Suicidal expressions among young people in Nicaragua

Rodríguez, Andrés Herrera; Caldera, Trinidad; Kullgren, Gunnar; Renberg, Ellinor Salander

doi:10.1007/s00127-006-0083-x

Cited by 24 publications

(36 citation statements)

References 29 publications

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“…Nicaragua faces serious mental health needs and challenges (16–21), as shown in Table 1. The country has a population of about six million inhabitants, but less than 25% of it has access to mental healthcare.…”

Section: Nicaraguan Contextmentioning

confidence: 99%

Global mental health: transformative capacity building in Nicaragua

Sapag

Herrera

Trainor

et al. 2013

Global Health Action

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BackgroundMental health is increasingly recognised as integral to good public health, but this area continues to lack sufficient planning, resources, and global strategy. It is a pressing concern in Latin America, where social determinants of health aggravate existing inequities in access to health services. Nicaragua faces serious mental health needs and challenges. One key strategy for addressing gaps in mental health services is building capacity at the primary healthcare and system levels.ObjectiveUsing the framework of best practice literature, this article analyses the four-year collaborative process between the National Autonomous University of Nicaragua in León (UNAN-León) and the Centre for Addiction and Mental Health (CAMH) in Canada, which is aimed at improving mental healthcare in Nicaragua.DesignBased on a critical analysis of evaluation reports, key documents, and discussion among partners, the central steps of the collaboration are analysed and main successes and challenges identified.ResultsA participatory needs assessment identified local strengths and weaknesses, expected outcomes regarding competencies, and possible methodologies and recommendations for the development of a comprehensive capacity-building programme. The partners delivered two international workshops on mental health and addiction with an emphasis on primary healthcare. More recently, an innovative Diploma and Master programme was launched to foster interprofessional leadership and effective action to address mental health and addiction needs. Collaborative activities have taken place in Nicaragua and Canada.DiscussionTo date, international collaboration between Nicaragua and CAMH has been successful in achieving the jointly defined goals. The process has led to mutual knowledge sharing, strong networking, and extensive educational opportunities. Evidence of effective and respectful global health capacity building is provided. Lessons learned and implications for global health action are identified and discussed.

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Section: Nicaraguan Contextmentioning

confidence: 99%

Global mental health: transformative capacity building in Nicaragua

Sapag

Herrera

Trainor

et al. 2013

Global Health Action

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“…While attitudes towards suicide have been studied over the past decade in diverse groups [5][6][7][8], no data on coroners' attitudes towards suicide are available. We have assessed attitudes towards suicide in Irish coroners using a questionnaire which has been developed and validated for use among professionals and the general population in an ongoing cross-cultural study of attitudes towards suicide and its prevention.…”

Section: Introductionmentioning

confidence: 98%

Irish coroners’ attitudes towards suicide and its prevention

et al. 2008

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“…1 Unlike psychosis, the most important characteristic of dissociative disorders is a rupture from reality. [2][3][4][5] A dissociative experience is a defense mechanism against crisis or exposure to stress. [6][7][8] The DSM-IV-TR identifies the types of dissociative disorders as dissociative identity, personality deprivation, dissociative forgetfulness and unspecified dissociative disorders.…”

Section: Introductionmentioning

confidence: 99%

“…In response to conflicts, when a response to war or escape is not possible, memory loss can be a substitute for suicide. 2 Most victims face a communication upheaval. Because the abusive agent is often the same person who is responsible for the individual's care, in order to maintain affection, the reality of mistreatment must be denied, forgotten, suppressed and marginalized.…”

Section: Introductionmentioning

confidence: 99%

“…The physiological, emotional, perceptual and motor aspects of mental harm, in particular anxiety and fear responses, are encoded in other areas, particularly the amygdala (which, unlike the hippocampus, is not affected by stress hormones). [1][2][3][4][5] Therefore, the traumatic experience cannot be reminiscent of fictional and verbal forms, while physical memory associated with it continues to be in the form of fears and psychological problems.…”

Section: Introductionmentioning

confidence: 99%

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