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A Retrospective Analysis of Intoxicated Patients Admitted to the Intensive Care Unit: A Single-Institution Assessment in the Post-Pandemic Period

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Journal of Biosciences and Medicines 2024年第3期12卷 159-167页

作者： Müge Arikan Abdullah Yeşilkaya Büşra Nur Taşdelen İbrahim Özyiğit Department of Anesthesia and Intensive Care Faculty of Medicine Karabuk University Karabuk Turkey

Background: The aim of this study was to evaluate the clinical and epidemiological characteristics of patients with acute intoxication admitted to the Intensive Care Unit (ICU). Material and Methods: An observational retrospective study was conducted on intoxicated patients who admitted to ICU between January 2022 and January 2024. Data were collected from the patients medical records. The demographic characteristics, causes of intoxications, clinical parameters, the mean stay in the ICU, treatment modalities and prognosis were recorded. Results: A total of 2875 critically ill patients were admitted during the study period, and 109 (3.79%) of them were acute intoxications. Their mean of ages was 38.09 ± 12.29. The female-to-male ratio was 1.37/1. Drugs were found to be the primary cause (62.39%) of intoxications, and analgesics, antidepressants, and antibiotics were the most frequent agents. suicidal attempts were present in 66 patients, most of them were female (62.13%) and between 17 - 24 years (40.91%). The other common causes of intoxications were carbon monoxide (CO) (22.02%), methyl/ethyl alcohol (8.26%) and mushroom (5.50%). The mean stay in the ICU was 2.69 ± 0.89 days. Mechanical ventilation was applied to 10 of our patients. Renal replacement therapy was required in 6 patients. Despite all treatments, 6 of our patients died, and we found the mortality rate to be 5.50%. Conclusion: Intoxications were more frequent in young female patients and drugs were the most common cause with suicidal intent. Unfortunately, CO poisoning continues to be a very important problem in our city. These findings provided significant information about the characteristics of intoxications in Karabuk.

关键词： Intoxication Intensive Care Unit suicidal Mortality

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suicidal Ideation among Depressed People Living with HIV/AIDS in Nigeria, West Africa

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Open Journal of Medical Psychology 2014年第3期3卷 262-270页

作者： Rasaki O. Shittu Moradeyo K. Alabi Louis O. Odeigah Musa A. Sanni Baba A. Issa Abdulganiyu T. Olanrewaju Abdullateef G. Sule Sunday A. Aderibigbe Department of Behavioural Sciences University of Ilorin Teaching Hospital Ilorin Nigeria Department of Epidemiology and Community Health University of Ilorin Teaching Hospital Ilorin Nigeria Department of Family Medicine Ahmadu Bello University Teaching Hospital Zaria Nigeria Department of Family Medicine Kwara State Specialist Hospital Ilorin Nigeria Department of Family Medicine University of Ilorin Teaching Hospital Ilorin Nigeria Department of Haematology Kwara State Specialist Hospital Ilorin Nigeria

Objective: Transient suicide thoughts are common to some people throughout the course of HIV disease and often do not indicate significant risk of suicide. However, persistent suicidal thoughts with associated feelings of hopelessness and intent to die are very serious and must be assessed promptly and carefully. The aim of this study, therefore, was to examine the relationship between depression, hopelessness, psychosocial stressors and suicidal ideation in PLWHAs. Methods: This was a hospital based, cross sectional, descriptive study, of one hundred and seventy depressed adult HIV/AIDS patients of Kwara State Specialist Hospital, Ilorin. Depression and suicidal assessment were evaluated using the PHQ-9 scale. A score of >9 or any affirmative response to question 9 of the PHQ-9 scale necessitated suicidal risk assessment. The social determinant questionnaire was used to evaluate social cohesion and negative life events. Results: The prevalence of depression among the HIV/AID patient was 56.7%. Twenty nine (17.1%) were hopeless, twenty eight (16.5%) had at one time or the other thought of taking their lives, six (3.5%) had plan to take their lives. There was strong statistical association between depression, hopelessness (p-value = 0.000) thought of taking life (p-value = 0.000) and plan to take their lives (p-value = 0.030). Conclusion: The significant correlations between hopelessness, depression and suicidal ideation are important markers that should alert clinicians to underlying suicide risk in HIV-positive patients. In addition, low social cohesion and stressful life events were found to be risk factors for depression and suicide. Clinicians should routinely enquire about suicidality in PLWHAs to assist early diagnosis and intervention.

关键词： suicidal Ideation Depression HIV/AIDS Nigeria West Africa

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Self-Efficacy as a suicidal Ideation Predictor: A Population Cohort Study in Rural Japan

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Open Journal of Preventive Medicine 2015年第2期5卷 61-71页

作者： Yoshio Kobayashi Koji Fujita Yoshihiro Kaneko Yutaka Motohashi Department of Public Health Akita University Graduate School of Medicine Akita Japan Nakadori General Hospital Akita Japan Kyoto Prefectural University of Medicine Kyoto Japan

Background: Self-efficacy has been widely studied in suicide, both in its causality and treatment effects. However, the evidence of causality is still ambiguous and there is a lack of generalizability. The aim of this study was to examine the relationship between self-efficacy and suicidal ideation through a population cohort study. Methods: The community-based household survey using a self-administered questionnaire was conducted in a rural area of Japan, Happo Town, in Akita Prefecture with community residents aged 30 and over at two respective time points by local health volunteers. The baseline survey was conducted in 2010 with a response rate of 88.9% (n = 6044). Among them, 3812 residents met the inclusion criteria for the follow-up survey in 2012 where the response rate was 75.3% (n = 2869). Exposure variables to suicidal ideation included demographic details, depression and self-efficacy. The Institutional Review Board and the Ethics Committee of Akita University approved the study protocol and all subjects signed informed consent. Results: A total number of 2105 participants (76.4%) without suicidal ideation in the baseline study were enrolled into the follow-up study, and 8.2% of them had developed suicidal ideation. These participants with suicidal ideation were significantly less likely to be married/cohabitant;they had worse subjective health, poorer self-perceived economic status, stronger depressive mood, and lower self-efficacy scores. The odds ratio of the self-efficacy scores at follow-up survey for participants who had developed suicidal ideation were about 2 times lower than at baseline (95% confidence interval = 1. 53 - 3.06). After adjusting for all confounding factors, the association was still significant (OR = 1.66, 95% CI = 1.15 - 2.42). Conclusion: This result suggests that suicidal ideation may be prevented by increasing self-efficacy. We suggest that self-efficacy can be an effective tool for identifying people with suicidal ideation, and increasing self-efficacy can be strategically

关键词： Self-Efficacy suicidal Ideation Mental Health Suicide Prevention Community Health

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Proposed Scales for Measuring suicidal Ideation in Adult Cancer Patients

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Open Journal of Medical Psychology 2014年第1期3卷 79-86页

作者： Diego Armando Leal-Hernández Lucía Sandoval Ximena Palacios-Espinosa José Rafael Tovar Cuevas Universidad del Rosario Bogotá Colombia

suicidal ideation, which can occur in oncology patients, is associated with suffering and a reduced quality of life. Empirical studies indicate that the incidence of suicide in people with cancer is approximately twice that of the general population. Objective: This cross-sectional descriptive study was designed to establish the prevalence of suicidal ideation in adult oncology patients based on a combination of scales to measure this variable. Method: A battery of three instruments (Scale for suicidal Ideation. Item 9 of Beck’s Depression Inventory, and a semi-structured interview) was used to make estimates that are not based on just one test and can thus make a comprehensive evaluation of suicidal ideation in the study sample. Four approximations, based on different items from suicidal ideation assessment scales, were developed to determine the most sensitive combination for identifying the presence of suicidal ideation in adult cancer patients. Results: The highest prevalence of suicidal ideation found with the proposed scales was 24.5% (CI = 16%-33%) with Scale 1;23.6% (CI = 15.2%-32%) with Scale 2;and 19.1% (CI = 11.3%-26.9%) with Scale 4. The lowest prevalence of suicidal ideation was 17.3% (CI = 9.8%-24.8%) with Scale 3. Conclusions: suicidal behavior in the oncology patient should be assessed;however, there is a need to select sensitive instruments that can be applied easily and are suitable for the target group, which faces difficulties in participating in extensive evaluations.

关键词： Cancer suicidal Ideation Assessment Scales

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Non-Violent Communication and Its Impact on suicidal Ideations and Coping with Stress Styles

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Journal of Behavioral and Brain Science 2018年第4期8卷 147-156页

作者： Heshmati-Molaie Nafise Zandkarimi Ghazal Department of Psychology Refah University Tehran Iran

One of the important dimensions of violence is suicide, or violence directed toward self that many people suffer from nowadays. In the meantime, adolescents and especially girls are more likely to be harmed. The purpose of this study was to evaluate the effect of group training with non-violent communication (NVC) method on suicidal ideations and coping with stress styles of adolescent girls. The target community in this research was availably selected from the charity centers of Tehran suburbs. In this study, 15 adolescent girls were in the experimental group and 15 in the control group. The criteria for entering the research were students aged 11 to 19 years and the vulnerable socio-economic income. Eight training sessions of NVC were presented for the experimental group in the pre-test and post-test intervals, while no intervention was performed for the control group. Data collection instruments were Beck’s scale for suicidal ideation (BDI) and Endler & Parker’s coping inventory for stressful situations (CISS). After statistical analysis, the effectiveness of this training was investigated on dependent variables by multivariate analysis of covariance. Eventually, the results showed a significant difference between the experimental and control groups (p suicidal ideations in adolescent girls who are socially and economically vulnerable. According to the findings, non-violent communication training has a higher effect on emotion-focused coping style compared to other stress coping styles.

关键词： Adolescent Girls Coping with Stress Non-Violent Communication suicidal Ideation

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Managing suicidal patients in clinical practice

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Open Journal of Psychiatry 2012年第1期2卷 49-60页

作者： Angelo De Gioannis Diego De Leo 不详

The clinical management of suicidal patients can be very challenging. This paper guides the reader through the basic steps in assessing a subject and deciding the type of treatment to provide. Characteristics of main psychiatric pathologies associated with suicidality are described, with attention to the peculiarities that specific associations may frequently entail.

关键词： clinical management suicidal patient community environment private practice risk factors treatment

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Promoting Time-Efficient Care for suicidal Patients in the Emergency Department

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Open Journal of Emergency Medicine 2020年第1期8卷 31-38页

作者： Lena Kazanchyan Raymund Gantioque Donovan Stewart Department of Nursing California State University of Los Angeles Los Angeles CA USA Emergency Department Adventist Health Glendale Glendale CA USA

Patients who present to an emergency department are in a vulnerable state of mind. The population in the emergency department is continuously growing. Acute stages of mental health problems can bring patients to the emergency department for care. Psychiatric disorders such as schizophrenia, living alone, depression, hopelessness, previous suicide attempts, self-devaluation, agitation, and insomnia are some risk factors that predispose individuals to suicide. suicidal patients’ care in the emergency department can be challenging for healthcare professionals due to the complex environment and numerous other emergencies occurring altogether. suicidal patients do not get the timely medical attention they need from clinicians. As a result, there are little information and few protocols in emergency departments about the correlation of the timely care and how it can affect the patients during the emergency department visit.

关键词： Suicide suicidal Ideation Emergency Department (ED) Throughput Boarding Nurse Practitioners

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The effects of slight atmospheric pressure fluctuations on the occurrence of emergency transport due to suicidal injuries

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Health 2010年第5期2卷 448-453页

作者： Lyudmyla Aleksandrovna Didyk Yuriy Pavlovich Gorgo Joris Jan Josef Dirckx Irina Aleksandrovna Semenova Nataliya Petrovna Didyk Dmytro Sergeevich Gorlov 不详

The objective of this study was to test the hypothesis that a relation exists between slight atmospheric pressure fluctuations (APF) in the far infrasound frequency range and daily number of emergency transport events due to suicidal injuries (EESU). The regression models to compare groups were used to assess the relation of EESU to the mean daily amplitude of APF (APF-A) and to the ratio of APF amplitude averaged over the daytime to the APF amplitude averaged over the nighttime (Rdn). To eliminate the confounding effects of basic meteorological parameters and annual trend in EESU, the non- parametric smoothing method was used in a stepwise manner. The low APF-A (95% CI = 1.06- 1.16 Pa) compared to their common middle levels and the high (95% CI = 3.18-3.64 Pa), as well the low Rdn (СI = 0.83-0.92) and very high Rdn (CI = 3.05-3.77) compared to their more closed to common regular values (СI = 1.69-1.90) turned out to be more beneficial factors promoting the decrease in the incidence of EESU. We suppose that more attention needs to be paid to the meteorotropic effects of APF on certain kinds of psychopathology resulting in suicidal behaviour, and further investigations in different geograph- ical and climatic conditions, especially in those with more intense atmospheric perturbations, are necessary.

关键词： Atmospheric Pressure Fluctuations suicidal Injuries Emergency Events

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Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India

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Burns & Trauma 2017年第1期5卷 50-57页

作者： Amol Dhopte V.K.Tiwari Pankaj Patel Rahul Bamal Department of Burns Plastic&Maxillofacial SurgeryVMMC&Safdarjung HospitalNew DelhiIndia Present Address:Department of Burns&Plastic Surgery PGIMER&RML HospitalNew DelhiIndia

Background: Pediatric burns have a long-term social impact. This is more apparent in a developing country such as India, where their incidence and morbidity are high. The aim of this study was to provide recent prospective epidemiological data on pediatric burns in India and to suggest future preventive strategies. Methods: Children up to 18 years old admitted to the Department of Burns, Plastic&Maxillofacial Surgery, VMMC&Safdarjung Hospital, New Delhi, between January and December 2014 were included in the study. Data regarding age, sex, etiology, total body surface area (TBSA), circumstances of injury, and clinical assessment were collected. The Mann-Whitney test or Kruskal-Wallis test or ANOVA was used to compare involved TBSA among various cohort groups accordingly. Univariate and multivariate linear regression analyses were used to determine the predictors of TBSA. Results: There were a total of 475 patients involved in the study, including seven suicidal burns, all of whom were females with a mean age greater than the cohort average. Age, type of burns, mode of injury, presence or absence of inhalation injury, gender, and time of year (quarter) for admission were found to independently affect the TBSA involved. Electrical burns also formed an important number of presenting burn patients, mainly involving teenagers. Several societal issues have come forth, e.g., child marriage, child labor, and likely psychological problems among female children as suggested by a high incidence of suicidal burns. Conclusions: This study also highlights several issues such as overcrowding, lack of awareness, dangerous cooking practices, and improper use of kerosene oil. There is an emergent need to recognize the problems, formulate strategies, spread awareness, and ban or replace hazardous substances responsible for most burn accidents.

关键词： Epidemiology Pediatric burns India suicidal burns Burn prevention

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On the role of impulsivity and decision-making in suicidal behavior

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World Journal of Psychiatry 2015年第3期5卷 255-259页

作者： Yari Gvion Yossi Levi-Belz Gerg? Hadlaczky Alan Apter Department of Clinical Psychology Bar Ilan University Department of Clinical Psychology Tel-Aviv Jaffa Academic Center Interdisciplinary Center Department of Behavioral Sciences Ruppin Academic Center National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP) Karolinska Institutet Feinberg Child Study Center Schneider Children’s Medical Center of Israel

Suicide risk constitutes a complex set of interacting demographic, clinical, psychobiological and environmental variables. Impulsivity is a long-known risk factor for suicide attempts. However, research based on clearer conceptual refinement in this area is imperative. One emerging field of study is that of decision-making. Impulsivity involves a failure of higher-order control, including decision-making. Using standardized operational definitions that take into consideration relevant aspects of impulsivity, including state- and trait-components and a deeper understanding of the process of decision-making in the suicidal mind, we may come a step closer to understanding suicidality and winning the fight in this scourge of human suffering.

关键词： Suicide suicidal behavior Decision-making Impulsivity

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