013 and 2014.
Prevention of repeated suicide attempts was most effective with prompt recontact of patients.
The suicide of a spouse can lead to an increased risk for mental disorders and certain medical conditions.
A new agent would be the first oral treatment for suicidal behavior in patients with bipolar depression.
Adult males who used 5 alpha-reductase inhibitors exhibited an increased risk of self-harm did increase.
Family-based crisis intervention for suicidal teenagers led to higher levels of satisfaction and greater feelings of family empowerment.
The highest suicide rates were among 35- to 64-year-olds, and people 75 and older.
Schizophrenia was associated with 13 to 15 years of potential life lost.
Older men with multiple health comorbidities have the highest suicide risk.
Factors such as shame and stigma impede the dialogue about mental illness across cultures.
Individuals who seek HIV testing could potentially constitute a group at higher risk for suicide than the general population.
Behavioral symptoms strongly linked to suicidal ideation included depression, irritability, aggression, and impulsivity.
Hundreds of active pilots manage depressive symptoms without the possibility of treatment due to fear of negative career impact.
High levels of stress and responsibility lead to greater prevalence of depression and suicidal ideation in medical students.
The prevalence of acute coronary syndrome was significantly higher among those who committed suicide than with healthy individuals.
Self-harm has been the leading cause of pregnancy-related deaths in Colorado between 2004 and 2012.
There is a clear need for methods to help identify individuals at risk of suicide, and certain biomarkers could aid in such efforts.
Incidence rate ratios were more increased for parental diagnoses of antisocial personality, cannabis use, and parental suicide attempt.
Those admitted to a hospital with a psychiatric diagnosis were 63% likely to die by suicide.
The extent or severity of physical ailments and functional impairment needs to be carefully examined in order to successfully prevent suicide in late life.
Suicide prevention strategies should include the provision of nighttime services.
National Suicide Prevention Week, September 5 - 11, 2016
Many suicidal people experience difficulty describing their internal states, making assessment more challenging and demanding a high level of skill.
More than 80% of males and 87% of females who died from a subsequent suicide attempt did so within 12 months of their first attempt.
This nationwide population-based cohort study is currently the largest study to examine infections as a predictor of death by suicide.
Treatment on open wards was linked to lower odds of suicide attempts and to absconding with and without return.
At 12 months, researchers found a significant association between smoking reduction and suicidality.
Researchers found variation in the quality of responses to callers.
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Psychiatry Advisor Articles
- Link Identified Between Cured Meat and Mania in Bipolar Disorder
- Suicide Attempts Associated With Sleep and Circadian Rhythm Disturbances in Bipolar Disorder
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- The Opioid System: The Foundation for Social Risk and Reward
- Correctional Psychiatry: Challenges and Rewards
- Those Left Behind: Working With Suicide-Bereaved Families
- The Impact of Deafness on Hallucinations and Delusions
- Is Mandatory Reporting of Child Maltreatment in the Best Interests of the Child?
- Nutrition Tips for Physicians: Staying Healthy During Busy Days
- Mental Health Problems in Adolescents With HIV: Overview & Expert Interview
- Should Physicians Play a Role in Minimizing the Societal Cost of Medical Care?
- Digital Cognitive Behavioral Therapy Effective for Individuals With Insomnia
- How Do Medical Scribes Reduce EHR Documentation Burden for Physicians?