Medicine and Health Sciences Commons^™

Computer Administered Safety Planning For Individuals At Risk For Suicide: Development And Usability Testing, Edwin D. Boudreaux, Gregory K. Brown, Barbara Stanley, Rajani S. Sadasivam, Carlos A. Camargo Jr, Ivan W. Miller

Rajani S. Sadasivam

BACKGROUND: Safety planning is a brief intervention that has become an accepted practice in many clinical settings to help prevent suicide. Even though it is quick compared to other approaches, it frequently requires 20 min or more to complete, which can impede adoption. A self-administered, Web-based safety planning application could potentially reduce clinician time, help promote standardization and quality, and provide enhanced ability to share the created plan. OBJECTIVE: The aim of this study was to design, build, and test the usability of a Web-based, self-administered safety planning application. METHODS: We employed a user-centered software design strategy led by a …

The Bipolar Ii Depression Questionnaire: A Self-Report Tool For Detecting Bipolar Ii Depression, C Leung, C Yim, C Yan, C Chan, Y Xiang, D Mak, M Fok, G Ungvari

Donna Mak

Bipolar II (BP-II) depression is often misdiagnosed as unipolar (UP) depression, resulting in suboptimal treatment. Tools for differentiating between these two types of depression are lacking. This study aimed to develop a simple, self-report screening instrument to help distinguish BP-II depression from UP depressive disorder. A prototype BP-II depression questionnaire (BPIIDQ-P) was constructed following a literature review, panel discussions and a field trial. Consecutively assessed patients with a diagnosis of depressive disorder or BP with depressive episodes completed the BPIIDQ-P at a psychiatric outpatient clinic in Hong Kong between October and December 2013. Data were analyzed using discriminant analysis and …

Enrichment Of Psychiatric Mental Health Clinical Rotations: A Suicide Scenario Simulation, Melinda Hermanns, Mary Luanne Lilly, Bill Crawley

Melinda Hermanns

This poster was presented at the 27th Annual Psychiatric Mental Health Conference.

Should Suicide Behaviour Be An Outcome Parameter For Mental Disorder, Amresh Srivastava

Amresh Srivastava

Suicide and mental illness are closely related to each other. A high number of people who commit suicide suffer from a mental illness, and a high number of mentally ill patients exhibit suicide behavior. Suicide behavior is a significant aspect of mental illness. It is consistently observed throughout the course of illness, seen in the prodromal stage, during acute phase of remission, in residual phase and whenever illness relapses. A number of times, mental disorder improves but suicide behavior persists. 10-15% patients attempt suicide in the initial phase of an illness. More than half of the patients get hospitalized due …

Identification Of Risk Factors For Suicide Amongst Psychiatric Patients: Can Structured Measurement Tools Be More Specific?, Amresh Shrivastava, Robbie Campbell, Megan Johnston, Coralee Berlmont, Miky Kaushal, Avinash Desousa, Larry Stitt, Charles Nelson

Amresh Srivastava

Background One of the main challenges in suicide prevention is that it cannot be predicted. Significant number of patients attempt suicide while being under psychiatric treatment. Lethality and intent of each risk factor varies and remains inconsistent. Though structured instruments have also been useful with limited success search for newer methods remains an urgent clinical need. We believe risk is multifactorial and a scale based upon fundamental domains of biological, psychological, social, environmental, spiritual and clinical origin can elucidate more specific factors. Scale for impact of suicidality- Management, Assessment & Planning of care-brief screener (SISMAP-bcs) is 23 item scale which …

Personality Disorder Risk Factors For Suicide Attempts Over 10 Years Of Follow-Up, Emily B. Ansell, Aidan G. C. Wright, John C. Markowitz, Charles A. Sanislow, Christopher J. Hopwood, Mary C. Zanarini, Shirley Yen, Anthony Pinto, Thomas H. Mcglashan, Carlos M. Grilo

Charles A. Sanislow, Ph.D.

Identifying personality disorder (PD) risk factors for suicide attempts is an important consideration for research and clinical care alike. However, most prior research has focused on single PDs or categorical PD diagnoses without considering unique influences of different PDs or of severity (sum) of PD criteria on the risk for suicide-related outcomes. This has usually been done with cross-sectional or retrospective assessment methods. Rarely are dimensional models of PDs examined in longitudinal, naturalistic prospective designs. In addition, it is important to consider divergent risk factors in predicting the risk of ever making a suicide attempt versus the risk of making …

Closing Treatment Gaps In Management Of Suicide Behaviour: New Understanding- New Hope, Amresh Srivastava

Amresh Srivastava

TBC

.General Practitioners Training: ( Second) A Strategic Response To Treatment Gaps For, Amresh Srivastava

Amresh Srivastava

General practitioners training: a strategic response to treatment gaps for suicide behaviour Amresh Shrivastava • Suicide is an international public heath problem, which impacts the most vulnerable of the world’s populations. • About one million people commit suicide and 10-20 times of these attempt it every year across the glob. • More than 90000 adolescents commit suicide every year while rate of attempted suicide every year. • .It is also among the top 20 leading causes of death, which is projected to contribute more than 2% to the global burden of disease by the year 2020 globally for all ages. …

General Practitioners Training: A Strategic Response To Treatment Gaps For Suicide Prevention, Amresh Srivastava

Amresh Srivastava

General practitioners training: a strategic response to treatment gaps for suicide behaviour Amresh Shrivastava • Suicide is an international public heath problem, which impacts the most vulnerable of the world’s populations. • About one million people commit suicide and 10-20 times of these attempt it every year across the glob. • More than 90000 adolescents commit suicide every year while rate of attempted suicide every year. • .It is also among the top 20 leading causes of death, which is projected to contribute more than 2% to the global burden of disease by the year 2020 globally for all ages. …

A New Brief Scale To Assess Suicidality: Scale For Impact Of Suicidality-Management, Assessment And Planning Of Care (Sis-Map- Brief Scanner), Amresh Srivastava, Megan Johnston, Miky Kaushal, Robbie Campbell, Charles Nelson

Amresh Srivastava

Purpose: In this study we examine merit of a short version (Brief Interview Screener (SIS-MAP-scn )of a previously developed and validated 108 item scale, known as ‘ Scale for Impact of Suicidality-Management, Assessment and Planning of Care ( SIS MAP), for rapid assessment in challenging clinical settings e.g. primary care and emergency room. Background: Generally suicide risk is assessed clinically and structured assessments optimize the direction for decision-making across various settings e.g. inpatient care, emergency rooms and crisis centers. We believe that measures with accurate and valid information should be based upon multifactorial risk-constituent domains, e.g. biological, social, psychological, environmental …

A Naturalistic Study Of Screening For Eating Disorder Amongst Psychiatric Patients, Amresh Srivastava, Miky Kaushal, Megan Johnston, Robbie Campbell

Amresh Srivastava

No abstract provided.

Eating Disorders Remain Undetected In Psychiatric Hospitalization: Study Of Electronic Chart Review Of 8000 Patients, Amresh Srivastava, Miky Kaushal, Megan Johnston, Robbie Campbell

Amresh Srivastava

No abstract provided.

Eating Disorders Remain Undetected In Psychiatric Hospitalization: Study Of Electronic Chart Review Of 8000 Patients, Amresh Srivastava, Miky Kaushal, Megan Johnston, Robbie Campbell

Amresh Srivastava

No abstract provided.

Screening For Eating Disorder Amongst Psychiatric Patients, Amresh Srivastava, Miky Kaushal, Megan Johnston, Robbie Campbell

Amresh Srivastava

No abstract provided.

Suicide Prevention: Education And Training For Mental Health Professional, Amresh Srivastava

Amresh Srivastava

RISK ASSESSMENT OF SUICIDE IN CLINICAL PRACTICE AMRESH SHRIVASTAVA1.

Suicide is a public health problem presents as the most serious psychiatric emergency. Identification and assessment of suicidality is a skill that every physician needs to have, skills for identification and intervention Risk assessments are done in number of settings like: emergency rooms, psychiatric outpatient, primary care, general medical wards, post-operative and intensive care settings, crisis centers, day hospitals for crisis beds, telephone helplines, psychiatric outpatients, psychiatric acute services, community psychiatry settings, early intervention programs, sometimes in special settings like jails, prisons, schools, workplaces and legal justice systems. In every setting …

Does Practice Make Perfect? A Randomized Control Trial Of Behavioral Rehearsal On Suicide Prevention Gatekeeper Skills, Wendi F. Cross, David Seaburn, Danette Gibbs, Karen Schmeelk-Cone, Ann Marie White, Eric D. Caine

Danette Gibbs

Suicide is the third leading cause of death among 10-24-year-olds and the target of school-based prevention efforts. Gatekeeper training, a broadly disseminated prevention strategy, has been found to enhance participant knowledge and attitudes about intervening with distressed youth. Although the goal of training is the development of gatekeeper skills to intervene with at-risk youth, the impact on skills and use of training is less known. Brief gatekeeper training programs are largely educational and do not employ active learning strategies such as behavioral rehearsal through role play practice to assist skill development. In this study, we compare gatekeeper training as usual …

Cognitive, Affective And Social Processes Involved In Help-Negation After Critical Suicidal Thoughts, Coralie Wilson

Coralie J Wilson

Help-negation is defined as the process of help withdrawal or avoidance found among those currently experiencing clinical and subclinical levels of different forms of psychological distress, including low and critical levels of suicidal ideation (Wilson, Bushnell, Caputi, 2011). Understanding the determinants of help-negation in suicidal samples that have not yet come to treatment provides a potent opportunity to target prevention and early intervention strategies to facilitate appropriate and timely help-seeking. Over 20 help-negation studies have ruled out variables that might explain the withdrawal process associated with suicidal thoughts. These results now point to biological and neurological underpinnings working together with …

Preventing Help-Negation For Suicidal Ideation: Implications For Social Network Size And Frequency Of Social Interaction, Coralie J. Wilson

Coralie J Wilson

Help-negation is seen when the severity of an individual’s suicidal ideation increases and they become less likely to seek help as a result of their condition. Research has implicated distorted affect regulation and perceptual processes related to social support in the development of help-negation among suicidal individuals (Wilson et al., 2013). Future research needs to focus on psycho-social factors that can be linked to neurological processes that differentiate suicidal individuals from controls and are directly implicated in the help-negation processes associated with suicidal ideation. As suicidal individuals have interpersonal needs rejected they may cease to seek or accept help. The …

Suicidal Ideation In Callers To A Crisis Hotline In Mumbai,, Amresh Srivastava, Megan Johnston, Larry Stitt, Meghana Thanksr, Sunita Iyer, Nilesh Shah, David Lester

Amresh Srivastava

Suicidal ideation in callers to a crisis hotline in Mumbai, India Amresh K. Shrivastava1,2, Megan Johnston3, Larry Stitt4, Meghana Thakar5, Sunita Iyer6, Nilesh Shah7 and David Lester8* 1Silver Mind Hospital and Mental Health Foundation of India, (PRERANA Charitable Trust) Mumbai. 2Department of Psychiatry, University of Western Ontario, London, Canada. 3Department of Psychology, University of Toronto, 100 St. George St., Toronto, Ontario, Canada, M5S 2M2. 4Biostatistical Support Unit, Department of Epidemiology and Biostatistics, The University of Western Ontario, London, Ontario, Canada. 5Silver mind Hospital, Mumbai, Currently, Child and Adolescent Mental Health Practitioner, Lambeth CAMHS Early Intervention Team, South London and Maudsley …

Individuals With Single Versus Multiple Suicide Attempts Over 10 Years Of Prospective Follow-Up, Christina L. Boisseaua, Shirley Yen, John C. Markowitz, Carlos M. Grilo, Charles A. Sanislow, M. Tracie Shea, Mary C. Zanarini, Andrew E. Skodol, John G. Gunderson, Leslie C. Morey, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Background: The study attempted to identify characteristics that differentiate multiple suicide attempters from single attempters in individuals with personality disorders (PDs) and/or major depression.

Method: Participants were 431 participants enrolled in the Collaborative Longitudinal Study of Personality Disorders from July 1996 to June 2008. Suicide attempts were assessed with the Longitudinal Interval Follow-up Evaluation at 6 and 12months, then yearly through 10years. Logistic regression was used to compare single attempters to multiple attempters on Axis I and II psychiatric disorders and personality trait variables.

Results: Twenty-one percent of participants attempted suicide during the 10years of observation, with 39 (9.0%) reporting …

Two Year Follow-Up Of A Community Gatekeeper Suicide Prevention Program In An Aboriginal Community, Frank P. Deane, Kim Capp, Caroline Jones, Dawn De Ramirez, Gordon Lambert, Beth M. Marlow, A Rees, Edwina Sullivan

Frank Deane

Few studies report long term follow-up of community gatekeeper training programs that aim to facilitate help-seeking for suicide and there are none in Aboriginal communities. This study aimed to determine long term effects of the Shoalhaven Aboriginal Suicide Prevention Program (SASPP), which used community gatekeeper training as its primary strategy. Following consultation with the Aboriginal community, a brief questionnaire and semi-structured interview was completed by 40 participants who attended a community gatekeeper workshop 2 years earlier. Fifteen of the 40 participants stated that they had helped someone at risk of suicide over the 2-year follow-up period. Intentions to help and …

Gatekeeper Training As A Preventative Intervention For Suicide: A Systematic Review, Michael Isaac, Brenda Elias, Laurence Y. Katz, Shay-Lee Belik, Frank P. Deane, Murray W. Enns, Jitender Sareen

Frank Deane

Gatekeeper training is successful at imparting knowledge, building skills, and molding the attitudes of trainees; however, more work needs to be done on longevity of these traits and referral patterns of gatekeepers. There is a need for randomized controlled trials. In addition, the unique effect of gatekeeper training on suicide rates needs to be fully elucidated.

Children At Risk For Suicide Attempt And Attempt-Related Injuries: Findings From The 2007 Youth Risk Behavior Survey, Bethany A. West, Monica H. Swahn, Frances Mccarty

Monica H. Swahn

Purpose: The current study examines the associations between a range of risk factors and reports of suicide attempts and attempts requiring medical care in a nationally representative study of high school students. The goal is to examine sex differences in the risk factors associated with suicide attempts and attempt-related injuries requiring treatment by a health-care provider.

Methods: We used data from the 2007 Youth Risk Behavior Survey for students in grades 9-12 to assess the prevalence and risk factors for suicidal behavior, as well as differences in these for boys and girls. Cross-sectional multivariate logistic regression analyses were computed to …

Social Support And Suicide In Japanese Men And Women E The Japan Public Health Center (Jphc)-Based Prospective Study (Journal Of Psychiatric Research), Kalpana Poudel-Tandukar, Akiko Nanri, Tetsuya Mizoue, Yumi Matsushita, Yoshihiko Takahashi, Mitsuhiko Noda, Manami Inoue, Shoichiro Tsugane

Kalpana Poudel-Tandukar

Differences In Suicide Risk According To Living Arrangements In Japanese Men And Women – The Japan Public Health Center-Based (Jphc) Prospective Study (Journal Of Affective Disorders), Kalpana Poudel-Tandukar, Akiko Nanri, Tetsyta Mizoue, Yumi Matsushita, Yoshihiko Takahashi, Mitsuhiko Noda, Manami Inoue, Shoichiro Tsugane

Kalpana Poudel-Tandukar

Sis-Map; Suicide Risk Assessment Scale, Amresh Srivastava

Amresh Srivastava

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

Long Chain N-3 Fatty Acids Intake, Fish Consumption And Suicide In A Cohort Of Japanese Men And Women — The Japan Public Health Center-Based (Jphc) Prospective Study (Journal Of Affective Disorders), Kalpana Poudel-Tandukar, Akiko Nanri, Motoki Iwasaki, Tetsuya Mizoue, Yumi Matsushita, Yoshihiko Takahashi, Mitsuhiko Noda, Manami Inoue, Shoichiro Tsugane

Kalpana Poudel-Tandukar

Need For Risk Assessment Of Suicide Across Mental Health Services, Amresh Srivastava, Megan Johnstom

Amresh Srivastava

Clinical practice of psychiatry has acquired role and responsibility which goes far beyond traditional expectations .Incident of suicide, particularly, is considered a high liability for then professionals, organizations and the consumer. It also remains a clinical issue which examines can we prevent suicide which in the system of care. Studies have shown about 1 in 6 psychologists or psychiatrist are likely to loose a patient due to suicide in a mean duration of 18-20 years practice. Repeatedly it has demonstrated that clinical skill training for risk assessment is the necessary for all professionals not only in mental health but also …

To Be Or Not To Be: Education For Clinical Decisions In Risk Assessment Of Suicide Behavior, Amresh Srivastava, Megan Johnston

Amresh Srivastava

Clinical practice of psychiatry has acquired role and responsibility which goes far beyond traditional expectations .Incident of suicide, particularly, is considered a high liability for then professionals, organizations and the consumer. It also remains a clinical issue which examines can we prevent suicide which in the system of care. Studies have shown about 1 in 6 psychologist or psychiatrist are likely to loose a patient due to suicide in a mean duration of 18-20 years practice. Repeatedly it has demonstrated that clinical skill training for risk assessment is the necessary for all professionals not only in mental health but also …

What Do We Know About People Who Kill Themselves: A Trajectory For Prevention In Developing Countries., Amresh Srivastava, Megan Johnston

Amresh Srivastava

Abstract: Lecture

Title: What do we know about people who kill themselves: A trajectory for prevention in Developing Countries. Amresh Shrivastava 1, Megan Johnston 2 Address: 1. Department of Psychiatry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada; Lawson Health Research Institute, London, Ontario, Canada); Mental Health Foundation of India (PRERANA Charitable Trust) 209 Shivkripa Complex, Gokhale Road, Thane, Mumbai, Maharashtra, India 400 602 (Present Address: Regional Mental Health Care, 467 Sunset Drive, St. Thomas, Ontario, Canada N5H 3V9; 2. Department of Psychology, University of Toronto. About one million people die due to suicide …