A Narrative Review of Suicide: Aiming at a More Encompassing Understanding

The suicide experience combines despair with the perception of suicide as the last option to alter its suffering effectively and actively. Shneidman’s phenomenology understands the suicidal mind in terms of psychological pain, as opposed to focusing on the individual context. This article aims to meet and review information from articles and books published in the area of the Phenomenology of Suicide, mostly between 2017 and 2021. By integrating and relating the different philosophical perspectives of the patient, his or her family, and the mental health worker, it is intended to identify emotions that are common to different groups affected by suicide, regardless of the context, experiences, and means used to commit suicide. The phenomenological description of self-determination experienced in suicide helps to improve the understanding of the suicidal mind, which can be useful in understanding questions that relate to issues such as assisted suicide and suicide prevention. The management of post-suicide consequences, especially the stigma, a cross-cutting challenge for all these groups, benefits from the specialized support of health professionals, either through psychotherapy and pharmacotherapy or support groups.

Perceptual Stimulation Group Activity Therapy on Hallucination Patients at the Pemenang Jiwa Sumatra Foundation.

Hallucinations are when a person experiences a change in the pattern and amount of stimulation that is initiated internally or externally in the vicinity with a reduction, exaggeration, distortion, or abnormality in response to each stimulus. Management of schizophrenic patients includes group nursing actions, such as group activity therapy. Group activity therapy is a psychotherapy performed by a group of patients together by way of discussions with each other led or directed by a trained therapist or mental health worker. The number of patients who participated in the perceptual stimulation group activity therapy amounted to 6 people. As a result of this therapy, after receiving perceptual stimulation group activity therapy, patients at the Pemenang Jiwa Sumatra Foundation increased their knowledge, understanding of how to control hallucinations and knowing how to have done it. Increased knowledge shows that patients are able to remember sp 1 - 4 from group therapy activities. It is recommended that patients who experience hallucination problems can be given Group Activity Therapy so that patients are able to perform actions independently and be able to cooperate with other patients.

Clinical effectiveness and cost effectiveness of individual mental health workers colocated within primary care practices: a systematic literature review

ObjectivesMental health disorders contribute significantly to the global burden of disease and lead to extensive strain on health systems. The integration of mental health workers into primary care has been proposed as one possible solution, but evidence of clinical and cost effectiveness of this approach is unclear. We reviewed the clinical and cost effectiveness of mental health workers colocated within primary care practices.DesignSystematic literature review.Data sourcesWe searched the Medline, Embase, PsycINFO, Healthcare Management Information Consortium (HMIC) and Global Health databases.Eligibility criteriaAll quantitative studies published before July 2019 were eligible for the review; participants of any age and gender were included. Studies did not need to report a certain outcome measure or comparator in order to be eligible.Data extraction and synthesisData were extracted using a standardised table; however, pooled analysis proved unfeasible. Studies were assessed for risk of bias using the Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) tool and the Cochrane collaboration’s tool for assessing risk of bias in randomised trials.ResultsFifteen studies from four countries were included. Mental health worker integration was associated with mental health benefits to varied populations, including minority groups and those with comorbid chronic diseases. Furthermore, the interventions were correlated with high patient satisfaction and increases in specialist mental health referrals among minority populations. However, there was insufficient evidence to suggest clinical outcomes were significantly different from usual general practitioner care.ConclusionsWhile there appear to be some benefits associated with mental health worker integration in primary care practices, we found insufficient evidence to conclude that an onsite primary care mental health worker is significantly more clinically or cost effective when compared with usual general practitioner care. There should therefore be an increased emphasis on generating new evidence from clinical trials to better understand the benefits and effectiveness of mental health workers colocated within primary care practices.

An evaluation of the transition from BAME community mental health worker to IAPT low intensity psychological wellbeing practitioner

The Improving Access to Psychological Therapies (IAPT) programme started in 2008, but it contained little provision for specifically meeting the needs of Black, Asian and minority ethnic (BAME) groups. The purpose of this evaluation was to describe the experience of transition from BAME community mental health worker (CMHW) to IAPT low-intensity psychological wellbeing practitioner (PWP) in order to identify possible gains and losses for the former communities served, and the factors that might contribute to successful training of people with BAME expertise. Four former CMHWs who had transitioned into working as PWPs were interviewed. Semi-structured interviews were used. The data were analysed using thematic analysis. Six major themes were identified with the benefits of training emerging as an important factor for the participants in enhancing their role. Three of the themes interconnected and focused on the impact for BAME communities in terms of access to service and barriers. Evident in the interviews were descriptions of adaptations that were made as a result of CMHW having access to both new and old skills. Finally, two themes focused on the participant recommendations as to how IAPT services might become more culturally responsive. The findings suggest that there can be significant benefits for services to provide IAPT training to people already providing culturally specific services. The participants reported that low-intensity cognitive behavioural therapy (LICBT) was effective, but only when cultural sensitive adaptations were made. The evaluation has some clear recommendations as to how IAPT services might seek to offer culturally responsive CBT. Suggestions for carrying out further practice-based evaluations are made.

Recovery After Psychosis: Qualitative Study of Service User Experiences of Lived Experience Videos on a Recovery-Oriented Website

Background Digital interventions offer an innovative way to make the experiences of people living with mental illness available to others. As part of the Self-Management And Recovery Technology (SMART) research program on the use of digital resources in mental health services, an interactive website was developed including videos of people with lived experience of mental illness discussing their recovery. These peer videos were designed to be watched on a tablet device with a mental health worker, or independently. Objective Our aim was to explore how service users experienced viewing the lived experience videos on this interactive website, as well as its influence on their recovery journey. Methods In total, 36 service users with experience of using the website participated in individual semistructured qualitative interviews. All participants had experience of psychosis. Data analysis occurred alongside data collection, following principles of constructivist grounded theory methodology. Results According to participants, engaging with lived experience videos was a pivotal experience of using the website. Participants engaged with peers through choosing and watching the videos and reflecting on their own experience in discussions that opened up with a mental health worker. Benefits of seeing others talking about their experience included “being inspired,” “knowing I’m not alone,” and “believing recovery is possible.” Experiences of watching the videos were influenced by the participants’ intrapersonal context, particularly their ways of coping with life and use of technology. The interpersonal context of watching the videos with a worker, who guided website use and facilitated reflection, enriched the experience. Conclusions Engaging with lived experience videos was powerful for participants, contributing to their feeling connected and hopeful. Making websites with lived experience video content available to service users and mental health workers demonstrates strong potential to support service users’ recovery.

Recovery After Psychosis: Qualitative Study of Service User Experiences of Lived Experience Videos on a Recovery-Oriented Website (Preprint)

BACKGROUND Digital interventions offer an innovative way to make the experiences of people living with mental illness available to others. As part of the Self-Management And Recovery Technology (SMART) research program on the use of digital resources in mental health services, an interactive website was developed including videos of people with lived experience of mental illness discussing their recovery. These peer videos were designed to be watched on a tablet device with a mental health worker, or independently. OBJECTIVE Our aim was to explore how service users experienced viewing the lived experience videos on this interactive website, as well as its influence on their recovery journey. METHODS In total, 36 service users with experience of using the website participated in individual semistructured qualitative interviews. All participants had experience of psychosis. Data analysis occurred alongside data collection, following principles of constructivist grounded theory methodology. RESULTS According to participants, engaging with lived experience videos was a pivotal experience of using the website. Participants engaged with peers through choosing and watching the videos and reflecting on their own experience in discussions that opened up with a mental health worker. Benefits of seeing others talking about their experience included “being inspired,” “knowing I’m not alone,” and “believing recovery is possible.” Experiences of watching the videos were influenced by the participants’ intrapersonal context, particularly their ways of coping with life and use of technology. The interpersonal context of watching the videos with a worker, who guided website use and facilitated reflection, enriched the experience. CONCLUSIONS Engaging with lived experience videos was powerful for participants, contributing to their feeling connected and hopeful. Making websites with lived experience video content available to service users and mental health workers demonstrates strong potential to support service users’ recovery.

Community-based participatory research to improve primary mental health services

Background: Global statistics show that mental illness is among the three most common diseases globally: about 12% to 15% of the global population suffer from mental illness, this is a rate higher than heart disease and disability and twice as high as cancer. The objective of this study was to improve public health conditions through community involvement and social action that is mental health worker knowledge and skill.Methods: A purposive sampling of communities was undertaken in a village of Indonesia. The numbers of participants were trained about knowledge and skill as a mental health workers, then selected 15 people who have the best score and the most capable. Level of knowledge and skill were measured sequent for three times using multiple choice test questions. Periodic analysis used repeated measure ANOVA.Results: There were differences of mental health worker knowledge of each period. The differences between the mental health workers’ knowledge in each period is shown by a test of between-subjects effect to have an F score of 189.476 with a P value of 0.00; and the most remarkable improvement in knowledge as after given skill training in Wilk lambda of 248.71 by P value 0.00.Conclusions: There were differences of mental health worker knowledge of each period. The differences between the mental health workers’ knowledge in each period is shown by a test of between-subjects effect to have an F score of 189.476 with a P value of 0.00; and the most remarkable improvement in knowledge as after given skill training in Wilk lambda of 248.71 by P value 0.00.

Abordagem biopsicossocial e Síndrome de Burnout: em busca da associação dos constructos

Under the context of rationality, the way work is organized can trigger incompatibilities between the spheres of the motivations, achievements and wishes of individuals, taking it well, the loss of the sense and following injuries in the physical and mental health worker (DEJOURS, 2006). Given this context, this study was conducted in order to identify possible relationships between the Biopsychosocial Approach to Quality of Life at Work (QVT) and the Burnout Syndrome. The sample relates to a survey of 575 professionals from public and private organizations in a municipality in Region / BR. Data were analyzed using analysis: descriptive analysis and correlation factor. The main results shows that professionals dissatisfied with the QWL programs are more prone in the development of burnout syndrome.