Suicide in Global Mental Health

Current Psychiatry Reports, Journal Year: 2023, Volume and Issue: 25(6), P. 255 - 262

Published: May 13, 2023

Language: Английский

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Mental health after the COVID-19 pandemic among Finnish youth: a repeated, cross-sectional, population-based study

The Lancet Psychiatry, Journal Year: 2024, Volume and Issue: 11(6), P. 451 - 460

Published: May 15, 2024

Language: Английский

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Protective factors for suicidal ideation and suicide attempts in adolescence: a longitudinal population-based cohort study examining sex differences

BMC Psychiatry, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 6, 2025

Adolescence is a critical period with elevated vulnerability to suicidality. Despite the importance of protective factors in reducing suicidal ideation (SI) and suicide attempts (SA), research this area remains limited. This study investigated associations between early adolescence subsequent outcomes SI SA year later, while also examining sex differences these associations. utilized data from representative sample at two timepoints, T1 (N = 2464, 50.8% females, mean age 13.7, SD 0.6) 1998 T2 2432, 50.4% 14.9, one collected as part longitudinal Youth Mental Health Study (YAMHS) Norway. Individual, social environmental were identified based on prior theoretical frameworks. We used linear (or ordinal logistic) regression analyses SA) dependent variable, factor, their interaction covariates. Positive self-perceptions (T1) significantly associated reduced later (T2) for both sexes. Specifically, self-worth was more strongly females (B -0.16, 95% CI: -0.20 -0.12, p <.001) than males -0.08, -0.12 -0.04, <.001). The competence influenced likelihood SA, (OR 0.24, 0.13 0.42, showing greater reduction 0.53, 0.35 0.80, =.009), although association only showed trend towards significance (p =.083). Higher physical activity school connectedness/wellbeing lower SI, no differences. No significant found task-oriented coping, attachment, family functioning or socio-economic status SA. Fostering positive self-perception, activity, important adolescent prevention, contribute Sex observed well Future should explore additional across gender groups.

Language: Английский

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Internet gaming disorder and suicidal behaviors mediated by sleep disturbance: a large-scale school-based study in 135,174 Chinese middle school students

European Child & Adolescent Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: March 3, 2025

Language: Английский

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Practitioner Review: Common elements in treatments for youth suicide attempts and self‐harm – a practitioner review based on review of treatment elements associated with intervention benefits

Journal of Child Psychology and Psychiatry, Journal Year: 2023, Volume and Issue: 64(10), P. 1409 - 1421

Published: March 6, 2023

Background Adopting a common elements approach, this practitioner review aims to highlight specific treatment that are interventions with demonstrated benefits in randomized controlled trials (RCTs) for reducing suicide attempts and self‐harm youth. Identification of among effective offers key strategy clarifying the most robust features improving our ability implement decrease lag between scientific advances clinical care. Methods A systematic search RCTs evaluating targeting suicide/self‐harm youth (ages 12–18) yielded total 18 assessing 16 different manualized interventions. An open coding process was used identify present within each intervention trial. Twenty‐seven were identified classified into format, process, content categories. All coded inclusion these by two independent raters. also those where trial results supported improvements behavior ( n = 11 trials) without evidence 7 unsupported trials). Results Compared trials, shared following elements: (a) therapy both family/caregivers; (b) an emphasis on relationship‐building therapeutic alliance; (c) utilization individualized case conceptualization guide treatment; (d) provided skills training (e.g. emotion regulation skills) their parents/caregivers; (e) lethal means restriction counseling as part monitoring safety planning. Conclusions This highlights associated efficacy community practitioners can incorporate treatments presenting behaviors.

Language: Английский

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Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis

Journal of Youth and Adolescence, Journal Year: 2024, Volume and Issue: 53(6), P. 1301 - 1322

Published: April 2, 2024

Abstract Suicide remains the second most common cause of death in young people aged 10–24 years and is a growing concern globally. The literature reports vast number factors that can predispose an adolescent to suicidality at individual, relational, community, or societal level. There limited high-level research identifying understanding these risk protective suicidality. present study used umbrella review meta-analysis synthesize evidence from past 20 on self-harm (behavior ideation) adolescents. included 33 quantitative reviews with 1149 individual studies self-harm. Based data synthesis, it compared public health impact exposure population identified exposure. Bullying victimization was attributed environmental for other significant school were sleeping disturbance, absenteeism, antidepressants. Several vulnerable populations significantly higher prevalence suicidality, including lesbian, gay, bisexual, transgender, queer (or questioning) youth those mental disorders, problem behaviors, previous self-harm, gender (female). A person-centered approach emphasizing connectedness bully-free environments should be priority focus schools, professionals, policymakers.

Language: Английский

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Strong associations of telomere length and mitochondrial copy number with suicidality and abuse history in adolescent depressed individuals

Molecular Psychiatry, Journal Year: 2023, Volume and Issue: 28(9), P. 3920 - 3929

Published: Sept. 1, 2023

Abstract Major depressive disorder (MDD) is highly prevalent in adolescents and a major risk factor for suicidality. Recent evidence shows that accelerated cellular senescence/aging associated with psychiatric illness, including depression, adults. The present study examined if the relationships of telomere length (TL) mitochondrial DNA copy number (mtDNAcn), two critical indicators senescence/aging, are altered depressed whether these alterations suicidality, early-life adversities, other co-occuring factors. In genomic isolated from 53 (ages 16–19, 19 MDD suicide attempt/suicidal ideation [MDD + SI/SA], 14 without SA/SI [MDD-SI/SA], 20 healthy controls [HC]), TL mtDNAcn were measured as ratio between repeats single-copy nuclear-hemoglobin [HBG] gene or amount mtDNA (NADH dehydrogenase, subunit 1) relative to HBG. Our data show was significantly lower, higher total group than HC. lower HC, whereas there no differences MDD-SI/SA group. positively correlated both HC MDD-SA/SI groups; however, negatively SA/SI. Furthermore, severity depression anxiety, while prior emotional abuse. indicates senescence more advanced suicidal childhood abuse may participate such process.

Language: Английский

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Suicide ideation among Brazilian college students: Relationship with academic factors, mental health, and sexual abuse

Journal of Affective Disorders, Journal Year: 2023, Volume and Issue: 329, P. 324 - 334

Published: Feb. 26, 2023

Language: Английский

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The Goldilocks Zone: Finding the right balance of user and institutional risk for suicide-related generative AI queries

PLOS Digital Health, Journal Year: 2025, Volume and Issue: 4(1), P. e0000711 - e0000711

Published: Jan. 8, 2025

Generative artificial intelligence (genAI) has potential to improve healthcare by reducing clinician burden and expanding services, among other uses. There is a significant gap between the need for mental health care available clinicians in United States–this makes it an attractive target improved efficiency through genAI. Among most sensitive topics suicide, demand crisis intervention grown recent years. We aimed evaluate quality of genAI tool responses suicide-related queries. entered 10 queries into five tools–ChatGPT 3.5, GPT-4, version GPT-4 safe protected information, Gemini, Bing Copilot. The response each query was coded on seven metrics including presence suicide hotline number, content related evidence-based interventions, supportive content, harmful content. Pooling across tools, (79%) were supportive. Only 24% included number only 4% consistent with prevention interventions. Harmful rare (5%); all such instances delivered Our results suggest that developers have taken very conservative approach constrained their models’ support-seeking, but little else. Finding balance providing much needed information without introducing excessive risk within capabilities developers. At this nascent stage integrating tools systems, ensuring parity should be goal organizations.

Language: Английский

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Age-Based Trends in Suicidal Ideation Among Child Welfare System-Involved Youth

Child Maltreatment, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 9, 2025

Youth involved with the child welfare system (CWS) exhibit elevated rates of suicidal ideation. This study explores age-, sex-, and race-specific trends ideation among 7–18-year-olds within CWS. Utilizing data from all three versions National Survey for Child Adolescent Well-Being ( N = 5783), which included nationally representative samples CWS-involved youth, we stratified sample by age, sex, race, ethnicity to observe subpopulation-specific trends. Our analysis estimated self-reported in each demographic stratum. Notably, discovered that 7–10-year-old males females reported higher (∼26%) than any other group except 15–16-year-old (∼27%). trend was consistent across racial ethnic subgroups. Additional investigations are required identify causes these younger children determine if this extends outside

Language: Английский

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