Les participants ont rempli des An external evaluation of the program is currently under way at the University of Rochester School of Medicine’s Center for the Study and Prevention of Suicide. 1992. Paracetamol self-poisoning. 1995. Although some comprehensive suicide prevention programs appear to reduce rates of suicide, evaluation of such programs remains challenging given the multitude of variables on the individual and aggregate level that interact to affect suicide rates. Only two studies have examined the impact of firearms counseling on the removal of firearms with the parents of youth at risk for suicide. Still, surveys of clinicians have found that suicide prevention contracts are commonly used, and that there is a general perception that they are helpful (Davidson et al., 1995; Green and Grindel, 1996). AFSP (American Foundation for Suicide Prevention). The use of screening to identify at-risk and high-risk youth creates a demand for trained gatekeepers and programs designed to increase personal competencies. 1977. Toutefois, connaître tes forces est essentiel car ce sont celles-ci qui te permettent d'atteindre tes objectifs. This decline sometimes occurs without substitution of means, thereby reducing suicide. Ce site respecte les principes de la charte HONcode. 1996. Firearms and adolescent suicide. This section focuses on two school-based suicide prevention efforts (Counselors CARE [C-CARE] and Project CAST [Coping and Support Training]) primarily addressing skills training support groups and case management/alternative programming for high-risk youth. Thus, Air Force personnel receiving mental health treatment know that what they share with their mental health provider will not be used against them in military court or to characterize their service at the time of their separation from the military. Bibliographie sur la déficience intellectuelle 463-481). 2002. Research from Finland and Australia provides valuable information regarding barriers to program implementation and the importance of pilot projects. Compliance with recommendations to remove firearms in families participating in a clinical trial for adolescent depression. Évaluation de l’efficacité du programme d’intervention Check and Connect à l’école primaire. Reprinted by permission of the New York Academy of Sciences. In this case, the overall reduction in risk is 34 percent. The mental state of a patient is not static, and patients may have inconsistent and complex motivations for agreeing to or refusing a contract (Simon, 1999). Participation in gatekeeper training programs appears to produce significantly greater gains when compared to informational messages alone. France MH. Similarly, ethnicity is an important factor; Stack (1996) found that suicides of foreigners did not cause imitation among native populations. Bruce ML, Pearson JL. Suicide by auto exhaust is often relatively impulsive and frequently occurs under influence of alcohol (Skopek and Perkins, 1998). A replicative study. In a study of depressed adolescents who entered a randomized psychotherapy clinical trial, only 27 percent of parents who reported having guns in the home at intake removed the guns on follow-up after being urged by the clinician to do so (Brent et al., 2000). Imitative suicide on the Viennese subway. On the other hand, if gatekeepers can work more effectively with the top 20 percent at risk, this could lead to sizable reductions in suicide. adolescent sex offenders, and a discussion on the practical considerations for professionals working with adolescent sex offenders. 1987. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. 2000. The two programs were tested with 150 youth in C-CARE, 155 youth in CAST, relative to 155 similar youth in a “usual care” control group. The person who is likely to imitate a suicidal behavior. A recent study on treatment outcome in suicidal versus non-suicidal depressed elderly patients showed that the two groups had identical remission rates (77 percent versus 78. percent) when treated with combined pharmacotherapy and interpersonal psychotherapy, but that the relapse rate was higher among suicidal elderly (26% versus 13%, Szanto et al., 2001). As with the other programs reviewed here, despite apparent success, the Air Force has not established that this reduction in suicide follows directly from LINK’s implementation (Litts et al., 2000; USAFMS, 2000). Mishara B, Daigle M. 2001. Both CAST and C-CARE involved school support personnel, resources, and policies related to student suicidal behaviors. Kalafat J, Ryerson DM. Report of the Secretary’s Task Force on Youth Suicide. Quelqu'un peut-il invoquer un trouble de santé mentale pour tenter de fuir la justice? Preventing Mental Disorders. Evaluation of a youth suicide prevention school program. Urban/rural and gender differentials in suicide rates: East and west. CDC (Centers for Disease Control and Prevention). 1999. The addition of methionine to prevent the hepatotoxic effects has been suggested but not yet evaluated. The personal competency training program for youth in five urban high schools, Reconnecting Youth (RY) (Eggert et al., 1995a), serves as a model program for this review. 1988. Wyn J, Cahill H, Holdsworth R, Rowling L, Carson S. 2000. 1990. Une équipe spécialisée Conversely, if a gun was not in the home, it was used as a method of suicide quite infrequently. Kellermann AL, Rivara FP, Somes G, Reay DT, Francisco J, Banton JG, Prodzinski J, Fligner C, Hackman BB. Washington, DC: National Academy Press. Ciffone J. Chan TY. Michel K, Frey C, Wyss K, Valach L. 2000. As would be expected with a universal program assessed shortly after its completion, the changes in suicidal behaviors and related risk factors have generally been promising yet modest. 1993. They were released in August 2001, and the full text of these guidelines can be found on the sites of the partner organizations that developed them, including www.appcpenn.org and www.afsp.org. PHS (Public Health Service). The presence and accessibility of firearms in the homes of adolescent suicides: A case-control study. The rate of acetaminophen (or paracetamol) self-poisoning from emergency room registries has been estimated 21.4/100,000 in one American emergency room, and as high as 70–90/100,0000 in one study based in. San Francisco: Jossey-Bass Publishers. Acta Psychiatrica Scandinavica, 80(2): 180-182. He communicated often about his intent, remarking that “Life’s a bitch” and asking others about which way they thought it would be better to kill oneself. La prévention des troubles d’anxiété se fait selon trois paliers. Evidence of imitation. Included in both interventions were strategies designed to enhance a youth’s sense of personal control. The value of intervention programs, however, is frequently difficult to assess because of their short duration, often inadequate control populations, and limited long-term follow-up. The Air Force suicide prevention program therefore targets both suicide risk reduction and mental and behavioral health promotion, goals that concur with those of the United Nations and the World Health Organization recommendations (United Nations, 1996). Services offerts : Affilié à l'Université McGill et Centre collaborateur OMS/OPS de Montréal pour la recherche et la formation en santé mentale. Human Organization, 52(3): 304-315. Detoxification of motor vehicle exhaust and suicide. Scotland (Bond and Hite, 1999; McLoone and Crombie, 1996). The 11 programs reviewed varied from 1-to-12 sessions, and ranged in duration from 55 minutes to more than 16 hours. Objectifs des programmes d’intervention précoce. Montreal, Quebec, Canada: Université de Montréal. The rate of suicide by auto exhaust is, not surprisingly, related to the availability of automobiles (Marzuk et al., 1992; Ohberg et al., 1995; Ostrom et al., 1996). Medicinal self-poisoning and prescription frequency. Alcochoix+ est un programme québécois d'intervention précoce de gestion de la consommation qui vise à redonner aux adultes leur capacité de choisir où, quand, avec qui et quelle quantité d'alcool ils consomment. Reporting on Suicide: Recommendations for the Media. King KA, Smith J. Ayoye ! 153-171). Prevention and intervention trials must be carefully designed with appropriate controls and rigorously evaluated with long-term follow-up in order to know what works. Chichester, UK: John Wiley and Sons. Eggert LL, Karovsky PP, Pike KC. Acta Psychiatrica Scandinavica, 79(5): 444-449. The influence of gun control laws on personal violence. Kessler RC, Downey G, Stipp H, Milavsky JR. 1989. The study is obtaining a sample representative of practice populations and is over-sampling patients with depression and the very old, i.e., those aged 75 and above. Integrated approaches to suicide prevention have been used effectively in several American Indian reservation communities in the United States and Canada for at least three decades. Serna P, May P, Sitaker M. 1998. Cowen EL. Programme d'intervention des troubles de conduites alimentaires 2705, boulevard Laurier Québec (Québec) G1V 4G2 418 654-2121 418 654-2132 pitca.ciussscn@ssss.gouv.qc.ca Maison PITCA 1096, route de l’Église Québec (Québec) G1V 3V9 418 650-0092. Programme d'intervention cognitivo-comportemental auprès d'un groupe d'adolescents anxieux présentant une déficience intellectuelle légère à moyenne. Project CAST adds a 12-session (12 hours) small-group skills training program combined with the C-CARE individual approach. Homicide and suicide rates associated with implementation of the Brady Handgun Violence Prevention Act. Refusal to sign a no-suicide contract does not necessarily indicate that the patient is in imminent danger of suicide, just as agreement to a contract does not mean that the risk of suicide and self-destructive behavior is lessened. In addition to availability, adolescents’ general ignorance about the risk for hepatotoxicity appears to contribute to the use of acetaminophen. Preventing suicide by influencing mass-media reporting: The Viennese experience 1980–1996. 2001. Sweden, for example, uses a film to depict teenagers who wrestled with suicidal thoughts and crises and emerged feeling that they had learned and grown from their adverse experiences (Ramberg, 2000). Furthermore, the Air Force can routinely include suicide/mental health education into staff development and can form system-wide policies aimed at specific suicide-reduction efforts more quickly and with greater power to enforce such policies than the United States government as a whole. Bond GR, Hite LK. Certification is available through the American Association of Suicidology for North American phone help lines, and from the Samaritans for membership in Befrienders International, based in London, England. 2000. Furthermore, there is a marked gradient in toxicity among antidepressants (Cassidy and Henry, 1987; Kapur et al., 1992). The enhancement of psychological wellness: Challenges and opportunities. The focus will be primarily on school-based programs. Psychological Reports, 59(3): 1034. Programme de Traitement de Jour Maryvale dispense la scolarité et le traitement aux enfants et adolescents, âgés de 13 ans à 17 ans, qui ont de graves problèmes à leur école communautaire et, typiquement, font face à des conflits au sein de leur famille et de leur communauté. 1984. Quel est le traitement du TDA sans hyperactivité ? An operational classification of disease prevention. Flowers-Coulson PA, Kushner MA, Bankowski S. 2000. Association between epilepsy and attempted suicide. 2001b. Methods of adolescent suicide prevention. Wintemute et al. 1995. Recent prevention strategies in Norway and Australia, for example, have therefore designated evaluation of all aspects of their programs as requirements for funding. Both APCC and DAWN databases revealed that desipramine had a higher risk for suicide attempt and greater fatality given an overdose than either amitriptyline or imipramine. Firearm availability and suicide. Quoi faire si un proche est dans un état mental préoccupant et qu'il risque de passer à l'acte? If analysis of the Air Force LINK model finds it effective in reducing suicide, exporting it to other communities could prove valuable. Schmidtke A, Schaller S. 2000. Youth suicide prevention. In an emergency setting, for example, the patient has no investment in or commitment to the clinician, and thus, signing a contact would mean very little. Shaffer D, Garland A, Gould M, Fisher P, Trautman P. 1988. Suicide and Life-Threatening Behavior, 31 (Suppl): 132-149. The rate of self-poisoning by prescription drugs in New York City is highest in Manhattan, which has the higher per-capita density of physicians of any of the boroughs of New York (Marzuk et al., 1992). This evaluation has not, however, ruled out other causal explanations for this lower suicide rate in Maryland. Help-seeking behavior of Native American Indian high school students. Depression Treatment in Primary Care Elderly: Preliminary Outcomes of the NIMH PROSPECT Collaborative. Research into fictional portrayals has examined attempts or other suicidal behavior (such as ideation) rather than just rates of completed suicides, which allows for actual measurement of exposure. New England Journal of Medicine, 325(23): 1615-1620. Universal measures can be used to reduce the availability of common tools for suicide. Gould MS, Shaffer D. 1986. Recent trends in suicide amongst the young. There is usually a high participation rate in such programs because all students are exposed, for instance, to a teacher’s classroom management practices. Suicide prevention among active duty Air Force personnel— United States, 1990–1999. Share a link to this book page on your preferred social network or via email. Reduction in access to a means of suicide can result in a decline in the use of that method. Australia, for example, has started piloting its school programs and is publishing reports on common barriers to effective, sustained program implementation (e.g., Wyn et al., 2000).

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