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DSH and Suicide Research
Can you name the researchers who conducted these studies?
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RCT - Australia - 772pps with previous history of self poisoning. No effect of postcards condition.
% of carbon monoxide in domestic gas decrease resulted in a decrease in suicide.
Systematic review - therapy group scored lower for depression, hopelessness score at follow-up.
A measure used to assess how suicidal self harm behaviour is.
80-94% of individuals reported feeling better after engaging in DSH.
Experiential avoidance model - DSH is maintained through the process of escape conditioning.
Support for the cry of pain model - found higher levels of stress, escape potential and defeat and lower levels of support in those with history of DSH.
Green cards - pps randomly allocated to conditions, less people from the experimental condition reported further DSH than control at follow up.
Decrease in admissions due to paracetemol but increase in other admissions to hospital.
Reduction of deaths from paracetemol poisoning following legislation. Reduced number of liver problem and transplant admissions.
Systematic review of 24 RCTs, suggested that there is an insufficient amount of rigourous research.
Participants with DSH history had a trend towards more risky choices.
PTSD - prevalence of 50% DSH. PTSD is characterised by experiential avoidance.
25% reported feeling relieved following deliberate self harm (DSH).
Problem solving therapy is more effective than control (N=31).
Women who self-harmed reported higher levels of experiential avoidance.
Some substitution to ibuprofen found after paracetemol legislation, but no mortality effects.
Deficits in problem solving skills were found in those with DSH.
Borderline Personality Disorder - prevalence of 48-79% DSH. BPD includes an unwillingness to tolerate emotional distress.
Systematic review of problem solving in adolescence. Found significant deficits in problem solving, but less when controlled for depresison and hopelessness.
Emergency outreach in Copenhagen. Found sig. fulfillment of purpose after two years.
Over 50% of cases have low/moderate intent. Higher intent more common in males, repeaters and self-poisoners. Paracetemol has a relatively low intention rating, even though it is o
Availability of firearms in Canada positively correlated with the amount of suicide.
Meta-analysis - despite not finding significance there was a 30% reduction in repetition following problem solving therapy compared to aftercare. However the sample needed more pow
RCT - 90pps randomly assigned to CBT or treatment as usual (TAU). TAU was either psychotherapy or medication. Intervention took place for 5.5 months. Sig. greater reductions in DSH
Brady Bill, 1993- significant effect on suicide but attempting to prohibit high risk individuals from owning a firearm had a less effect.
Problem solving therapy produces over-general memory responses. Suicidal patients produce a larger amount of positive, negative and neutral over-general memories.
Letters, postcards, green cards and telephone calls are not useful for the most severe cases.
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