When Suicide is Not Suicide: Self-induced Morbidity and Mortality in the General Hospital

Bostwick, John

doi:10.5041/rmmj.10197

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Self-harm behaviors that are exceedingly worrisome can be symptoms of suicidality [ 71 ]. Behavioral symptoms of suicide risk are when a person states an intention for dying; displays warning signs like changes in behaviors, thoughts, or emotions; increases substance use; displays increased verbal or physical aggression; or shows disengagement from social contacts.…”

Section: Adaptive and Maladaptive Behaviorsmentioning

confidence: 99%

Psychosocial Consequences of Spinal Cord Injury: A Narrative Review

Budd

Gater

Channell

2022

JPM

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Consequences of a spinal cord injury (SCI) entail much more than damage to the spinal cord. The lives of people with SCI, along with those around them, experience profound long-lasting changes in nearly every life domain. SCI is a physical (biological) injury that is inextricably combined with various psychological and social consequences. The objective of this review is to present psychosocial challenges following SCI through the biopsychosocial model, beginning with acknowledgement of the larger societal effects of ableism and stigma before addressing the many unique psychosocial aspects of living with SCI. Included in this review are qualitative studies and systematic reviews on current psychosocial outcomes and consequences. This paper attempts to structure this information by dividing it into the following sections: relationships and family; changes in finances and employment; issues related to the person’s living situation; community reintegration; factors associated with mood and coping (e.g., depression, anxiety, substance use, and PTSD); self-harm behaviors (ranging from nonadherence to suicide); effects of traumatic brain injury; considerations regarding sexual health; aging with SCI; and concludes with a brief discussion about post-traumatic growth. Cultivating an understanding of the unique and interrelated psychosocial consequences of people living with SCI may help mitigate the psychosocial aftermath and serve as a reminder to providers to maintain a person-centered approach to care.

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Section: Adaptive and Maladaptive Behaviorsmentioning

confidence: 99%

Psychosocial Consequences of Spinal Cord Injury: A Narrative Review

Budd

Gater

Channell

2022

JPM

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“… 2 Bostwick offers an insightful analysis and unique approach to the assessment of suicidality in the general hospital setting. 3 Fleming posits the relevance of approaching and treating fibromyalgia and other occurrences of medical symptoms of undetermined significance under a rubric of central sensitization syndrome. 4 Mueller synthesizes the burgeoning literature related to defining, teaching, and assessing professionalism among physicians.…”

mentioning

confidence: 99%

Two are Better Than One: Valuing Medical Friendship

Davidson¹,

Blazer²

2015

Rambam Maimonides Med J

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The spectrum of end of life care: an argument for access to medical assistance in dying for vulnerable populations

Wright

Shaw

2018

Med Health Care and Philos

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Medical assistance in dying (MAiD) was legalized by the Supreme Court of Canada in June 2016 and became a legal, viable end of life care (EOLC) option for Canadians with irremediable illness and suffering. Much attention has been paid to the balance between physicians' willingness to provide MAiD and patients' legal right to request medically assisted death in certain circumstances. In contrast, very little attention has been paid to the challenge of making MAiD accessible to vulnerable populations. The purpose of this paper was to examine the extant literature and resources that are available on the provision of MAiD in Canada. We found that the provision of EOLC in Canada offers insufficient access to palliative and EOLC options for Canadians and that vulnerable Canadians experience disproportional barriers to accessing these already limited resources. Consequently, we argue that palliative care, hospice care and MAiD must be considered a spectrum of EOLC that is inclusive and accessible to all Canadians. We conclude by imploring Canadian healthcare professionals, policy makers and legislators to consider MAiD as a viable EOLC option for all Canadians.

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When Suicide is Not Suicide: Self-induced Morbidity and Mortality in the General Hospital

Cited by 4 publications

References 15 publications

Psychosocial Consequences of Spinal Cord Injury: A Narrative Review

Psychosocial Consequences of Spinal Cord Injury: A Narrative Review

Two are Better Than One: Valuing Medical Friendship

The spectrum of end of life care: an argument for access to medical assistance in dying for vulnerable populations

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