Prevention of Trauma Related Adjustment Disorders in High Trauma Exposure Occupational Groups

Abstract. The Flensburg health psychology group takes a salutogenic perspective and aims at developing innovative health promotion approaches. It stands in the interdisciplinary context of health and educational sciences. Our focus in research is on both, stress processes and lay representations of health and illness in the context of salutogenic theories of health. Basic and applied research activities aim at developing subject-oriented approaches of prevention and health promotion that are designed to promote health resources and competencies in selected settings and target groups. Current research is concentrated on socially disadvantaged groups, on occupational groups and on men to develop tailored health promotion approaches that reach groups in need and which show sustainable effects.

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Suicidal Behavior in Patients with Adjustment Disorders

Crisis ◽

10.1027//0227-5910.22.3.125 ◽

2001 ◽

Vol 22 (3) ◽

pp. 125-131 ◽

Cited By ~ 34

Author(s):

Ludmila Kryzhanovskaya ◽

Randolph Canterbury

Keyword(s):

Personality Disorder ◽

Suicidal Behavior ◽

Suicide Attempts ◽

Adjustment Disorder ◽

Adjustment Disorders ◽

Involuntary Hospitalization ◽

Axis Ii ◽

The Past ◽

Substance Abuse Disorders ◽

Axis I

Summary: This retrospective study characterizes the suicidal behavior in 119 patients with Axis I adjustment disorders as assessed by psychiatrists at the University of Virginia Hospital. Results indicated that 72 patients (60.5%) had documented suicide attempts in the past, 96% had been suicidal during their admission to the hospital, and 50% had attempted suicide before their hospitalization. The most commonly used method of suicide attempts was overdosing. Of the sample group with suicide attempts in the past, 67% had Axis II diagnoses of borderline personality disorder and antisocial personality disorder. Adjustment disorder diagnosis in patients with the suicide attempts was associated with a high level of suicidality at admission, involuntary hospitalization and substance-abuse disorders. Axis II diagnoses in patients with adjustment disorders constituted risk factors for further suicidal behavior. Additional future prospective studies with reliability checks on diagnosis of adjustment disorders and suicidal behavior are needed.

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