Suicidal Threats by Brain Damaged Clients: a Facility Responds

Examines problems in assessing suicidality for head injury survivors in residential treatment settings. These include the vocabulary of life & death, clients who forget, lack of executive function, initiative, inability to switch set & concrete thinking, & aphasias & word-finding difficulties. The importance of a thorough, early interdisplinary assessment, including the cognitive landscape, is emphasized.

A Multimodality Approach to the Treatment of Children and Families

Describes how a combination of individual & family therapies is used by staff & student trainees to handle difficult cases in the child & adolescent outpatient clinic of an inner-city hospital. The cases of a 15 year-old boy referred for school failure & difficulty at home & a 16 yr-old suicidal boy are presented to […]

Description and Assessment of a Crisis Consultation Program in a Youth Detention Centre

Child care staff in detention centres are frequently called upon to provide service to very disturbed & acting-out youth. A program of mental health consultation developed to assist detention staff in providing care to youths is described. At the beginning of the program there were about 350 admissions/yr. The most frequent reasons for consultation were […]

Suicide Prevention and Intervention in Child Care Programs

Addresses the issue of suicide prevention & intervention in residential child care programs. The dynamics of suicidal behavior are examined through a discussion of types of suicidal behaviors, staff attitudes toward these behaviors, & assessment of suicide potential. Various modes of intervention are also explored. (13 ref)

Juvenile Suicides in Secure Detention Facilities: Correction of Published Rates

Reanalyze suicide rates for 1978 among incarcerated juveniles as reported by the Community Research Center. Previously reported rates were found to be considerably lower than than recalculated estimates. Statistical data are included & implications are discussed. 6 refs.

Suicide Prevention Program Staff Guide: Suicide Prevention Program for Runaway Shelter Staff

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Suicide Prevention Program for Runaway Shelter Staff

This implementation guide describes how to make optimum use of the Staff Training Guide & the Workbook for residents developed by the Suicide Prevention & Crisis Centre of San Mateo County to help preserve the lives of runaway youths through training of shelter staff.

Youth Suicide Risk Assessment: Process and Model

Describes a multidisplinary process & a tool useful in assessing the degree of risk presented by suicidal children & adolescents, especially those receiving treatment in residential programs. Factors that contribute to suicide risk are organized in 7 dimensions, each to be assessed separately by the professional team. Global risk determination is attained by integrating findings […]

A Developmental Study of Aggression and Self-Destruction in Adolescents Who Received Residential Treatment

Self-destructive & aggressive adolescents who had received residential treatment were followed up after discharge to the community. Severity of acting out prior to treatment or during residential treatment was not predictive of follow-up status. Frequency of early separations from parents & the age at which they occurred during the first 6 years was found to […]

Adolescent Suicidal Behavior: a Residential Treatment Center View

Depression in adolescents & suicidal threats & acts have become an increasing focus in professional publications. This has also become a concern of practitioners. This paper discusses adolescents in a residential treatment centre in Canaan, New York, who have manifested such symptoms & reactions and reviews techniques & program efforts utilized in such crises. Literature […]

The Role of the Residential Mental Health Treatment Program in Suicidal Crisis Intervention & Prevention

Chemical Dependency & Adolescent Suicide

Synopsis: Runaway & Homeless Youth Suicide Prevention Training Project

This project is an effort to provide training & materials to those who deal with homeless youth in North & South Dakota, Montana, & Wyoming. The major findings indicate: prevention training effectively increases staff confidence in identifying & intervening with suicidal youth; a significant need for basic training; suicide attempts in the 4 states are […]

Environmental Factors in Suicide in Long-Term Care Facilities

A national study of 463 long-term care facilities in the U.S. to identify environmental factors related to suicide in such facilities. Data was gathered using a questionnaire. Analyses showed 4 environmental factors related to suicidal behavior & deaths from suicide. The larger the staff & the higher the staff turnover, the more likely some form […]

Final Report on a Study of Suicide Among the Elderly in Virginia: Submitted to Virginia Department for the Aging

A report on suicide in the elderly. Included are a literature review of elderly suicide in the U.S. in general & a study of elderly suicide in Virginia. A proposed suicide prevention program to decrease the incidence of elderly suicide is detailed. (CM)

Suicidal Behavior in Long-Term Care Facilities: A Preliminary Report on an Ongoing Study

This is a national study of patterns of suicide behavior in long-term care facilities. Differences in methods & type of behavior by gender & age were identified. Environmental factors such as size of residential population, per diem rate, & auspice, as well as, staff turnover rate, influenced suicide behavior. Findings from this study suggest that […]

Suicide Among the Elderly in Institutional and Community Settings: Implications for Nursing Care

This is a study of suicide among the elderly living in either a residential centre or the community. Factors contributing to suicide, clues of suicidal behavior, & assessment instruments are presented. Practical suggestions for prevention & treatment are offered. Suggestions include case management strategies & nursing interventions. (CM)

Suicide in Long-Term Care Facilities

This U.S. study represents the first large-scale national study of patterns of suicidal behaviour in long-term facilities for the elderly. 463 questionnaires that included items on the facility, staff & residents, number of overt suicides, attempts, incidents of indirect life-threatening behaviour(refusing medication, self-mutilation) were returned. 294 of 30,269 residents engaged in suicidal behaviour during 1984-85. […]

Suicidal Behavior in Long-Term Care Facilities

This brief article presents highlights from the 1st national study of suicide in long-term care facilities conducted in the U.S. Questionnaires mailed to a random sample of 1080 LTC facilities yielded responses from 463, representing a patient population of 30,269. 1% had engaged in some form of suicidal behavior. The suicide rate for these residents […]

Deliberate Self-Harm Among Adolescents in Residential Treatment Centres

The purpose of this study was to examine differences between a group of adolescents who had made acts of deliberate self-harm (DSH) from those who did not. 40 subjects were residents of 2 adolescent care centres for emotionally disturbed &/or deliquent youths. Each group of 20 was subjected to several standardized personality, psychological, & cognitive […]

Effects of Parental Suicide: A Case Study

This report features a case study of a fifteen year old girl whose stressful family history & mother’s suicide, five years earlier, resulted in unresolved conflicts which affected her ability to function, both emotionally & cognitively, & made her a potential suicide victim. The author discusses the positive effect his intervention therapies had on her […]

Adolescent Girls in Need of Protection

This descriptive study of 120 girls removed temporarily from parental care during early adolescence raises questions regarding the efficiency and effectiveness of current intervention strategies. The findings suggest that clinical and legal efforts on behalf of girls such as these, who have been victims of neglect, deprivation, and abuse, are likely to remain unsatisfactory in […]

Reflections Regarding the Management of Suicidal Behavior in a Mental Health Centre Setting

In response to concerns about suicides by patients or ex-patients of mental health facilities, a committee was established to develop recommendations for the establishment of policy in regard to the management of suicidal patients in Ontario. The recommendations are listed along with administrative responsibilities & additional suggestions for implementation. (LH)