scholarly journals Secure care can help youth reduce imminent risk of serious harm and prevent unnecessary death

2019 ◽  
Vol 191 (7) ◽  
pp. E197-E198
Author(s):  
Tom Warshawski ◽  
Grant Charles ◽  
Dzung Vo ◽  
Eva Moore ◽  
Sara Jassemi
Keyword(s):  
Secure Care ◽  
Unnecessary Death ◽  
Imminent Risk

Not at Imminent Risk

Crisis ◽  
2015 ◽  
Vol 36 (6) ◽  
pp. 459-463
Author(s):  
Kate Monaghan ◽  
Martin Harris
Keyword(s):  
Early Intervention ◽  
Suicidal Ideation ◽  
Intervention Strategies ◽  
Group Method ◽  
Narrative Approach ◽  
Complex Issue ◽  
Research And Practice ◽  
Client Group ◽  
Types Of Information ◽  
Imminent Risk

Abstract. Background: Suicide is a pervasive and complex issue that can challenge counselors through the course of their careers. Research and practice focus heavily on crisis management and imminent risk rather than early intervention strategies. Early intervention strategies can assist counselors working with clients who have suicidal ideation, but are not at imminent risk, or with clients whose risk factors identify them as having a stronger trajectory for suicidal ideation. Aims: This systematic literature review examines the current literature on working with clients with suicidal ideation who are not at imminent risk, to ascertain the types of information and strategies available to counselors working with this client group. Method: An initial 622 articles were identified for analysis and from these 24 were included in the final review, which was synthesized using a narrative approach. Results: Results indicate that research into early intervention strategies is extremely limited. Conclusion: It was possible to describe emergent themes and practice guidelines to assist counselors working with clients with suicidal ideation but not at imminent risk.

Root Cause Analyses of Suicides of Mental Health Clients

Crisis ◽  
2015 ◽  
Vol 36 (5) ◽  
pp. 316-324 ◽  
Author(s):  
Donna Gillies ◽  
David Chicop ◽  
Paul O'Halloran
Keyword(s):  
Mental Health ◽  
Suicide Prevention ◽  
Common Factor ◽  
Data Collection Tool ◽  
Related Factors ◽  
Root Cause ◽  
Communication Problems ◽  
The Individual ◽  
Mental Health Clients ◽  
Imminent Risk

Abstract. Background: The ability to predict imminent risk of suicide is limited, particularly among mental health clients. Root cause analysis (RCA) can be used by health services to identify service-wide approaches to suicide prevention. Aims: To (a) develop a standardized taxonomy for RCAs; (b) to quantitate service-related factors associated with suicides; and (c) to identify service-related suicide prevention strategies. Method: The RCAs of all people who died by suicide within 1 week of contact with the mental health service over 5 years were thematically analyzed using a data collection tool. Results: Data were derived from RCAs of all 64 people who died by suicide between 2008 and 2012. Major themes were categorized as individual, situational, and care-related factors. The most common factor was that clients had recently denied suicidality. Reliance on carers, recent changes in medication, communication problems, and problems in follow-through were also commonly identified. Conclusion: Given the difficulty in predicting suicide in people whose expressions of suicidal ideation change so rapidly, services may consider the use of strategies aimed at improving the individual, stressor, support, and care factors identified in this study.

scholarly journals Digital Health Transition in Rheumatology: A Qualitative Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2636 ◽  
Author(s):  
Felix Mühlensiepen ◽  
Sandra Kurkowski ◽  
Martin Krusche ◽  
Johanna Mucke ◽  
Robert Prill ◽  
...  
Keyword(s):  
Qualitative Content Analysis ◽  
Digital Health ◽  
Health Transition ◽  
Risk Of Infection ◽  
Clinical Routine ◽  
Digital Product ◽  
Remote Care ◽  
Imminent Risk ◽  
Infection Monitoring ◽  
Rheumatic Patients

The global COVID-19 pandemic has led to drastic changes in the management of patients with rheumatic diseases. Due to the imminent risk of infection, monitoring intervals of rheumatic patients have prolonged. The aim of this study is to present insights from patients, rheumatologists, and digital product developers on the ongoing digital health transition in rheumatology. A qualitative and participatory semi-structured fishbowl approach was conducted to gain detailed insights from a total of 476 participants. The main findings show that digital health and remote care are generally welcomed by the participants. Five key themes emerged from the qualitative content analysis: (1) digital rheumatology use cases, (2) user descriptions, (3) adaptation to different environments of rheumatology care, and (4) potentials of and (5) barriers to digital rheumatology implementation. Codes were scaled by positive and negative ratings as well as on micro, meso, and macro levels. A main recommendation resulting from the insights is that both patients and rheumatologists need more information and education to successfully implement digital health tools into clinical routine.

Management of treatment resistant schizophrenia in medium secure care

2014 ◽  
Vol 18 (5) ◽  
pp. 27-32
Author(s):  
Antonio T Lopes ◽  
Paul Gilluley ◽  
Mehdi Veisi ◽  
Shamir Patel ◽  
Seema Sukhwal ◽  
...  
Keyword(s):  
Treatment Resistant ◽  
Secure Care

scholarly journals Predicting imminent risk for fracture in patients aged 50 or older with osteoporosis using US claims data

2016 ◽  
Vol 11 (1) ◽  
Author(s):  
M. Bonafede ◽  
N. Shi ◽  
R. Barron ◽  
X. Li ◽  
D.B. Crittenden ◽  
...  
Keyword(s):  
Claims Data ◽  
Imminent Risk

scholarly journals Imminent risk of a global shortage of heparin caused by the African Swine Fever afflicting the Chinese pig herd

2019 ◽  
Vol 17 (2) ◽  
pp. 254-256 ◽  
Author(s):  
Eduardo Vilanova ◽  
Ana M. F. Tovar ◽  
Paulo A. S. Mourão
Keyword(s):  
African Swine Fever ◽  
Imminent Risk

PRN medication: beliefs and practices of psychiatrists and nurses working in PICUs and secure units

2015 ◽  
Vol 11 (S1) ◽  
Author(s):  
Camilla Haw ◽  
Helen Sasegbon ◽  
Imadeldin Ismail ◽  
Malathi Pushpanathan
Keyword(s):  
Inpatient Psychiatry ◽  
Medication Beliefs ◽  
Beliefs And Practices ◽  
Visual Analogue Scales ◽  
Secure Care ◽  
Grey Area ◽  
Definition Of ◽  
Analogue Scales ◽  
Structured Questionnaire

AbstractIntroductionPRN (as required) medication is commonly used in inpatient psychiatry but little is known about staff opinions concerning its use.Aims & objectivesToexplore views about PRN medication among nurses and psychiatrists working in PICUs or secure care at a charitable hospital.MethodA structured questionnaire with visual analogue scales was used to examine staff views about PRN medication. Participants were: 21 PICU nurses, 20 nurses working on medium secure admission units (MSAUs) and 27 psychiatrists. Inquiry was made about preferences and avoidance of PRN drugs and when PRN administration becomes rapid tranquillisation (RT).ResultsNurses working in PICUs and MSAUs held similar views about PRN medication. Nurses were more in favour of PRN medication than psychiatrists, whereas psychiatrists felt more strongly that PRN sedation was sometimes over-used. PICU staff favoured promethazine whereas non-PICU staff preferred lorazepam/lorazepam and haloperidol combined. There was no consensus as to when PRN administration becomes RT.ConclusionsNurses hold more positive views about PRN sedation than psychiatrists. Despite the ECG requirement, many staff favour haloperidol. The NICE definition of RT was not quoted by most participants. RT and PRN medication is a grey area which deserves further exploration.

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