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The Influence Of Patient-Reported Provider Availability Factors On Nonurgent Emergency Department Use, Cheryl Anne Dewood May 2011

The Influence Of Patient-Reported Provider Availability Factors On Nonurgent Emergency Department Use, Cheryl Anne Dewood

Theses and Dissertations (ETD)

Purpose. The purpose of this study was to examine the influence of patient‑perceived provider availability on nonurgent emergency department use (NUEDU). The study population consisted of a nationally‑representative population of non‑elderly adults who were continuously privately insured (CPI) for at least a year before an emergency department visit that was determined to be nonurgent, and who reported having a regular source of care (RSC).

Methods. Data were obtained from a nationally‑representative longitudinal survey, the Medical Expenditure Panel Survey (MEPS). The classification of ED visits as nonurgent was based on patient report using a method developed for this study. Patient­‑perceived provider …


Use Of Audit, And Measures Of Drinking Frequency And Patterns To Detect Associations Between Alcohol And Sexual Behaviour In Male Sex Workers In Kenya, Stanley Luchters, Scott Geibel, Masila Syengo, Daniel Lango, Nzioki King'ola, Marleen Temmerman, Matthew F. Chersich May 2011

Use Of Audit, And Measures Of Drinking Frequency And Patterns To Detect Associations Between Alcohol And Sexual Behaviour In Male Sex Workers In Kenya, Stanley Luchters, Scott Geibel, Masila Syengo, Daniel Lango, Nzioki King'ola, Marleen Temmerman, Matthew F. Chersich

Population Health, East Africa

Background: Previous research has linked alcohol use with an increased number of sexual partners, inconsistent condom use and a raised incidence of sexually transmitted infections (STIs). However, alcohol measures have been poorly standardised, with many ill-suited to eliciting, with adequate precision, the relationship between alcohol use and sexual risk behaviour. This study investigates which alcohol indicator - single-item measures of frequency and patterns of drinking ( > = 6 drinks on 1 occasion), or the Alcohol Use Disorders Identification Test (AUDIT) - can detect associations between alcohol use and unsafe sexual behaviour among male sex workers.

Methods: A cross-sectional …


High-Risk Human Papillomavirus (Hpv): An Emerging Health Issue For Women And Minorities, Dierdre O. Turner May 2011

High-Risk Human Papillomavirus (Hpv): An Emerging Health Issue For Women And Minorities, Dierdre O. Turner

UNLV Theses, Dissertations, Professional Papers, and Capstones

The human papillomavirus (HPV) is the cause of nearly all cases of cervical cancers worldwide. HPV viral DNA is found in more than 99% of cervical cancers. In addition to cervical cancer, HPV is also associated with some breast and oral cancers. White women have been showing a decline in breast cancer rates while black women are continuously showing higher rates of mortality from both breast and cervical cancer. Minority women are also more likely to receive a late diagnosis and are showing increased incidence of oral cancer, which makes study of HPV in women and minorities significant.

To date, …


The Development And Evaluation Of A Safety Skill Intervention For Child Victims Of Neglect, Heather H. Hill May 2011

The Development And Evaluation Of A Safety Skill Intervention For Child Victims Of Neglect, Heather H. Hill

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child neglect is the least studied, yet most frequently indicated, type of child maltreatment. Still, there are few assessment and treatment methods specifically designed for victims of child neglect. Unintentional injuries have long remained the leading cause of death for children in the United States after the first year of life, and research suggests the majority of these child fatalities are actually the result of child neglect. Homes of neglectful families are often inundated with safety hazards but child-focused home safety skill interventions have yet to be developed. Thus, the present study focused on the development and initial evaluation of …


To Consult Or Not To Consult? Investigating Barriers To Dysparenia Treatment-Seeking In Young Women, Robyn L. Donaldson May 2011

To Consult Or Not To Consult? Investigating Barriers To Dysparenia Treatment-Seeking In Young Women, Robyn L. Donaldson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Little is known about mediators of treatment-seeking in dyspareunia. The general health belief literature as well as some existing qualitative data specific to dyspareunia, however, suggests a number of potentially significant barriers that may delay or prevent women from enlisting the aid of health care professionals. The aim of this study was to investigate influences on dyspareunia treatment-seeking behavior in young women, for whom the consequences of treatment avoidance are hypothesized to be the greatest. Given the lack of standardized health behavior measures relevant to intercourse pain, we constructed a measure assessing potential barriers to dyspareunia treatment-seeking. An exploratory principal …


Exploring Geographic Proximity To Fast-Food Restaurants And Convenience Stores With Dental Caries In Patients At The University Of Nevada Las Vegas School Of Dental Medicine, Charles K. Hill May 2011

Exploring Geographic Proximity To Fast-Food Restaurants And Convenience Stores With Dental Caries In Patients At The University Of Nevada Las Vegas School Of Dental Medicine, Charles K. Hill

UNLV Theses, Dissertations, Professional Papers, and Capstones

Dental caries is present worldwide and has afflicted over 90% of all adults in the United States. Biological determinants of the disease are well understood but social determinants and how they interact with biological factors are not. Programs designed to reduce incidence and prevalence of caries often target certain individuals and involve behavioral change. Some programs are more successful when environmental and societal issues are also addressed (Watt, 2002). Biological and behavioral processes leading to caries should include the modification of social factors to enhance results of prevention programs designed to reduce caries in populations. Preventing disease comes not only …


Nutrition And Fitness Guide For Graduating Student-Athletes, Anna Fukunaga May 2011

Nutrition And Fitness Guide For Graduating Student-Athletes, Anna Fukunaga

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

For the last four years of your life, you have been supported by strength coaches, academic advisors, athletic trainers, tutors, mentors, and coaches. Your life is dedicated to your sport, and your body is molded into the ideal build to compete at the highest level you can achieve. As soon as your competitive days are over, your life dramatically changes and the needs of your body change as well. Because you typically do not sustain the same level of activity, you do not have the same nutritional needs. The demands you place on your body for your sport are higher …


Factors That Inhibit Or Enhance Maternal Coping With Stillbirth In Chhattisgarh, India, Lisa R. Roberts May 2011

Factors That Inhibit Or Enhance Maternal Coping With Stillbirth In Chhattisgarh, India, Lisa R. Roberts

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Over half of the known stillbirths occur in four highly populated countries—India among them. While acknowledged as a significant public health issue in western societies, little is known about maternal coping with stillbirth in developing countries. The purpose of this mixed methods study is to explore how issues of gender and power, social support, coping efforts, and religious beliefs influence perinatal grief outcomes among poor women in rural Chhattisgarh, India.

Methods: In Phase 1 of this mixed methods study, grounded theory methods were used to explore perceptions regarding stillbirth. A de-identified medical records review of 536 deliveries at Christian …


Book Review: Nudge: Improving Decisions About Health, Wealth, And Happiness, Etienne Phipps Phd Apr 2011

Book Review: Nudge: Improving Decisions About Health, Wealth, And Happiness, Etienne Phipps Phd

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Health Policy Newsletter Spring 2011 Download Full Text Pdf Apr 2011

Health Policy Newsletter Spring 2011 Download Full Text Pdf

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Characterization Of A Blast Wave Device And Blast Wave Induced Traumatic Brain Injury In A Rat Model By Magnetic Resonance Imaging And Spectroscopy, Frank Corwin Apr 2011

Characterization Of A Blast Wave Device And Blast Wave Induced Traumatic Brain Injury In A Rat Model By Magnetic Resonance Imaging And Spectroscopy, Frank Corwin

Theses and Dissertations

Blast wave induced traumatic brain injury (bTBI) is a modality of injury that has come into prominence at the current time due to the large number of military and civilian personnel who have experienced the localized shock wave produced by explosive devices. The shock wave will travel concentrically outward from the explosive center, being absorbed and transmitted thru soft objects, such as tissue, and reflecting off stationary obstructions. Transmission and absorption in tissues can result in a number of physiological measureable injuries, the most common of which being what is frequently called “blast lung”. Blast lung involves the spalling effect …


Exploring Student Perceptions To Explain The Relationship Between Physical Activity And Academic Achievement In Adolescents: A Mixed Methods Study, Megan J. Hylok Apr 2011

Exploring Student Perceptions To Explain The Relationship Between Physical Activity And Academic Achievement In Adolescents: A Mixed Methods Study, Megan J. Hylok

College of Education and Human Sciences: Dissertations, Theses, and Student Research

A nationwide survey conducted by the Center for Disease Control in 2007 reported 65% of high school students did not meet the recommendation that youth participate in at least 60 minutes of physical activity most days of the week (CDC, 2008). While research has focused its attention primarily on bodily health, growing evidence supports the benefits of physical activity on brain health (Ratey & Hagerman, 2008). Physical activity is important and many adolescents are not meeting the recommendation, therefore, it is important to explore the adolescent perceptions to understand which factors influence physical activity participation. The significance of this study …


Aids Denialism, Erika Jenel Delos Santos, Roy Llana, Jocelyn Tan Apr 2011

Aids Denialism, Erika Jenel Delos Santos, Roy Llana, Jocelyn Tan

Festival of Communities: UG Symposium (Posters)

AIDS denialism is a growing issue in many parts the world. Through scholarly journal articles, book resources and other research tactics, further understanding how HIV/AIDS denialism is unethical can be distinguished. Discovering that AIDS is most prominent in South Africa explains why denialism is as critical as it is. However, the unethical aspect of AIDS denialism is in effect particularly amongst families. When a South African inhabitant realizes they have AIDS, they feel outcasted by their families due to shame. They fear as though they will be disowned because they have flaws that are unacceptable. These family values are significant …


Effect Of Balanced Protein Energy Supplementation During Pregnancy On Birth Outcomes, Aamer Imdad, Zulfiqar Ahmed Bhutta Apr 2011

Effect Of Balanced Protein Energy Supplementation During Pregnancy On Birth Outcomes, Aamer Imdad, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background:The nutritional status of the mother prior to and during pregnancy plays a vital role in fetal growth and development, and maternal undernourishment may lead to adverse perinatal outcomes including intrauterine growth restriction (IUGR). Several macronutrient interventions had been proposed for adequate protein and energy supplementation during pregnancy. The objective of this paper was to review the effect of balanced protein energy supplementation during pregnancy on birth outcomes. This paper is a part of a series of reviews undertaken for getting estimates of effectiveness of an intervention for input to Lives Saved Tool (LiST) model.

Methods:

A literature search …


Effect Of Breastfeeding Promotion Interventions On Breastfeeding Rates, With Special Focus On Developing Countries, Aamer Imdad, Mohammad Yawar Yakoob, Zulfiqar Ahmed Bhutta Apr 2011

Effect Of Breastfeeding Promotion Interventions On Breastfeeding Rates, With Special Focus On Developing Countries, Aamer Imdad, Mohammad Yawar Yakoob, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background:Given the recognized benefits of breastfeeding for the health of the mother and infants, the World Health Organization (WHO) recommends exclusive breastfeeding (EBF) for the first six months of life. However, the prevalence of EBF is low globally in many of the developing and developed countries around the world. There is much interest in the effectiveness of breastfeeding promotion interventions on breastfeeding rates in early infancy.

Methods:

A systematic literature was conducted to identify all studies that evaluated the impact of breastfeeding promotional strategies on any breastfeeding and EBF rates at 4-6 weeks and at 6 months. Data were …


Youth Dating Culture In Urban Vietnam: Attitudes, Behaviors, And Influences, Alexa Difiore Apr 2011

Youth Dating Culture In Urban Vietnam: Attitudes, Behaviors, And Influences, Alexa Difiore

Independent Study Project (ISP) Collection

This paper attempts to research urban youth’s attitudes and behaviors concerning everything having to do with dating (the process, PDA, typical dating spots and behavior) and opinions towards “hot issues” in contemporary, Vietnam such as pre-marital sex and co-habitation. My research question focuses on what the term “dating” means among youth in urban Vietnam, and the various influences that affect youth’s dating and sexual lives. Through an extensive literature review, I learned that there is an overall lack of information and discussion about sex in Vietnam. There is also a general idea that from parents, the government, and school that …


Effects Of Exercise On Brain Activation In Response To Visual Food Cues, Laura Hackett Apr 2011

Effects Of Exercise On Brain Activation In Response To Visual Food Cues, Laura Hackett

Kinesiology and Public Health

No abstract provided.


Let's Move! From Dc To Pc: Policy And Programming In Providence Charter Schools Around Student's Awareness Towards Living Healthy, Carmine Perrotti Apr 2011

Let's Move! From Dc To Pc: Policy And Programming In Providence Charter Schools Around Student's Awareness Towards Living Healthy, Carmine Perrotti

Public & Community Service Studies Student Scholarship

A thesis developed out of an intership for the Office of the First Lady's "Let's Move Initiative". Following said internship, the author conducted original research on the local level - namely, Providence charter schools - to design, implement, and assess a series of educational “interventions”. These interventions were created to provide information to students and their parents about the benefits of healthy eating and exercise. Over 500 elementary-level students were surveyed for the research. See document abstract for more information.


Discrimination, Perceived Social Inequity, And Mental Health Among Rural-To-Urban Migrants In China, Danhua Li, Xiaoming Li, Bo Wang, Yan Hong, Xiaoyi Fang, Xiong Qin, Bonita Stanton Apr 2011

Discrimination, Perceived Social Inequity, And Mental Health Among Rural-To-Urban Migrants In China, Danhua Li, Xiaoming Li, Bo Wang, Yan Hong, Xiaoyi Fang, Xiong Qin, Bonita Stanton

Faculty Publications

Status-based discrimination and inequity have been associated with the process of migration, especially with economics-driven internal migration. However, their association with mental health among economy-driven internal migrants in developing countries is rarely assessed. This study examines discriminatory experiences and perceived social inequity in relation to mental health status among rural-to-urban migrants in China. Cross-sectional data were collected from 1,006 rural-to-urban migrants in 2004-2005 in Beijing, China. Participants reported their perceptions and experiences of being discriminated in daily life in urban destination and perceived social inequity. Mental health was measured using the symptom checklist-90 (SCL-90). Multivariate analyses using general linear model …


Jordan’S Mental Healthcare System, Katherine Nolan Apr 2011

Jordan’S Mental Healthcare System, Katherine Nolan

Independent Study Project (ISP) Collection

Mental illness is a serious health concern often neglected in healthcare schemes in countries around the world. This study surveyed the mental healthcare system in Jordan through interviews with a former student, an academic, a public and private practitioner, a representative of the WHO, and a representative of the Jordanian Ministry of Health (MoH) and a survey among students of the University of Jordan in order to describe the system in Jordan and discover common perspectives toward the system. Results show that the system is in need of increased access to mental healthcare, decreased stigma regarding mental illness, and increased …


Intimate Partner Violence In Urban Pakistan: Prevalence, Frequency, And Risk Factors, Tazeen S. Ali, Nargis Asad, Ingrid Mogren, Gunilla Krantz Mar 2011

Intimate Partner Violence In Urban Pakistan: Prevalence, Frequency, And Risk Factors, Tazeen S. Ali, Nargis Asad, Ingrid Mogren, Gunilla Krantz

School of Nursing & Midwifery

Background: Intimate partner violence (IPV) is an important public health issue with severe adverse consequences. Population-based data on IPV from Muslim societies are scarce, and Pakistan is no exception. This study was conducted among women residing in urban Karachi, to estimate the prevalence and frequency of different forms of IPV and their associations with sociodemographic factors.
Methods: This cross-sectional community-based study was conducted using a structured questionnaire developed by the World Health Organisation for research on violence. Community midwives conducted face-to-face interviews with 759 married women aged 25-60 years.
Results: Self-reported past-year and lifetime prevalence of physical violence was 56.3 …


Behavioral Contexts, Food-Choice Coping Strategies, And Dietary Quality Of A Multiethnic Sample Of Employed Parents, Christine E. Blake, Elaine Wethington, Tracy J. Farrell, Carole A. Bisogni, Carol M. Devine Mar 2011

Behavioral Contexts, Food-Choice Coping Strategies, And Dietary Quality Of A Multiethnic Sample Of Employed Parents, Christine E. Blake, Elaine Wethington, Tracy J. Farrell, Carole A. Bisogni, Carol M. Devine

Faculty Publications

Employed parents' work and family conditions provide behavioral contexts for their food choices. Relationships between employed parents' food-choice coping strategies, behavioral contexts, and dietary quality were evaluated. Data on work and family conditions, sociodemographic characteristics, eating behavior, and dietary intake from two 24-hour dietary recalls were collected in a random sample cross-sectional pilot telephone survey in the fall of 2006. Black, white, and Latino employed mothers (n=25) and fathers (n=25) were recruited from a low/moderate income urban area in upstate New York. Hierarchical cluster analysis (Ward's method) identified three clusters of parents differing in use of food-choice coping strategies (ie, …


Organs Watch: Possibilities And Perils For Public Anthropology, Roberto Abadie Mar 2011

Organs Watch: Possibilities And Perils For Public Anthropology, Roberto Abadie

Department of Sociology: Faculty Publications

Recent technological advances in biomedicine have introduced new therapeutic possibilities but have also contributed to the emergence of a global market for human bodies and body parts. For example, artificial modes of human reproduction created a market for eggs, semen, and surrogate wombs. In addition, organ transfer generated a demand for kidneys and half livers. The whole body has become a valuable commodity as professional research subjects venture into the economy of Phase I Clinical Trials, testing drug safety for pharmaceutical companies. In the process, the trade has become a deeply unequal one in which poor, vulnerable, and easily exploited …


Circadian Rhythm Of Cortisol And Neighborhood Characteristics In A Population-Based Sample: The Multi-Ethnic Study Of Atherosclerosis, D. Phuong Do, Ana V. Diez Roux, Anjum Hajat, Amy Auchincloss, Sharon Merkin, Nalini Ranjit, Steven Shea, Teresa Seeman Mar 2011

Circadian Rhythm Of Cortisol And Neighborhood Characteristics In A Population-Based Sample: The Multi-Ethnic Study Of Atherosclerosis, D. Phuong Do, Ana V. Diez Roux, Anjum Hajat, Amy Auchincloss, Sharon Merkin, Nalini Ranjit, Steven Shea, Teresa Seeman

Faculty Publications

Although stress is often hypothesized to contribute to the effects of neighborhoods on health, very few studies have investigated associations of neighborhood characteristics with stress biomarkers. This study helps address the gap in the literature by examining whether neighborhood characteristics are associated with cortisol profiles. Analyses were based on data from the Multi-Ethnic Study of Atherosclerosis Stress study which collected multiple measures of salivary cortisol over three days on a population based sample of approximately 800 adults. Multilevel models with splines were used to examine associations of cortisol with neighborhood poverty, violence, disorder, and social cohesion. Neighborhood violence was significantly …


Lifeskills Training Wellness Program: An Application For Young Adults In Supermarkets, Christopher Williams, Jessica Samuolis, Kenneth W. Griffin, Gilbert J. Botvin Mar 2011

Lifeskills Training Wellness Program: An Application For Young Adults In Supermarkets, Christopher Williams, Jessica Samuolis, Kenneth W. Griffin, Gilbert J. Botvin

Psychology Faculty Publications

To address the need for workplace substance use prevention programming, National Health Promotion Associates (NHPA) developed the LifeSkills Training Wellness Program (LST-WP) with funding from the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Young Adults in the Workplace (YIW) grant program. LST-WP adapts and extends the highly effective, school-based LifeSkills Training (LST) model program (Botvin, 1998; Botvin et al., 1995) and provides comprehensive skills training for adolescent and young adult employees in communication, problem-solving, conflict resolution, drug resistance, and related life skills. Overall, the program is designed to be highly flexible to meet employee and manager needs across different …


Consumption Of Single Cigarettes And Quitting Behavior: A Longitudinal Analysis Of Mexican Smokers, James F. Thrasher, Victor Villalobos, Joaquin Barnoya, Raul Sansores, Richard J. O'Connor Feb 2011

Consumption Of Single Cigarettes And Quitting Behavior: A Longitudinal Analysis Of Mexican Smokers, James F. Thrasher, Victor Villalobos, Joaquin Barnoya, Raul Sansores, Richard J. O'Connor

Faculty Publications

Background: Previous cross-sectional research has suggested single cigarettes could either promote or inhibit consumption. The present study aimed to assess the effects of single cigarette availability and consumption on downstream quit behavior.

Methods: We analyzed population-based, longitudinal data from adult smokers who participated in the 2008 and 2010 administrations of the International Tobacco Control Policy Evaluation Survey in Mexico.

Results: At baseline, 30% of smokers saw single cigarettes for sale on a daily basis, 17% bought singles at their last purchase, and 7% bought singles daily. Smokers who most frequently purchased singles, both in general and specifically to control their …


Consumption Of Single Cigarettes And Quitting Behavior: A Longitudinal Analysis Of Mexican Smokers, Jim Thrasher, Victor Villalobos, Joaquin Barnoya, Raul Sansores, Richard O’Connor Feb 2011

Consumption Of Single Cigarettes And Quitting Behavior: A Longitudinal Analysis Of Mexican Smokers, Jim Thrasher, Victor Villalobos, Joaquin Barnoya, Raul Sansores, Richard O’Connor

Faculty Publications

Background: Previous cross-sectional research has suggested single cigarettes could either promote or inhibit consumption. The present study aimed to assess the effects of single cigarette availability and consumption on downstream quit behavior.

Methods: We analyzed population-based, longitudinal data from adult smokers who participated in the 2008 and 2010 administrations of the International Tobacco Control Policy Evaluation Survey in Mexico.

Results: At baseline, 30% of smokers saw single cigarettes for sale on a daily basis, 17% bought singles at their last purchase, and 7% bought singles daily. Smokers who most frequently purchased singles, both in general and specifically to control their …


Consumption Of Single Cigarettes And Quitting Behavior: A Longitudinal Analysis Of Mexican Smokers, Jim Thrasher, Victor Villalobos, Joaquin Barnoya, Raul Sansores, Richard O'Connor Feb 2011

Consumption Of Single Cigarettes And Quitting Behavior: A Longitudinal Analysis Of Mexican Smokers, Jim Thrasher, Victor Villalobos, Joaquin Barnoya, Raul Sansores, Richard O'Connor

Faculty Publications

Background: Previous cross-sectional research has suggested single cigarettes could either promote or inhibit consumption. The present study aimed to assess the effects of single cigarette availability and consumption on downstream quit behavior.

Methods: We analyzed population-based, longitudinal data from adult smokers who participated in the 2008 and 2010 administrations of the International Tobacco Control Policy Evaluation Survey in Mexico.

Results: At baseline, 30% of smokers saw single cigarettes for sale on a daily basis, 17% bought singles at their last purchase, and 7% bought singles daily. Smokers who most frequently purchased singles, both in general and specifically to control their …


Pendapat Pembaca Awam Terhadap Buku “Air Susu Ibu: Dari Ayah Untuk Ibu Dan Bayi”, Judhiastuty Februhartanty, Andi Mariyasari Septiari, Suci Destriatania Feb 2011

Pendapat Pembaca Awam Terhadap Buku “Air Susu Ibu: Dari Ayah Untuk Ibu Dan Bayi”, Judhiastuty Februhartanty, Andi Mariyasari Septiari, Suci Destriatania

Kesmas

Kendati ayah diketahui berperan sebagai pendukung praktik pemberian air susu ibu (ASI), akses ayah terhadap informasi mengenai praktik pemberian ASI yang benar sangat minim. Buku dapat menjadi salah satu saluran informasi yang potensial. Studi pendahuluan ini bertujuan untuk menggali pendapat para pembaca sukarelawan laki-laki dan perempuan mengenai isi dan manfaat sebuah buku tentang ASI dan peran ayah. Studi ini menggunakan pendekatan kualitatif deskriptif. Sukarelawan dipilih sebagai informan secara purposif berdasarkan tingkat pendidikan, jenis kelamin, status perkawinan, paritas, dan tingkat kegemaran membaca buku. Analisis isi (content analysis) dilakukan terhadap hasil wawancara dengan menggunakan matriks perbandingan (comparative matrix). Sebagai temuan studi ini, …


Sis-Map; Suicide Risk Assessment Scale, Amresh Srivastava Feb 2011

Sis-Map; Suicide Risk Assessment Scale, Amresh Srivastava

Data and Test Instruments

This is a New Scale for Assessment of suicide risk to evaluate clients referals and disposition. This Copy Right to Amresh Shrivastava and Chrles Nelson