Academic literature on the topic 'Male suicide'

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Journal articles on the topic "Male suicide"

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Sorjonen, Kimmo. "For Whom is Suicide Accepted: The Dependency Effect." OMEGA - Journal of Death and Dying 46, no. 2 (March 2003): 137–49. http://dx.doi.org/10.2190/ttyd-hj3g-hpy0-t9lu.

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Research has found that people accept some suicides more than others. The present study examined whether attitudes toward a person's suicide are affected by the suicide's gender or marital status, and whether the suicide is a parent or childless. Respondents read one of eight fictitious suicide case stories, in which the above-mentioned variables were manipulated, and then completed the Suicide Attitudes and Attribution Scale (SAAS). It was found that female and male respondents differed in their attitudes toward a person's suicidal behavior to some degree. A parent's suicide was viewed more negatively than a suicide by a childless person. A tendency for respondents to express more respect for a suicide of their own gender was also detected. It is discussed whether differences in acceptance of suicide can be associated with actual suicide rates.
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Bird, Sheila M. "Changes in male suicides in Scottish prisons: 10-year study." British Journal of Psychiatry 192, no. 6 (June 2008): 446–49. http://dx.doi.org/10.1192/bjp.bp.107.038679.

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BackgroundIn 1999 I estimated the expected number of UK prison suicides, taking into account that opioid users' deaths from suicide were 10 times the number expected for their age and gender. Changes have since taken place in Scottish prisons.AimsTo estimate the expected number of male suicides in Scottish prisons in 1994–2003, having taken age and opioid dependency into account; and to consider the extremes of prisoner age.MethodThe effective number that prisons safeguard in terms of suicide risk was approximated as 10 times the number of opioid-dependent inmates plus other inmates. By applying age-appropriate suicide rates for Scottish males to these effective numbers, expectations for male suicides in Scottish prisons were calculated.ResultsIn 1994-98, there were at least 57 male suicides, significantly exceeding the age- and opioid-adjusted expectation of 41. In 1999–2003, the 51 male suicides in prison were consistent with expectation (upper 95% limit: at least 54). During the decade 1994–2003, observed and expected suicides were mismatched at both extremes of age: 40 males aged 15-24 years died by suicidev.24 expected, and 13 males aged 45+ v. 2 expected. Against 4.5 prison suicides expected for males aged 15-24 years during a 2-year period, actual suicides were 3 in 2002 + 2003 and 4 in 2004 + 2005.ConclusionsScotland has redressed an excess of male suicides, especially by its youngest prisoners.
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Nikolic, Slobodan, Vladimir Zivkovic, and Fehim Jukovic. "Unplanned complex suicide: Two case reports." Srpski arhiv za celokupno lekarstvo 138, no. 5-6 (2010): 371–75. http://dx.doi.org/10.2298/sarh1006371n.

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Introduction The term complex suicide refers to suicides in which multiple suicidal methods are utilized, as opposed to simple suicide successfully done after one attempt. In planned complex suicides two or more methods are employed simultaneously in order to make sure that death will occur after failure of previous attempt. In unplanned complex suicides, several other methods of suicide tried after the first chosen method either failed or was too painful. Outline of Cases We report two cases of unplanned complex suicides. The first case was a female who first tried to commit suicide by cutting the wrists, and then hanged herself. In the other case, a male first tried to commit suicide by stubbing his chest with a knife, and then jumped into a well and drowned himself. In both reported cases the second, successful suicidal method was of higher lethality score. Conclusion From the forensic point of view, the presence of several injuries of different origin strongly suggests infliction by other person. The event could be reconstructed, based on autopsy findings and traces found at the scene. .
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Paravaya, O. "Gender differences of suicidal behavior in belarus: Epidemiology." European Psychiatry 26, S2 (March 2011): 1633. http://dx.doi.org/10.1016/s0924-9338(11)73337-5.

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IntroductionIn Western Europe male die much more often by means of suicide than do females, although females attempt suicide more often. This pattern has been found in Belarus with some peculiarities.Object of studyMen and women under 18, who committed a suicide or made a suicide attempt.Aim of the studyTo investigate peculiarities of suicides and parasuicides among men and women in Belarus in order to reveal target group for suicide prevention.MethodsWe used the Suicide database of the Ministry of Health for epidemiological analyze.ResultsThe study is still being carried out. The male to female suicide ratio is 5:1 in 2008 year. Prevalence of suicides hasn’t changed a lot in women during last 20 years. It rapidly grew among men in the beginning of 90ies with the peak in 2000 year. Then it started to decrease slowly with the rate of 48,5 in 2008 year. Prevalence of suicides is 2.5 time higher in countryside in comparing with cities. Men have higher suicide rate in age from 40 to 60 and after 70 years old, women -after 70 years old. Data on parasuicides have been collecting centrally since 2007. Prevalence of parasuicides was 80 per 100 000 of population and male: female ratio was 1:1 in 2009.ConclusionMen show a big influence of socio-economical state on suicidal behavior. Risk factors have different power in cities and in countryside. Main group for suicide prevention is 40–60 years old men in countryside with alcohol dependence.
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Oliffe, John L., Alex Broom, Mary T. Kelly, Joan L. Bottorff, Genevieve M. Creighton, and Olivier Ferlatte. "Men on Losing a Male to Suicide: A Gender Analysis." Qualitative Health Research 28, no. 9 (April 21, 2018): 1383–94. http://dx.doi.org/10.1177/1049732318769600.

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Although male suicide has received research attention, the gendered experiences of men bereaved by male suicide are poorly understood. Addressing this knowledge gap, we share findings drawn from a photovoice study of Canadian-based men who had lost a male friend, partner, or family member to suicide. Two categories depicting the men’s overall account of the suicide were inductively derived: (a) unforeseen suicide and (b) rationalized suicide. The “unforeseen suicides” referred to deaths that occurred without warning wherein participants spoke to tensions between having no idea that the deceased was at risk while reflecting on what they might have done to prevent the suicide. In contrast, “rationalized suicides” detailed an array of preexisting risk factors including mental illness and/or substance overuse to discuss cause–effect scenarios. Commonalities in unforeseen and rationalized suicides are discussed in the overarching theme, “managing emotions” whereby participants distanced themselves, but also drew meaning from the suicide.
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Cibis, A., A. Bramesfeld, R. Mergl, D. Althaus, G. Niklewski, A. Schmidtke, and U. Hegerl. "Gender Differences in the Lethality of Suicide Methods and Their Relation to Suicide Rates." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71020-x.

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Aims:For developing suicide prevention interventions, epidemiologic, socio-economic and demographic factors influencing suicide rates are of high interest. One considerable factor in this respect is gender, as in most countries male suicide rates are much higher than female suicide rates with a global average male/female ratio of 3.6:1. The present study seeks to contribute to the clarification of the question what underlies the different suicide rates of men and women by analyzing gender-specific lethality of suicide methods.Method:Data on completed (fatal) and attempted (non-fatal) suicides from 2000 to 2004 were collected in two cities in the region of Bavaria, Germany. This data sample offers the opportunity to compare data of suicidal acts including completed as well as attempted suicides of the same region during the same time. The lethality for each suicide method was estimated by dividing the number of fatal episodes by the total episodes and then related to gender and age.Results:Lethality per method was higher for men than for women; significant differences could be shown for the majority of methods. Regarding age, lethality rising with age could be shown. Still, in higher age groups, differences in lethality between men and women were significant.Conclusion:Results stress the importance of gender-specific suicide prevention. Male-specific suicide-prevention should be concerned with improving access to and treatment of men under risk for suicidal behaviour. Addressing the problem through multifaceted programs therefore is a promising approach.
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Yamasaki, Akiko, Masanobu Chinami, Masao Suzuki, Yoshihiro Kaneko, Daisuke Fujita, and Taro Shirakawa. "Tobacco and Alcohol Tax Relationships with Suicide in Switzerland." Psychological Reports 97, no. 1 (August 2005): 213–16. http://dx.doi.org/10.2466/pr0.97.1.213-216.

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Previous research has shown an empirical link between tobacco and alcohol use and suicide. If tobacco and alcohol use contribute to suicidal behaviors, then policies designed to reduce the tobacco and alcohol consumption may succeed in reducing suicides as well. To test this hypothesis, correlations for suicide rates with alcohol consumption, taxes on alcohol and tobacco in Switzerland were examined using sets of time-series data from Switzerland in 1965–1994. The tax on tobacco correlated significantly negatively with male standardized suicide rate. The tax on alcohol also correlated significantly with male standardized suicide rate in an autoregressive model. On the other hand, significant relationships with female suicide rate were not found. Policies designed to reduce tobacco consumption are consistent with a benefit of reducing suicides, particularly for men in this sample.
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Bélteczki, Z., J. Újvári, and Z. Rihmer. "Estimation of future suicide risk in psychiatric inpatiens with 6-item questionnaire." European Psychiatry 65, S1 (June 2022): S122. http://dx.doi.org/10.1192/j.eurpsy.2022.337.

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Introduction Estimation of suicide risk is difficult task, and the clinical utility of different suicide risk scales is far from ideal. Objectives Previously we developed a 6-item clinician rated (yes/no) questionnaire (score range:0-28) that is able to detect current and past suicide risk with high sensitivity and specificity among acutely admitted psychiatric inpatients (Rihmer et al, 2017). Methods The 151 (75 suicidal and 76 non-suicidial) psychiatric inpatients, admitted between 1 November 2016 and 31 March 2017 were followed till 31 August 2021. Cases of completed suicides and suicide attempters receiving medical attention were recorded. Results During the 53-month follow-up 3 patients (2%) completed suicide (a 46 year old male with bipolar II disorder, a 57 year old female with schizoaffective disorder, a 55 year old male with schizoaffective disorder). Both of them were at baseline among the 75 suicidal inpatients and belonged to the group of “Marked suicide risk” (range:16-28 points) and scored 28,26 and 25 points, respectively. Suicide attempts have been made by 6 patients, all of them belonged to initially “Marked suicide risk” group (one initially non-suicidal, 16 points; 5 initially suicidal 22,26,26,26 and 28 points, respectively). 141 from the 151 patients received regular personal and/or on-line psychiatric care (including patients who died by suicide). Conclusions Despite the small number of suicidal cases, our results suggest that this short, simple questionnaire might be helpful not only in detecting current and past suicidality, but also predicting future risk among discharged psyciatric inpatients. Disclosure No significant relationships.
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L. BEAUTRAIS, ANNETTE. "Suicides and serious suicide attempts: two populations or one?" Psychological Medicine 31, no. 5 (July 2001): 837–45. http://dx.doi.org/10.1017/s0033291701003889.

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Background. Few studies have examined the extent to which populations of suicides and attempted suicides are similar, or different. This paper compares suicides and serious suicide attempts in terms of known risk factors for suicidal behaviour.Methods. Using case–control methodology, risk factors for suicidal behaviour were examined in 202 individuals who died by suicide, 275 individuals who made medically serious suicide attempts and 984 randomly selected control subjects. Based on data from significant others, measures used spanned sociodemographic factors, childhood experiences, psychiatric morbidity and psychiatric history, exposure to recent stressful life events and social interaction.Results. Multiple logistic regression identified the following risk factors that were common to suicide and serious suicide attempts: current mood disorder; previous suicide attempts; prior out-patient psychiatric treatment; admission to psychiatric hospital within the previous year; low income; a lack of formal educational qualifications; exposure to recent stressful interpersonal, legal and work-related life events. Suicides and suicide attempts were distinguished in the following ways: suicides were more likely to be male (OR = 1·9, 95% CI 1·1, 3·2); older (OR = 1·03, 95% CI 1·02, 1·04); and to have a current diagnosis of non-affective psychosis (OR = 8·5, 95% CI 2·0, 35·9). Suicide attempts were more likely than suicides to have a current diagnosis of anxiety disorder (OR = 3·5, 95% CI 1·6, 7·8) and to be socially isolated (OR = 2·0, 95% CI 1·2, 3·5). These findings were confirmed by discriminant function analysis, which identified two functions that described the three subject groups: the first function discriminated the two suicide groups from control subjects on a dimension corresponding to risk factors for suicide; the second function discriminated suicide from suicide attempt subjects on a series of factors including gender, non-affective psychosis and anxiety disorder.Conclusions. Suicides and medically serious suicide attempts are two overlapping populations that share common psychiatric diagnostic and history features, but are distinguished by gender and patterning of psychiatric disorder.
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Gonzaga, A., G. Medina Ojeda, T. Jiménez Aparicio, M. Queipo De Llano De La Viuda, and G. Guerra Valera. "Suicide in the medical community." European Psychiatry 65, S1 (June 2022): S843. http://dx.doi.org/10.1192/j.eurpsy.2022.2184.

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Introduction Like in the general population, in the medical community the most common mental disorders reported are depression and anxiety. Suicide risk was increased, especially in medical-related professions. Objectives To evaluate male and female psysician suicide risk. Methods Review all studies involving suicides, suicide attempts or suicidal ideation in health-care workers published in the last five years. Results Suicide decreased over time, especially in Europe. Some specialties might be at higher risk such as psychiatrists, general surgeons and anesthesiologists. Conclusions Psysicians are an at-risk profession of suicide, with women particularly at risk. Disclosure No significant relationships.
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Dissertations / Theses on the topic "Male suicide"

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Straubhaar, Kristy. "Incarcerated male adolescent suicide in Utah : a case study /." Diss., CLICK HERE for online access, 2008. http://contentdm.lib.byu.edu/ETD/image/etd3189.pdf.

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Straubhaar, Kristy. "Incarcerated Male Adolescent Suicide in Utah: A Case Study." BYU ScholarsArchive, 2009. https://scholarsarchive.byu.edu/etd/2015.

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Adolescent suicide has been described as a major public health problem calling for the aid of researchers willing to better identify factors related to suicide risk. Suicide is the third-leading cause of death for 15 to 24 year olds. Despite the fact incarcerated adolescents act in self-destructive ways, minimal research has focused on suicide behavior among incarcerated adolescents. Existing data indicates that suicide among adolescent males is especially prevalent in the juvenile justice system. Several variables have been identified as risk factors for suicidal behavior, including interpersonal relationship dysfunction, substance abuse, and psychological variables such as depression and dichotomous thinking. Incarcerated males have been shown to be more prone to these risks than the general population. There is a need to highlight these risks in context of this population, identifying behavior patterns over the life span. Addressing the need to identify behavior patterns within the incarcerated male youth population, this study focuses on one adolescent male involved with Utah's juvenile justice system who subsequently completed suicide. The identified youth suffered from substance abuse; its effects were devastating to himself and those around him. Furthermore, his hypersensitivity to disappointing others permeated his lifelong traits and behavior patterns. Interviewees reported that such hypersensitivity began early in life, prominently influencing his subsequent self-inflicted guilt in adolescence when drug use, the decision to drop-out of school, and incarceration became traumatic. As this case study exemplified, counselors, teachers, school psychologists, family, and friends need to be aware of the increased potential for suicide in incarcerated adolescents, particularly those who struggle with substance abuse and a comorbid disorder.
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Mathews, Shanaaz. "Intimate femicide-suicide in South Africa : the epidemiology of male suicide following the killing of an intimate partner." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/9388.

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Includes bibliographical references (leaves 71-80).
The few studies on intimate femicide-suicide have mainly been conducted in developed countries. These studies have found that a disproportionate number of male partners commit suicide after killing their female partner. However, not much is known about intimate femicide-suicide in developing countries. The purpose of this study was to describe: the incidence and patterns of intimate femicide-suicide in South Africa and to compare the factors which distinguish intimate femicide-suicide from cases in which the perpetrator does not commit suicide. The study was designed as a retrospective national mortuary based study of all female homicides where the victim was aged 14 years and older for the year 1999. Data was collected from a stratified cluster sample of 25 mortuaries in South Africa. National incidence rates and factors associated with perpetrator suicide were derived by taking into account the stratification and weighting of mortuaries. This study found that 19.4% of intimate femicide perpetrators also commit suicide within a week of the murder. The estimated rates for intimate femicide-suicide were 1.7/100 000 women 14 years and older and 2.1/100 000 males 14 years and older. A logistic regression analysis to compare the factors which distinguish intimate femicide-suicide from cases in which the perpetrator does not commit suicide shows that perpetrator suicide were associated with: the perpetrator being of White race; employed as a professional or white collar worker; and owing a legal gun. The study findings have shown that South Africa has the highest reported rate for intimate femicide-suicide in the world. This poses an important public health problem. Unraveling the factors associated with perpetrator suicide after killing an intimate partner is complex. However, legal gun ownership plays a significant role in such killings. It is therefore imperative that access to guns be controlled and monitored.
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Merchant, Nida. "Mental health risks among the adult male homosexual population." Honors in the Major Thesis, University of Central Florida, 2008. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1115.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
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Stewart, Matthew F., and n/a. "Some younbg men's discourses on coping." University of Canberra. Professional & Community Education, 1996. http://erl.canberra.edu.au./public/adt-AUC20061109.085803.

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My interest in coping and survival of young men is my main motivation for undertaking the field study which this thesis describes. It developed from my concern at the continuing high level of young male suicide. I begin with some background discussion which shows some examples of how the community has been informed, particularly on youth suicide, by reviewing some of the media and government attention to these issues. Because suicidal behaviour is a gendered social phenomenon, this is followed by a discussion of some of the problems inherent in the hegemonic masculinity of young men. I then set out the underlying assumptions, the purpose, aims and theoretical framework of the study. The main theoretical underpinnings of the study are the theory of poststructuralism, as explained by the noted writer on gender and education, Bronwyn Davies. The other major components are Aaron Antonovsky's concepts of Salutogenesis and the Sense of Coherence. Minor but nevertheless important reference is also made to Edward Sampson's idea of the dialogic nature of the self. Following this are two critical reviews of relevant literature. The first addresses studies of resiliency and coping, while the second examines papers given at recent Australian conferences on suicide prevention. Following that I describe the methodology of the study before undertaking an analysis and interpretation of selected transcripts of interviews. This is an exploratory attempt at applying postructuralist discourse analysis to the social problem of male coping skills and male youth suicide. The results describe various discourses young men used in unstructuied interviews to explain how they cope when they feel down or depressed. The main conclusion from the results is that formation of small, confidential, supportive discussion groups for marginalised young men can be useful for sharing and developing coping skills and improving their management of stressors, which are everpresent in the environment. It is argued that the proliferation of such support groups for young men could have long term benefits in reducing the statistics of young male suicide by encouraging young men to share their techniques or behaviours of coping with their peers.
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Holm, Linnéa, and Alice Olausson. "Den suicidala paradoxen : En kvalitativ studie om professionellas upplevelser av unga mäns psykiska ohälsa." Thesis, Mittuniversitetet, Institutionen för psykologi och socialt arbete, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-35657.

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The purpose of this study was to examine people with professional experiences involving young men’s tendency to seek professional help, and also to analyse male standards and masculinities influence, due to the high statistics of mental illness and suicide among young men in Sweden. We used a qualitative method and obtained the material by semistructured interviews. Four participants, from three different organisations, participated in this study and shared their perception about the current situation. The material was examined through a thematic analysis. The result showed that male standards and masculinities are a contributing factor to why young men are reluctant to seek professional help, but also why it is more complicated for young men then young women to show their emotional needs. The informants were however clear on emphasising that this is far from the only reason and that committing suicide is an issue which goes beyond gender.

2019-01-15

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Claybaugh, Joseph. "The Relationship between Level of Religiosity and Past Suicidal Ideation in Gay Males." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/38.

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Gay males have higher than average rates of suicidal ideation, which has been attributed in part to the pressure to conform to societal religious norms. Using the theoretical frameworks of Durkheim and of Pescosolido and Georgianna, the purpose of this quantitative study was to explore the role of religiosity as a factor of suicidal ideation in gay males. In this study, 113 gay males completed an online survey regarding their level of religiosity as measured by the Religious Background and Behaviors Questionnaire, past suicidal ideation as measured by the Suicidal Ideation Measure, and certain predictor variables, including being "out" to family members, family being supportive, age, religious affiliation (current and during childhood), ethnicity, and population of town during childhood. Regression analyses found no direct statistical significance between level of religiosity and suicidal ideation. There was a predictive relationship, however, between level of family support, level of religiosity, and suicidal ideation. These findings support the Pescosolido and Georgianna theory that belongingness reduces suicidal ideation. The implications for positive social change include the need for mental health professionals to highlight the importance of positive support for gay males as a potential buffer to suicidal ideation.
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Bromhead, David, and n/a. "Gender role orientation, stress, coping and hopelessness in a normal adolescent population." University of Canberra. Teacher Education, 1997. http://erl.canberra.edu.au./public/adt-AUC20060613.142101.

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Many risk factors have been put forward to account for the significant increase in adolescent male suicide over the last 20 years, and the pronounced sex difference in suicide statistics. In particular, hopelessness has been shown to be a strong indicator of suicidality. This study investigated the relationship of gender role, stress, and coping to hopelessness in a normal adolescent population. It was hypothesized that stress, coping and a masculine gender role would contribute to hopelessness. 288 adolescent students between the ages of 15 and 18 were surveyed using the Adolescent Stress Scale, the Beck Hopelessness Scale, the Australian Sex Role Scale, and the Adolescent Coping Scale. Contrary to expectation, having a masculine gender role was not related to hopelessness; students with an undifferentiated gender role had higher levels of hopelessness than androgynous, masculine, and feminine students. However, the majority of students who had an undifferentiated gender role were male. Hopelessness was also associated with high levels of stress and the use of avoidance coping strategies. The results are discussed within the transactional stress model and the stress-diathesis model.
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Schoennauer, Eric M. "Suicide terrorism : how psychological operations can make a difference /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2005. http://library.nps.navy.mil/uhtbin/hyperion/05Sep%5FSchoennauer.pdf.

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Singletary, Mary Sue. "A descriptive study of suicidal intentions among African-American male college students." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1993. http://digitalcommons.auctr.edu/dissertations/3104.

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The intent of this study was to examine the suicidal intentions among a select group of African American male college students. The survey drew responses and information from these students within several major categories: (1) demographic and familial background, (2) personal and male modes of feeling, and (3) conditions surrounding suicidal intentions. Twelve of the students were unique in that these characteristics were outstanding compared to the expected responses of the population: more than expected (1) lived in a single room, (2) were only children, (3) were first born, (4) had self—destructiveness and loneliness in the family, (5) had a father as a suicidal model, (6) had prolonged pain when there was loss or separation, and (7) experienced spontaneous zaniness and risk taking. Therefore, further investigation might be waranted in the area of intervention on college campuses to address and process these special areas in African American males, as well as youth generally.
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Books on the topic "Male suicide"

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Liebling, Alison. Suicide attempts and self-injury in male prisons: A report commissioned by the Home Office Research and Planning Unit for the Prison Service. London: Home Office, 1993.

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Brutal music: A novel. Dallas: Southern Methodist University Press, 2002.

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Copyright Paperback Collection (Library of Congress), ed. Cold feet. Toronto: Harlequin, 2004.

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Prayers for Bobby: A mother's coming to terms with the suicide of her gay son. [San Francisco, Calif.]: HarperSanFrancisco, 1995.

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Kenzaburō, Ōe. The changeling. New York: Grove Press, 2010.

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Am Todespunkt: 18 berühmte Dichter und Maler, die sich das Leben nahmen. Bonn: Dietz, 2014.

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1928-, Selzer Richard, ed. A question of mercy. New York: Dramatists Play Service, 1998.

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Rabe, David. A question of mercy. New York: Grove Press, 1998.

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Bledsoe: A poem. Huntsville, Tex: Texas Review Press, 2011.

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Lehane, Dennis. Dança da chuva. São Paulo, Brazil: Companhia das Letras, 2006.

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Book chapters on the topic "Male suicide"

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Cleary, Anne. "Growing Up Male." In The Gendered Landscape of Suicide, 61–95. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-16634-2_3.

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Whitley, Rob. "The Social Determinants of Male Suicide." In Men’s Issues and Men’s Mental Health, 23–43. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-86320-3_2.

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Massie, Linda. "Male Circumcision and the Potential for Unexplained Male Adolescent Suicide in Northern Ireland." In Genital Cutting: Protecting Children from Medical, Cultural, and Religious Infringements, 101–6. Dordrecht: Springer Netherlands, 2013. http://dx.doi.org/10.1007/978-94-007-6407-1_7.

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Kong, Camillia. "African Personhood, Humanism, and Critical Sankofaism: The Case of Male Suicide in Ghana." In International Perspectives in Values-Based Mental Health Practice, 85–93. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47852-0_10.

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AbstractSuicide in Ghana is criminalised and those who survive suicide attempts are subject to significant social condemnation. Paradoxically, studies show that male suicide is often driven by individuals’ strong sense of responsibility to meet social norms and expectations around gender as well as the internalisation of societal views that death would be preferable to shame and disgrace. This contradiction prompts a critical re-examination of the communitarian tradition of African personhood which posits an intimate link between the individual attainment of socially affirmed roles and the status of personhood. Through an analysis of the Akan concept of critical sankofaism I suggest that African approaches to suicide may draw upon important adaptive, critical resources internal to African cultural values, thus highlighting the progressive potential of the African tradition. I show specifically how male gender norms and societal responses to suicide attempts distort core humanistic values at the heart of African communitarian personhood.
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Seager, Martin. "From Stereotypes to Archetypes: An Evolutionary Perspective on Male Help-Seeking and Suicide." In The Palgrave Handbook of Male Psychology and Mental Health, 227–48. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-04384-1_12.

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Jordan, Ana. "Postfeminist Men’s Movements: The Campaign Against Living Miserably and Male Suicide as ‘Crisis’." In The New Politics of Fatherhood, 165–91. London: Palgrave Macmillan UK, 2019. http://dx.doi.org/10.1057/978-1-137-31498-7_5.

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O’Hagan, Kieran. "Oh my God … I made a mistake …" In Filicide-Suicide, 3–17. London: Palgrave Macmillan UK, 2014. http://dx.doi.org/10.1057/9781137024329_1.

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Willis-Powell, Rowan, Amanda Fox, and Julie Cerel. "Disclosure of Youth Suicidality: Views from Lived Experience." In SpringerBriefs in Psychology, 161–69. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-06127-1_18.

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AbstractInsight from individuals with lived experience suggests that unnecessary hospitalization decreases the likelihood that individuals will disclose suicidal thoughts and behaviors to providers. To improve engagement and create better outcomes for individual who experiences a suicidal crisis, clinicians should receive suicide-specific training that emphasizes personalized care for each patient that matches their level of risk. Individualized safety planning and options other than inpatient hospitalization should be prioritized when suicidal thoughts and behaviors are disclosed to providers and when the level of risk does not warrant hospitalization. This will allow youth who make such disclosures to get access to effective and minimally restrictive interventions while preventing trauma and harm. Finally, healthcare systems must focus on investing resources and research into alternatives to inpatient care as treatment for suicidal crises, and individuals with lived experience will be an essential asset to this process.
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Bellon, Sajel, and Jorey Krawczyn. "Relationships: A “Make It or Break It” Suicidal Factor." In Practical Considerations for Preventing Police Suicide, 91–112. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-83974-1_5.

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Robinson, Michael A., Armon R. Perry, Sharon E. Moore, and Rudolph Alexander. "Beyond the Myth: Addressing Suicide Among African American Males." In Handbook of African American Health, 215–24. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-9616-9_14.

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Conference papers on the topic "Male suicide"

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Kelly, Lourah, Nicholas Livingston, Tess Drazdowski, and Kristyn Zajac. "Gender and Age Differences in Comorbid Cannabis Use Disorders and Suicidality in a National Sample." In 2020 Virtual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2021. http://dx.doi.org/10.26828/cannabis.2021.01.000.28.

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Approximately 40 million adults use marijuana annually, making marijuana one of the most commonly used substances in the United States (SAMHSA, 2019). Men and emerging adults (ages 18-25) report higher prevalence of cannabis use disorders (CUDs) relative to women and older adults (CBHSQ, 2015; Khan et al., 2013). More frequent marijuana use is associated with greater likelihood of suicidal ideation (Ilgen et al., 2009), and past year use in emerging adults is associated with future suicide attempts (Pedersen, 2008). Similar to correlates of marijuana use, emerging adults and men have higher rates of suicidality (SAMHSA, 2019; Krug et al., 2002). Limited research has tested gender and age differences in comorbid CUDs and suicidality. The current study evaluated gender and age differences in CUDs only, suicidality only, or comorbid CUDs and suicidality in a national sample of adults. We hypothesized that men and emerging adults would be over-represented in comorbid CUDs and suicidality and CUDs only groups. Data were from four consecutive years (2015-2018) of the National Survey of Drug Use and Heath. Multinomial logistic regressions tested gender and age differences in adults with DSM-IV cannabis abuse or dependence (CUDs) only, suicidality only, and comorbid CUDs and suicidality, all compared to adults with neither CUDs or suicidality. Four separate regressions were conducted for passive suicidal ideation, active suicidal ideation, suicide planning, and suicide attempts. Gender was coded as male or female. Age groups were 18–25, 26–34, 35–49, and 50 years or older. Analyses controlled for survey year, race/ethnicity, sexual orientation, education, household income, past year major depressive episode, past year DSM-IV alcohol abuse or dependence, and past year illicit drug abuse or dependence other than CUDs. Men disproportionately reported CUDs only (ORs=1.73-2.19, p<.001) and comorbid CUDs and passive suicidal ideation, active suicidal ideation, and suicide planning (ORs=1.72-2.12, p<.01), but not attempts (OR=1.16, p=.45) relative to women. Men reported 22% higher odds of active suicidal ideation than women. Women reported 15% higher odds of suicide attempts than men. Gender differences in passive suicidal ideation and planning were not statistically significant. Compared to older age groups, emerging adults were significantly more likely to report CUDs only (ORs=1.74-10.49, p’s<.01) and showed 2.36 to 14.24 times greater odds of comorbid CUDs and all four forms of suicidality (p<.001). Emerging adults were at 18% to 66% higher odds of either passive or active suicidal ideation alone compared to all older age groups (p’s<.001). This study investigated the relations between CUDs, suicidality, gender, and age in a nationally representative sample of adults. Results indicated that men and emerging adults consistently reported the highest likelihood of negative outcomes. Next steps include determining the direction of the relationship between CUDs and increasing severity of suicidality. Further, development and investment in programs for emerging adults with CUDs and suicidality are vitally important given the striking risk profile compared to other age groups. Future research should include program development and evaluation as well as gathering more information on risk and protective factors for these populations.
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Molaodi, OR, D. Brown, R. Dundas, and AH Leyland. "OP62 A population based study: assessing male suicide trends and inequalities in scotland 1980–2015." In Society for Social Medicine 62nd Annual Scientific Meeting, Hosted by the MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, 5–7 September 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/jech-2018-ssmabstracts.61.

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"PS-073 - KETAMINA: DROGA DE ABUSO O TRATAMIENTO PSICODÉLICO." In 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.ps073.

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INTRODUCCIÓN Y OBJETIVOS La ketamina es la primera substancia psicodélica legalmente disponible para fines terapéuticos. Más allá de su efecto antidepresivo, en las últimas décadas se ha puesto el foco en su efecto disociativo y alucinógeno como vías de tratamiento rápidas, eficaces y seguras para llevar a cabo intervenciones psicoterapéuticas integradas. El objetivo de este trabajo es conocer la evidencia científica disponible sobre el uso de ketamina como substancia concomitante en intervenciones psicoterapéuticas en pacientes con ideación suicida, así como presentar dos casos clínicos. MATERIAL Y MÉTODOS Revisión bibliográfica mediante una búsqueda en la base de datos Pubmed. Se presentan dos casos atendidos en la unidad de hospitalización de agudos del servicio de Psiquiatría del Massachusetts General Hospital (Estados Unidos). RESULTADOS Y CONCLUSIONES Paciente 1: Varón que ingresa con síntomas de depresión severa con características melancólicas y plan suicida estructurado. El paciente era reticente a recibir terapia electroconvulsiva (TEC) pero dispuesto a usar terapia asistida por ketamina. Tras tres sesiones cesaron sus ideas suicidas. Finalizado el tratamiento con ketamina, el paciente negó síndrome de abstinencia y deseo de consumo. Paciente 2: Mujer que ingresa tras un intento de suicidio con sobreingesta medicamentosa grave. La paciente presentaba ideas suicidas recurrentes y trastorno por estrés postraumático. Durante el ingreso la paciente inició tratamiento psicofarmacológico múltiple, psicoterapia y TEC; manteniendo la ideación suicida a pesar de 10 sesiones de TEC. Tras el tratamiento con ketamina la ideación suicida mejoró, negando deseo de consumo tras el cese del tratamiento. Ambos casos ilustran que la ketamina, a pesar de ser una droga de abuso o mal uso para algunas personas, en contextos clínicos y como asistencia a la psicoterapia de integración psicodélica, puede ser un tratamiento efectivo en casos de ideación o comportamiento suicida agudo.
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Robertson, Kassidy, Patrice Arkfeld, Mark Prince, and Bradley Conner. "Association between Cannabis use and Suicidal Ideation as moderated by Gender identity." In 2022 Annual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2022. http://dx.doi.org/10.26828/cannabis.2022.02.000.39.

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Cannabis is the most commonly used substance that remains federally illegal in the United States. With its rising legality in many states across the nation, it is important to understand the influence that cannabis can have on a user's physical and mental well-being. According to the Centers for Disease Control and Prevention (2022), suicide is among the top nine leading causes of death in the United States for individuals aged 10 to 64. Research suggests that individuals diagnosed with depression who experience suicidal ideation, plans, and attempts is positively correlated with both daily cannabis use and non-daily cannabis use and that this correlation is more significant in women than in men (Han et al., 2021). This study seeks to generalize this finding by investigating both the prevalence and intensity of 30-day cannabis use amongst individuals who endorse suicidal thoughts in the last 12 months and the moderating effect of gender identity on the relationship between 30-day cannabis use and suicidal thoughts in the last 12 months. This study will utilize a sample of college students who completed the American College Health Association-National College Health Assessment Survey sometime between the Fall academic semester of 2019 to the Spring academic semester of 2021. The survey was completed on campuses across the United States with data collected on students’ health habits, behaviors, and perceptions. This data set consists of 198,848 participants aged 18 to 98 years of age (MAge = 23.16), with 66.27% of participants identifying as cisgender women and 30.83% identified as cisgender men. Within the dataset, 40.30% of participants endorsed thinking about or planning suicide in the last 12 months and 19.34% of participants reported using cannabis in the last 30 days. We anticipate that individuals who reported cannabis use in the last 30 days will show an increase in suicidal ideation in the last 12 months compared to individuals who reported never using cannabis. Similarly, we anticipate that gender identity will moderate and strengthen the relation between cannabis use and suicidal ideation in such that individual who identify as women will have a stronger and more significant correlation between cannabis use and suicidal ideations compared to individuals who identify as men. If these results are supported, future research will be warranted to further investigate how the nuanced interaction between gender identity and cannabis use increases our understanding of the upward trend in suicidality among individuals with and without mental health diagnoses.
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"PS-013 - CONDUCTA SUICIDA EN SUJETOS CON JUEGO PATOLÓGICO." In 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.ps013.

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1. Objetivos Dado el aumento de la incidencia del juego patológico en la población general se realiza la siguiente revisión bibliográfica con el objetivo de estudiar la frecuencia, epidemiología y factores de riesgo asociados tanto a la presencia de ideación e intentos suicidas como de suicidio consumado en pacientes diagnosticados de juego patológico. 2. Material y métodos Revisión bibliográfica de la literatura siguiendo la declaración PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) a partir de dos bases de datos, PUBMED y Web Of Science (WOS). Tras la eliminación de artículos duplicados y lectura crítica de abstracts se seleccionaron 37 artículos. 3. Resultados y conclusiones La presencia de eventos suicidas es mayor en la población jugadora en comparación con la población general, por lo que se destaca la importancia de preguntar y evaluar activamente el riesgo de suicidio en aquellos ludópatas que vienen a consulta en busca de ayuda o tratamiento. La depresión y la ansiedad son dos de las comorbilidades psiquiátricas más importantes que incrementan el riesgo de presentar eventos suicidas en la población jugadora. La impulsividad, al igual que las anteriores, se ha visto cómo puede aumentar el riesgo de presentar ideación e intentos de suicidio. La severidad del juego es otro de los grandes factores hallados que conllevan un mayor riesgo, por ello es importante evaluar a los pacientes mediante escalas específicas para hacernos una idea de la magnitud de su problema con el juego y orientar así nuestras futuras intervenciones. El consumo de grandes cantidades de alcohol en pacientes con una gran severidad en el juego aumenta el riesgo de suicidio. La mala situación económica, laboral y familiar del paciente también ha demostrado aumentar dicho riesgo.
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Novaes Fernandes, Marcelo Pombo. "The influence of Internet in the Increased Suicides among Young Male Homosexuals." In 10th International Conference on Humanities, Psychology and Social Sciences. Acavent, 2020. http://dx.doi.org/10.33422/10th.hps.2020.03.73.

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Sánchez-pastor Gomis, Helena, and Manuel Cid Pinal. "SIN TREGUA, INTERVINIENDO AL LÍMITE: CASO CLÍNICO." In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020p018.

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CASO Varón de 33 años remitido a urgencias por ideación autolítica de días de evolución, coincidiendo con recaída en consumo de cocaína. Diagnosticado de trastorno antisocial de personalidad, trastorno afectivo no especificado y trastorno por abuso de sustancias. Realiza seguimiento en la Unidad de Conductas Adictivas pero no acude a psiquiatría. Hiperfrecuentador de urgencias, la mayoría por intoxicación y sobreingesta medicamentosa. Constan 29 ingresos en nuestra Unidad de Hospitalización Breve por sintomatología depresiva, maniforme y en ocasiones paranoide, todos en contexto de consumo de tóxicos. Ha exhibido alteraciones conductuales, conductas desafiantes, impulsividad y mala tolerancia a límites. Múltiples intentos autolíticos por sobreingesta medicamentosa y sobredosificación de tóxicos, con un ingreso en UCI por parada cardiorrespiratoria por intoxicación por opioides que precisó reanimación cardiopulmonar. De antecedentes familiares destaca madre con trastorno bipolar. Consumo de tóxicos desde los 12 años: cannabis, cocaína, MDMA, heroína, abuso de benzodiacepinas, pregabalina, buprenorfina, metadona y alcohol. Actualmente consumos puntuales de cocaína. Dados sus antecedentes, se cursó ingreso voluntario en nuestra UHB. Analíticamente destaca positivo para cocaína en orina. Se instauró tratamiento habitual, con remisión de ideación autolítica a la semana del ingreso, predominando alteraciones conductuales del trastorno de personalidad dificultando adaptación a la unidad, siendo alta con seguimiento ambulatorio. DISCUSIÓN Este caso refleja los problemas de diagnóstico diferencial entre patología dual, síntomas por abuso de sustancias y trastorno bipolar, todo ello interferido por el trastorno de personalidad. El trastorno antisocial de personalidad en pacientes con trastorno mental grave y abuso de tóxicos se asocia a mayor severidad de ambos trastornos, alteración funcional y dificultades en relaciones familiares. En pacientes con trastorno bipolar, este trastorno de personalidad es predictor de enfermedad grave, abuso de sustancias y conducta suicida. Se ha demostrado relación entre suicidio y trastorno por uso de sustancias en trastorno bipolar, incrementando los intentos autolíticos.
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Mihai (Vasile), Iuliana. "Possibilities for Implementing Anti-Bullying Elements in the e-Learning Process." In 2nd International Conference Global Ethics - Key of Sustainability (GEKoS). LUMEN Publishing House, 2021. http://dx.doi.org/10.18662/lumproc/gekos2021/17.

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Bullying is not a new phenomenon, but it has spread in recent years through a new form: cyber-bullying, as a result of technological evolution. The negative effects are multiple, from anxiety, health problems, to dropping out of school and even suicide. To make the school a safe environment for children, methodological norms have appeared to prevent and combat bullying manifestations in the school environment. In the context of the Covid-19 pandemic, when many activities continued online, education also acquired a new dimension: e-Learning. Information devices (computers, tablets, smartphones) have taken over the occupations of young people and exposed them to cyber risks, pseudo-socialization, technological dependence. Online safety of students is a necessity and a topical issue, in which the family, the school and the community should be involved, and training through courses is a first step in solving this problem. This paper briefly presents the dangers caused by the misuse of technology, as well as the entrepreneurial perspective of anti-bullying intervention, through online training courses.
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Salem, Shady, Manuel Campidelli, Wael El-Dakhakhni, and Michael Tait. "Blast Resilient Design of Infrastructure Subjected to Ground Threats." In ASME 2017 Pressure Vessels and Piping Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/pvp2017-65205.

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The growing number of terrorist attacks in the past decade has focused the public’s attention on the severity of such a man–made hazard. The rising threat of improvised explosive devices — one of the most successful attack strategies — has significantly increased the number of threats on the ground, in the form of suicide–bombs, vehicle–bombs, etc., thereby requiring the development of more effective blast risk mitigation measures. However, the modern proliferation of such measures poses the problem of evaluating their cost–effectiveness, which prompts the need for a comprehensive optimization methodology — capable of maximizing the resilience of the built environment. The aim of this paper is to lay out the foundations of a resilience–based framework for quantifying the performance of different infrastructure elements incurring blast threats, by means of functionality and resilience indicators. The proposed framework can quantify the consequences of multiple outdoor explosions typified by the emblematic car–bomb scenario. The level of localized damage is evaluated via pressure–impulse diagrams; local failures are then aggregated into the definition of resilience and functionality indicators, designed to provide the analyst with a comprehensive picture of global damage, residual functionality, and downtime of the structural system.
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Nieto Rodríguez, Evaristo, Adria Palau Miguel, Pedro Alvarez Guerrero, and Meriem Khatib. "INCIDENCIA , VARIABLES ASOCIADAS E IMPLICACIONES DEL POSITIVO DE ALCOHOL EN ORINA AL INGRESO DE LOS PACIENTES BIPOLARES." In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020o036.

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OBJETIVO: -Determinar la incidencia de alcohol positivo en orina en las hospitalizaciones psiquiátricas de pacientes Bipolares y sus relaciones con diferentes características sociodemográficas y clínicas. MÉTODO Pacientes: Estudiamos una cohorte retrospectiva formada por todos los pacientes Bipolares tipo I o II (según criterios DSM-IV) ingresados por primera vez en nuestra unidad de psiquiatría de un hospital general entre 2009 y 2018. Método: Se recogieron múltiples variables durante el ingreso hospitalario y se compararon entre los pacientes que marcaron positivo en la prueba de alcohol en orina recogida el primer día del ingreso y los que no. Análisis estadístico : Primero realizamos un análisis univariante entre positivo en alcohol en orina y el resto de variables y posteriormente un análisis multivariante de regresión logística multinomial con alcohol positivo en prueba de orina como variable dependiente RESULTADOS: Solo en 19 (4,2%) de 451 primeros ingresos de pacientes bipolares hubo una prueba de orina positiva para alcohol al ingreso. Después del análisis de regresión logística solo el subtipo Bipolar II (OR = 3,4, P <0,025), el sexo masculino (OR = 3,28, P <0,029) y la ausencia de alteración psicomotora al ingreso (OR = 4,4, P <0,01) tenían una asociación significativa con alcohol positivo . El suicidio consumado en el seguimiento se asoció significativamente (OR = 11,7, P <0,008) con la prueba de orina positiva para alcohol en el ingreso. CONCLUSIONES: 1.Sólo el 4,2% de los pacientes bipolares marcaron alcohol positivo en orina al ingreso. 2. El sexo masculino, el subtipo Bipolar II y la ausencia de alteración psicomotora al ingreso se asociaron claramente con la prueba de alcohol positivo en orina en estos pacientes bipolares. 3.Los pacientes bipolares que marcaron alcohol positivo en orina tuvieron un mal pronóstico en el seguimiento ya que multiplicaron por 10 su riesgo de suicidio consumado
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Reports on the topic "Male suicide"

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Figueroa Saavedra, Carla. Proyecto Salud Telemental: Cápsula 1 - Caracterización del suicidio. Universidad Autónoma de Chile, December 2020. http://dx.doi.org/10.32457/video202014.

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Proyecto “Salud Telemental, prevención del suicidio en la comunidad escolar”, desarrollado por un equipo multidisciplinario compuesto por la carrera de Fonoaudiología, Clínica Psicológica y la Oficina de Inclusión y Equidad de Género de la Universidad Autónoma de Chile en conjunto con el departamento de Psicología de la Universidad Católica del Maule.
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Figueroa Saavedra, Carla. Proyecto Salud Telemental: Cápsula 4 - Prevención del suicidio (material para adolescentes). Universidad Autónoma de Chile, December 2020. http://dx.doi.org/10.32457/video202016.

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Proyecto “Salud Telemental, prevención del suicidio en la comunidad escolar”, desarrollado por un equipo multidisciplinario compuesto por la carrera de Fonoaudiología, Clínica Psicológica y la Oficina de Inclusión y Equidad de Género de la Universidad Autónoma de Chile en conjunto con el departamento de Psicología de la Universidad Católica del Maule.
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Figueroa Saavedra, Carla. Proyecto Salud Telemental: Cápsula 3 - Prevención del suicidio (material para docentes). Universidad Autónoma de Chile, December 2020. http://dx.doi.org/10.32457/video202015.

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Proyecto “Salud Telemental, prevención del suicidio en la comunidad escolar”, desarrollado por un equipo multidisciplinario compuesto por la carrera de Fonoaudiología, Clínica Psicológica y la Oficina de Inclusión y Equidad de Género de la Universidad Autónoma de Chile en conjunto con el departamento de Psicología de la Universidad Católica del Maule.
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Figueroa Saavedra, Carla. Proyecto Salud Telemental: Cápsula 5 - Recursos de apoyo. Universidad Autónoma de Chile, December 2020. http://dx.doi.org/10.32457/video202013.

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Proyecto “Salud Telemental, prevención del suicidio en la comunidad escolar”, desarrollado por un equipo multidisciplinario compuesto por la carrera de Fonoaudiología, Clínica Psicológica y la Oficina de Inclusión y Equidad de Género de la Universidad Autónoma de Chile en conjunto con el departamento de Psicología de la Universidad Católica del Maule.
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Leavy, Michelle B., Danielle Cooke, Sarah Hajjar, Erik Bikelman, Bailey Egan, Diana Clarke, Debbie Gibson, Barbara Casanova, and Richard Gliklich. Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Report on Registry Configuration. Agency for Healthcare Research and Quality (AHRQ), November 2020. http://dx.doi.org/10.23970/ahrqepcregistryoutcome.

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Background: Major depressive disorder is a common mental disorder. Many pressing questions regarding depression treatment and outcomes exist, and new, efficient research approaches are necessary to address them. The primary objective of this project is to demonstrate the feasibility and value of capturing the harmonized depression outcome measures in the clinical workflow and submitting these data to different registries. Secondary objectives include demonstrating the feasibility of using these data for patient-centered outcomes research and developing a toolkit to support registries interested in sharing data with external researchers. Methods: The harmonized outcome measures for depression were developed through a multi-stakeholder, consensus-based process supported by AHRQ. For this implementation effort, the PRIME Registry, sponsored by the American Board of Family Medicine, and PsychPRO, sponsored by the American Psychiatric Association, each recruited 10 pilot sites from existing registry sites, added the harmonized measures to the registry platform, and submitted the project for institutional review board review Results: The process of preparing each registry to calculate the harmonized measures produced three major findings. First, some clarifications were necessary to make the harmonized definitions operational. Second, some data necessary for the measures are not routinely captured in structured form (e.g., PHQ-9 item 9, adverse events, suicide ideation and behavior, and mortality data). Finally, capture of the PHQ-9 requires operational and technical modifications. The next phase of this project will focus collection of the baseline and follow-up PHQ-9s, as well as other supporting clinical documentation. In parallel to the data collection process, the project team will examine the feasibility of using natural language processing to extract information on PHQ-9 scores, adverse events, and suicidal behaviors from unstructured data. Conclusion: This pilot project represents the first practical implementation of the harmonized outcome measures for depression. Initial results indicate that it is feasible to calculate the measures within the two patient registries, although some challenges were encountered related to the harmonized definition specifications, the availability of the necessary data, and the clinical workflow for collecting the PHQ-9. The ongoing data collection period, combined with an evaluation of the utility of natural language processing for these measures, will produce more information about the practical challenges, value, and burden of using the harmonized measures in the primary care and mental health setting. These findings will be useful to inform future implementations of the harmonized depression outcome measures.
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