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DSH and Suicide Research
Can you name the researchers who conducted these studies?
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Problem solving therapy is more effective than control (N=31).
Availability of firearms in Canada positively correlated with the amount of suicide.
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
Some substitution to ibuprofen found after paracetemol legislation, but no mortality effects.
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.
A measure used to assess how suicidal self harm behaviour is.
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
80-94% of individuals reported feeling better after engaging in DSH.
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 - therapy group scored lower for depression, hopelessness score at follow-up.
Letters, postcards, green cards and telephone calls are not useful for the most severe cases.
PTSD - prevalence of 50% DSH. PTSD is characterised by experiential avoidance.
% of carbon monoxide in domestic gas decrease resulted in a decrease in suicide.
Emergency outreach in Copenhagen. Found sig. fulfillment of purpose after two years.
Women who self-harmed reported higher levels of experiential avoidance.
RCT - Australia - 772pps with previous history of self poisoning. No effect of postcards condition.
Systematic review of 24 RCTs, suggested that there is an insufficient amount of rigourous research.
Deficits in problem solving skills were found in those with DSH.
Green cards - pps randomly allocated to conditions, less people from the experimental condition reported further DSH than control at follow up.
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
Experiential avoidance model - DSH is maintained through the process of escape conditioning.
Participants with DSH history had a trend towards more risky choices.
Systematic review of problem solving in adolescence. Found significant deficits in problem solving, but less when controlled for depresison and hopelessness.
25% reported feeling relieved following deliberate self harm (DSH).
Borderline Personality Disorder - prevalence of 48-79% DSH. BPD includes an unwillingness to tolerate emotional distress.
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.
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