Self-neglect of spinal injured patients

Macleod, Ad

doi:10.1038/sc.1988.48

Cited by 28 publications

(22 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A few of these, as well as deaths from other causes may in fact have been suicides by self-neglect (Macleod, 1988). However, any such deaths were not included in this study because we had no way to confirm suicidal intentions.…”

Section: Discussionmentioning

confidence: 99%

Suicide following spinal cord injury

et al. 1991

View full text Add to dashboard Cite

SummaryA study of 9135 persons injured between 1973 and 1984 and treated at any of 13 model regional spinal cord injury (SCI) care systems was conducted. Follow-up ended December 31, 1985, by which time 50 persons had committed suicide (6'3% of deaths). Based on age-sex-race-specific rates for the general population, 10'2 suicides were expected to occur. Therefore, the standardized mortality ratio (SMR) for suicide was 4'9. The highestSMR occurred 1 to 5 years after injury. The SMR was also elevated for the first post-injury year, but was not significantly elevated after the fifth year. The SMR was significantly elevated for all neurological groups, but was highest for persons with complete paraplegia. The SMR was highest for persons aged 25 to 54 years, but was also elevated for persons aged less than 25 years. Suicide was the leading cause of death for persons with complete paraplegia and the second leading cause of death for persons with incomplete paraplegia. The most common means of committing suicide was by gunshot. These figures demonstrate the need for increased staff, patient and family awareness of this problem, and improved follow-up assessment and psychosocial support programmes.

show abstract

Section: Discussionmentioning

confidence: 99%

Suicide following spinal cord injury

et al. 1991

View full text Add to dashboard Cite

show abstract

“…3 In addition to the emotional distress experienced, problems with adjustment can affect other areas of functioning. For example, it has been suggested that problems with adjustment are linked to self-neglect, 4 which can in turn impact on the physical well-being and increase the likelihood of the onset of secondary complications. 5 Difficulties have also been linked to substance abuse, 6 which may contribute to further health problems.…”

Section: Introductionmentioning

confidence: 99%

Spinal cord injury, coping and psychological adjustment: a literature review

2009

View full text Add to dashboard Cite

Objectives: This paper reviews the literature concerning psychological adjustment to spinal cord injury, focusing on the recent methodological developments and new directions in research. Method: Several literature reviews using the search terms Spinal Cord Injury, Paraplegia, Coping and Adjustment were undertaken using the databases in Pubmed, Medline and Embase. The papers that were published from 2001 onwards, written in English and used a sample of adults were included. Results: The literature reviewed lends further support to the importance of appraisals and coping strategies in the adjustment to spinal cord injury. Methodological issues highlighted in earlier reviews are addressed in conjunction with further theoretical explorations. Conclusions: Although many of the methodological criticisms have been addressed, there remains a need for longitudinal research into the process of adjustment to spinal cord injury and the contributory role of appraisals and coping strategies. Measurement tools designed specifically for use within the spinal cord injured population should be utilized in the prevention of maladaptive adjustment issues, whereas able-bodied comparison groups would allow identification of coping strategies unique to the spinal cord injured population.

show abstract

“…Prevalence of self-neglect (such as non-compliant behavior or passive behavior resulting in physical problems) has also been found to be high when depressive illness is involved. 6 Australian data on divorce trends following SCI is lacking, however, increased divorce trends in the USA demonstrate the di culties involved in adjusting to SCI. 7 Drug abuse is also a potentially increasing problem in this population.…”

Section: Introductionmentioning

confidence: 99%

Improving the long-term adjustment of spinal cord injured persons

1999

View full text Add to dashboard Cite

Study Design: The study involved the long-term assessment of persons with spinal cord injury (SCI) who previously participated in a nonrandomized longitudinal controlled trial. Objectives: The objective was to report on the e ectiveness of early psychological intervention in improving some aspects of adjustment to SCI 2 years post injury. Setting: The study was conducted in Sydney, Australia. Methods: Twenty-eight SCI persons who had participated in group Cognitive Behaviour Therapy (CBT) during hospital rehabilitation were assessed for drug usage, hospital readmissions, relationships, perceived adjustment and social discrimination 2 years after treatment. The intervention group's responses on the measures were compared with a control group of 31 SCI persons who only received traditional rehabilitation services during their hospitalization. Results: Subjects in the treatment group experienced less hospital re-admissions, used less drugs and reported higher levels of adjustment compared to the control group. Relationships were stable for both groups and there were no suicides in either group up to 2 years. There were no di erences in perceived social discrimination between the two groups. Conclusion: The study suggests the long-term adjustment for SCI persons is encouraging for the majority. However, the provision of group CBT for SCI persons appears to improve signi®cantly some aspects of adjustment to the injury in the long-term.

show abstract

Self-neglect of spinal injured patients

Cited by 28 publications

References 26 publications

Suicide following spinal cord injury

Suicide following spinal cord injury

Spinal cord injury, coping and psychological adjustment: a literature review

Improving the long-term adjustment of spinal cord injured persons

Contact Info

Product

Resources

About