Utilization of psychiatric services prior to suicide- a retrospective comparison of users with and without previous suicide attempts

Probert-Lindström, Sara; Vaez, Marjan; Fröding, Elin; Ehnvall, Anna; Sellin, Tabita; Ambrus, Livia; Bergqvist, Erik; Palmqvist-Öberg, Nina; Wærn, Margda; Westrin, Åsa

doi:10.1080/13811118.2021.2006101

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…(1,4,5) Moreover, anxiety is a risk factor for suicidal thoughts and attempts, making it a serious public health challenge. (6) Owing to social isolation, loss of loved ones, and medical and neuropsychiatric multimorbidity, notably cognitive decline, older adults are at a particularly high risk of experiencing anxiety. (7) Anxiety is ranked among the most prevalent mental health disorders in older adults, (2) and similar to other age groups, anxiety increases the risk of suicide in advanced ages.…”

Section: Introductionmentioning

confidence: 99%

Sex-modulated association between thyroid stimulating hormone and informant-perceived anxiety in non-depressed older adults: prediction models and relevant cutoff value

Hallab

2024

Preprint

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Introduction: The aim of this study was to assess the association between thyroid function and perceived anxiety in non-depressed older adults. Methods: Non-depressed Alzheimer's Disease Neuroimaging Initiative participants with complete Thyroid Stimulating Hormone (TSH) and neuropsychiatric inventory (NPI/NPI-Q) were included. The association between anxiety and thyroid function was assessed by logistic regression and sex stratification. Restricted cubic splines were applied to evaluate non-linearity in the association. Results: The median age of 2,114 eligible participants was 73 years (68-78), 1,117 (52.84%) were males, and the median TSH was 1.69 uIU/mL. There was a significant association between TSH and informant-perceived anxiety in the total study population (OR Model1=0.86, 95% CI 0.76-0.97, p=0.011), even after adjusting for bio-demographical (adj.OR Model2=0.85, 95% CI 0.75-0.96, p=0.007), and socio-cognitive confounders (adj.OR Model3=0.84, 95% CI 0.73-0.96, p=0.009). Sex-stratification showed similar significant results in all models only in males (OR Model1-male=0.71, 95% CI: 0.58-0.85, p Model1-male<0.001). In the general population and males, a TSH value of 2.4 uIU/dL was a significant cutoff under which anxiety odds were significantly high, even after adjusting for confounders. Conclusions: The sex-dependent association between TSH levels and perceived anxiety in non-depressed older adults is a novel finding that has to be further explored for a better understanding of the underlying neurobehavioral biology.

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Section: Introductionmentioning

confidence: 99%

Sex-modulated association between thyroid stimulating hormone and informant-perceived anxiety in non-depressed older adults: prediction models and relevant cutoff value

Hallab

2024

Preprint

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A study protocol of the effectiveness of the Attempted Suicide Short Intervention Program (ASSIP) for recent suicide attempters: a randomized controlled trial

Lindström,

Ehnvall,

Bergqvist

et al. 2024

BMC Psychiatry

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Background Given the limited research focusing on psychotherapeutic interventions for suicide attempters, it is noteworthy that the Attempted Suicide Short Intervention Program (ASSIP) has demonstrated promising results in previous studies. In this investigation, we aim to evaluate the effectiveness of ASSIP across diverse healthcare settings, outlining the study design and planned evaluation. Methods Using a Randomized Controlled Trial (RCT) design with four assessment points (baseline, 3, 12- and 24-month follow-up), we aim to assess the effect of the 3-session psychotherapeutic intervention and hereafter brief contact via structured letters during 2 years in a clinical sample of recent suicide attempters (suicide attempts within three months before inclusion). Participants are randomly assigned to one of two groups; treatment as usual plus ASSIP or the control condition, treatment as usual. Assessments include measures of suicidal intent, coping, symptoms of depression, quality of life, self-stigma, and sick leave. The primary outcome is suicide attempt(s) within 3, 12, and 24 months and the secondary outcome is suicidal ideation within the same time frames after study inclusion. Discussion Findings from this study will provide novel insights regarding the effects of ASSIP on not only subsequent suicidal behavior but also other outcomes including self-stigma, quality of life, social network, sick leave, and symptoms of depression. Trial registration The trial was registered at ClinicalTrial.gov NCT04746261 on 2020-10-15.

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Programas de prevención del suicidio en adolescentes: una revisión sistemática

González Sánchez,

Gil Madrona,

Losada Puente

et al. 2024

(EJEP

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El objetivo del estudio fue realizar una revisión sistemática de los programas de prevención del suicidio en adolescentes, guiada por la declaración PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Se realizó una búsqueda en bases de datos internacionales (PsycInfo, Scopus y Web of Science), empleando como criterios de inclusión: (a) programas de prevención del suicidio o mejora de la salud mental; (b) destinados a adolescentes, o (c) formación de adultos en prevención del suicidio en adolescentes. Se seleccionaron estudios de los últimos cinco años, periodo 2019-2023. Se excluyeron estudios de caso único para evitar posibles sesgos asociados a estudios individuales. La muestra inicial se compuso de 4.320 artículos, mientras que, tras un análisis exhaustivo de los artículos, la muestra final se compuso de 20 artículos con programas desarrollados, principalmente, en Estados Unidos (n = 7) y Australia (n = 5), en su mayoría, dirigidos a adolescentes de 12-22 años (n = 18). Los resultados respaldaron la relevancia de estos programas para reducir la ideación suicida, aumentar la confianza y conocer herramientas e instituciones de prevención del suicidio. Destacaron actividades centradas en la detección, conocimiento y búsqueda de ayuda, En ocho estudios, se encontró que el programa realizado tuvo un mayor impacto en mujeres, dado que pusieron en práctica los aprendizajes de los talleres realizados. En conclusión, se constataron los beneficios de la prevención ante el riesgo de suicidio en adolescentes, destacándose algunas características esenciales; además, su escasa presencia en España ofrece un campo de trabajo de interés, observándose la importancia de incorporar la actividad física como aspecto clave de abordar la presión, depresión y estrés asociados al riesgo de suicido en adolescentes.

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Utilization of psychiatric services prior to suicide- a retrospective comparison of users with and without previous suicide attempts

Cited by 3 publications

References 27 publications

Sex-modulated association between thyroid stimulating hormone and informant-perceived anxiety in non-depressed older adults: prediction models and relevant cutoff value

Sex-modulated association between thyroid stimulating hormone and informant-perceived anxiety in non-depressed older adults: prediction models and relevant cutoff value

A study protocol of the effectiveness of the Attempted Suicide Short Intervention Program (ASSIP) for recent suicide attempters: a randomized controlled trial

Programas de prevención del suicidio en adolescentes: una revisión sistemática

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