558,889 research outputs found
The five-item Brief-Symptom Rating Scale as a suicide ideation screening instrument for psychiatric inpatients and community residents
Full text linkAbstract Background An efficient screening instrument which can be used in diverse settings to predict suicide in different populations is vital. The aim of this study was to use the five-item Brief Symptom Rating Scale (BSRS-5) as a screening instrument for the prediction of suicide ideation in psychiatric, community and general medical settings. Methods Five hundred and one psychiatric, 1,040 community and 969 general medical participants were recruited. The community participants completed a structured telephone interview, and the other two groups completed the self-report BSRS-5 questionnaire. Results The logistic regression analysis showed that the predictors of suicide ideation for the psychiatric group were depression, hostility and inferiority (p p = 0.016, p = 0.011), for the community group, inferiority, hostility and insomnia (p p p = 0.003), and for the general medical group, inferiority, hostility, depression and insomnia (p p = 0.001, p = 0.020, p = 0.008). The structural equation model showed the same symptom domains that predicted suicide ideation for all three groups. The receiver operating characteristic curve using the significant symptom domains from logistic regression showed that for the psychiatric group, the optimal cut-off point was 4/5 for the total of the significant dimensions (positive predictive value [PPV] = 78.01%, negative predictive value [NPV] = 79.05%), for the community group, 7/8 (PPV = 68.75%, NPV = 96.09%), and for the general medical group, 12/13 (PPV = 92.86%, NPV = 88.48%). Conclusion The BSRS-5 is an efficient tool for the screening of suicide ideation-prone psychiatric inpatients, general medical patients, and community residents. Understanding the discriminative symptom domains for different groups and the relationship between them can help health care professionals in their preventative programs and clinical treatment.</p
Physician Suicide in Taiwan, 2000-2008: Preliminary Findings
No full textResearch regarding physician suicide in Taiwan is lacking. Using national physician insurance data from January 1, 2000 to April 30, 2008, the present study aimed to explore the association between physicians' suicide and their characteristics, including age, sex, specialties, area of residence, hospital types, and suicide methods. The majority (53.1-70.6%) of suicide cases occurred among physicians in their 40s. More suicides were reported among physicians serving in the community, living in urban areas, and from specialties such as general practice, family practice, psychiatry, and surgery. The leading suicide methods were hanging/ suffocation, drowning, jumping from heights, charcoal burning and drug poisoning. In conclusion, physicians committing suicide were likely to be in their 40s , to serve in the community and to live in urban areas. Future efforts should focus on exploring the causes and possible interventions for physician suicide
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