1,721,698 research outputs found
Suicide risk in the detachment from reality: failures in the quest for love that saves
No full textSuicide is among the leading causes of death worldwide, accounting for almost one million annual deaths globally. The author presents an exploration into the suicidal mind using Freud's cathexis and decathexis theory. This model describes the patient’s withdrawal from reality and the need to gratify libidinal and aggressive drives in the internal world. Theories and beliefs of other authors are used to introduce the importance of early disturbed relationships with parental figures. Working with the particular subtype of suicidal patient described in this essay may be a challenge for clinicians. A psychodynamic approach may help in the understanding of the patient’s complex and private world of psychological pain. If unresolved, the patient’s conflicts may precipitate suicide
The increase of suicide rates: the need for a paradigm shift
Full text linkSuicide was highlighted as a major public health issue in a recent release of data by the US Centers for Disease Control and Prevention (CDC).1 The CDC reported a 30% increase (1999–2016) in suicide across all age groups up to age 75 years (in half of all US states), and in 2016, 54% of people in 27 US states who died by suicide had no mental health diagnosis.1 Yet most papers and reports on suicide stress that up to 90% of people who die by suicide had a psychiatric disorder. Despite innovative approaches in both psychiatric treatments and suicide prevention, some important shortcomings seem to have a role in impairing effective progress in reducing deaths by suicide. A paradigm shift is needed that should focus the assessment of suicide risk on the centrality of the mental pain in suicidal individual
Social network theory and rising suicide rates in the USA
No full textSupporting and extending this concept,
we suggest that it is also important
for clinicians to assess whether such
empathetic understanding exists in an
individual’s social network. Positive
and negative emotions can be transmitted
through social connections
A plea for the understanding of the suicidal mind
No full textAlthough suicide is a major public health issue worldwide, both mental health professionals and lay-people struggle to cope with suicide. Part of the problem comes from the myths, obsolete paradigms, and stigma associated with suicide that results in anxiety and fear. However, most suicidal individuals want to live even when facing serious suicidal stress. Clinicians are, therefore, called upon to unlock the suicidal mind, relieve the suffering, and pay attention to the unmet needs of these individuals. There are so many unmet needs in individuals at risk of suicide. Too often, the medical model is imposed as a treatment plan. Therapists are more likely to treat the psychiatric disorder and, therefore, assume that this treatment also reduces suicide risk. In this way, the “one fits for all” model precludes understanding the suicidal mind, with its unique characteristics for each subject. Furthermore, there are still no agreed-upon models for managing patients accessing the emergency room and, besides, there is still no data on patient adherence to prevention programs at follow-up. One of the central elements of caring for people at risk of suicide lies in the ability to formulate the question, “What is like to be suicidal?”. To answer this question, the therapist must necessarily leave his formal position and try to identify himself with the subject in crisis. It is an exercise that is not necessarily easy but for which you can train. Throughout this chapter, the reader is helped to understand the suicidal mind to facilitate this action. This essay focuses on some of the unmet needs of suicidal patients and points to some key elements for clinicians in the management of suicidal individuals. The concept of mental pain as the main ingredient of suicide is used to explore some of the most prominent features of the suicidal mind
Critical appraisal of major depression with suicidal ideation
Full text linkBackground: Regardless of its nature, suicidal ideation, in the absence of another diagnosis, is quintessentially associated with major clinical depression. Although for the characteristics of being depressed it is reasonable to have some wish to die, there is no real attempt to understanding the suicidal mind. Clinicians are therefore often inclined to consider suicidal ideation a symptom of major depression. Yet, most depressed patients do not die by suicide, and many of them never experience suicidal ideation even in the most severe depressing scenario. At a closer look, when one works with suicidal individual, suicide appears complex and not line with the obsolete medical model. There are often warning signs for suicide, and suicidal individuals experience mental pain as a common denominator of many adverse events. Case presentation: A case report of an entrepreneur with no previous psychiatric history describes the process of meditating suicide as a dimension overlapping the depressive disorder. Details of how this 63-year-old male developed high suicide risk are reported, and clinicians are guided into the understanding of suicide risk. Conclusions: Nowadays, clinicians are requested to provide an in-depth investigation into the suicidal mind, an assessment adjunctive to the psychiatric evaluation. A phenomenological approach may be the key to unlock the suicidal mind. Clinicians may use such tool in light of the need for the empathic understanding of human suffering as well as a paradigm shift in the care of suicidal individuals
Can we expect a rise in suicide rates after the Covid-19 pandemic outbreak?
No full text2019 (Covid-19) pandemic have struck humans worldwide
and forced rapid changes that could never possibly be imagined.
Unfortunately, the number of deaths due to severe
acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection
and its many effects will be around for years. Both
direct and indirect conditions will haunt our lives, at least
in the near term.
Suicide, as a multifactorial phenomenon, is significantly
influenced by events that destabilize some of the pillars of
daily life, such as family bonds, job satisfaction, economic
stability, recreational life and well-being, to name just a
few. There is no doubt that suicide risk is one of the most
tragic of the possible effects of the pandemic. We often refer
to mental pain for a phenomenological understanding of
the suicidal mind and the pandemic has certainly influenced
the degree of sufferance among individuals, posing an additional
burden to those already suffering
Suicide prevention and access to lethal methods [La prevenzione del suicidio e l’accesso a metodi letali]
No full textLa ricerca mostra che i tassi di suicidio sono collegati alla disponibilità di mezzi letali. Ad esempio, è stato dimostrato che l’installazione di barriere di sicurezza sui ponti notoriamente usati dai suicidi ha un effetto preventivo senza che vi sia ricorso ad altre modalità suicidarie, e che la rimozione di queste barriere porta a un aumento di suicidi. Allo stesso modo, limitazioni della vendita di pesticidi e dell’accesso ai pesticidi utilizzando contenitori chiusi a chiave sono correlate con la diminuzione dei tassi di suicidio per ingestione di pesticidi. Inoltre, dato che è più facile ingerire una quantità significativa di pillole direttamente dal flacone che estraendole una per una dal blister, la diffusione di confezioni di pillole in blister ha ridotto i tentativi di suicidio con questo metodo. Questi sono solo alcuni esempi. Si ritiene che altri approcci simili
contribuiscano in modo significativo alla prevenzione del suicidio.A literature review supports the notion that suicide rates are linked to the availability of lethal means. In terms of public health, prevention is therefore linked to the restriction of readily available means of suicide. If the means of suicide were less available, then suicidal persons would be less able to make lethal impulsive suicide attempts. For example, there is evidence of the effectiveness of installing a safety net at bridges which are notoriously hot spots for suicides. Evidence shows that removing safety barriers may lead to an increase in suicides from the site, and their reinstallation eliminates suicides with no apparent substitution of other sites. Other efforts to reduce pesticide suicide focus on removing the most toxic pesticides from sale, restricting access to pesticides by using locked storage boxes, improving access to emergency treatment and health care, educating about help-seeking, and providing crisis support in rural areas. Studies reported the usefulness of removing the charcoal from open shelves, so that customers need to ask a shop assistant to obtain charcoal for purchase; programs aimed at restricting charcoal in supermarkets and convenience stores have preliminary led to reducing charcoal-burning suicides. It is easier to swallow a significant amount of pills directly from the bottle than to swallow the pills one by one from the blister; therefore, the introduction of blisters led to a great reduction in deaths due to paracetamol overdose and decreased suicide attempts by this method. Other similar approaches are believed to significantly contribute to suicide prevention
Report on ICDL 2019. University of Roma "la Sapienza," Rome, Italy, June 23 27, 2019
No full textThe 20th IEEE International Conference on Dielectric
Liquids (ICDL 2019), chaired by Massimo Pompili, was held
from June 23 to 27, 2019, hosted by the Faculty of Engineering
of University of Roma "La Sapienza". The ICDL 2019 is fully
sponsored by the IEEE Dielectrics and Electrical Insulation
Society (DEIS), supported by Cargill, Fratelli Parodi, Midel,
Baur, Ekofluid, Ergon, Haefely Hipotronics, IET, Nynas,
Omicron and Sea Marconi. The conference was chaired by
Massimo Pompili in collaboration with Technical Program
Chair Luigi Calcara and the Italian CEI (Comitato Elettrotecnico
Italiano
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