Psychiatric Quarterly最新文献_第9页

Chronic Procrastination Among Iranians: Prevalence Estimation, Latent Profile and Network Analyses. 伊朗人中的慢性拖延症：流行率估算、潜在特征和网络分析。

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2024-09-01 Epub Date: 2024-06-26 DOI: 10.1007/s11126-024-10076-9

Mehdi Akbari, Mohammad Seydavi, Kianoush Zahrakar, Joseph R Ferrari, Mark D Griffiths

{"title":"Chronic Procrastination Among Iranians: Prevalence Estimation, Latent Profile and Network Analyses.","authors":"Mehdi Akbari, Mohammad Seydavi, Kianoush Zahrakar, Joseph R Ferrari, Mark D Griffiths","doi":"10.1007/s11126-024-10076-9","DOIUrl":"10.1007/s11126-024-10076-9","url":null,"abstract":"Procrastination is the deliberate, unjustified postponing of an intended course of action despite its costs or unfavorable effects. The present study used a self-report online survey and collected data from a large convenience sample of the general adult population (N = 2,076; females = 55.73%; Mage = 35.1 years [SD ± 12.7]) with diverse demographics. Following the ring-curve distribution, the results indicated a 15.4% prevalence rate of procrastination among the Iranian community, which was significantly higher among women and divorced individuals and lower among nomadic individuals and those with higher academic degrees. A latent profile analysis demonstrated two distinct profiles, one for procrastinators (high scores on chronic procrastination, psychological distress, neuroticism, and extraversion; and low scores on general self-efficacy, self-esteem, satisfaction with life, openness, agreeableness, and conscientiousness) and one for non-procrastinators (demonstrating a reverse pattern compared to procrastinators). Moreover, additional network analysis suggested that the examined networks were invariant across procrastination status and gender. The results indicate that procrastination differs by demographic characteristics and is associated with a unique psychological profile. However, none of the aforementioned key study variables were considered a potential vulnerability for procrastinators due to the finding that all variables were peripheral and none were central in the examined networks. Therefore, relying on the differences in mean scores on psychometric scales does not appear to be an optimal way of determining the most important variables in a therapeutic context when treating procrastination.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"341-365"},"PeriodicalIF":2.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Substance Use Disorder and Violence Among People with Severe Mental Illness in the United States. 美国严重精神疾病患者的药物使用障碍和暴力问题。

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2024-06-01 Epub Date: 2024-06-17 DOI: 10.1007/s11126-024-10077-8

Jonathan D Prince

{"title":"Substance Use Disorder and Violence Among People with Severe Mental Illness in the United States.","authors":"Jonathan D Prince","doi":"10.1007/s11126-024-10077-8","DOIUrl":"10.1007/s11126-024-10077-8","url":null,"abstract":"In studying substance use disorder (SUD) and violence in severe mental illness (SMI), researchers account for presence of SUD or addictions to specific substances. However these studies fail to comprehensively capture solitary drug use versus specific combinations in a single exhaustive variable with more nuance (e.g., opioids only, alcohol only, both alcohol and opioids only, and so on). Using logistic regression to predict past-year violence, this study compared conventional SUD measurement (Model I: presence versus absence of SUD or specific SUDS) to a newer and more holistic approach (Model II: a single exhaustive variable with both solitary addictions [e.g., opioids only] and specific combinations of addictions [e.g., both opioids and alcohol only]) among 10,551 people with SMI in the National Survey of Drug Use and Health (20,015 - 2019). After adjusting for a wide variety of factors in Model II, people with (1) alcohol use disorders only were 2.24 times more likely to be violent (CI = 1.46-3.45, p <.001); (2) opioid use disorders only were 3.45 times more likely (CI-1.48-8.05, p,>01); (3) both alcohol and cocaine use disorders or cocaine only were 5.85 times more likely (CI = 2.63-13.05, p <.001); and (4) both alcohol and opioid use disorders only were 4.28 times more likely (CI = 1.34-13.71, p <.05). These more nuanced findings in Model II differed substantially from those using conventional SUD assessment in Model I, and the newer and more holistic approach can better reflect the complexity of addiction in relation to violence in SMI. Therefore studies, practices, and policies that address SUD and violence in SMI could be beneficially revisited with this greater comprehensiveness and detail.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"287-298"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141331631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship Quality Among Persons with Serious Mental Illness and Their Relatives: Rates and Correlates. 严重精神疾病患者及其亲属的关系质量：比率和相关因素。

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2024-06-01 Epub Date: 2024-05-10 DOI: 10.1007/s11126-024-10069-8

Travis Labrum, Kathryn Luk, Christina Newhill, Phyllis Solomon

{"title":"Relationship Quality Among Persons with Serious Mental Illness and Their Relatives: Rates and Correlates.","authors":"Travis Labrum, Kathryn Luk, Christina Newhill, Phyllis Solomon","doi":"10.1007/s11126-024-10069-8","DOIUrl":"10.1007/s11126-024-10069-8","url":null,"abstract":"Supportive family relationships for persons with serious mental illness (SMI) are correlated with positive functional, health and mental health outcomes and are essential to the recovery process. However, there has been a dearth of research on positive family dynamics. Using multivariate logistic regression with a U.S. community-recruited sample of persons with SMI (N = 523), we examined the extent to which demographics, clinical characteristics, and supportive and problematic relationship interactions were associated with relationship quality with reference relatives (RR). Secondarily, we tested whether the relationship between routine limit-setting practices by RR toward participants and relationship quality was significantly mediated by perceived emotional overinvolvement using Baron and Kenny's four step method. High levels of relationship quality were reported by two-thirds of the sample. Relationship quality was positively associated with frequency of contact between participants and RR, participants helping RR with activities of daily living, and caregiving provided by RR to participants. High relationship quality was negatively associated with RR being parents or other family members (compared to romantic partners), perceived emotional overinvolvement of RR, and psychological abuse by RR toward participants. Clinical and demographic characteristics were not associated with relationship quality. Perceived emotional overinvolvement was found to be a mediator between routine limit-setting practices and relationship quality. These results can help direct clinicians in targeting factors that will likely enhance the process of recovery.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"253-269"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Opinion, Use and Knowledge About Transcranial Magnetic Stimulation in Spain: A National Survey of Mental Health Professionals. 西班牙经颅磁刺激疗法的观点、使用和知识：全国精神卫生专业人员调查。

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2024-06-01 Epub Date: 2024-06-17 DOI: 10.1007/s11126-024-10073-y

Pilar Sierra, Yolanda Cañada, Pilar Benavent, Ana Sabater, Josep Ribes, Lorenzo Livianos, Ana Garcia-Blanco

{"title":"Opinion, Use and Knowledge About Transcranial Magnetic Stimulation in Spain: A National Survey of Mental Health Professionals.","authors":"Pilar Sierra, Yolanda Cañada, Pilar Benavent, Ana Sabater, Josep Ribes, Lorenzo Livianos, Ana Garcia-Blanco","doi":"10.1007/s11126-024-10073-y","DOIUrl":"10.1007/s11126-024-10073-y","url":null,"abstract":"Transcranial magnetic stimulation (TMS) is a non-invasive method of neuromodulation with heterogeneous usage between countries, which may be potentially influenced by healthcare professionals' opinions. This study aimed to assess the knowledge, acceptability, and attitudes of mental health professionals in Spain towards TMS. A cross-sectional multicentric study was conducted using an online survey, with 219 participants including psychiatrists, psychologists, and residents. Nearly 100% of participants correctly answered theoretical aspects related to the rationale and indications of TMS. Although only 55% considered TMS effective, 80% would refer patients if TMS were available at their workplace, and 74% would undergo TMS if experiencing depression. 85% believed neuromodulation training should be increased in residency, and 73% demanded TMS inclusion in public hospitals. Teaching staff and psychologists defined TMS as a last resort (p = 0.03 and 0.045). Both disagreed on its ease of use (p < 0.001) and patient referral (p = 0.01), considering an impact on the therapeutic bond (p = 0.029). Previous TMS training, clinical experience, or availability of TMS at the workplace, were associated with better knowledge, a higher perception of efficacy and utility in treating resistant patients (all p < 0.05). In conclusion, surveyed mental health professionals in Spain demonstrated good knowledge of the technique and positive opinions regarding its utility. Findings emphasized limited clinical experience of the sample, a call for training programs, and the demand for the inclusion of TMS in the portfolio of Spanish public hospitals.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"271-285"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141331630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Social Media Addiction and Internet Gaming Disorder on Sleep Quality: Serial Mediation Analyses. 社交媒体成瘾和网络游戏障碍对睡眠质量的影响：序列中介分析

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2024-06-01 Epub Date: 2024-03-21 DOI: 10.1007/s11126-024-10068-9

Arya Krishnan, Peter K H Chew

{"title":"Impact of Social Media Addiction and Internet Gaming Disorder on Sleep Quality: Serial Mediation Analyses.","authors":"Arya Krishnan, Peter K H Chew","doi":"10.1007/s11126-024-10068-9","DOIUrl":"10.1007/s11126-024-10068-9","url":null,"abstract":"Poor sleep quality is a concerning and prevalent consequence of social media addiction (SMA) and internet gaming disorder (IGD). Due to the lack of research examining how SMA and IGD lead to poor sleep quality, the current study aimed to understand the relationship between SMA and sleep quality, as well as that between IGD and sleep quality, through impulse control and bedtime procrastination. The study tested the hypotheses that higher levels of SMA and IGD would predict lower levels of impulse control, which would then predict higher levels of bedtime procrastination, leading to poorer sleep quality. A serial mediation analysis was performed with a sample of 221 participants (63.3% females, 34.4% males, and 2.3% prefer not to say) aged 18 to 53 years (M = 23.64, SD = 5.72). Participants completed questionnaires that assessed for social media addiction, internet gaming disorder, impulse control factor, bedtime procrastination, and sleep quality. There was a full serial mediation of impulse control and bedtime procrastination in the relationship between SMA and sleep quality, as well as that between IGD and sleep quality, providing support for the hypotheses. The findings provide the knowledge needed to develop and implement strategies that target impulse control issues and reduce bedtime procrastination to improve sleep quality.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"185-202"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140185363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare Utilization and Its Correlates in Comorbid Type 2 Diabetes Mellitus and Generalized Anxiety Disorder 合并 2 型糖尿病和广泛性焦虑症患者的医疗保健利用率及其相关因素

IF 3.5 4区医学

Psychiatric Quarterly Pub Date : 2024-04-19 DOI: 10.1007/s11126-024-10072-z

Chun-Jen Huang, Ching-Hua Lin, Tai-Ling Liu, Pai-Cheng Lin, Chin-Chen Chu, Jhi‑Joung Wang, Chun-Wang Wei, Shih-Feng Weng

{"title":"Healthcare Utilization and Its Correlates in Comorbid Type 2 Diabetes Mellitus and Generalized Anxiety Disorder","authors":"Chun-Jen Huang, Ching-Hua Lin, Tai-Ling Liu, Pai-Cheng Lin, Chin-Chen Chu, Jhi‑Joung Wang, Chun-Wang Wei, Shih-Feng Weng","doi":"10.1007/s11126-024-10072-z","DOIUrl":"https://doi.org/10.1007/s11126-024-10072-z","url":null,"abstract":"This study investigated the healthcare utilization and medical expenditure of type 2 diabetes mellitus (T2DM) patients with generalized anxiety disorder (GAD) and identified the associated factors. The healthcare utilization and expenditure of T2DM patients with (case group) and without (control group) GAD between 2002 and 2013 were examined using the population-based Taiwan National Health Insurance Research Database. Healthcare utilization included outpatient visits and hospitalization; health expenditure included outpatient, inpatient, and total medical expenditure. Moreover, nonpsychiatric healthcare utilization and medical expenditure were distinguished from total healthcare utilization and medical expenditure. The average healthcare utilization, including outpatient visits and hospitalization, was significantly higher for the case group than for the control group (total and nonpsychiatric). The results regarding differences in average outpatient expenditure (total and nonpsychiatric), inpatient expenditure (total and nonpsychiatric), and total expenditure (total and nonpsychiatric) between the case and control groups are inconsistent. Sex, age, income, comorbidities/complications, and the diabetes mellitus complication severity index were significantly associated with outpatient visits, medical expenditure, and hospitalization in the case group (total and nonpsychiatric). Greater knowledge of factors affecting healthcare utilization and expenditure in comorbid individuals may help healthcare providers intervene to improve patient management and possibly reduce the healthcare burden in the future.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"121 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140625648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Loneliness, Social Isolation, and Obsession with COVID-19 among Older Adults 老年人的孤独感、社会隔离和对 COVID-19 的痴迷

IF 3.5 4区医学

Psychiatric Quarterly Pub Date : 2024-04-18 DOI: 10.1007/s11126-024-10070-1

Kayoung Song, Seockhoon Chung

{"title":"Loneliness, Social Isolation, and Obsession with COVID-19 among Older Adults","authors":"Kayoung Song, Seockhoon Chung","doi":"10.1007/s11126-024-10070-1","DOIUrl":"https://doi.org/10.1007/s11126-024-10070-1","url":null,"abstract":"During the COVID-19 pandemic, older people were socially isolated for their protection against the virus impacting their mental health. Aiming to explore the role of loneliness and social isolation in the obsession with COVID-19 among older adults, we conducted an anonymous online survey with 300 older adults aged 65–80 years in South Korea between January and February 2023. The survey collected demographic information, past psychiatric history, medical disease, current psychological distress, and experiences related to COVID-19. Rating scales were the Obsession with COVID-19 Scale (OCS), Coronavirus Reassurance-seeking Behaviors Scale (CRBS), Stress and Anxiety to Viral Epidemics-6 items (SAVE-6), and Loneliness and Social Isolation Scale (LSIS). The regression analysis revealed that CRBS (β = 0.55, p < 0.001) and SAVE-6 (β = 0.34, p < 0.001) were significant predictors of obsession with COVID-19 (adjusted R2 = 0.63, F = 126.9, p < 0.001). Mediation analysis showed that loneliness and social isolation had a positive total effect on obsession with COVID-19, mediated by reassurance-seeking behavior and viral anxiety (Standardized Estimator = 0.21, standard error = 0.05, p < 0.001, 95% confidence interval 0.20–0.41). Loneliness and social isolation were found to be indirectly linked to obsession with COVID-19 through reassurance-seeking behavior and viral anxiety. The findings highlight the importance of addressing loneliness and social isolation among older adults during the COVID-19 pandemic to prevent obsession with COVID-19.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"16 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140615929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Profiles of Permanent Supportive Housing Residents Related to Their Housing Conditions, Service Use, and Associated Sociodemographic and Clinical Characteristics 与住房条件、服务使用情况以及相关社会人口和临床特征有关的永久性支持性住房住户概况

IF 3.5 4区医学

Psychiatric Quarterly Pub Date : 2024-04-08 DOI: 10.1007/s11126-024-10071-0

Marie-Josée Fleury, Bahram Armoon

{"title":"Profiles of Permanent Supportive Housing Residents Related to Their Housing Conditions, Service Use, and Associated Sociodemographic and Clinical Characteristics","authors":"Marie-Josée Fleury, Bahram Armoon","doi":"10.1007/s11126-024-10071-0","DOIUrl":"https://doi.org/10.1007/s11126-024-10071-0","url":null,"abstract":"As permanent supportive housing (PSH) is the main strategy promoted to reduce homelessness, understanding how PSH resident profiles may be differentiated is crucial to the optimization of PSH implementation – and a subject that hasn’t been studied yet. This study identified PSH resident profiles based on their housing conditions and service use, associated with their sociodemographic and clinical characteristics. In 2020–2021, 308 PSH residents from Quebec (Canada) were interviewed, with K-means cluster analysis produced to identify profiles and subsequent analyses to compare profiles and PSH resident characteristics. Of the three profiles identified, Profiles 1 and 2 (70% of sample) showed moderate or poor housing, neighborhood, and health conditions, and moderate or high unmet care needs and service use. Besides their “moderate” conditions, Profile 1 residents (52%) reported being in PSH for more than two years and being less educated. With the “worst” conditions and high service use, Profile 2 (18%) included younger individuals, while Profile 3 (30%) showed the “best” conditions and integrated individuals with more protective determinants (e.g., few in foster care, homelessness at older age, more self-esteem), with a majority living in single-site PSH and reporting higher satisfaction with support and community-based services. Profiles 1 and 2 may be provided with more psychosocial, crisis, harm reduction, and empowerment interventions, and peer helper support. Profile 2 may benefit from more intensive and integrated care, and better housing conditions. Continuous PSH may be sustained for Profile 3, with regular monitoring of service satisfaction and met needs.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"220 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140599683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adult Mental Health Presentations to Emergency Departments in Victoria, Australia between January 2018 and October 2020: Changes Associated with COVID-19 Pandemic Public Health Restrictions. 2018年1月至2020年10月，澳大利亚维多利亚州急诊科的成人心理健康报告：与新冠肺炎大流行性公共卫生限制相关的变化。

IF 3.5 4区医学

Psychiatric Quarterly Pub Date : 2024-03-01 Epub Date: 2023-11-08 DOI: 10.1007/s11126-023-10057-4

Jackson Newberry-Dupé, Wanyu Chu, Simon Craig, Rohan Borschmann, Gerard O'Reilly, Paul Yates, Glenn Melvin, Kylie King, Harriet Hiscock

{"title":"Adult Mental Health Presentations to Emergency Departments in Victoria, Australia between January 2018 and October 2020: Changes Associated with COVID-19 Pandemic Public Health Restrictions.","authors":"Jackson Newberry-Dupé, Wanyu Chu, Simon Craig, Rohan Borschmann, Gerard O'Reilly, Paul Yates, Glenn Melvin, Kylie King, Harriet Hiscock","doi":"10.1007/s11126-023-10057-4","DOIUrl":"10.1007/s11126-023-10057-4","url":null,"abstract":"The COVID-19 pandemic and associated public health measures altered patterns of help-seeking for mental health, with increases in emergency department utilisation reported. We examined the association between COVID-19 restrictions and adult emergency department (ED) mental health presentations in Victoria, Australia, through secondary analysis of data from 39 public EDs across the state. Participants were all patients (18+ years) presenting between 1 January 2018 and 31 October 2020 with mental health or intentional self-harm. The main outcome was number of presentations for each mental health condition, by patient age, socioeconomic status (SES), location, and ED triage category. We used a Poisson regression model to compare predicted monthly ED presentations based on trends from 2018, 2019 and 2020 (up to 31 March), with observed presentations during the initial months of the COVID-19 pandemic (1 April to 31 October 2020). There was an average of 4,967 adult mental health presentations per month pre-COVID-19 (1 January-31 March 2020) and 5,054 per month during the COVID-19 period (1 April-31 October 2020). Compared to predicted incidence, eating disorder presentations increased 24.0% in the COVID-19 period, primarily among higher SES females aged 18-24 years. Developmental/behavioural disorder presentations decreased by 19.7% for all age groups. Pandemic restrictions were associated with overall increases in monthly adult ED presentations for mental health, with some disorders increasing and others decreasing. Accessibility of acute mental health services needs to be addressed to meet changing demand and ensure services are responsive to changes in presentations resulting from future public health challenges.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"33-52"},"PeriodicalIF":3.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk Factors for Suicide Reattempt among Adolescents and Young Adults: The Role of Psychiatric Disorders. 青少年和年轻人自杀再企图的危险因素:精神疾病的作用。

IF 3.5 4区医学

Psychiatric Quarterly Pub Date : 2024-03-01 Epub Date: 2023-12-07 DOI: 10.1007/s11126-023-10064-5

Emina Mehanović, Gianluca Rosso, Gian Luca Cuomo, Roberto Diecidue, Giuseppe Maina, Giuseppe Costa, Federica Vigna-Taglianti

{"title":"Risk Factors for Suicide Reattempt among Adolescents and Young Adults: The Role of Psychiatric Disorders.","authors":"Emina Mehanović, Gianluca Rosso, Gian Luca Cuomo, Roberto Diecidue, Giuseppe Maina, Giuseppe Costa, Federica Vigna-Taglianti","doi":"10.1007/s11126-023-10064-5","DOIUrl":"10.1007/s11126-023-10064-5","url":null,"abstract":"Suicidal behaviour among young people is a serious public health concern. Each suicide attempt is related to further suicide attempts and completed suicide. This study aims to explore risk factors associated with repeated suicide attempt among adolescents and young adults. The cohort included 510 patients aged 12-29 years residing in Piedmont Region in North-Western Italy, who had been admitted to hospital or emergency department with a diagnosis of suicide attempt between 2010 and 2020. Cox regression models were used to evaluate potential risk factors for repeated suicide attempt. During the 11-years follow-up, 20.6% of adolescents and young adults repeated suicide attempt, 24.8% of females and 12.3% of males. Nearly 90% of youth who attempted suicide had a diagnosis of psychiatric disorder. After adjustment, younger age of onset of suicidal behaviour, and diagnosis of schizophrenia, bipolar disorder, depressive disorder, anorexia nervosa and personality disorder were significantly associated with repeated suicide attempt. The early identification of patients at higher risk of repetition of suicidal behaviour is of crucial importance. Better understanding of risk factors and effective treatment of mental disorders could help suicide prevention to reduce the burden of the problem among young people. Special attention should be paid during the initial months following discharge from hospital or emergency department, when suicide reattempt risk is very high.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"69-84"},"PeriodicalIF":3.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0