Survival as a patient-centered outcome of mental health care

Exploring the use of telephone helpline pertaining to older adult suicide prevention: A Hong Kong experience.

BACKGROUND:
Older adults usually have a higher suicide rate than the general population. There are helpline services provided to older adults but limited studies have examined the suicidal risks among the users, and how those services could be used as a platform to engage older adults in suicide prevention. METHODS:
In regard to[…]

Self-Harm and Self-Poisoning in Southern India: Choice of Poisoning Agents and Treatment

Community-based surveillance over a period of 2 years recorded cases of suicide & attempted suicide in a population of 108,000 people living in a primarily rural area of southern India. The overall suicide rate was 71.4 per 100,000 population; the highest burden was among men. 31% of victims died by self-poisoning & 80% of these[…]

Severe Pain Predicts Greater Likelihood of Subsequent Suicide

Using data from the 1999 Large Health Survey of Veterans, Veterans’ Affairs medical records, & the National Death Index, the association between self-reported pain severity & suicide among veterans was examined, after accounting for demographic variables & psychiatric diagnoses. A Cox proportional hazards regression demonstrated that veterans with severe pain were more likely to die[…]

Schizophrenia, an illness with bad outcomes: myth or reality?

OBJECTIVE: Different myths about schizophrenia endorsed by clinicians maintain the pessimism about outcome thus reducing chances of improvement. There are no recent North American studies on the long-term outcome of first-episode schizophrenia to clarify if these beliefs are myths or reality. Our study describes the long-term outcome (10 to 16 years) of a first-episode schizophrenia[…]

Mortality of Doctors in Taiwan

This study evaluated the survival data of all Taiwanese doctors & ascertained whether doctors experience premature mortality. Death & census data from 1990-2006 were obtained for all practicing doctors in Taiwan. Cause-specific standardized mortality ratios were calculated using the general population of Taiwan as the reference. Doctors in Taiwan were found to be less likely[…]

Mortality Among Residents of Shelters, Rooming Houses, and Hotels in Canada: 11 Year Follow-Up Study

This study examined mortality in a representative nationwide sample of homeless & marginally housed people in Canada. A follow-up study was done of 15,100 persons enumerated in the 1991 census. Data were compared with data from the poorest & richest income fifths as well as with data from the entire cohort. Of the homeless &[…]

Service use Among Mexico City Adolescents With Suicidality

The lifetime & 12-month prevalence & associations of mental health treatment among Mexican adolescents with suicide-related outcomes are reported. A representative multistage probability household survey of 3005 adolescents in Mexico City was done in 2005. Discrete-time survival analyses were used. The prevalence of lifetime service use among respondents with suicide-related outcomes was 35% for those[…]

Psychotropic Prescriptions and Elderly Suicide Rates

The association between a decline in elderly suicide rates in England & Wales & changes in the prescribing of psychotropics for the period 1985-1996 was studied. Spearman’s rank correlation coefficient was used to examine this relationship. Highly significant negative correlations were found between elderly suicide rates & tricyclic antidepressants, selective serotonin reuptake inhibitors, antimanics, antipsychotics,[…]

Suicide Risk in Schizophrenia – a Follow-Up Study After 20 Years. Part 1: Outcome and Associated Social Factors

This study reevaluated, after a period of 20 years, a cohort of patients with schizophrenia who had been considered to be at high risk for suicide. Subjects were contacted & interviewed face-to-face using a questionnaire devised for this purpose & other rating scales were also administered. A psychological autopsy was performed for those individuals who[…]