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Lustig S, Kaess M, Schnyder N, Michel C, Brunner R, Tubiana A, Kahn JP, Sarchiapone M, Hoven CW, Barzilay S, Apter A, Balazs J, Bobes J, Saiz PA, Cozman D, Cotter P, Kereszteny A, Podlogar T, Postuvan V, Värnik A, Resch F, Carli V, Wasserman D. The impact of school-based screening on service use in adolescents at risk for mental health problems and risk-behaviour. Eur Child Adolesc Psychiatry 2023; 32:1745-1754. [PMID: 35488938 PMCID: PMC10460322 DOI: 10.1007/s00787-022-01990-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 04/06/2022] [Indexed: 11/26/2022]
Abstract
Early detection and intervention can counteract mental disorders and risk behaviours among adolescents. However, help-seeking rates are low. School-based screenings are a promising tool to detect adolescents at risk for mental problems and to improve help-seeking behaviour. We assessed associations between the intervention "Screening by Professionals" (ProfScreen) and the use of mental health services and at-risk state at 12 month follow-up compared to a control group. School students (aged 15 ± 0.9 years) from 11 European countries participating in the "Saving and Empowering Young Lives in Europe" (SEYLE) study completed a self-report questionnaire on mental health problems and risk behaviours. ProfScreen students considered "at-risk" for mental illness or risk behaviour based on the screening were invited for a clinical interview with a mental health professional and, if necessary, referred for subsequent treatment. At follow-up, students completed another self-report, additionally reporting on service use. Of the total sample (N = 4,172), 61.9% were considered at-risk. 40.7% of the ProfScreen at-risk participants invited for the clinical interview attended the interview, and 10.1% of subsequently referred ProfScreen participants engaged in professional treatment. There were no differences between the ProfScreen and control group regarding follow-up service use and at-risk state. Attending the ProfScreen interview was positively associated with follow-up service use (OR = 1.783, 95% CI = 1.038-3.064), but had no effect on follow-up at-risk state. Service use rates of professional care as well as of the ProfScreen intervention itself were low. Future school-based interventions targeting help-seeking need to address barriers to intervention adherence.Clinical Trials Registration: The trial is registered at the US National Institute of Health (NIH) clinical trial registry (NCT00906620, registered on 21 May, 2009), and the German Clinical Trials Register (DRKS00000214, registered on 27 October, 2009).
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Affiliation(s)
- Sophia Lustig
- Institute of Psychology, University of Heidelberg, Heidelberg, Germany
- Department of Child and Adolescent Psychiatry, University Hospital Heidelberg, Heidelberg, Germany
| | - Michael Kaess
- Department of Child and Adolescent Psychiatry, University Hospital Heidelberg, Heidelberg, Germany.
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
| | - Nina Schnyder
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
- School of Public Health, The University of Queensland, Brisbane, Australia
- Policy and Epidemiology Group, Queensland Centre for Mental Health Research, Brisbane, Australia
| | - Chantal Michel
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
| | - Romuald Brunner
- Department of Child and Adolescent Psychiatry, University Hospital Heidelberg, Heidelberg, Germany
- Clinic of Child and Adolescents Psychiatry, Psychosomatics and Psychotherapy, University of Regensburg, Regensburg, Germany
| | - Alexandra Tubiana
- Department of Psychiatry and Clinical Psychology, Centre Psychothérapique de Nancy, Nancy, France
| | - Jean-Pierre Kahn
- Department of Psychiatry and Clinical Psychology, Centre Psychothérapique de Nancy, Nancy, France
- Université de Lorraine, Nancy, France
| | - Marco Sarchiapone
- Department of Medicine and Health Science, University of Molise, Campobasso, Italy
- National Institute for Health, Migration and Poverty, Rome, Italy
| | - Christina W Hoven
- Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University, New York, NY, USA
| | - Shira Barzilay
- Feinberg Child Study Centre, Schneider Children's Medical Centre, Tel Aviv University, Tel Aviv, Israel
- Department of Community Health, University of Haifa, Haifa, Israel
| | - Alan Apter
- Feinberg Child Study Centre, Schneider Children's Medical Centre, Tel Aviv University, Tel Aviv, Israel
| | - Judit Balazs
- Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
- Bjørknes University College, Oslo, Norway
| | - Julio Bobes
- Department of Psychiatry, Centro de Investigación Biomédica en Red de Salud Mental, University of Oviedo, Oviedo, Spain
| | - Pilar Alejandra Saiz
- Department of Psychiatry, Centro de Investigación Biomédica en Red de Salud Mental, University of Oviedo, Oviedo, Spain
| | - Doina Cozman
- Clinical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Padraig Cotter
- Child and Adolescent Mental Health Services North Cork Area, HSE South, Mallow, Ireland
| | - Agnes Kereszteny
- Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
| | - Tina Podlogar
- Slovene Center for Suicide Research, Andrej Marusic Institute, University of Primorska, Koper, Slovenia
| | - Vita Postuvan
- Slovene Center for Suicide Research, Andrej Marusic Institute, University of Primorska, Koper, Slovenia
| | - Airi Värnik
- Estonian-Swedish Mental Health and Suicidology Institute, Tallinn, Estonia
- Tallinn University School of Natural Science and Health, Tallinn, Estonia
| | - Franz Resch
- Department of Child and Adolescent Psychiatry, University Hospital Heidelberg, Heidelberg, Germany
| | - Vladimir Carli
- Department of Public Health Sciences, Methods Development and Training in Suicide Prevention, National Swedish Prevention of Mental Ill-Health and Suicide (NASP)WHO Collaborating Centre for ResearchKarolinska Institute, Stockholm, Sweden
| | - Danuta Wasserman
- National Institute for Health, Migration and Poverty, Rome, Italy
- Department of Public Health Sciences, Methods Development and Training in Suicide Prevention, National Swedish Prevention of Mental Ill-Health and Suicide (NASP)WHO Collaborating Centre for ResearchKarolinska Institute, Stockholm, Sweden
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Rojnic Kuzman M, Slade M, Puschner B, Scanferla E, Bajic Z, Courtet P, Samochowiec J, Arango C, Vahip S, Taube M, Falkai P, Dom G, Izakova L, Carpiniello B, Bellani M, Fiorillo A, Skugarevsky O, Mihaljevic-Peles A, Telles-Correia D, Novais F, Mohr P, Wancata J, Hultén M, Chkonia E, Balazs J, Beezhold J, Lien L, Mihajlovic G, Delic M, Stoppe G, Racetovic G, Babic D, Mazaliauskiene R, Cozman D, Hjerrild S, Chihai J, Flannery W, Melartin T, Maruta N, Soghoyan A, Gorwood P. Clinical decision-making style preferences of European psychiatrists: Results from the Ambassadors survey in 38 countries. Eur Psychiatry 2022; 65:e75. [DOI: 10.1192/j.eurpsy.2022.2330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
Background
While shared clinical decision-making (SDM) is the preferred approach to decision-making in mental health care, its implementation in everyday clinical practice is still insufficient. The European Psychiatric Association undertook a study aiming to gather data on the clinical decision-making style preferences of psychiatrists working in Europe.
Methods
We conducted a cross-sectional online survey involving a sample of 751 psychiatrists and psychiatry specialist trainees from 38 European countries in 2021, using the Clinical Decision-Making Style – Staff questionnaire and a set of questions regarding clinicians’ expertise, training, and practice.
Results
SDM was the preferred decision-making style across all European regions ([central and eastern Europe, CEE], northern and western Europe [NWE], and southern Europe [SE]), with an average of 73% of clinical decisions being rated as SDM. However, we found significant differences in non-SDM decision-making styles: participants working in NWE countries more often prefer shared and active decision-making styles rather than passive styles when compared to other European regions, especially to the CEE. Additionally, psychiatry specialist trainees (compared to psychiatrists), those working mainly with outpatients (compared to those working mainly with inpatients) and those working in community mental health services/public services (compared to mixed and private settings) have a significantly lower preference for passive decision-making style.
Conclusions
The preferences for SDM styles among European psychiatrists are generally similar. However, the identified differences in the preferences for non-SDM styles across the regions call for more dialogue and educational efforts to harmonize practice across Europe.
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Kaess M, Klar J, Kindler J, Parzer P, Brunner R, Carli V, Sarchiapone M, Hoven CW, Apter A, Balazs J, Barzilay S, Bobes J, Cozman D, Gomboc V, Haring C, Kahn JP, Keeley H, Meszaros G, Musa GJ, Postuvan V, Saiz P, Sisask M, Varnik P, Resch F, Wasserman D. Excessive and pathological Internet use - Risk-behavior or psychopathology? Addict Behav 2021; 123:107045. [PMID: 34332272 DOI: 10.1016/j.addbeh.2021.107045] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 06/10/2021] [Accepted: 07/06/2021] [Indexed: 12/29/2022]
Abstract
Pathological Internet use (but only with respect to gaming) is classified as mental disorder in the ICD-11. However, there is a large group of adolescents showing excessive Internet use, which may rather be considered adolescent risk-behavior. The aim was to test whether pathological and excessive Internet use should be considered as "psychopathology" or "risk-behavior". A representative, cross-sectional sample of 11.110 students from 10 European Union countries was analyzed. Structural equation models, including the factors "risk-behavior" and "psychopathology" and the variables excessive and pathological Internet use, were tested against each other. "Risk-behavior" was operationalized by several risk-behaviors (e.g. drug abuse, truancy, etc). "Psychopathology" included measures of several mental disorders (e.g. depression, hyperactivity, etc). Excessive Internet use was assessed as the duration and frequency of Internet use. Pathological Internet use was assessed with the Young Diagnostic Questionnaire (i.e., presence of addiction criteria). Excessive Internet use loaded on "risk-behavior" (λ = 0.484, p < .001) and on "psychopathology" (λ = 0.071, p < .007). Pathological Internet use loaded on "risk-behavior" (λ = 0.333, p < .001) and on "psychopathology" (λ = 0.852, p < .001). Chi-square tests determined that the loadings of excessive Internet use (χ2 (1) = 81.98, p < .001) were significantly stronger on "risk-behavior" than "psychopathology". Vice versa, pathological Internet use loaded significantly stronger on "psychopathology" (χ2 (1) = 107.10, p < .001). The results indicate that pathological Internet use should rather be considered as psychopathology. Excessive Internet use on the other hand, should be classified as adolescent risk-behavior.
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Rojnic Kuzman M, Vahip S, Fiorillo A, Beezhold J, Pinto da Costa M, Skugarevsky O, Dom G, Pajevic I, Peles AM, Mohr P, Kleinberg A, Chkonia E, Balazs J, Flannery W, Mazaliauskiene R, Chihai J, Samochowiec J, Cozman D, Mihajlovic G, Izakova L, Arango C, Goorwod P. Mental health services during the first wave of the COVID-19 pandemic in Europe: Results from the EPA Ambassadors Survey and implications for clinical practice. Eur Psychiatry 2021; 64:e41. [PMID: 34103102 PMCID: PMC8314055 DOI: 10.1192/j.eurpsy.2021.2215] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background The COVID-19 pandemic caused an unprecedented worldwide crisis affecting several sectors, including health, social care, economy and society at large. The World Health Organisation has emphasized that mental health care should be considered as one of the core sectors within the overall COVID-19 health response. By March 2020, recommendations for the organization of mental health services across Europe have been developed by several national and international mental health professional associations. Methods The European Psychiatric Association (EPA) surveyed a large European sample of psychiatrists, namely the “EPA Ambassadors”, on their clinical experience of the impact of COVID-19 pandemic on the treatment of psychiatric patients during the month of April 2020 in order to: a) identify and report the views and experiences of European psychiatrists; and b) represent and share these results with mental health policy makers at European level. Based on the recommendations issued by national psychiatric associations and on the results of our survey, we identified important organisational aspects of mental health care during the peak of the first wave of the COVID-19. Results While most of the recommendations followed the same principles, significant differences between countries emerged in service delivery, mainly relating to referrals to outpatients and for inpatient admission, assessments and treatment for people with mental disorders. Compared to previous months, the mean number of patients treated by psychiatrists in outpatient settings halved in April 2020. In the same period, the number of mentally ill patients tested for, or developing, COVID-19 was low. In most of countries, traditional face-to-face visits were replaced by online remote consultations. Conclusions Based on our findings we recommend: 1) to implement professional guidelines into practice and harmonize psychiatric clinical practice across Europe; 2) to monitor the treatment outcomes of patients with COVID-19 and pre-existing mental disorders; 3) to keep psychiatric services active by using all available options (for example telepsychiatry); 4) to increase communication and cooperation between different health care providers.
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Affiliation(s)
| | - Simavi Vahip
- Department of Psychiatry, Ege University Medicine Faculty, Affective Disorders Unit, Izmir, Turkey
| | - Andrea Fiorillo
- Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy
| | - Julian Beezhold
- Norwich Medical School, University of East Anglia, Norwich, United Kingdom
| | - Mariana Pinto da Costa
- Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.,Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, Porto, Portugal
| | - Oleg Skugarevsky
- Psychiatry & Medical Psychology Department, Belarusian Psychiatric Association, Belarusian State Medical University, Minsk, Belarus
| | - Geert Dom
- Belgian Professional Association of Medical Specialists in Psychiatry, Collaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp (UAntwerp), Antwerp, Belgium
| | - Izet Pajevic
- Department of Psychiatry University Clinical Center Tuzla, School of Medicine University of Tuzla, Bosnia and Herzegovina Psychiatric Association of Bosnia-Herzegovina, Tuzla, Bosnia-Herzegovina
| | - Alma Mihaljevic Peles
- Zagreb School of Medicine, Zagreb University Hospital Centre, Zagreb, Croatia.,Croatian Psychiatric Association, Zagreb, Croatia
| | - Pavel Mohr
- Czech Psychiatric Association, National Institute of Mental Health, Klecany, Czechia.,Third Faculty of Medicine, Charles University, Prague, Czech Republic
| | - Anne Kleinberg
- Tallinn Children Hospital Children Mental Health, Tallinn, Estonia
| | - Eka Chkonia
- Estonian Psychiatric Association, Centre Tartu University Psychiatry Clinic, TartuEstonia.,Society of Georgian Psychiatrists, Tbilisi State Medical University, Tbilisi, Georgia
| | - Judit Balazs
- Department of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary.,Hungarian Psychiatric Association, Bjørknes University College, Oslo, Norway
| | - William Flannery
- Department of Adult Psychiatry, College of Psychiatrists of Ireland, Mater Misericordiae University Hospital, Dublin, Ireland
| | - Ramune Mazaliauskiene
- Lithuanian Psychiatric Association, Lithuanian Health Sciences university, Psychiatric Clinic, Lithuanian Health Sciences university Kaunas hospital, Kaunas, Lithuania
| | - Jana Chihai
- Society of Psychiatrists, Narcologists, Psychotherapists and Clinical Psychologists from Republic of Moldova, Department of Psychiatry, Narcology, Medical Psychology State Medical and Pharmaceutical University "Nicolae Testemitanu" from Republic of Moldova, Kishinev, Moldova
| | - Jerzy Samochowiec
- Polish Psychiatric Association, Department of Psychiatry, Pomeranian Medical University in Szczecin Poland, Szczecin, Poland
| | - Doina Cozman
- Romanian Association of Psychiatry and Psychotherapy, University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania
| | - Goran Mihajlovic
- Department of Psychiatry, Faculty of Medical Science, University of Kragujevac, Kragujevac, Serbia
| | - Lubomira Izakova
- Slovak Psychiatric Association, Department of Psychiatry, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
| | - Celso Arango
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, IiSGM, CIBERSAM, School of Medicine, Universidad Complutense, Madrid, Spain
| | - Philip Goorwod
- INSERM, U1266 (Institute of Psychiatry and Neuroscience of Paris), Université de Paris, Paris, France.,CMME, GHU Paris Psychiatrie et Neurosciences, Hôpital Sainte-Anne, Paris, France
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5
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Costescu C, Nemeș B, Coman H, Cozman D. Comparative study of psychoactive substance use pattern in romania and hungary. Eur Psychiatry 2021. [PMCID: PMC9480438 DOI: 10.1192/j.eurpsy.2021.1535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Europe’s drug situation is facing an increasing trend. Objectives To compare the psychoactive substance use pattern in Romania and Hungary. Methods Data was collected from the electronical databases of the 3rd Psychiatry Clinic of Cluj County Emergency Hospital, Cluj-Napoca, Romania and from the Psychiatry Department of Kenezy Gyula Hospital Debrecen, Hungary. We included adult patients who had at least one hospital admission for mental and behavioral disorders due to psychoactive substance use between 01/01/2013 and 31/12/2016. Results 96 patients from Romania (80.2% males, mean age 27.8 years (18, 82)) and 816 from Hungary (71.93% males, mean age 47 years (18, 90)) were included. Romanian patients consumed more opioids (31.52% vs 4.34%, p<0.05 Chi-square Test), cannabinoids (66.3% Ro vs 13.04%, p<0.001 Chi-square Test), and synthetic drugs (declared 73.91% vs 8.21%, p<0.001 Chi-square Test), an underlying personality disorder (52.08% vs 34.06% p=0.001 Chi-square test) was more often diagnosed. Hungarian patients consumed more alcohol (89.46% vs 30.43%, p<0.001 Chi-square Test), a comorbid bipolar disorder (18.75% vs 5.2%, p=0.001 Chi-square Test), a major depressive disorder (40.8% vs 16.6% p<0.001, Chi-square Test) or an anxiety spectrum disorder (55.26% vs 7.29%, p<0.001 Chi-square test) were more often diagnosed. Overall, more than 85% had a dependence use pattern, more than 65% having multiple admissions. Conclusions Romanian drug users are younger, prefer opioids, cannabinoids and synthetic drugs and have more often a comorbid personality disorder than Hungarian patients, who consume more alcohol and have a comorbid affective disorder.
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6
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Wasserman D, Apter G, Baeken C, Bailey S, Balazs J, Bec C, Bienkowski P, Bobes J, Ortiz MFB, Brunn H, Bôke Ö, Camilleri N, Carpiniello B, Chihai J, Chkonia E, Courtet P, Cozman D, David M, Dom G, Esanu A, Falkai P, Flannery W, Gasparyan K, Gerlinger G, Gorwood P, Gudmundsson O, Hanon C, Heinz A, Dos Santos MJH, Hedlund A, Ismayilov F, Ismayilov N, Isometsä ET, Izakova L, Kleinberg A, Kurimay T, Reitan SK, Lecic-Tosevski D, Lehmets A, Lindberg N, Lundblad KA, Lynch G, Maddock C, Malt UF, Martin L, Martynikhin I, Maruta NO, Matthys F, Mazaliauskiene R, Mihajlovic G, Peles AM, Miklavic V, Mohr P, Ferrandis MM, Musalek M, Neznanov N, Ostorharics-Horvath G, Pajević I, Popova A, Pregelj P, Prinsen E, Rados C, Roig A, Kuzman MR, Samochowiec J, Sartorius N, Savenko Y, Skugarevsky O, Slodecki E, Soghoyan A, Stone DS, Taylor-East R, Terauds E, Tsopelas C, Tudose C, Tyano S, Vallon P, Van der Gaag RJ, Varandas P, Vavrusova L, Voloshyn P, Wancata J, Wise J, Zemishlany Z, Öncü F, Vahip S. Compulsory admissions of patients with mental disorders: State of the art on ethical and legislative aspects in 40 European countries. Eur Psychiatry 2020; 63:e82. [PMID: 32829740 PMCID: PMC7576531 DOI: 10.1192/j.eurpsy.2020.79] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Background. Compulsory admission procedures of patients with mental disorders vary between countries in Europe. The Ethics Committee of the European Psychiatric Association (EPA) launched a survey on involuntary admission procedures of patients with mental disorders in 40 countries to gather information from all National Psychiatric Associations that are members of the EPA to develop recommendations for improving involuntary admission processes and promote voluntary care. Methods. The survey focused on legislation of involuntary admissions and key actors involved in the admission procedure as well as most common reasons for involuntary admissions. Results. We analyzed the survey categorical data in themes, which highlight that both medical and legal actors are involved in involuntary admission procedures. Conclusions. We conclude that legal reasons for compulsory admission should be reworded in order to remove stigmatization of the patient, that raising awareness about involuntary admission procedures and patient rights with both patients and family advocacy groups is paramount, that communication about procedures should be widely available in lay-language for the general population, and that training sessions and guidance should be available for legal and medical practitioners. Finally, people working in the field need to be constantly aware about the ethical challenges surrounding compulsory admissions.
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Affiliation(s)
- D Wasserman
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.,National Centre for Suicide Research and Prevention of Mental-Ill Health, Karolinska Institute, Stockholm, Sweden
| | - G Apter
- French Federation of Psychiatry, Paris, France.,Groupe Hospitalier du Havre, Université de Rouen, Rouen, France
| | - C Baeken
- Flemish Association of Psychiatry, Kortenberg, Belgium.,Department of Psychiatry and Medical Psychiatry, Ghent University, Gent, Belgium
| | - S Bailey
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.,University of Central Lancashire, Preston, United Kingdom
| | - J Balazs
- Hungarian Psychiatric Association, Budapest, Hungary.,Department of Developmental and Clinical Child Psychology at the Institute Psychology Eotvos Lorand University, Budapest, Hungary
| | - C Bec
- National Centre for Suicide Research and Prevention of Mental-Ill Health, Karolinska Institute, Stockholm, Sweden
| | - P Bienkowski
- Polish Psychiatric Association, Warsaw, Poland.,Department of Psychiatry, Warsaw Medical University, Warsaw, Poland
| | - J Bobes
- Spanish Society of Psychiatry, Madrid, Spain.,Department of Psychiatry, School of Medicine, University of Oviedo, Oviedo, Spain
| | - M F Bravo Ortiz
- Association of Psychiatrists of Spanish Association of Neuropsychiatry, Madrid, Spain.,Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Universidad Autónoma de Madrid, Madrid, Spain
| | - H Brunn
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.,Danish Psychiatric Association, Copenhagen, Denmark.,Institute of regional Health Research, University of Southern Denmark, Odense, Denmark
| | - Ö Bôke
- Psychiatric Association of Turkey, Ankara, Turkey.,Ondokuz Mayıs Üniversitesi, Samsun, Turkey
| | - N Camilleri
- Maltese Association of Psychiatry, Attard, Malta.,University of Malta, Msida, Malta
| | - B Carpiniello
- European Psychiatric Association Council of National Psychiatric Associations, Strasbourg, France.,Italian Psychiatric Association, Roma, Italy.,Department of Public Health, Clinical and Molecular Medicine, Università degli studi di Cagliari, Sardinia, Italy
| | - J Chihai
- Society of Psychiatrists, Narcologists, Psychotherapists, and Clinical Psychologists from the Republic of Moldova, Chișinău, Moldova.,Department of State Medical and Pharmaceutical University "Nicolae Testemitanu", Chișinău, Republic of Moldova
| | - E Chkonia
- Society of Georgian Psychiatrists, Tbilisi, Georgia.,Department of Psychiatry, Tbilisi State Medical University, Tbilisi, Georgia
| | - P Courtet
- French Congress of Psychiatry, Paris, France.,University of Montpellier, CHRU Montpellier, Montpellier, France.,Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, Montpellier, France
| | - D Cozman
- Romanian Association of Psychiatry and Psychotherapy, Bucharest, Romania.,Medical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-NapocaRomania
| | - M David
- French Federation of Psychiatry, Paris, France.,Fondation Bon Sauveur, Bégard, France
| | - G Dom
- Belgium Professional Association of Medical Specialists in Psychiatry, Brussel, Belgium.,Department of Psychiatry, Antwerp University (UA), Antwerpen, Belgium
| | - A Esanu
- Society of Psychiatrists, Narcologists, Psychotherapists, and Clinical Psychologists from the Republic of Moldova, Chișinău, Moldova.,Department of Psychiatry, Narcology and Medical Psychology, State University of Medicine and Pharmacy, Chișinău, Republic of Moldova
| | - P Falkai
- German Association for Psychiatry, Psychotherapy and Psychosomatics, Berlin, Germany.,Clinic for Psychiatry and Psychotherapy, Ludwig-Maximilians-University Munich, Munich, Germany
| | - W Flannery
- College of Psychiatrists of Ireland, Dublin, Ireland.,Department of Adult Psychiatry, Mater Misericordiae University Hospital, Dublin, Ireland
| | - K Gasparyan
- Armenian Psychiatric Association, Yerevan, Armenia.,Medical Psychology Department, Yerevan State Mkhitar Herats Medical University, Yerevan, Armenia
| | - G Gerlinger
- German Association for Psychiatry, Psychotherapy and Psychosomatics, Berlin, Germany
| | - P Gorwood
- French Congress of Psychiatry, Paris, France.,Institute of Psychiatry and Neuroscience of Paris (IPNP), University of ParisParis, France
| | - O Gudmundsson
- Icelandic Psychiatric Association, Kopavogur, Iceland.,Psychiatric Department, Landspitali, University Hospital of Iceland, Reykjavík, Iceland
| | - C Hanon
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.,Regional Resource Center of old age Psychiatry, AP-HP Centre - Université de Paris, Corentin-Celton Hospital, Paris, France
| | - A Heinz
- German Association for Psychiatry, Psychotherapy and Psychosomatics, Berlin, Germany.,Clinic for Psychiatry and Psychotherapy, Charité - Universitätsmedizin, Berlin, Germany
| | - M J Heitor Dos Santos
- Portuguese Society of Psychiatry and Mental Health, Lisbon, Portugal.,Institute of Environmental Health (ISAMB) of the Faculty of Medicine of the University of Lisbon (FMUL), Lisbon, Portugal
| | - A Hedlund
- Swedish Psychiatry Association, Sundsvall, Sweden.,North Stockholm Psychiatry, Stockholm County Medical Area (SLSO), Stockholm, Sweden
| | - F Ismayilov
- Azerbaijan Psychiatric Association, Baku, Azerbaijan.,National Mental Health Centre, Baku, Azerbaijan
| | - N Ismayilov
- Azerbaijan Psychiatric Association, Baku, Azerbaijan.,Department of Psychiatry, Azerbaijan Medical University, Baku, Azerbaijan
| | - E T Isometsä
- Finnish Psychiatric Association, Helsinki, Finland.,Department of Psychiatry, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - L Izakova
- Slovak Psychiatric Association, Bratislava, Slovakia.,Department of Psychiatry, Faculty of Medicine Comenius University and University Hospital, Bratislava, Slovakia
| | - A Kleinberg
- Estonian Psychiatric Association, Tartu, Estonia.,Children Mental Health Centre of Tallinn Children Hospital, Tallinn, Estonia
| | - T Kurimay
- European Psychiatric Association Council of National Psychiatric Associations, Strasbourg, France.,Department of Psychiatry and Psychiatric Rehabilitation, Teaching Department of Semmelweis University, Budapest, Hungary
| | - S Klæbo Reitan
- Department of Psychiatry and Psychiatric Rehabilitation, Teaching Department of Semmelweis University, Budapest, Hungary.,Norwegian Psychiatric Association, Oslo, Norway.,Department of Mental Health, Faculty of Medicine and Health Sciences, Norweigan University of Science and Technology, Trondheim, Norway
| | - D Lecic-Tosevski
- Serbian Psychiatric Association, Belgrade, Serbia.,Psychiatric Association of Eastern Europe and the Balkans, Athens, Greece.,Department of Medical Sciences, Serbian Academy of Sciences and Arts, Belgrade, Serbia
| | - A Lehmets
- Estonian Psychiatric Association, Tartu, Estonia.,Psychiatric Centre of the Tallinn West Central Hospital, Tallinn, Estonia
| | - N Lindberg
- Finnish Psychiatric Association, Helsinki, Finland.,Forensic Psychiatry, Helsinki University and Helsinki University Hospital, Helsinski, Finland
| | - K A Lundblad
- Swedish Psychiatry Association, Sundsvall, Sweden.,Adult Psychiatry, Stockholm County Medical Area (SLSO), Stockholm, Sweden
| | - G Lynch
- Royal College of Psychiatrists, London, United Kingdom
| | - C Maddock
- Royal College of Psychiatrists, London, United Kingdom
| | - U F Malt
- Norwegian Psychiatric Association, Oslo, Norway.,Faculty of Medicine, Psychiatry and Psychosomatic Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - L Martin
- College of Psychiatrists of Ireland, Dublin, Ireland.,St Loman's Hospital, Mullingar, Ireland
| | - I Martynikhin
- Russian Society of Psychiatrists, Moscow, Russian Federation.,First Pavlov State Medical University of St Petersburg, Saint Petersburg, Russian Federation
| | - N O Maruta
- Association of Neurologists, Psychiatrists and Narcologists of Ukraine, Kharkiv, Ukraine.,Institute of Neurology, Psychiatry and Narcology of the NAMS of Ukraine State Insitution, Kharkiv, Ukraine
| | - F Matthys
- Flemish Association of Psychiatry, Kortenberg, Belgium.,Department of Psychiatry, Universitair Ziekenhuis, Brussel, Belgium
| | - R Mazaliauskiene
- Lithuanian Psychiatric Association, Vilnius, Lithuania.,Lithuanian University of Health Sciences, Psychiatric Clinic, Kaunas, Lithuania
| | - G Mihajlovic
- Serbian Psychiatric Association, Belgrade, Serbia.,Clinic for Psychiatry, University of Kragujevac, Kragujevac, Serbia
| | - A Mihaljevic Peles
- Croatian Psychiatric Association, Zagreb, Croatia.,Zagreb School of Medicine and Zagreb University Hospital Centre, Zagreb, Croatia
| | - V Miklavic
- Slovenian Psychiatric Association, Ljubljana, Slovenia.,Ljubljana University Medical Centre, Ljubljana, Slovenia
| | - P Mohr
- Czech Psychiatric Association, Prague, Czech Republic.,Third Faculty of Medicine, Charles University Prague, Prague, Czech Republic
| | - M Munarriz Ferrandis
- Association of Psychiatrists of Spanish Association of Neuropsychiatry, Madrid, Spain
| | - M Musalek
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.,Institute for Social Aesthetics and Mental Health, Vienna, Austria.,Sigmund Freud University, Vienna, Austria
| | - N Neznanov
- Russian Society of Psychiatrists, Moscow, Russian Federation.,St. Petersburg V.M. Bekhterev Psychoneurological Research Institute, St. Petersburg, Russian Federation
| | | | - I Pajević
- Psychiatric Association of Bosnia-Herzegovina, Tuzla, Bosnia and Herzegovina.,Department of Psychiatry, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - A Popova
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.,College Private Psychiatry of Bulgaria, Sofia, Bulgaria.,Nikola Shipkovenski Mental Health Centre, Sofia, Bulgaria
| | - P Pregelj
- Slovenian Psychiatric Association, Ljubljana, Slovenia.,Department of Psychiatry, University of Ljubljana, Ljubljana, Slovenia
| | - E Prinsen
- Netherlands Psychiatric Association, Utrecht, Netherlands
| | - C Rados
- Austrian Society for Psychiatry and Psychotherapy, Vienna, Austria.,Department of Psychiatry and Psychotherapeutic Medicine, Villach State Hospital, Villach, Austria
| | - A Roig
- Association of Psychiatrists of Spanish Association of Neuropsychiatry, Madrid, Spain.,Mental Health Centre, Horta-Guinardó, Barcelona, Spain
| | - M Rojnic Kuzman
- Croatian Psychiatric Association, Zagreb, Croatia.,Zagreb School of Medicine and Zagreb University Hospital Centre, Zagreb, Croatia
| | - J Samochowiec
- Polish Psychiatric Association, Warsaw, Poland.,European Psychiatric Association Council of National Psychiatric Associations, Strasbourg, France.,Department of Psychiatry Pomeranian Medical University, Szczecin, Poland
| | - N Sartorius
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.,Association for the Improvement of Mental Health Programmes (AMH), Geneva, Switzerland
| | - Y Savenko
- Independent Psychiatric Association of Russia, Moscow, Russian Federation
| | - O Skugarevsky
- Belarusian Psychiatric Association, Minsk, Belarus.,Psychiatry and Medical Psychology Department, Belarusian State Medical University, Minsk, Belarus
| | - E Slodecki
- Royal College of Psychiatrists, London, United Kingdom
| | - A Soghoyan
- Armenian Psychiatric Association, Yerevan, Armenia.,Center of Psychosocial Recovery, Yerevan State Medical University, Yerevan, Armenia
| | - D S Stone
- National Centre for Suicide Research and Prevention of Mental-Ill Health, Karolinska Institute, Stockholm, Sweden
| | - R Taylor-East
- Maltese Association of Psychiatry, Attard, Malta.,University of Malta, Msida, Malta
| | - E Terauds
- Latvian Psychiatric Association, Riga, Latvia.,Department of Psychiatry and Narcology, Rīga Stradiņš University, Riga, Latvia
| | - C Tsopelas
- Psychiatric Association of Eastern Europe and the Balkans, Athens, Greece.,Department of Psychiatry, Psychiatric Hospital of Athens, Athens, Greece
| | - C Tudose
- Romanian Association of Psychiatry and Psychotherapy, Bucharest, Romania.,Department of Psychiatry "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - S Tyano
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France
| | - P Vallon
- Swiss Society of Psychiatry and Psychotherapy, Bern, Switzerland
| | - R J Van der Gaag
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.,Psychosomatics and Psychotherapy Stradina Department, University of Riga, Riga, Latvia
| | - P Varandas
- Portuguese Society of Psychiatry and Mental Health, Lisbon, Portugal.,Casa de Saúde da Idanha and San José Psychiatric Clinic Instituto das Irmãs Hospitaleiras do Sagrado Coração de Jesus, Belas, Portugal
| | - L Vavrusova
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.,Slovak Psychiatric Association, Bratislava, Slovakia
| | - P Voloshyn
- Association of Neurologists, Psychiatrists and Narcologists of Ukraine, Kharkiv, Ukraine.,Department of Neurology and Neurosurgery of Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
| | - J Wancata
- Austrian Society for Psychiatry and Psychotherapy, Vienna, Austria.,Clinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria
| | - J Wise
- European Psychiatric Association, Committee on Ethical Issues, Strasbourg, France.,CNWL NHS Foundation Trust, London, United Kingdom
| | - Z Zemishlany
- Israel Psychiatric Association, Ramat Gan, Israel
| | - F Öncü
- Psychiatric Association of Turkey, Ankara, Turkey.,Forensic Psychiatry Department, Bakirkoy Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - S Vahip
- European Psychiatric Association Council of National Psychiatric Associations, Strasbourg, France.,Department of Psychiatry, Ege University School of Medicine, Izmir, Turkey
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7
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Herta DC, Nemes B, Cozman D. Cognitive appraisal of exposure to specific types of trauma - a study of gender differences. BMC Womens Health 2017; 17:111. [PMID: 29145858 PMCID: PMC5689137 DOI: 10.1186/s12905-017-0468-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/12/2015] [Accepted: 11/07/2017] [Indexed: 11/26/2022]
Abstract
Background The role of gender in posttraumatic cognitions has increasingly been approached. The current study comparatively evaluates posttraumatic cognitions in men and women exposed to specific nonsexual trauma (motor vehicle accidents, work – related accidents, burns). Methods Posttraumatic cognitions and posttraumatic stress symptoms were comparatively assessed in 53 men and 37 women treated in 3 Romanian primary care units after specific accidental trauma. Posttraumatic Cognitions Inventory (PTCI) was used to assess posttraumatic cognitions, and the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT) was used to assess posttraumatic stress symptoms. Results Men with significant posttraumatic stress symptoms endorsed more negative cognitions than women. Men with posttraumatic disability more consistently endorsed some negative cognitions regarding instrumentality, strength and control than their female counterparts. Women and men without posttraumatic disability reported similarly low levels of negative posttraumatic cognitions. Time elapsed since trauma increased most negative cognitions in men. Conclusions The intensity of PTSD symptoms and presence of posttraumatic disability influence negative cognitions after exposure to accidental trauma. Women experiencing clinically significant PTSD symptoms endorse more cognitions regarding instrumentality, strength and control than male counterparts. Women with permanent disability after trauma report less cognitions involving emotionality, dependence and low self – efficacy than male counterparts. In the absence of permanent posttraumatic disability, men and women endorse similar levels of negative cognitions after accidental trauma. With time elapsed since trauma, men perceive decreasing self – efficacy, problem – solving and emotional control, while women perceive decreasing interpersonal cooperation. Despite limitations (cross-sectional design, lack of normative data for PTCI to ascertain culturally – specific gendered cognitions), this study supports the gender – sensitive approach of accidental trauma, especially when its consequences are pervasive, disabling and increasingly burdensome. Electronic supplementary material The online version of this article (10.1186/s12905-017-0468-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Dana-Cristina Herta
- University of Medicine and Pharmacy 'Iuliu Hatieganu', Cluj-Napoca, Romania. .,Department of Medical Psychology, Str. V. Babes 43, Pavilion 3, 400012, Cluj-Napoca, Romania.
| | - Bogdan Nemes
- University of Medicine and Pharmacy 'Iuliu Hatieganu', Cluj-Napoca, Romania.,Department of Medical Psychology, Str. V. Babes 43, Pavilion 3, 400012, Cluj-Napoca, Romania
| | - Doina Cozman
- University of Medicine and Pharmacy 'Iuliu Hatieganu', Cluj-Napoca, Romania.,Department of Medical Psychology, Str. V. Babes 43, Pavilion 3, 400012, Cluj-Napoca, Romania
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8
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McMahon EM, Corcoran P, Keeley H, Cannon M, Carli V, Wasserman C, Sarchiapone M, Apter A, Balazs J, Banzer R, Bobes J, Brunner R, Cozman D, Haring C, Kaess M, Kahn JP, Kereszteny A, Bitenc UM, Nemes B, Poštuvan V, Sáiz PA, Sisask M, Tubiana A, Värnik P, Hoven CW, Wasserman D. Mental health difficulties and suicidal behaviours among young migrants: multicentre study of European adolescents. BJPsych Open 2017; 3:291-299. [PMID: 29234521 PMCID: PMC5707442 DOI: 10.1192/bjpo.bp.117.005322] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 10/11/2017] [Accepted: 10/19/2017] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Migration has been reported to be associated with higher prevalence of mental disorders and suicidal behaviour. AIMS To examine the prevalence of emotional and behavioural difficulties, suicidal ideation and suicide attempts among migrant adolescents and their non-migrant peers. METHOD A school-based survey was completed by 11 057 European adolescents as part of the Saving and Empowering Young Lives in Europe (SEYLE) study. RESULTS A previous suicide attempt was reported by 386 (3.6%) adolescents. Compared with non-migrants, first-generation migrants had an elevated prevalence of suicide attempts (odds ratio (OR) 2.08; 95% CI 1.32-3.26; P=0.001 for European migrants and OR 1.86; 95% CI 1.06-3.27; P=0.031 for non-European migrants) and significantly higher levels of peer difficulties. Highest levels of conduct and hyperactivity problems were found among migrants of non-European origin. CONCLUSIONS Appropriate mental health services and school-based supports are required to meet the complex needs of migrant adolescents. DECLARATION OF INTEREST None. COPYRIGHT AND USAGE © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.
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Affiliation(s)
- Elaine M McMahon
- , PhD, National Suicide Research Foundation, University College Cork, Cork, Ireland
| | - Paul Corcoran
- , PhD, National Suicide Research Foundation, University College Cork, Cork, Ireland
| | - Helen Keeley
- , MD, MRCPsych, Child and Adolescent Psychiatry, Health Service Executive, Cork, Ireland
| | - Mary Cannon
- , PhD, FRCPsych, Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Vladimir Carli
- , MD, PhD, National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden
| | - Camilla Wasserman
- , PhD, National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden; Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, New York, USA
| | - Marco Sarchiapone
- , MD, PhD, Department of Medicine and Health Science, University of Molise, Campobasso, Italy; National Institute for Health, Migration and Poverty, Rome, Italy
| | - Alan Apter
- , MD, Schneider Children's Medical Centre of Israel, Tel-Aviv University, Tel Aviv, Israel
| | - Judit Balazs
- , MD, PhD, Vadaskert Child and Adolescent Psychiatry Hospital, Budapest, Hungary; Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
| | | | - Julio Bobes
- , MD, PhD, Centro de Investigación Biomédica en Red de Salud Mental - CIBERSAM, University of Oviedo, Oviedo, Spain
| | - Romuald Brunner
- , MD, Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany
| | - Doina Cozman
- , MD, PhD, Clinical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Christian Haring
- , MD, MSc, Department Psychiatry and Psychotherapy, Tirol Kliniken, Hospital Hall in Tyrol, Innsbruck, Austria
| | - Michael Kaess
- , MD, Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany; University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
| | - Jean-Pierre Kahn
- , MD, PhD, University of Lorraine, Nancy, France and Centre Hospitalier Régional Universitaire de Nancy, Nancy, France; Department of Psychiatry and Clinical Psychology, Centre Psychothérapique de Nancy, Nancy, France
| | - Agnes Kereszteny
- , MA, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary; Doctoral School of Semmelweis University, Budapest, Hungary
| | - Ursa Mars Bitenc
- , BSc, Slovene Centre for Suicide Research, Andrej Marusic Institute, University of Primorska, Koper, Slovenia
| | - Bogdan Nemes
- , MD, PhD, Clinical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Vita Poštuvan
- , PhD, Slovene Centre for Suicide Research, Andrej Marusic Institute, University of Primorska, Koper, Slovenia
| | - Pilar A Sáiz
- , MD, PhD, Centro de Investigación Biomédica en Red de Salud Mental - CIBERSAM, University of Oviedo, Oviedo, Spain
| | - Merike Sisask
- , PhD, Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Tallinn, Estonia; School of Governance, Law and Society, Tallinn University, Tallinn, Estonia
| | - Alexandra Tubiana
- , MA, Department of Psychiatry and Clinical Psychology, Centre Psychothérapique de Nancy, Nancy, France
| | - Peeter Värnik
- , PhD, Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Tallinn, Estonia
| | - Christina W Hoven
- , DrPh, MPH, Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, New York, USA; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA
| | - Danuta Wasserman
- , MD, PhD, National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden
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9
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Cozman D, Moldovan R, Nemes B. Genetic Counselling in Psychiatric Disorder with High Suicide Risk. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
IntroductionA better understanding of the genomics of mental illnesses allowed genetic counselling to be provided to individuals with severe mental illness and their families.AimThe present study was aimed at assessing the efficacy of genetic counselling for severe mental illnesses with high suicide risk.MethodAssessment was performed before and after genetic counselling session. Measures used were evaluation of traumatic events in childhood, multidimensional scale for perception of social support (SMSSP), positive and negative affect schedule (PANAS-X), Brief Psychiatric Rating Scale (BPRS), Paykel questionnaire and Genetic Counselling Outcome Scale (GCOS). Paykel's questionnaire consists of five questions about suicidal thoughts and attempts, including: life-weariness, death wishes, suicidal ideation, suicidal plans and suicide attempts. Intervention and assessment lasted approximately one and a half hour. Data from 48 patients was analysed.ResultsMean age of participants was M = 38.4, SD = 9.7, and the group was batter represented by females (57%). The participants had various diagnoses, 22% had schizophrenia, 36% bipolar disorder and 42% recurrent depressive disorder. Forty percent of participants reported suicidal ideation and 22,5% had a past history of suicide attempt. Genetic counselling had a direct positive influence upon GCOS specific items and reduced the Paykel scores among participants presenting with suicidal ideation.ConclusionGenetic counselling offers information about the disorder, the role of genetics and the impact of environmental factors. Preliminary data suggest that providing genetic counselling decreases the suicidal ideation frequency.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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10
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Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, Carli V, Höschl C, Winkler P, Balazs J, Purebl G, Kahn JP, Sáiz PA, Bobes J, Cozman D, Hegerl U, Rancāns E, Hadlaczky G, Van Audenhove C, Hermesh H, Sisask M, Peschayan AM, Kapusta N, Adomaitiene V, Steibliene V, Kosiewska I, Rozanov V, Courtet P, Zohar J. Evidence-based national suicide prevention taskforce in Europe: A consensus position paper. Eur Neuropsychopharmacol 2017; 27:418-421. [PMID: 28161247 DOI: 10.1016/j.euroneuro.2017.01.012] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2017] [Accepted: 01/18/2017] [Indexed: 11/24/2022]
Affiliation(s)
- Gil Zalsman
- Geha Mental Health Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Division of Molecular Imaging and Neuropathology, Department of Psychiatry, Columbia University, New York, NY, USA; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
| | - Keith Hawton
- Centre for Suicide Research, University of Oxford, UK; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Danuta Wasserman
- National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Kees van Heeringen
- Unit for Suicide Research, Ghent University, Belgium; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Ella Arensman
- National Suicide Research Foundation, Department of Epidemiology and Public Health, University College Cork, Ireland; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Marco Sarchiapone
- Department of Medicine and Health Science, University of Molise, Via De Santis Campobasso and National Institute for Health, Migration and Poverty, Roma, Italy; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Vladimir Carli
- National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Cyril Höschl
- National Institute of Mental Health, Klecany, Czechia; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Petr Winkler
- National Institute of Mental Health, Klecany, Czechia; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Judit Balazs
- Department of Developmental and Clinical Child Psychology, Institute of Psychology, Eotvos Lorand University, and Vadaskert Child Psychiatric Hospital and Outpatient Clinic, Budapest, Hungary; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - György Purebl
- Institute of Behavioral Sciences, Semmelweis University Budapest, Hungary; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Jean Pierre Kahn
- Université de Lorraine, Pôle de Psychiatrie et Psychologie Clinique, Centre Psychothérapique de Nancy-Laxou, France; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Pilar Alejandra Sáiz
- Department of Psychiatry, University of Oviedo, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Oviedo, Spain; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Julio Bobes
- Department of Psychiatry, University of Oviedo, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Oviedo, Spain; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Doina Cozman
- Department of Clinical Psychology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Ulrich Hegerl
- Department of Psychiatry and Psychotherapy, University of Leipzig, Germany; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Elmārs Rancāns
- Department of Psychiatry and Narcology, Riga Stradins University, Latvia; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Gergö Hadlaczky
- National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Chantal Van Audenhove
- University of Leuven, Belgium; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Haggy Hermesh
- Department of Psychiatry, University of Oviedo, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Oviedo, Spain; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Merike Sisask
- Estonian-Swedish Mental Health and Suicidology Institute (ERSI) AND Tallinn University, Estonia; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Armen Melik Peschayan
- Yerevan state medical university, Armenia; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Nestor Kapusta
- Department for Psychoanalysis and Psychotherapy, Medical University of Vienna, Austria; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Virginja Adomaitiene
- Lithuanian University of health sciences, Lithuania; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Vesta Steibliene
- Lithuanian University of health sciences, Lithuania; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Iwowa Kosiewska
- Odessa National Mechnikov University, Odessa, Ukraine; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Vsevolod Rozanov
- Odessa National Mechnikov University, Odessa, Ukraine; Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Philp Courtet
- Montpellier University, Montpellier Academic Hospital, Fondamental Foundation, France
| | - Joseph Zohar
- Psychiatry department, Sheba Health Center and Sackler School of Medicine, Tel Aviv University, Israel
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11
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Giurgiuca A, Nemes B, Schipor S, Caragheorgheopol A, Boscaiu V, Cozman D, Tudose C. CORTISOL LEVELS AND SUICIDE IN BIPOLAR I DISORDER. Acta Endocrinol (Buchar) 2017; 13:188-194. [PMID: 31149172 PMCID: PMC6516452 DOI: 10.4183/aeb.2017.188] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
CONTEXT Hypothalamic-pituitary-adrenal (HPA) axis irregularities have been described both in bipolar disorder and suicidal behaviour, but few studies have examined the relationship between suicidal behaviours and cortisol levels in bipolar disorder. OBJECTIVE We compared HPA axis activity in bipolar I (BPD I) individuals with and without suicidal ideation and behaviour through multiple measurement of serum and salivary cortisol. DESIGN Cross-sectional, observational study. SUBJECTS AND METHODS 75 BPD I patients were assigned into 3 groups (no history of suicidal behaviour, history of suicidal ideation, history of suicide attempt), according to the C-SSRS. Socio-demographical and clinical data was obtained by using MINI 6.0 and a semi-structured questionnaire. Salivary samples were collected using Sarstedt Cortisol Salivette synthetic swab system for two consecutive days at 08:00, 16:00, 23:00 and salivary cortisol concentrations were determined by ELISA technique. A unique 1mg dose of dexamethasone was administered on the first day, at 23:00, after the collection of the saliva sample. Blood was collected on the first day at 8:00 AM and basal morning serum cortisol levels were determined by immunoassay with fluorescence detection. RESULTS Cortisol parameters in our BPD I sample did not vary significantly in respect to suicidal history. However, patients with a history of suicidal ideation have significantly higher total cortisol outputs than patients with no history of suicidal behaviour in the 18 to 40 age category compared with the above 40 age category. CONCLUSIONS Total cortisol daily output varies significantly in an age-dependent manner in respect to suicidal thoughts in BPD I individuals.
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Affiliation(s)
- A. Giurgiuca
- “Carol Davila” University of Medicine and Pharmacy - Department of Psychiatry, Bucharest, Romania
| | - B. Nemes
- “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj-Napoca - Department of Medical Psychology, Cluj-Napoca, Romania
| | - S. Schipor
- “C. I. Parhon” National Institute of Endocrinology, Bucharest, Romania
| | | | - V. Boscaiu
- “Gheorghe Mihoc - Caius Iacob” Institute of Statistics and Applied Mathematics, Bucharest, Romania
| | - D. Cozman
- “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj-Napoca - Department of Medical Psychology, Cluj-Napoca, Romania
| | - C. Tudose
- “Carol Davila” University of Medicine and Pharmacy - Department of Psychiatry, Bucharest, Romania
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12
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Trifu RN, Nemeș B, Bodea-Hațegan C, Cozman D. Linguistic indicators of language in major depressive disorder (MDD). An evidence based research. J Evid-Based Psychot 2017. [DOI: 10.24193/jebp.2017.1.7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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McMahon EM, Corcoran P, O'Regan G, Keeley H, Cannon M, Carli V, Wasserman C, Hadlaczky G, Sarchiapone M, Apter A, Balazs J, Balint M, Bobes J, Brunner R, Cozman D, Haring C, Iosue M, Kaess M, Kahn JP, Nemes B, Podlogar T, Poštuvan V, Sáiz P, Sisask M, Tubiana A, Värnik P, Hoven CW, Wasserman D. Physical activity in European adolescents and associations with anxiety, depression and well-being. Eur Child Adolesc Psychiatry 2017; 26:111-122. [PMID: 27277894 DOI: 10.1007/s00787-016-0875-9] [Citation(s) in RCA: 278] [Impact Index Per Article: 39.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Accepted: 05/30/2016] [Indexed: 11/28/2022]
Abstract
In this cross-sectional study, physical activity, sport participation and associations with well-being, anxiety and depressive symptoms were examined in a large representative sample of European adolescents. A school-based survey was completed by 11,110 adolescents from ten European countries who took part in the SEYLE (Saving and Empowering Young Lives in Europe) study. The questionnaire included items assessing physical activity, sport participation and validated instruments assessing well-being (WHO-5), depressive symptoms (BDI-II) and anxiety (SAS). Multi-level mixed effects linear regression was used to examine associations between physical activity/sport participation and mental health measures. A minority of the sample (17.9 % of boys and 10.7 % of girls; p < 0.0005) reported sufficient activity based on WHO guidelines (60 min + daily). The mean number of days of at least 60 min of moderate-to-vigorous activity in the past 2 weeks was 7.5 ± 4.4 among boys and 5.9 days ± 4.3 among girls. Frequency of activity was positively correlated with well-being and negatively correlated with both anxiety and depressive symptoms, up to a threshold of moderate frequency of activity. In a multi-level mixed effects model more frequent physical activity and participation in sport were both found to independently contribute to greater well-being and lower levels of anxiety and depressive symptoms in both sexes. Increasing activity levels and sports participation among the least active young people should be a target of community and school-based interventions to promote well-being. There does not appear to be an additional benefit to mental health associated with meeting the WHO-recommended levels of activity.
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Affiliation(s)
- Elaine M McMahon
- National Suicide Research Foundation, University College Cork, Cork, Ireland.
| | - Paul Corcoran
- National Suicide Research Foundation, University College Cork, Cork, Ireland
| | - Grace O'Regan
- National Suicide Research Foundation, University College Cork, Cork, Ireland
| | | | - Mary Cannon
- Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Vladimir Carli
- National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden
| | - Camilla Wasserman
- Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, USA.,Department of Medicine and Health Science, University of Molise, Campobasso, Italy
| | - Gergö Hadlaczky
- National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden
| | - Marco Sarchiapone
- Department of Medicine and Health Science, University of Molise, Campobasso, Italy.,National Institute for Health, Migration and Poverty, Rome, Italy
| | - Alan Apter
- Schneider Children's Medical Centre of Israel, Tel-Aviv University, Tel Aviv, Israel
| | - Judit Balazs
- Vadaskert Child and Adolescent Psychiatry Hospital, Budapest, Hungary.,Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
| | - Maria Balint
- Pedagogical Consultation Services, Budapest, Hungary
| | - Julio Bobes
- Centro de Investigación Biomédica en Red de Salud Mental, University of Oviedo, Oviedo, Spain
| | - Romuald Brunner
- Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany
| | - Doina Cozman
- Clinical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Christian Haring
- Department Psychiatry and Psychotherapy, Tirol Kliniken, Hospital Hall in Tyrol, Innsbruck, Austria
| | - Miriam Iosue
- Department of Medicine and Health Science, University of Molise, Campobasso, Italy
| | - Michael Kaess
- Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany
| | - Jean-Pierre Kahn
- Department of Psychiatry and Clinical Psychology, University of Lorraine, Nancy, France
| | - Bogdan Nemes
- Clinical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Tina Podlogar
- Slovene Centre for Suicide Research, Andrej Marusic Institute, University of Primorska, Koper, Slovenia
| | - Vita Poštuvan
- Slovene Centre for Suicide Research, Andrej Marusic Institute, University of Primorska, Koper, Slovenia
| | - Pilar Sáiz
- Centro de Investigación Biomédica en Red de Salud Mental, University of Oviedo, Oviedo, Spain
| | - Merike Sisask
- Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Tallinn, Estonia.,School of Governance, Law and Society, Tallinn University, Tallinn, Estonia
| | - Alexandra Tubiana
- Department of Psychiatry and Clinical Psychology, University of Lorraine, Nancy, France
| | - Peeter Värnik
- Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Tallinn, Estonia
| | - Christina W Hoven
- Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, USA.,Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA
| | - Danuta Wasserman
- National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden
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Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, Carli V, Höschl C, Barzilay R, Balazs J, Purebl G, Kahn JP, Sáiz PA, Lipsicas CB, Bobes J, Cozman D, Hegerl U, Zohar J. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry 2016; 3:646-59. [PMID: 27289303 DOI: 10.1016/s2215-0366(16)30030-x] [Citation(s) in RCA: 928] [Impact Index Per Article: 116.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Revised: 03/27/2016] [Accepted: 03/30/2016] [Indexed: 12/11/2022]
Abstract
BACKGROUND Many countries are developing suicide prevention strategies for which up-to-date, high-quality evidence is required. We present updated evidence for the effectiveness of suicide prevention interventions since 2005. METHODS We searched PubMed and the Cochrane Library using multiple terms related to suicide prevention for studies published between Jan 1, 2005, and Dec 31, 2014. We assessed seven interventions: public and physician education, media strategies, screening, restricting access to suicide means, treatments, and internet or hotline support. Data were extracted on primary outcomes of interest, namely suicidal behaviour (suicide, attempt, or ideation), and intermediate or secondary outcomes (treatment-seeking, identification of at-risk individuals, antidepressant prescription or use rates, or referrals). 18 suicide prevention experts from 13 European countries reviewed all articles and rated the strength of evidence using the Oxford criteria. Because the heterogeneity of populations and methodology did not permit formal meta-analysis, we present a narrative analysis. FINDINGS We identified 1797 studies, including 23 systematic reviews, 12 meta-analyses, 40 randomised controlled trials (RCTs), 67 cohort trials, and 22 ecological or population-based investigations. Evidence for restricting access to lethal means in prevention of suicide has strengthened since 2005, especially with regard to control of analgesics (overall decrease of 43% since 2005) and hot-spots for suicide by jumping (reduction of 86% since 2005, 79% to 91%). School-based awareness programmes have been shown to reduce suicide attempts (odds ratio [OR] 0·45, 95% CI 0·24-0·85; p=0·014) and suicidal ideation (0·5, 0·27-0·92; p=0·025). The anti-suicidal effects of clozapine and lithium have been substantiated, but might be less specific than previously thought. Effective pharmacological and psychological treatments of depression are important in prevention. Insufficient evidence exists to assess the possible benefits for suicide prevention of screening in primary care, in general public education and media guidelines. Other approaches that need further investigation include gatekeeper training, education of physicians, and internet and helpline support. The paucity of RCTs is a major limitation in the evaluation of preventive interventions. INTERPRETATION In the quest for effective suicide prevention initiatives, no single strategy clearly stands above the others. Combinations of evidence-based strategies at the individual level and the population level should be assessed with robust research designs. FUNDING The Expert Platform on Mental Health, Focus on Depression, and the European College of Neuropsychopharmacology.
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Affiliation(s)
- Gil Zalsman
- Geha Mental Health Center and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Division of Molecular Imaging and Neuropathology, Department of Psychiatry, Columbia University, New York, NY, USA.
| | - Keith Hawton
- Centre for Suicide Research, University of Oxford, Oxford, UK
| | - Danuta Wasserman
- National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden
| | | | - Ella Arensman
- National Suicide Research Foundation, Department of Epidemiology and Public Health, University College Cork, Cork, Ireland
| | - Marco Sarchiapone
- Department of Medicine and Health Science, University of Molise, Via De Santis Campobasso and National Institute for Health, Migration and Poverty, Roma, Italy
| | - Vladimir Carli
- National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden
| | - Cyril Höschl
- National Institute of Mental Health, Klecany, Czech Republic
| | - Ran Barzilay
- Geha Mental Health Center and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Judit Balazs
- Department of Developmental and Clinical Child Psychology, Institute of Psychology, Eotvos Lorand University, Budapest, Hungary
| | - György Purebl
- Institute of Behavioral Sciences, Semmelweis University Budapest, Budapest, Hungary
| | - Jean Pierre Kahn
- Université de Lorraine, Pôle de Psychiatrie et Psychologie Clinique, Centre Psychothérapique de Nancy-Laxou, Nancy-Laxou, France
| | - Pilar Alejandra Sáiz
- Department of Psychiatry, University of Oviedo, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM Oviedo, Spain
| | - Cendrine Bursztein Lipsicas
- Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Julio Bobes
- Department of Psychiatry, University of Oviedo, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM Oviedo, Spain
| | - Doina Cozman
- Department of Clinical Psychology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Ulrich Hegerl
- Department of Psychiatry and Psychotherapy, University of Leipzig, Leipzig, Germany
| | - Joseph Zohar
- Psychiatry Department, Sheba Health Center and Sackler School of Medicine, Tel Aviv University, Tel Avis, Israel
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15
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Herta DC, Brîndas P, Trifu R, Cozman D. Risk and resilience factors of persons exposed to accidents. ACTA ACUST UNITED AC 2016; 89:257-66. [PMID: 27152078 PMCID: PMC4849385 DOI: 10.15386/cjmed-547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Accepted: 09/07/2015] [Indexed: 12/02/2022]
Abstract
Background and aims Resilience encompasses factors promoting effective functioning in the context of adversity. Data regarding resilience in the wake of accidental trauma is still scarce. The aim of the current study is to comparatively assess adaptive, life – promoting factors in persons exposed to motor vehicle accidents (MVA) vs. persons exposed to other types of accidents, and to identify psychological factors of resilience and vulnerability in this context of trauma exposure. Methods We assessed 93 participants exposed to accidents out of 305 eligible patients from the Clinical Rehabilitation Hospital and Cluj County Emergency Hospital. The study used Reasons for Living Inventory (RFL) and Life Events Checklist. Scores were comparatively assessed for RFL items, RFL scale and subscales in participants exposed to motor vehicle accidents (MVA) vs. participants exposed to other life – threatening accidents. Results Participants exposed to MVA and those exposed to other accidents had significantly different scores in 7 RFL items. Scores were high in 4 out of 6 RFL subscales for both samples and in most items comprising these subscales, while in the other 2 subscales and in some items comprising them scores were low. Conclusions Low fear of death, physical suffering and social disapproval emerge as risk factors in persons exposed to life – threatening accidents. Love of life, courage in life and hope for the future are important resilience factors after exposure to various types of life – threatening accidents. Survival and active coping beliefs promote resilience especially after motor vehicle accidents. Coping with uncertainty are more likely to foster resilience after other types of life – threatening accidents. Attachment of the accident victim to family promotes resilience mostly after MVA, while perceived attachment of family members to the victim promotes resilience after other types of accidents.
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Affiliation(s)
- Dana-Cristina Herta
- Medical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj - Napoca, Romania
| | - Paula Brîndas
- Medical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj - Napoca, Romania
| | - Raluca Trifu
- Medical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj - Napoca, Romania; Lucian Blaga Central University Library, Cluj-Napoca, Romania
| | - Doina Cozman
- Medical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj - Napoca, Romania
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16
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Nemes B, Cozman D. The relevance of personality assessment in estimating the risk of onset and the outcome of major depressive disorder. ACTA ACUST UNITED AC 2016; 89:212-5. [PMID: 27152070 PMCID: PMC4849377 DOI: 10.15386/cjmed-563] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Revised: 09/22/2015] [Accepted: 10/06/2015] [Indexed: 01/07/2023]
Abstract
In the past two decades, numerous studies have focused on the relationship between the psychobiological model of temperament and character and the development and evolution of major depressive disorder. This interest has been generated primarily because this particular model was developed as a tool for a comprehensive diagnosis of mental disorders. Such a diagnosis model, based on fewer diagnostic categories and a more phenomenological and person oriented approach seems to be supported by more recent research. The aim of this paper was to review the latest developments in this area, but in the context of the initial development of the psychobiological model of temperament and character, i.e. as a tool for the comprehensive diagnosis of depressed individuals. Data published so far supports the following observations: (1) high harm avoidance and low self-directedness are risk factors for the development of major depressive disorder, but further research is needed to clearly establish the role of the other dimensions or their facets as predictors for the development of a depressive episode; (2) although some evidence has been obtained so far regarding the use of harm avoidance, novelty seeking, reward dependence and cooperativeness in predicting treatment response in major depressive disorder, further research is needed to clarify and/or to replicate these findings; and (3) data on temperament and character dimensions related to relapse in major depressive disorder are insufficient, although some evidence has been brought to support the hypothesis that high harm avoidance scores, and low self-directedness and novelty seeking scores might serve as predictors; further prospective studies need to be carried out to establish their utility in this respect.
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Affiliation(s)
- Bogdan Nemes
- Department of Medical Psychology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Doina Cozman
- Department of Medical Psychology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
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17
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Giurgiuca A, Schipor S, Caragheorgheopol A, Crasan A, Postolache E, Tudose C, Prelipceanu D, Cozman D. PLATELET SEROTONIN AS BIOMARKER FOR ASSESSING SUICIDAL BEHAVIOUR IN PATIENTS WITH BIPOLAR I DISORDER. Acta Endocrinol (Buchar) 2016; 12:275-281. [PMID: 31149101 DOI: 10.4183/aeb.2016.275] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Context Suicide is a global public health issue. Bipolar disorder (BPD) has the highest suicide risk among individuals suffering from mental disorders. Serotoninergic dysfunctions have been linked to suicidal behaviour and platelet serotonin is recognised as a reliable index for the presynaptic serotonin activity. Objective Our aim was to assess whether alterations occur in platelet serotonin concentrations in BPD type I in respect to suicide attempters compared with non-attempters. Design This was a cross-sectional, observational study. Subjects and Methods Plasma platelet serotonin concentrations were measured using ELISA technique in 71 BPD I patients. The participants were assigned into 3 groups (non-attempters, low lethality and high lethality suicide attempters), according to the Columbia-Suicide Severity Rating Scale. Socio-demographical and clinical data was obtained by using MINI 6.0 and a semi-structured questionnaire designed specifically for this research. Results Our study showed significant lower levels of platelet serotonin in suicide attempters compared with non-attempters (p = 0.030) and in high-lethality attempters compared with low-lethality attempters (p = 0.015). The study recorded a higher number of total lifetime and lifetime depressive episodes for suicide attempters with BPD I. Conclusions Our results subscribe to the importance of platelet serotonin as a reliable biomarker in suicide risk assessment.
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Affiliation(s)
- A Giurgiuca
- "Carol Davila" University of Medicine and Pharmacy, Psychiatry Department, Bucharest, Romania
| | - S Schipor
- "C. I. Parhon" National Institute of Endocrinology, Research Department, Bucharest, Romania
| | - A Caragheorgheopol
- "C. I. Parhon" National Institute of Endocrinology, Research Department, Bucharest, Romania
| | - A Crasan
- "Prof. Dr. Al. Obregia" Clinical Psychiatric Hospital, Bucharest, Romania
| | - E Postolache
- "Prof. Dr. Al. Obregia" Clinical Psychiatric Hospital, Microbiology and Laboratory Medicine Department, Bucharest, Romania
| | - C Tudose
- "Carol Davila" University of Medicine and Pharmacy, Psychiatry Department, Bucharest, Romania
| | - D Prelipceanu
- "Carol Davila" University of Medicine and Pharmacy, Psychiatry Department, Bucharest, Romania
| | - D Cozman
- "Iuliu Hatieganu" University of Medicine and Pharmacy, Clinical Psychology Department, Cluj-Napoca, Romania
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Herta D, Cozman D. Post-traumatic Cognitions and Suicide Risk in a Sample of Accident Survivors. a Pilot Study. Eur Psychiatry 2015. [DOI: 10.1016/s0924-9338(15)31426-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Nemes B, Cozman D, Carli V, Sarchiapone M, Hoven C, Wasserman C, Wasserman D. EPA-0695 - Family disintegration due to workforce migration and suicidal behavior in adolescents. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78059-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Nemes B, Cozman D, Wasserman D, Carli V, Sarchiapone M, Wasserman C, Hoven C. 1639 – Social intolerance and risk-taking behaviors in european adolescents. Eur Psychiatry 2013. [DOI: 10.1016/s0924-9338(13)76630-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Cozman D, Dumitru V. P-1384 - From stress to burnout. study of psychiatric nurse. Eur Psychiatry 2012. [DOI: 10.1016/s0924-9338(12)75551-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Herta DC, Nemes B, Nica S, Cozman D. Developmental Risk Factors in Patients with Schizophrenia and Severe Neurocognitive Dysfunction. Eur Psychiatry 2009. [DOI: 10.1016/s0924-9338(09)71379-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Introduction:Recent data suggest that schizophrenia is a complex disorder with intricate patterns of neurocognitive impairment supported by specific neurobiological systems, present in schizophrenia patients, regardless of individual or clinical variables. the neurodevelopmental model of schizophrenia states that early insults (pre-, perinatal), late environmental, early and late genetic factors interact in various developmental stages, leading to various individual expressions of the disorder.Aim:To assess specific developmental risk factors in connection with the level of neurocognitive dysfunction in schizophrenia.Material and methods:Issues concerning family history, parenting style, attachment and early life stress were investigated in correlation with general intellectual functioning, working memory and executive functions in a set of young schizophrenia patients and a control group.Results:The authors found that certain prenatal insults, complications of delivery and early development, along with the quality of attachment and parenting style, were strongly correlated with the patterns of cognitive dysfunction in schizophrenia patients.Conclusions:Cognitive impairment might be a trait-like feature, stable throughout the lifetime, occurring years before the onset of the illness. Extending the concept of development to the entire life span could entail that factors with limited timeframe of action may play a role in the epigenetic regulation of certain genes and proteins expressed in specific areas of the brain, in specific developmental stages, which in turn may lead to overt and definitive changes much later in life.
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Cozman D, Gheorghiu M. The cultural pattern of suicidal behaviour in different ethnic groups in Romania. Eur Psychiatry 2007. [DOI: 10.1016/j.eurpsy.2007.01.259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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