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Investigating the association of opioid prescription with the incidence of psychiatric disorders: nationwide cohort study in South Korea. 调查阿片类药物处方与精神病发病率的关系:韩国全国范围内的队列研究。
IF 3.9 3区 医学
BJPsych Open Pub Date : 2024-05-27 DOI: 10.1192/bjo.2024.72
Tak Kyu Oh, Hye Yoon Park, In-Ae Song
{"title":"Investigating the association of opioid prescription with the incidence of psychiatric disorders: nationwide cohort study in South Korea.","authors":"Tak Kyu Oh, Hye Yoon Park, In-Ae Song","doi":"10.1192/bjo.2024.72","DOIUrl":"10.1192/bjo.2024.72","url":null,"abstract":"<p><strong>Background: </strong>The relationship between opioid use and the incidence of psychiatric disorders remains unidentified.</p><p><strong>Aims: </strong>This study examined the association between the incidence of psychiatric disorders and opioid use.</p><p><strong>Method: </strong>Data for this population-based cohort study were obtained from the National Health Insurance Service of South Korea. The study included all adult patients who received opioids in 2016. The control group comprised individuals who did not receive opioids in 2016, and were selected using a 1:1 stratified random sampling procedure. Patients with a history of psychiatric disorders diagnosed in 2016 were excluded. The primary end-point was the diagnosis of psychiatric disorders, evaluated from 1 January 2017 to 31 December 2021. Psychiatric disorders included schizophrenia, mood disorders, anxiety and others.</p><p><strong>Results: </strong>The analysis included 3 505 982 participants. Opioids were prescribed to 1 455 829 (41.5%) of these participants in 2016. Specifically, 1 187 453 (33.9%) individuals received opioids for 1-89 days, whereas 268 376 (7.7%) received opioids for ≥90 days. In the multivariable Cox regression model, those who received opioids had a 13% higher incidence of psychiatric disorder than those who did not (hazard ratio 1.13; 95% CI 1.13-1.14). Furthermore, both those prescribed opioids for 1-89 days and for ≥90 days had 13% (hazard ratio 1.13, 95% CI 1.12-1.14) and 17% (hazard ratio 1.17, 95% CI 1.16-1.18) higher incidences of psychiatric disorders, respectively, compared with those who did not receive opioids.</p><p><strong>Conclusions: </strong>This study revealed that increased psychiatric disorders were associated with opioid medication use. The association was significant among both short- and long-term opioid use.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"10 3","pages":"e122"},"PeriodicalIF":3.9,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Identifying predictors of adverse outcomes after termination of seclusion in psychiatric intensive care units. 确定精神科重症监护病房终止隔离后不良后果的预测因素。
IF 3.9 3区 医学
BJPsych Open Pub Date : 2024-05-22 DOI: 10.1192/bjo.2024.710
Jonathan P Rogers, Gabriella Lewis, Maria Lobo, Clementine Wyke, Alexander Meaburn, Fiona Harding, Rebecca Garvey, Jenny Irvine, Ahmed Saeed Yahya, Daisy Kornblum, Alexis E Cullen, David Mirfin, Glyn Lewis
{"title":"Identifying predictors of adverse outcomes after termination of seclusion in psychiatric intensive care units.","authors":"Jonathan P Rogers, Gabriella Lewis, Maria Lobo, Clementine Wyke, Alexander Meaburn, Fiona Harding, Rebecca Garvey, Jenny Irvine, Ahmed Saeed Yahya, Daisy Kornblum, Alexis E Cullen, David Mirfin, Glyn Lewis","doi":"10.1192/bjo.2024.710","DOIUrl":"10.1192/bjo.2024.710","url":null,"abstract":"<p><strong>Background: </strong>Seclusion is a restrictive practice that many healthcare services are trying to reduce. Previous studies have sought to identify predictors of seclusion initiation, but few have investigated factors associated with adverse outcomes after seclusion termination.</p><p><strong>Aims: </strong>To assess the factors that predict an adverse outcome within 24 h of seclusion termination.</p><p><strong>Method: </strong>In a cohort study of individuals secluded in psychiatric intensive care units, we investigated factors associated with any of the following outcomes: actual violence, attempted violence, or reinitiation of seclusion within 24 h of seclusion termination. Among the seclusion episodes that were initiated between 29 March 2018 and 4 March 2019, we investigated the exposures of medication cooperation, seclusion duration, termination out of working hours, involvement of medical staff in the final seclusion review, lack of insight, and agitation or irritability. In a mixed-effects logistic regression model, associations between each exposure and the outcome were calculated. Odds ratios were calculated unadjusted and adjusted for demographic and clinical variables.</p><p><strong>Results: </strong>We identified 254 seclusion episodes from 122 individuals (40 female, 82 male), of which 106 (41.7%) had an adverse outcome within 24 h of seclusion termination. Agitation or irritability was associated with an adverse outcome, odds ratio 1.92 (95% CI 1.03 to 3.56, <i>P</i> = 0.04), but there was no statistically significant association with any of the other exposures, although confidence intervals were broad.</p><p><strong>Conclusions: </strong>Agitation or irritability in the hours preceding termination of seclusion may predict an adverse outcome. The study was not powered to detect other potentially clinically significant factors.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"10 3","pages":"e120"},"PeriodicalIF":3.9,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Early maladaptive schemas, distress tolerance and self-injury in Iranian adolescents: serial mediation model of transdiagnostic factors. 伊朗青少年的早期适应不良模式、痛苦容忍度和自我伤害:跨诊断因素的序列中介模型。
IF 3.9 3区 医学
BJPsych Open Pub Date : 2024-05-21 DOI: 10.1192/bjo.2024.708
Maryam Babaeifard, Mehdi Akbari, Shahram Mohammadkhani, Jafar Hasani, Reza Shahbazian, Edward A Selby
{"title":"Early maladaptive schemas, distress tolerance and self-injury in Iranian adolescents: serial mediation model of transdiagnostic factors.","authors":"Maryam Babaeifard, Mehdi Akbari, Shahram Mohammadkhani, Jafar Hasani, Reza Shahbazian, Edward A Selby","doi":"10.1192/bjo.2024.708","DOIUrl":"10.1192/bjo.2024.708","url":null,"abstract":"<p><strong>Background: </strong>Non-suicidal self-injury (NSSI) is prevalent behaviour among adolescents. Although there are different etiological models of NSSI, there is a general lack of evidence-based, comprehensive and transdiagnostic models of NSSI in adolescents.</p><p><strong>Aims: </strong>The aim of this study was to investigate a model of transdiagnostic factors of NSSI in adolescents, testing a serial mediation model of the relationship between early maladaptive schemas (EMS), distress tolerance and NSSI through experiential avoidance and rumination.</p><p><strong>Method: </strong>A community sample was identified of 1014 adolescents aged 13-17, of whom 425 had a history of NSSI. A serial mediation path analytic method was utilised to examine the relationships between NSSI and its associated functions as criterion variables, EMS and distress tolerance as predictors, experiential avoidance as the first mediator and rumination as the second mediator.</p><p><strong>Results: </strong>The path analytic model fit indices were good (X<sup>2</sup>/d.f. = 2.25, goodness of fit index = 0.98, normed fit index = 0.97, comparative fit index = 0.98, root mean square error of approximation = 0.054, standardised root mean squared residual = 0.028). Rumination significantly mediated the relationship between schemas of 'vulnerability to harm', 'emotional deprivation', 'social isolation', 'insufficient self-control', and NSSI frequency and intrapersonal functions. In serial fashion, experiential avoidance mediated the role of rumination in the relationship between social isolation, and insufficient self-control and NSSI frequency and intrapersonal functions. All indirect effects were significant.</p><p><strong>Conclusions: </strong>Key indirect effects were found linking maladaptive schemas and distress tolerance to NSSI frequency, and NSSI intrapersonal functions via experiential avoidance and rumination. Thus, it is important to address these transdiagnostic factors with particular emphasis on the sequential mediating role of experiential avoidance and rumination in conceptualisation and therapeutic interventions for NSSI.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"10 3","pages":"e116"},"PeriodicalIF":3.9,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
A focus on perpetrators of intimate partner violence in mental health settings is urgently needed. 亟需关注心理健康环境中亲密伴侣暴力的施暴者。
IF 3.9 3区 医学
BJPsych Open Pub Date : 2024-05-21 DOI: 10.1192/bjo.2024.63
Kelsey Hegarty
{"title":"A focus on perpetrators of intimate partner violence in mental health settings is urgently needed.","authors":"Kelsey Hegarty","doi":"10.1192/bjo.2024.63","DOIUrl":"10.1192/bjo.2024.63","url":null,"abstract":"<p><p>A national study in the UK has shown that perpetration of intimate partner violence is common for men and women attending mental health settings. People who perpetrated intimate partner violence were more likely to have experienced intimate partner violence, particularly for women. Perpetrators who were men were more likely to also perpetrate non-partner violence against family, friends or strangers. Mental health clinicians require training in identification, risk assessment and response, including referrals to behavioural programmes. More research is required to inform such responses; however, the need to address this common hidden problem in mental health settings is urgent.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"10 3","pages":"e115"},"PeriodicalIF":3.9,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Characteristics of forensic psychiatric patients with a neurocognitive disorder. 患有神经认知障碍的法医精神病患者的特征。
IF 3.9 3区 医学
BJPsych Open Pub Date : 2024-05-20 DOI: 10.1192/bjo.2024.712
Jesse Meijers, Niki C Kuin, Erik J A Scherder, Joke M Harte
{"title":"Characteristics of forensic psychiatric patients with a neurocognitive disorder.","authors":"Jesse Meijers, Niki C Kuin, Erik J A Scherder, Joke M Harte","doi":"10.1192/bjo.2024.712","DOIUrl":"10.1192/bjo.2024.712","url":null,"abstract":"<p><strong>Background: </strong>Emotional and behavioural disturbances accompanying neurocognitive disorders may sometimes lead to a criminal offence. Our knowledge of this specific forensic subpopulation is lagging behind the knowledge on, and attention for, 'classic' psychiatric disorders in forensic populations.</p><p><strong>Aims: </strong>To gain knowledge on the prevalence and characteristics of individuals with neurocognitive disorders in the forensic population.</p><p><strong>Method: </strong>This retrospective database study uses an anonymised data-set of the National Database of penitentiary psychiatric centres (PPC) (<i>N</i> = 8391), which collects data on all patients admitted to one of the four PPCs (mental health clinics within the prison system) in The Netherlands since May 2013. Inclusion criterion for this study was the presence of a <i>Diagnostic and Statistical Manual of Mental Disorders</i>, fourth edition, text revision (DSM-IV-TR) or <i>Diagnostic and Statistical Manual of Mental Disorders</i>, fifth edition (DSM-5) diagnostic code belonging to the category of neurocognitive disorders.</p><p><strong>Results: </strong>A DSM-IV-TR or DSM-5 diagnostic code of a neurocognitive disorder was classified in 254 out of 8391 unique individuals, resulting in a prevalence of 3.0% in the total PPC population. The most prevalent diagnosis was unspecified neurocognitive disorder (59.1%). The neurocognitive disorder group significantly differed from a random control group from the database (<i>n</i> = 762) on demographic, clinical and criminological variables.</p><p><strong>Conclusions: </strong>The prevalence of neurocognitive disorders in this real-world clinical sample is remarkably lower than in two earlier studies in similar populations. Also remarkable is the relatively high prevalence of an unspecified neurocognitive disorder. These findings lead us to hypothesise that neurocognitive disorders may be underdiagnosed in this population. Forensic psychiatric settings should evaluate whether they have sufficient expertise available in neuropsychological assessment.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"10 3","pages":"e117"},"PeriodicalIF":3.9,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Investigating the impact of the COVID-19 pandemic on recovery colleges: multi-site qualitative study. 调查 COVID-19 大流行对康复学院的影响:多地点定性研究。
IF 3.9 3区 医学
BJPsych Open Pub Date : 2024-05-16 DOI: 10.1192/bjo.2024.70
Merly McPhilbin, Katy Stepanian, Caroline Yeo, Daniel Elton, Danielle Dunnett, Helen Jennings, Holly Hunter-Brown, Jason Grant-Rowles, Julie Cooper, Katherine Barrett, Mirza Hamie, Peter Bates, Rebecca McNaughton, Sarah Trickett, Simon Bishop, Simran Takhi, Stella Lawrence, Yasuhiro Kotera, Daniel Hayes, Larry Davidson, Amy Ronaldson, Tesnime Jebara, Cerdic Hall, Lisa Brophy, Jessica Jepps, Sara Meddings, Claire Henderson, Mike Slade, Vanessa Lawrence
{"title":"Investigating the impact of the COVID-19 pandemic on recovery colleges: multi-site qualitative study.","authors":"Merly McPhilbin, Katy Stepanian, Caroline Yeo, Daniel Elton, Danielle Dunnett, Helen Jennings, Holly Hunter-Brown, Jason Grant-Rowles, Julie Cooper, Katherine Barrett, Mirza Hamie, Peter Bates, Rebecca McNaughton, Sarah Trickett, Simon Bishop, Simran Takhi, Stella Lawrence, Yasuhiro Kotera, Daniel Hayes, Larry Davidson, Amy Ronaldson, Tesnime Jebara, Cerdic Hall, Lisa Brophy, Jessica Jepps, Sara Meddings, Claire Henderson, Mike Slade, Vanessa Lawrence","doi":"10.1192/bjo.2024.70","DOIUrl":"10.1192/bjo.2024.70","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, mental health problems increased as access to mental health services reduced. Recovery colleges are recovery-focused adult education initiatives delivered by people with professional and lived mental health expertise. Designed to be collaborative and inclusive, they were uniquely positioned to support people experiencing mental health problems during the pandemic. There is limited research exploring the lasting impacts of the pandemic on recovery college operation and delivery to students.</p><p><strong>Aims: </strong>To ascertain how the COVID-19 pandemic changed recovery college operation in England.</p><p><strong>Method: </strong>We coproduced a qualitative interview study of recovery college managers across the UK. Academics and co-researchers with lived mental health experience collaborated on conducting interviews and analysing data, using a collaborative thematic framework analysis.</p><p><strong>Results: </strong>Thirty-one managers participated. Five themes were identified: complex organisational relationships, changed ways of working, navigating the rapid transition to digital delivery, responding to isolation and changes to accessibility. Two key pandemic-related changes to recovery college operation were highlighted: their use as accessible services that relieve pressure on mental health services through hybrid face-to-face and digital course delivery, and the development of digitally delivered courses for individuals with mental health needs.</p><p><strong>Conclusions: </strong>The pandemic either led to or accelerated developments in recovery college operation, leading to a positioning of recovery colleges as a preventative service with wider accessibility to people with mental health problems, people under the care of forensic mental health services and mental healthcare staff. These benefits are strengthened by relationships with partner organisations and autonomy from statutory healthcare infrastructures.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"10 3","pages":"e113"},"PeriodicalIF":3.9,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Evaluating changes in functioning and psychological distress in visitors of the @ease youth mental health walk-in centres - ERRATUM. 评估 @ease 青少年心理健康随访中心来访者功能和心理困扰的变化 - ERRATUM。
IF 3.9 3区 医学
BJPsych Open Pub Date : 2024-05-16 DOI: 10.1192/bjo.2024.719
Anouk Boonstra, Therese A M J van Amelsvoort, Rianne M C Klaassen, Arne Popma, Nina H Grootendorst-van Mil, Wim Veling, Remco F P de Winter, Nynke Boonstra, Sophie M J Leijdesdorff
{"title":"Evaluating changes in functioning and psychological distress in visitors of the @ease youth mental health walk-in centres - ERRATUM.","authors":"Anouk Boonstra, Therese A M J van Amelsvoort, Rianne M C Klaassen, Arne Popma, Nina H Grootendorst-van Mil, Wim Veling, Remco F P de Winter, Nynke Boonstra, Sophie M J Leijdesdorff","doi":"10.1192/bjo.2024.719","DOIUrl":"10.1192/bjo.2024.719","url":null,"abstract":"","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"10 3","pages":"e114"},"PeriodicalIF":3.9,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Implementation of the World Health Organization's QualityRights initiative in Ghana: an overview. 世界卫生组织 "质量权 "倡议在加纳的实施情况:概述。
IF 5.4 3区 医学
BJPsych Open Pub Date : 2024-05-13 DOI: 10.1192/bjo.2024.11
Akwasi O Osei, Caroline Amissah, Samuel Cudjoe Hanu, Priscilla E Tawiah, Kwaku A Brobbey, Yaw Amankwah Arthur, Joana Ansong, Sally-Ann Ohene, Leveana Gyimah, Humphrey Kofie, Daniel Taylor, Peter Badimak Yaro, Michelle Funk, Natalie Drew, Maria Francesca Moro, Mauro Giovanni Carta, Florence Kamayonza Baingana, Victus Kwaku Kpesese, Martin Orrell, Celline Cole
{"title":"Implementation of the World Health Organization's QualityRights initiative in Ghana: an overview.","authors":"Akwasi O Osei, Caroline Amissah, Samuel Cudjoe Hanu, Priscilla E Tawiah, Kwaku A Brobbey, Yaw Amankwah Arthur, Joana Ansong, Sally-Ann Ohene, Leveana Gyimah, Humphrey Kofie, Daniel Taylor, Peter Badimak Yaro, Michelle Funk, Natalie Drew, Maria Francesca Moro, Mauro Giovanni Carta, Florence Kamayonza Baingana, Victus Kwaku Kpesese, Martin Orrell, Celline Cole","doi":"10.1192/bjo.2024.11","DOIUrl":"10.1192/bjo.2024.11","url":null,"abstract":"<p><strong>Background: </strong>Globally, human rights violations experienced by persons with psychosocial, intellectual or cognitive disabilities continue to be a concern. The World Health Organization's (WHO) QualityRights initiative presents practical remedies to address these abuses. This paper presents an overview of the implementation of the initiative in Ghana.</p><p><strong>Aims: </strong>The main objective of the QualityRights initiative in Ghana was to train and change attitudes among a wide range of stakeholders to promote recovery and respect for human rights for people with psychosocial, intellectual and cognitive disabilities.</p><p><strong>Method: </strong>Reports of in-person and online training, minutes of meetings and correspondence among stakeholders of the QualityRights initiative in Ghana, including activities of international collaborators, were analysed to shed light on the implementation of the project in Ghana.</p><p><strong>Results: </strong>In-person and online e-training on mental health were conducted. At the time of writing, 40 443 people had registered for the training, 25 416 had started the training and 20 865 people had completed the training and obtained a certificate. The team conducted 27 in-person training sessions with 910 people. The successful implementation of the project is underpinned by a committed partnership among stakeholders, strong leadership from the coordinating agency, the acceptance of the initiative and the outcome. A few challenges, both in implementation and acceptance, are discussed.</p><p><strong>Conclusions: </strong>The exposure of the WHO QualityRights initiative to a substantial number of key stakeholders involved in mental healthcare in Ghana is critical to reducing human rights abuses for people with psychosocial, intellectual and cognitive disabilities.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"10 3","pages":"e111"},"PeriodicalIF":5.4,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11094431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140911013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Methods and associations of suicidality in Kenyan high school students: clinical and public health implications. 肯尼亚高中生自杀的方法和关联:对临床和公共卫生的影响。
IF 5.4 3区 医学
BJPsych Open Pub Date : 2024-05-13 DOI: 10.1192/bjo.2024.56
David M Ndetei, Danuta Wasserman, Victoria Mutiso, Jenelle R Shanley, Christine Musyimi, Pascalyne Nyamai, Timothy Munyua, Monica H Swahn, Tom L Osborn, Natalie E Johnson, Peter Memiah, Kamaldeep Bhui, Sonja Gilbert, John R Weisz, Afzal Javed, Andre Sourander
{"title":"Methods and associations of suicidality in Kenyan high school students: clinical and public health implications.","authors":"David M Ndetei, Danuta Wasserman, Victoria Mutiso, Jenelle R Shanley, Christine Musyimi, Pascalyne Nyamai, Timothy Munyua, Monica H Swahn, Tom L Osborn, Natalie E Johnson, Peter Memiah, Kamaldeep Bhui, Sonja Gilbert, John R Weisz, Afzal Javed, Andre Sourander","doi":"10.1192/bjo.2024.56","DOIUrl":"10.1192/bjo.2024.56","url":null,"abstract":"<p><strong>Background: </strong>Most evidence on suicidal thoughts, plans and attempts comes from Western countries; prevalence rates may differ in other parts of the world.</p><p><strong>Aims: </strong>This study determined the prevalence of suicidal thoughts, plans and attempts in high school students in three different regional settings in Kenya.</p><p><strong>Method: </strong>This was a cross-sectional study of 2652 high school students. We asked structured questions to determine the prevalence of various types of suicidality, the methods planned or effected, and participants' gender, age and form (grade level). We provided descriptive statistics, testing significant differences by chi-squared and Fisher's exact tests, and used logistic regression to identify relationships among different variables and their associations with suicidality.</p><p><strong>Results: </strong>The prevalence rates of suicidal thoughts, plans and attempts were 26.8, 14.9 and 15.7%, respectively. These rates are higher than those reported for Western countries. Some 6.7% of suicide attempts were not associated with plans. The most common method used in suicide attempts was drinking chemicals/poison (18.8%). Rates of suicidal thoughts and plans were higher for older students and students in urban rather than rural locations, and attempts were associated with female gender and higher grade level - especially the final year of high school, when exam performance affects future education and career prospects.</p><p><strong>Conclusion: </strong>Suicidal thoughts, plans and attempts are prevalent in Kenyan high school students. There is a need for future studies to determine the different starting points to suicidal attempts, particularly for the significant number whose attempts are not preceded by thoughts and plans.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"10 3","pages":"e112"},"PeriodicalIF":5.4,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11094434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140911050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Sexually transmitted infections, sexual life and risk behaviours of people living with schizophrenia: systematic review and meta-analysis. 精神分裂症患者的性传播感染、性生活和危险行为:系统回顾和荟萃分析。
IF 5.4 3区 医学
BJPsych Open Pub Date : 2024-05-10 DOI: 10.1192/bjo.2024.49
Claudia Aymerich, Borja Pedruzo, Gonzalo Salazar de Pablo, Lander Madaria, Javier Goena, Vanessa Sanchez-Gistau, Paolo Fusar-Poli, Philip McGuire, Miguel Ángel González-Torres, Ana Catalan
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