Overview
*The extent of suicide in Ireland
*Attitudes towards suicidal behaviour
*The Suicide Support and Information System
*Risk factors associated with suicide
*Engaging with people at risk of suicide: Listening, Understanding, Responding
This presentation about ‘Valuing Mental Health’ by Dr Geraldine Strathdee, National Clinical Director of Mental Health, NHS England, was delivered to the Foundation Trust Network on 16 October 2013.
Geraldine covers:
- Why does the NHS need to value mental health: The impact of mental health on outcomes and costs
- Parity between mental health and physical health: What would it mean in practice
- Fast tracking Value in the NHS: What role can the Foundation Trust Network have in delivering it?
This presentation about ‘Valuing Mental Health’ by Dr Geraldine Strathdee, National Clinical Director of Mental Health, NHS England, was delivered to the Foundation Trust Network on 16 October 2013.
Geraldine covers:
- Why does the NHS need to value mental health: The impact of mental health on outcomes and costs
- Parity between mental health and physical health: What would it mean in practice
- Fast tracking Value in the NHS: What role can the Foundation Trust Network have in delivering it?
'If we lose our friends, we're done': mental health and psychosocial wellbein...Ruth Evans
Presentation by Fiona Samuels, Research Fellow, ODI, at workshop "Putting the 'social' back into young people's psychosocial wellbeing, care and support", hosted by ODI and the University of Reading, London 22 November 2016.
This is an invited presentation for the Local Government Association Leadership Essentials course for senior officers and elected members on Mental Health and COVID impact
Joan Littlefield, BSN, MPH, MBA, Director of Asia and Eurasia Programs, Americares shares how Americares initiated mental health training for doctors, nurses and health workers in areas at risk for natural disasters in the Philippines.
The National Suicide Research Foundation recently held an Information Evening in the River Lee Hotel, Cork, entitled; "What's New in Suicide and Self-harm Research in Ireland?".
Professor Ella Arensman, Director of Research at the NSRF, discussed some new findings in suicide research in Ireland, with a focus on the impact of the recession and unemployment on rates of suicide.
For more information, contact:
e.arensman@ucc.ie
+353 (0)21 420 5551
www.nsrf.ie
This presentation about mental health, Factor Affecting the Health, Mental illness, Psychological and physiological symptoms of mental disorders,Common mental disorders (depression, anxiety disorders, schizophrenia, eating disorders, addictive behaviors and Alzheimer’s disease), prevention and promotion program, Types of behavioral therapy, Factors contribute to the achievement of mental health.
'If we lose our friends, we're done': mental health and psychosocial wellbein...Ruth Evans
Presentation by Fiona Samuels, Research Fellow, ODI, at workshop "Putting the 'social' back into young people's psychosocial wellbeing, care and support", hosted by ODI and the University of Reading, London 22 November 2016.
This is an invited presentation for the Local Government Association Leadership Essentials course for senior officers and elected members on Mental Health and COVID impact
Joan Littlefield, BSN, MPH, MBA, Director of Asia and Eurasia Programs, Americares shares how Americares initiated mental health training for doctors, nurses and health workers in areas at risk for natural disasters in the Philippines.
The National Suicide Research Foundation recently held an Information Evening in the River Lee Hotel, Cork, entitled; "What's New in Suicide and Self-harm Research in Ireland?".
Professor Ella Arensman, Director of Research at the NSRF, discussed some new findings in suicide research in Ireland, with a focus on the impact of the recession and unemployment on rates of suicide.
For more information, contact:
e.arensman@ucc.ie
+353 (0)21 420 5551
www.nsrf.ie
This presentation about mental health, Factor Affecting the Health, Mental illness, Psychological and physiological symptoms of mental disorders,Common mental disorders (depression, anxiety disorders, schizophrenia, eating disorders, addictive behaviors and Alzheimer’s disease), prevention and promotion program, Types of behavioral therapy, Factors contribute to the achievement of mental health.
Powerpoint accompanying workshop session from the Homeless and Housing Coalition of Kentucky's 2013 conference. Presented by Tim Welsh
Trauma is a common occurrence in the lives of homeless individuals and can have a significant impact on one’s
ability to function. This training will help participants identify signs of trauma and ways in which they can engage
in trauma-informed practice with clients
Ian's UnityHealth 2019 grand rounds suicide preventionIan Dawe
At the end of this presentation, you will :
1. Knowledgeably describe the problem of suicide in our
clients as an issue beyond just the traditional targets of our
medical interventions,
2. Understand concepts of quality and process improvement
as they relate to implementation of suicide prevention
strategies in hospital and community settings,
3. Become a champion of the Project Nøw approach to improve
care and outcomes for individuals at risk of suicide in
healthcare systems locally, provincially and nationally.
12,010 presentations by 9,483 individuals in 2012
• 2,527 (21%) were repeat acts
• 1,374 individuals (14.5%) repeated in 2012
• Risk of repetition is greatest in the short-term
• Risk of repetition varies by:
• Age
• Recommended next-care
• Method of self-harm
• Number of previous self-harm presentations
Presentation Overview
• Introduction to self-harm
• Hospital-treated self-harm in Ireland
• Treatment of self-harm
• Challenges and recommendations
• Actions from the Registry
Presentation Overview:
The extent of suicide in Ireland
Attitudes towards suicidal behaviour
The Suicide Support and Information System
Risk factors associated with suicide
Engaging with people at risk of suicide: Listening - Understanding -Responding
If you have any questions regarding this presentation, please contact e.cusack@ucc.ie
Professor Ella Arensman, Director of Research at the National Suicide Research foundation recently presented in University College Cork at a lecture centred on Dialectical Behavioural Therapy (DBT). The Founder of DBT, Dr. Marsha Linehan also presented at the event, to mark the end of her week in Ireland training mental health professionals in the delivery of DBT.
The National Suicide Research Foundation recently held an Information Evening in the River Lee Hotel, Cork, entitled; "What's New in Suicide and Self-harm Research in Ireland?"
Dr. Celine Larkin, Research Psychologist and Project Co-ordinator with the NSRF, discussed an exciting new internet-based guided self-management tool for mild to moderate depression. This is a part of the overall aims of the PREDI-NU Project. Visit: www.predi-nu.eu/
For more information, contact:
c.larkin@ucc.ie
+353 (0)21 420 5551
www.nsrf.ie
More from National Suicide Research Foundation (11)
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Trends and Risk Factors associated with suicide in Ireland
1. Trends and Risk Factors
associated with Suicide in Ireland
18th March 2014
GROW Information Evening
Prof Ella Arensman
National Suicide Research Foundation
Department of Epidemiology and Public Health, University College Cork
2. National Suicide Research Foundation
Main objective:
To produce a nationally and internationally recognised body of reliable
knowledge from a multidisciplinary perspective on the risk and
protective factors associated with suicidal behaviour.
Extent of the problem of self-harm and suicide as well as risk and
protective factors
Effectiveness of intervention and prevention programmes for deliberate
self harm and suicide, and attitudes towards suicidal behaviour and its
prevention
Research related tasks:
- Advisory role
- Training / education
- Supervision of students and trainees
3. Overview
The extent of suicide in Ireland
Attitudes towards suicidal behaviour
The Suicide Support and Information System
Risk factors associated with suicide
Engaging with people at risk of suicide: Listening - Understanding -
Responding
4. Suicide
Approx.
550 p.a.
Medically treated
self-harm
Approx. 12,000 p.a
“Hidden” cases of self-harm
Approx. 60,000 p.a.
Suicide and medically treated self-harm in Ireland:
The tip of the iceberg
Pro-active
bereavement support
and facilitation of
service access
Suicide Support and
Information System
5. Trends in rates of suicide in Ireland
2001-2012
Trends in rate of suicide
-7%
+5
0
5
10
15
20
25
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Agestandardisedrateper100,000
Men Women All
+9%
6. Attitudes towards suicidal behaviour
“There is a risk of evoking suicidal thoughts in
a persons mind if you ask about it”
Agree - Disagree
7. “Once a person has had suicidal thoughts,
he/she will never let them go”
Agree - Disagree
Attitudes towards suicidal behaviour
8. “Suicides among young people are particularly puzzling since
they have everything to live for”
Agree - Disagree
Attitudes towards suicidal behaviour
9. Suicide Support and Information System (SSIS)
Objectives:
1) Improve access to support for the bereaved
2) Better define the incidence and pattern of suicide in Ireland
3) Identify and improve the response to clusters of suicide
4) Identify and better understand causes of suicide
The objectives are in line with Reach Out, the Irish National Strategy for Action on
Suicide Prevention, 2005-2014
Arensman et al,
2013
10. Innovative aspects of the SSIS approach:
Obtaining a complete picture of suicide cases and open verdicts by
accessing multiple sources
Coroners' verdict records
& Post mortem reports
Close family
members/
friends
GP/Psychiatrist/
Psychologist
307 cases based on
coroners’ verdict
records and post
mortem records.
246 male deaths by
suicide during a four
year period from
September 2008 to
June 2012.
Response rate: 100%
Response rate: 66%Response rate: 77%
11. Previous suicidal behaviour
45% had a history of self harm. Of those, 52% had engaged in self harm 12
months prior to suicide, 24% less than a week, and 12% less than a day.
Psychiatric diagnosis
Among those who had received a psychiatric assessment (31.4%), 61.1% were
diagnosed with mood disorder followed by anxiety disorder (12.9%)
Drug and alcohol use
51.7% had abused alcohol and/or drugs in the year prior to death, the majority
abusing alcohol (78.1%)
Key findings from an examination of consecutive
suicide cases Sept 2008-March 2012
12. Employment & Occupation
40.6% were in paid employment, 33.1 % were unemployed, 11.4% were retired,
6.8% were fulltime students, 5.0% had a long term disability and 3.1% were
homemakers.
More than two fifths (41.6%) had worked in the construction/production sector,
followed by the agricultural sector (13.2%), sales/business development (8.9%),
students (8.2%), healthcare sector (6.6%) and education sector (3.9%).
Contact with health services
In the year prior to death, 81% had been in contact with their GP or a mental
health service. Among those who had been in contact with the GP, the majority
(67.4%) had done so 4 times or more during the year prior to death.
Key findings from an examination of consecutive
suicide cases Sept 2008-March 2012
13. Key findings from an examination of consecutive
suicide cases Sept 2008-March 2012
Physical illness
Out of 165 cases for which this variable was known, 57% of cases had physical
illness
Wide range of illnesses (including cancer, chronic back pain, chronic neck pain
and coronary heart problems)
Of those who had a physical illness prior to death, 38% were in physical pain in
the year prior to death and 16.5% had reduced physical capabilities in the
month prior to death
14. Suicide is often associated with multiple risk factors –
Combination of risk factors associated with suicide among people who
were unemployed at time of death
15. Men aged <40 years
0 10 20 30 40 50 60 70 80
Full-time student
Day of the week died: Monday
Diagnosed with depression
Family or close friend died by suicide
History of self-harm
Living alone
Unemployed
History of alcohol and drug abuse
Alcohol in toxicology
Benzodiazepines in toxicology
Opiates in toxicology
Marital status: Single
Percentage
Men aged < 40 Years
16. Men aged > 40 years
0 10 20 30 40 50 60 70 80
Family or close friend died by suicide
History of self-harm
Day of the week died: Saturday
Agricultural occupation
Diagnosed with depression
Diagnosed with a physical illness
In paid employment
Antidepressants in toxicology
Marital status: Married/Co-habiting
Drugs in toxicology
Living with family of origin
History of alcohol only abuse
Percentage
Men aged ≥ 40 Years
17. Direct effects:
Intoxication impairs problem-solving ability
Disinhibiting effect (impulsivity, lack of control)
Long term and indirect effects:
Isolation (loss of work, relationships, etc.)
Neurobiological deficits
The influence of alcohol & drugs
22. Signs of depression and increased risk of suicide
• Feelings of sadness or hopelessness
• Withdrawal from social activities/relationships
• Changes in sleeping or eating habits
• Lack of energy and fatigue
• Major changes in mood
• Problems with attention and concentration
• Poor performance at work or at school
• Accumulation of stress/traumatic events
• Direct/indirect communication referring to suicide
Often a combination of these aspects
23. Indicators of suicide risk
• Pressing suicidal thoughts
• Hopelessness and strong feelings of guilt
• Both open and undisclosed announcements of suicide
• Actual plans or preparations for suicidal acts
24. Interaction and communication about suicidal thoughts -
Advantages:
• Gives the person a chance to unburden
• Encourages help seeking behaviour
• Can impede or delay acting on suicidal impulses
• Keeps the lines of communication open and stay
connected
25. Social support
Living with a partner /spouse
Positive attitude towards the future
Responsibilities towards others
Protective factors associated with prevention of mental
health problems and suicide risk
27. Short-term responses in dealing with risk of
suicide and self-harm
Involve the suicidal person where possible
Elicit the extent of distress and intention using ordinary,
everyday, sensitive conversation
Do not be judgmental or display shock
Listen empathically
Motivate and support help seeking behaviour (provide
information on relevant services)
28. Where to find help?
• Local GP or family doctor
• South-Doc:1890 335 999
• Samaritans: 1850 60 90 90
• Aware: 1890 303 302
• HSE Information Line: 1850 24 1850
Pieta House: 021-4341400
www.yourmentalhealth.ie www.mabs.ie
www.samaritans.org www.aware.com
29. Personal Safety
Be aware of limitations to your role and responsibility
In situations of possible suicide risk, it is important to operate
according to clear policy around the responsibility and sharing
of information
Comprehensive assessment can only be provided by mental
health professionals
It would be important to have the possibility
to debrief on a structural basis
30. “People who attempt suicide never want to die,
what they want is a different life”
(R. Wieg, 2003)
“
31. Thank you!
Prof. Ella Arensman
National Suicide Research Foundation
University College Cork
Ireland
T: 00353 214205551
E-mail: earensman@ucc.ie
www.nsrf.ie
The National Suicide Research Foundation is in receipt of funding from the
National Office for Suicide Prevention