Journal articles on the topic 'Suicide Victoria'

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1

MacIsaac, Michael B., Lyndal Bugeja, Tracey Weiland, Jeremy Dwyer, Kav Selvakumar, and George A. Jelinek. "Prevalence and Characteristics of Interpersonal Violence in People Dying From Suicide in Victoria, Australia." Asia Pacific Journal of Public Health 30, no. 1 (November 26, 2017): 36–44. http://dx.doi.org/10.1177/1010539517743615.

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Victims of interpersonal violence are known to be at increased risk of suicidal ideation and attempts; however, few data exist on the impact that violence has on the risk of death from suicide. This study examined 2153 suicides (1636 males and 517 females) occurring between 2009 and 2012. Information was sourced from the Coroners Court of Victoria’s Suicide Register, a detailed database containing information on all Victorian suicides. Forty-two percent of women who died from suicide had a history of exposure to interpersonal violence, with 23% having been a victim of physical violence, 18% suffering psychological violence, and 16% experiencing sexual abuse. A large number of men who died from suicide had also been exposed to interpersonal violence, many of whom had perpetrated violence within the 6 weeks prior to their death. Targeted prevention, particularly removing barriers for men to seek help early after perpetrating violence is likely to have benefits in preventing suicide in both men and women.
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Brennan, Chris, Virginia Routley, and Joan Ozanne-Smith. "Motor Vehicle Exhaust Gas Suicide in Victoria, Australia 1998-2002." Crisis 27, no. 3 (May 2006): 119–24. http://dx.doi.org/10.1027/0227-5910.27.3.119.

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Motor vehicle exhaust gas suicide (MVEGS) is the second most frequent method of suicide in Victoria, Australia. It is a highly lethal method of suicide with 1.5 deaths for every hospital admission. Australian regulations require all vehicles manufactured since 1998 to have a maximum carbon monoxide exhaust emission level of 2.1 g/km, reduced from the previous level of 9.6 g/km. Information surrounding all Victorian MVEGS between 1998-2002 was analyzed to determine whether suicides occurred in vehicles with the lower emission levels. Between 1998-2002, 607 suicides by this means were recorded while just 393 hospital admissions were recorded for the same period. Mean carboxyhaemoglobin levels were significantly lower in fatalities using vehicles manufactured from 1998, however suicide still occurred in these vehicles (n = 25). The extent to which the new regulations contributed to the relatively low rate of suicide in vehicles less than 5 years old compared to their frequency in the fleet remains unknown. Based on international experience and the age of the Victorian vehicle fleet, it may take well over a decade until substantial decreases in MVEGS are observed in the absence of active preventive measures.
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Thacore, Vinod Rai, and Shashjit Lal Varma. "A Study of Suicides in Ballarat, Victoria, Australia." Crisis 21, no. 1 (January 2000): 26–30. http://dx.doi.org/10.1027//0227-5910.21.1.26.

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Objective:To study suicides occurring in Ballarat with regard to incidence, demographic variables, possible causal factors, and association with psychiatric disorders over a period of 5 years. Method:A detailed review of the coroner's record of every suicide occurring during 1992-1996 was undertaken. Information was obtained on socio-demographic variables, method and circumstances of suicide, and associated psychiatric disorders in each case and subjected to psychological autopsy. Results:75 suicides were recorded. The male to female ratio was 4:1 and average age was 43 years. 60% had associated psychiatric illnesses, mainly affective disorders. Carbon monoxide self-poisoning accounted for 40%, firearms for 30%, and hanging, overdose, asphyxia and other methods for the remaining 30%. It was statistically significant that the younger age group preferred firearms to other methods, and that their suicides were precipitated by interpersonal conflicts. Social and personal difficulties were associated in 33%, and triggering factors were present in 40%. Previous suicide attempts were present in 28%, while 32% had manifest behavior changes preceding suicides or verbalized their intent to suicide. Conclusions:Suicide rates in Ballarat were higher than the average overall Victorian and Australian rates. After a consistent decline over 4 years an increase occurred in 1996. The preferred method of suicide was carbon monoxide, although the young preferred firearms. Demographic and other psychosocial factors were similar to the rest of Australia. Unemployment was not a significant factor. Psychiatric conditions, personal and social problems figured prominently as factors of etiological significance in suicide subjects.
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Fernando, Dasamal Tharanga, Angela Clapperton, and Janneke Berecki-Gisolf. "Suicide following hospital admission for mental health conditions, physical illness, injury and intentional self-harm in Victoria, Australia." PLOS ONE 17, no. 7 (July 11, 2022): e0271341. http://dx.doi.org/10.1371/journal.pone.0271341.

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Objective The majority of suicide decedents have had contact with health services close to their death. Some of these contacts include admissions to hospitals for physical and mental health conditions, injury and intentional self-harm. This study aims to establish and quantify the risks of suicide following hospital admission for a range of mental and physical illnesses. Methods A retrospective analysis was carried out on existing morbidity and mortality data in Victoria. Data was extracted from the Victorian Admitted Episodes Dataset and the Victorian Suicide Register. Unplanned hospital admissions among adult patients (> = 15 years of age), discharged between 01 January 2011 and 31 December 2016 (2,430,154 admissions), were selected. Standardised Mortality Ratios were calculated for conditions with at least five linked suicides within one year of discharge from hospital. Results Forty-three conditions defined at the three-digit level of the International Statistical Classification of Diseases and Related Health Problems 10th Revision, were associated with at least five subsequent suicides (within one year of hospital discharge); 14 physical illnesses, 5 symptoms, signs and abnormal clinical and laboratory findings, 12 mental health conditions, and 12 types of injury and poisonings. The highest Standardised Mortality Ratios were for poisonings (range; 27.8 to 140.0) and intentional self-harm (78.8), followed by mental health conditions (range; 15.5 to 72.9), symptoms, signs and abnormal clinical and laboratory findings (range; 1.4 to 43.2) and physical illnesses (range; 0.7 to 4.9). Conclusions Hospital admissions related to mental health conditions and injury and poisonings including self-harm were associated with a greater risk of suicide than physical conditions. Mental health conditions such as depressive episodes, personality disorders and psychotic episodes, injuries caused by intentional-self-harm and poisonings by certain types of drugs, carbon monoxide and hormones such as insulin can be prioritised for targeting suicide prevention initiatives for persons discharged from hospitals.
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5

Clapperton, Angela, Jeremy Dwyer, Ciara Millar, Penny Tolhurst, and Janneke Berecki-Gisolf. "Sociodemographic characteristics associated with hospital contact in the year prior to suicide: A data linkage cohort study in Victoria, Australia." PLOS ONE 16, no. 6 (June 3, 2021): e0252682. http://dx.doi.org/10.1371/journal.pone.0252682.

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Aims The aims of this study were to examine the prevalence of hospital contact in the year prior to suicide in Victoria, Australia, and to compare characteristics among those who did and did not have contact in the year prior to suicide. Methods The study was a data linkage cohort study of 4348 Victorians who died by suicide over the period 2011–2017. Data from the Victorian Suicide Register (VSR) was linked with hospital separations and Emergency Department (ED) presentations datasets by the Centre for Victorian Data Linkages (CVDL). The main outcomes were: (1) hospital contact for any reason, (2) hospital contact for mental-health-related reasons, and (3) hospital contact for intentional self-harm. Unadjusted and adjusted odds ratios were calculated as the measures of association. Results In the year prior to suicide, half of the decedents (50.0%) had hospital contact for any reason (n = 2172), 28.6% had mental-health-related hospital contact (n = 1244) and 9.9% had hospital contact for intentional self-harm (n = 432). In the year prior to suicide, when compared with males aged 25–49 years (the reference group):males aged 75+ years and females of all ages were significantly more likely to have hospital contact for any reasonfemales aged 10–24 years and 25–49 years were significantly more likely to have mental-health-related hospital contactfemales aged 10–24 years and 25–49 years had 3.5 times and 2.4 times the odds of having hospital contact for intentional self-harm. Conclusions The comparatively high proportion of female decedents with mental-health related hospital contact in the year prior to suicide suggests improving the quality of care for those seeking help is an essential prevention initiative; this could be explored through programs such as the assertive outreach trials currently being implemented in Victoria and elsewhere in Australia. However, the sizeable proportion of males who do not have contact in the year prior to suicide was a consistent finding and represents a challenge for suicide prevention. Programs to identify males at risk in the community and engage them in the health care system are essential. In addition, promising universal and selective interventions to reduce suicide in the cohort who do not have hospital contact, include restricting access to lethal means and other public health interventions are also needed.
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6

Milroy, C. M., Magdalene Dratsas, and D. L. Ranson. "Homicide-Suicide in Victoria, Australia." American Journal of Forensic Medicine and Pathology 18, no. 4 (December 1997): 369–73. http://dx.doi.org/10.1097/00000433-199712000-00011.

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7

Clapperton, Angela, Stuart Newstead, Charlotte Frew, Lyndal Bugeja, and Jane Pirkis. "Pathways to Suicide Among People With a Diagnosed Mental Illness in Victoria, Australia." Crisis 41, no. 2 (March 2020): 105–13. http://dx.doi.org/10.1027/0227-5910/a000611.

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Abstract. Background: People who have mental illness are at increased risk of suicide. Therefore, identifying "typical" trajectories to suicide in this population has the potential to improve the effectiveness of suicide prevention strategies. Aim: The aim of this study was to explore the pathways to suicide among a sample of Victorians with a diagnosed mental illness. Method: Victorian Suicide Register (VSR) data were used to generate life charts and identify typical life trajectories to suicide among 50 Victorians. Results: Two distinct pathways to suicide were identified: (1) where diagnosis of mental illness appeared to follow life events/stressors; and (2) where diagnosis appeared to precede exposure to life events/stressors. Some events acted as distal factors related to suicide, other events were more common as proximal factors, and still others appeared to act as both distal and proximal factors. Limitations: The data source might be biased because of the potential for incomplete information, or alternatively, the importance of some factors in a person's life may have been overstated. Conclusion: Strategies to reduce suicide need to consider the chronology of exposure to stressors in people's lives and clearly need to be different depending on whether proximal or distal risk factors are the target of a given strategy or intervention.
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8

Kennedy, Alison, Jessie Adams, Jeremy Dwyer, Muhammad Aziz Rahman, and Susan Brumby. "Suicide in Rural Australia: Are Farming-Related Suicides Different?" International Journal of Environmental Research and Public Health 17, no. 6 (March 18, 2020): 2010. http://dx.doi.org/10.3390/ijerph17062010.

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Rural Australians experience a range of health inequities—including higher rates of suicide—when compared to the general population. This retrospective cohort study compares demographic characteristics and suicide death circumstances of farming- and non-farming-related suicides in rural Victoria with the aim of: (a) exploring the contributing factors to farming-related suicide in Australia’s largest agricultural producing state; and (b) examining whether farming-related suicides differ from suicide in rural communities. Farming-related suicide deaths were more likely to: (a) be employed at the time of death (52.6% vs. 37.7%, OR = 1.84, 95% CIs 1.28–2.64); and, (b) have died through use of a firearm (30.1% vs. 8.7%, OR = 4.51, 95% CIs 2.97–6.92). However, farming-related suicides were less likely to (a) have a diagnosed mental illness (36.1% vs. 46.1%, OR=0.66, 95% CIs 0.46–0.96) and, (b) have received mental health support more than six weeks prior to death (39.8% vs. 50.0%, OR = 0.66, 95% CIs 0.46–0.95). A range of suicide prevention strategies need adopting across all segments of the rural population irrespective of farming status. However, data from farming-related suicides highlight the need for targeted firearm-related suicide prevention measures and appropriate, tailored and accessible support services to support health, well-being and safety for members of farming communities.
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9

Routely, V. "Epidemiology of rail suicide in Victoria, Australia." Injury Prevention 16, Supplement 1 (September 1, 2010): A273—A274. http://dx.doi.org/10.1136/ip.2010.029215.973.

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10

Morrell, Stephen, Richard Taylor, Susan Quine, and Charles Kerr. "Youth suicide in Victoria: a retrospective study." Medical Journal of Australia 160, no. 12 (June 1994): 801–2. http://dx.doi.org/10.5694/j.1326-5377.1994.tb125957.x.

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11

Krupinski, Jerzy, John Tiller, Graham Burrows, and Hal Hallenstein. "Youth suicide in Victoria: a retrospective study." Medical Journal of Australia 160, no. 12 (June 1994): 802. http://dx.doi.org/10.5694/j.1326-5377.1994.tb125958.x.

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12

Krupinski, Jerzy, John W. G. Tiller, Graham D. Burrows, and Hal Hallenstein. "Youth suicide in Victoria: a retrospective study." Medical Journal of Australia 160, no. 3 (February 1994): 113–16. http://dx.doi.org/10.5694/j.1326-5377.1994.tb126552.x.

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13

Burrows, G. D., WG Tiller, and J. Krupinski. "Youth suicide in Victoria: A retrospective study." European Neuropsychopharmacology 6 (June 1996): 89. http://dx.doi.org/10.1016/0924-977x(96)87713-3.

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14

Tiller, John, Jerzy Kupinski, Graham Burrows, Alan Mackenzie, Hal Hallenstein, and Graeme Johnston. "Completed and attempted youth suicide in Victoria." Stress Medicine 14, no. 4 (October 1998): 249–54. http://dx.doi.org/10.1002/(sici)1099-1700(1998100)14:4<249::aid-smi805>3.0.co;2-#.

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15

Clapperton, Angela, Stuart Newstead, Lyndal Bugeja, and Jane Pirkis. "Differences in Characteristics and Exposure to Stressors Between Persons With and Without Diagnosed Mental Illness Who Died by Suicide in Victoria, Australia." Crisis 40, no. 4 (July 2019): 231–39. http://dx.doi.org/10.1027/0227-5910/a000553.

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Abstract. Background: Mental illness is an established risk factor for suicide. To develop effective prevention interventions and strategies, the demographic characteristics and stressors (other than, or in addition to, mental illness) that can influence a person's decision to die by suicide need to be identified. Aim: To examine cases of suicide by the presence or absence of a diagnosed mental illness (mental illness status) to identify differences in factors associated with suicide in the groups. Method: Logistic regression analyses were used to investigate mental illness status and exposure to stressors among 2,839 persons who died by suicide in Victoria, Australia (2009–2013), using the Victorian Suicide Register. Results: Females, metropolitan residents, persons treated for physical illness/injury, those exposed to stressors related to isolation, family, work, education, and substance use and those who had made a previous suicide attempt had increased odds of having a diagnosed mental illness. Employed persons had decreased odds of having a diagnosed mental illness. Limitations: The retrospectivity of data collection as well as the validity and reliability of some of the data may be questionable owing to the potential for recall bias. Conclusion: The point of intervention for suicide prevention cannot always be a mental health professional; some people who die by suicide either do not have a mental illness or have not sought help.
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16

Robinson, Jo, Katrina Witt, Michelle Lamblin, Matthew J. Spittal, Greg Carter, Karin Verspoor, Andrew Page, et al. "Development of a Self-Harm Monitoring System for Victoria." International Journal of Environmental Research and Public Health 17, no. 24 (December 15, 2020): 9385. http://dx.doi.org/10.3390/ijerph17249385.

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The prevention of suicide and suicide-related behaviour are key policy priorities in Australia and internationally. The World Health Organization has recommended that member states develop self-harm surveillance systems as part of their suicide prevention efforts. This is also a priority under Australia’s Fifth National Mental Health and Suicide Prevention Plan. The aim of this paper is to describe the development of a state-based self-harm monitoring system in Victoria, Australia. In this system, data on all self-harm presentations are collected from eight hospital emergency departments in Victoria. A natural language processing classifier that uses machine learning to identify episodes of self-harm is currently being developed. This uses the free-text triage case notes, together with certain structured data fields, contained within the metadata of the incoming records. Post-processing is undertaken to identify primary mechanism of injury, substances consumed (including alcohol, illicit drugs and pharmaceutical preparations) and presence of psychiatric disorders. This system will ultimately leverage routinely collected data in combination with advanced artificial intelligence methods to support robust community-wide monitoring of self-harm. Once fully operational, this system will provide accurate and timely information on all presentations to participating emergency departments for self-harm, thereby providing a useful indicator for Australia’s suicide prevention efforts.
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Pirkis, Jane, Philip Burgess, and Damien Jolley. "Suicide Among Psychiatric Patients: A Case-Control Study." Australian & New Zealand Journal of Psychiatry 36, no. 1 (February 2002): 86–91. http://dx.doi.org/10.1046/j.1440-1614.2002.00993.x.

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Objective: To examine patient- and treatment-based differences between psychiatric patients who do and do not die by suicide. Method: By linking databases of deaths and psychiatric service use in Victoria, we compared 597 cases who suicided over 5 years with individually matched controls. Results: Cases and controls could not be distinguished on the majority of patient- or treatment-based characteristics. The exceptions were that cases were more likely to be male, less likely to be outside the labour force, more likely to have recent contact with inpatient and community services, and more likely to have a registration as their last contact. Conclusions: Patients who suicide ‘look’ similar to those who do not, suggesting prevention approaches should ensure that all psychiatric patients receive optimal care, including appropriate detection, diagnosis, assessment and treatment of mental health problems, and careful, individualised assessment of suicide risk.
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Clapperton, Angela, Lyndal Bugeja, Stuart Newstead, and Jane Pirkis. "Identifying Typologies of Persons Who Died by Suicide: Characterizing Suicide in Victoria, Australia." Archives of Suicide Research 24, no. 1 (November 17, 2018): 18–33. http://dx.doi.org/10.1080/13811118.2018.1507855.

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Routley, Virginia Hazel, and Joan E. Ozanne-Smith. "Work-related suicide in Victoria, Australia: a broad perspective." International Journal of Injury Control and Safety Promotion 19, no. 2 (June 2012): 131–34. http://dx.doi.org/10.1080/17457300.2011.635209.

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Isaacs, Anton, and Keith Sutton. "An Aboriginal youth suicide prevention project in rural Victoria." Advances in Mental Health 14, no. 2 (June 16, 2016): 118–25. http://dx.doi.org/10.1080/18387357.2016.1198232.

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21

G. V., Vaniprabha, and Madhusudhan S. "Suicide Attempts and Pattern Among the Beginners and Established Female Commercial Sex Workers." Journal of Psychosexual Health 1, no. 2 (April 2019): 140–42. http://dx.doi.org/10.1177/2631831819849726.

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Objective: The purpose of this study was to explore the pattern of suicide and extent of depression among female commercial sex workers (CSWs). Methodology: 200 female CSWs classified as beginners and established depending on the number of years of sex work were referred to Victoria Hospital in Bengaluru, India, by an NGO called Swathi Mane which works for the betterment of these women. Results: The pattern of suicide and the number of attempts among both the groups were different indicating that the number of years of sex work played a major role among these women in deciding the number of attempts and pattern of suicide. The reasons for attempting suicide also are interesting to the fact that the women who are new to this profession suffer from depression and guilt and attempt suicide, while women who are into this profession for quite some time now are accustomed to this trade and have lesser or no suicide attempts. The depression scores among these two groups were also higher as per Hamilton Rating Scale for Depression scores.
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Crump, Kerryn, Dimitri Gerostamoulos, and Noel W. Woodford. "The emerging trend of suicide using nitrite/nitrate in Victoria, Australia." Toxicologie Analytique et Clinique 34, no. 3 (September 2022): S104. http://dx.doi.org/10.1016/j.toxac.2022.06.162.

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Clapperton, Angela, Stuart Newstead, Lyndal Bugeja, and Jane Pirkis. "Relative risk of suicide following exposure to recent stressors, Victoria, Australia." Australian and New Zealand Journal of Public Health 43, no. 3 (March 4, 2019): 254–60. http://dx.doi.org/10.1111/1753-6405.12886.

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Pratiwi, Estin Endah. "Analisis wacana kritis pemberdayaan dan permasalahan TKI di Hong Kong dalam Film Minggu Pagi di Victoria Park." Jurnal Pendidikan dan Pemberdayaan Masyarakat 4, no. 1 (March 27, 2017): 24. http://dx.doi.org/10.21831/jppm.v4i1.11106.

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Penelitian ini bertujuan untuk menganalis berbagai tahap pemberdayaan TKI dan untuk mengetahui permasalahan yang dialami para TKI di Hong Kong berdasarkan faktor penyebabnya serta untuk merencanakan program Pendidikan Luar Sekolah terkait dengan film Minggu Pagi di Victoria Park. Penelitian ini menggunakan jenis penelitian kualitatif dengan pendekatan analisis wacana kritis. Hasil penelitian ini yaitu, (1) tahap pemberdayaan TKI yang terdapat dalam film Minggu Pagi di Victoria Park adalah tahap penyadaran dan tahap pengkapasitasan. (2) permasalahan TKI yang ditemukan dalam film Minggu Pagi di Victoria Park berdasarkan faktor penyebabnya yaitu: (a) faktor ekonomi yaitu: terlilit hutang piutang, penahanan dokumen, menjadi PSK, mengalami penganiayaan dan pemerasan, (b) faktor budaya yaitu: gaji tidak dibayar, kesulitan berkomunikasi dengan bahasa setempat faktor, sulit memperoleh pekerjaan jika masuk daftar cekal, (c) faktor psikologis yaitu: TKI gagal berangkat, TKI bunuh diri, percobaan bunuh diri, putus hubungan komunikasi dengan keluarga, menjadi lesbian (3) Rencana pengembangan program PLS untuk para TKI berdasarkan hasil analisis content film, yaitu: (a) bekerja sama dengan Disnakertrans dan BNP2TKI mengadakan sosialisasi kapada para TKI pra penempatan, selama penempatan, purna penempatan, (b) bekerjasama dengan BLK TKI untuk menjadikan film Minggu Pagi di Victoria Park sebagai media pembelajaran untuk calon TKI.Kata Kunci: analisis wacana kritis, pemberdayaan, permasalahan TKI A Critical Discourse Analysis of Empowerment and Indonesian Migrant Worker Issue on “Minggu Pagi di Victoria Park” Movie AbstractThis study aims to identify and analyze the various stages of the empowerment of migrant workers, to identify problems experienced by the Indonesian Workers in Hong Kong based on factors, and to define the project plan of Non-Formal Education related to Minggu pagi di Victoria Park movie. This research has been done with a method of qualitative research with a critical discourse analysis (Critical Discourse Analysis) approach, taking subject of “Minggu Pagi di Victoria Park” movie. The research found, (1) Phase empowerment of workers who are in the film Minggu Pagi di Victoria Park are: stage awareness and capacity building stage. (2) problems of migrant workers were found in the Minggu Pagi di Victoria Park by contributing factors, are: (a) economic factors, namely: indebt, documentation hostage, become commercial sex workers, persecution and extortion, (b) cultural factors, such as: unpaid wages, communication skill problem, difficulties in finding jobs when they enter the block list, (c) psychological factors such as TKI failed to embark, be lesbian, TKI suicide, attempted suicide, lost and limited communication with family, (3) proposing the program for non-formal education to migrant workers based on the research are: (a) to have joint cooperation between Disnakertrans (Ministry of Manpower) and BNP2TKI to hold socialization, advocation, and facilitation to the migrants worker before embarkation, during employment, and after employment, (b) to have working collaboration with BLK TKI to promote Minggu Pagi di Victoria Park movie as learning media which can be easily understood by the Indonesian migrant worker (TKI).Keywords: critical discourse analysis, empowerment, Indonesian migrant workers issue
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Too, Lay San, Lyndal Bugeja, Allison Milner, Roderick McClure, and Matthew J. Spittal. "Predictors of using trains as a suicide method: Findings from Victoria, Australia." Psychiatry Research 253 (July 2017): 233–39. http://dx.doi.org/10.1016/j.psychres.2017.03.057.

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Adams, Karen, Chris Halacas, Marion Cincotta, and Corina Pesich. "Mental health and Victorian Aboriginal people: what can data mining tell us?" Australian Journal of Primary Health 20, no. 4 (2014): 350. http://dx.doi.org/10.1071/py14036.

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Nationally, Aboriginal people experience high levels of psychological distress, primarily due to trauma from colonisation. In Victoria, Aboriginal Community Controlled Health Organisations (ACCHOs) provide many services to support mental health. The aim of the present study was to improve understanding about Victorian Aboriginal people and mental health service patterns. We located four mental health administrative datasets to analyse descriptively, including Practice Health Atlas, Alcohol and Other Drug Treatment Service (AODTS), Kids Helpline and Close The Gap Pharmaceutical Scheme data. A large proportion of the local Aboriginal population (70%) were regular ACCHO clients; of these, 21% had a mental health diagnosis and, of these, 23% had a Medicare Mental Health Care Plan (MHCP). There were higher rates of Medicare MHCP completion rates where general practitioners (GPs) had mental health training and the local Area Mental Health Service had a Koori Mental Health Liaison Officer. There was an over-representation of AODTS episodes, and referrals for these episodes were more likely to come through community, corrections and justice services than for non-Aboriginal people. Aboriginal episodes were less likely to have been referred by a GP or police and less likely to have been referrals to community-based or home-based treatment. There was an over-representation of Victorian Aboriginal calls to Kids Helpline, and these were frequently for suicide and self-harm reasons. We recommend primary care mental health programs include quality audits, GP training, non-pharmaceutical options and partnerships. Access to appropriate AODTS is needed, particularly given links to high incarcerations rates. To ensure access to mental health services, improved understanding of mental health service participation and outcomes, including suicide prevention services for young people, is needed.
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Vacher, Catherine, Nicholas Ho, Adam Skinner, Jo Robinson, Louise Freebairn, Grace Yeeun Lee, Frank Iorfino, et al. "Optimizing Strategies for Improving Mental Health in Victoria, Australia during the COVID-19 Era: A System Dynamics Modelling Study." International Journal of Environmental Research and Public Health 19, no. 11 (May 26, 2022): 6470. http://dx.doi.org/10.3390/ijerph19116470.

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The ongoing COVID-19 pandemic has impacted the mental health of populations and highlighted the limitations of mental health care systems. As the trajectory of the pandemic and the economic recovery are still uncertain, decision tools are needed to help evaluate the best interventions to improve mental health outcomes. We developed a system dynamics model that captures causal relationships among population, demographics, post-secondary education, health services, COVID-19 impact, and mental health outcomes. The study was conducted in the Australian state of Victoria. The model was calibrated using historical data and was stratified by age group and by geographic remoteness. Findings demonstrate that the most effective intervention combination includes economic, social, and health sector initiatives. Assertive post-suicide attempt care is the most impactful health sector intervention, but delaying implementation reduces the potency of its impact. Some evidence-based interventions, such as population-wide community awareness campaigns, are projected to worsen mental health outcomes when implemented on their own. Systems modelling offers a powerful decision-support tool to test alternative strategies for improving mental health outcomes in the Victorian context.
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Smith, David I., and Kylie M. Scoullar. "How Well Informed are Australian General Practitioners about Adolescent Suicide? Implications for Primary Prevention." International Journal of Psychiatry in Medicine 31, no. 2 (June 2001): 169–82. http://dx.doi.org/10.2190/3nb2-vvuy-p8n3-7xkq.

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Objective: To investigate the extent of knowledge of Australian general practitioners (GPs) in terms of critical information about adolescent suicide. Method: GPs knowledge about adolescent suicide was assessed using the 39-item Adolescent Suicide Behaviour Questionnaire (ASBQ), distributed to all GPs listed on the Medical Practitioners Board register of the Australian state of Victoria. Forty-three percent of GPs ( n = 1694) completed and returned the survey. Results: GPs scored, on average, 71 percent of the questionnaire items correct. The mean level of incorrect and uncertain responses was 14 percent and 15 percent, respectively. However, there were wide differences in the number of correct scores between individual GPs, with some respondents scoring as few as four items correct and others as many as 38 items correct. Analysis of knowledge rates within ABSQ content domains showed that GPs were generally well informed about adolescent suicide in relation to precipitating factors, and less well informed about the remaining content domains. Conclusions: Australian GPs are, in general, moderately well informed, and are in a unique position to identify those at risk and to provide appropriate intervention (or referral). However, there is considerable variability in the accuracy of beliefs about adolescent suicide, with some GPs demonstrating excellent knowledge levels but others holding little accurate information. The extent of this variability in knowledge is a cause for concern. Findings highlight the need for ongoing education of GPs as an essential component of prevention strategies for youth suicide.
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Kennett, Jeff. "It's time for action: do something to help." Australian Health Review 30, no. 2 (2006): 135. http://dx.doi.org/10.1071/ah060135.

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IN 1997, while I was the Premier of Victoria, I was challenged by my daughter to do something to stop young country men dying on our roads. Further investigation of the two deaths that caused my daughter to cry out her challenge found that, while both young men?s deaths were recorded as road fatalities, both men were depressed and had used their motor vehicles to take their own lives. Hence began a journey that led me to consider better suicide prevention programs ? until I realised suicide prevention programs were too late in the process. Talking about mental illness was rejected by most of the community, but the word depression had a much wider acceptance. My advocacy for a national body to destigmatise depression took shape in July 2000 when I became the Inaugural Chairman of The National Depression Initiative, which became beyondblue.
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Isaacs, Anton N., Keith Sutton, Stuart Hearn, Gilbert Wanganeen, and Patricia Dudgeon. "Health workers’ views of help seeking and suicide among Aboriginal people in rural Victoria." Australian Journal of Rural Health 25, no. 3 (May 20, 2016): 169–74. http://dx.doi.org/10.1111/ajr.12303.

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31

Krupinski, Jerzy, John W. G. Tiller, Graham D. Burrows, and Alan Mackenzie. "SOCIAL AND FAMILIAL ASPECTS OF ATTEMPTED AND COMPLETED SUICIDE OF YOUNG PEOPLE IN VICTORIA." Australian Journal of Social Issues 33, no. 4 (November 1998): 323–34. http://dx.doi.org/10.1002/j.1839-4655.1998.tb01062.x.

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32

Biles, David, and Vicki Dalton. "Deaths in Private and Public Prisons in Australia: A Comparative Analysis." Australian & New Zealand Journal of Criminology 34, no. 3 (December 2001): 293–301. http://dx.doi.org/10.1177/000486580103400306.

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Public opinion in Australia has been divided on the question of whether private prisons are welcome and one of the issues in dispute has been the question of whether or not private prisons are associated with proportionately more or fewer deaths of prisoners, particularly suicides, than public prisons. The available evidence is examined, and when the number of deaths, or suicides, per 1000 prisoner years served for all private and public prisons are calculated it is found that the rate for all deaths is significantly lower in private prisons at the 0.05 level of confidence. However, the difference in the suicide rates is not statistically significant.The lower overall death rate is particularly surprising as private prisons in Australia hold proportionately more unconvicted remandees,who are at higher risk, than public prisons. A close examination of the data for three relatively new remand and reception prisons, two private and one public, shows that all have much higher rates for both all deaths and for suicides than the national averages. This is an updated and expanded version of a paper by the same authors published by the Australian Institute of Criminology in June 1999. That paper was admitted into evidence at a coronial inquiry that was held into five deaths that occurred in the Port Phillip Prison in Victoria. Address for correspondence: D. Biles, 25 Kidston Cres, Curtin ACT 2605, Australia.
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33

Simpson, Grahame, Bernie Franke, and Lauren Gillett. "Suicide Prevention Training Outside the Mental Health Service System." Crisis 28, no. 1 (January 2007): 35–43. http://dx.doi.org/10.1027/0227-5910.28.1.35.

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Abstract. The training needs of staff working in mainstream (i.e., noncrisis) health settings with client groups that have moderate levels of suicide risk have not been extensively addressed. An initiative to train rehabilitation and disability staff working in the field of traumatic brain injury (TBI) is described. A program was adapted from a generic state health department training program, and disseminated by means of established training networks within the brain injury field. Program efficacy was evaluated as the training was provided across the state of Victoria in a series of 1-day workshops. Participants (n = 86) completed two evaluation measures designed for this purpose (objective knowledge test, self-rating of knowledge and skills) on three occasions (pre- and postworkshop, 6-month follow-up). Compared to a control group of rehabilitation and disability workers who did not receive the training (n = 27), the workshop participants made significant gains in objective knowledge and reported skills, and maintained these gains at the 6-month follow-up. The Suicide Interview Response Inventory-2 ( Neimeyer & Pfeiffer, 1994 ) was administered to a subgroup of participants as a validating measure, and correlated significantly with scores from the objective knowledge test. This process may provide a template for developing more fine-grained suicide prevention strategies among other health-related at-risk groups.
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34

Too, Lay San, Matthew J. Spittal, Lyndal Bugeja, Roderick McClure, and Allison Milner. "Individual and community factors for railway suicide: a matched case–control study in Victoria, Australia." Social Psychiatry and Psychiatric Epidemiology 51, no. 6 (March 30, 2016): 849–56. http://dx.doi.org/10.1007/s00127-016-1212-9.

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Too, Lay San, Matthew J. Spittal, Lyndal Bugeja, Allison Milner, Mark Stevenson, and Roderick McClure. "An investigation of neighborhood-level social, economic and physical factors for railway suicide in Victoria, Australia." Journal of Affective Disorders 183 (September 2015): 142–48. http://dx.doi.org/10.1016/j.jad.2015.05.006.

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36

Parkinson, Debra, Alyssa Duncan, Jaspreet Kaur, Frank Archer, and Caroline Spencer. "Gendered aspects of long-term disaster resilience in Victoria, Australia." January 2022 10.47389/37, no. 37.1 (January 2022): 59–64. http://dx.doi.org/10.47389/37.1.59.

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Research conducted in 2018 documented the disaster experiences of 56 women and men in Australia aged between 18 and 93 years. This paper draws out the gendered factors that affected their resilience, and in so doing, begins to address the dearth of research related to gendered aspects of long-term disaster resilience. It is unique in capturing the voices of survivors who spoke of events 9 years after the 2009 Black Saturday fires and of earlier fires and floods in Victoria more than 50 years ago, including the 1983 Ash Wednesday fires. Over decades, gendered expectations of men and women significantly hindered resilience. Men spoke of the long-term cost to them of demands to ‘be strong’ in the worst of disasters and reasons they were reluctant to seek help afterwards. Women spoke of their contributions holding a lesser value and of discrimination. Discussions of violence against women and children after disaster, and suicide ideation in anticipation of future disasters offered critical insights. Protective factors identified by informants were not wholly intrinsic to their character but were also physical, such as essential resources provided in the immediate aftermath, and psychological and community support offered in the long-term. Factors that helped resilience departed from the ‘masculine’ model of coping post-disaster by moving away from a refusal to admit trauma and suffering, to community-wide resilience bolstered by widespread emotional, social and psychological support. Genuine community planning for disasters before they strike builds trust and offers insights for emergency management planners.
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Cooke, Simon. "A ‘Dirty Little Secret’? The State, the Press, and Popular Knowledge of Suicide in Victoria, 1840s‐1920s∗." Australian Historical Studies 31, no. 115 (October 2000): 304–24. http://dx.doi.org/10.1080/10314610008596133.

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38

Mclaren, Suzanne, and Lisa M. Hopes. "Rural-Urban Differences in Reasons for Living." Australian & New Zealand Journal of Psychiatry 36, no. 5 (October 2002): 688–92. http://dx.doi.org/10.1046/j.1440-1614.2002.01047.x.

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Objective: The suicide rate in Australia is cause for concern, especially the increase in attempted and completed suicides in rural and regional locations. The present study examined reasons for choosing not to commit suicide as a function of residential location. Method: The study involved 655 Victorian residents from four population-based strata; urban, regional city, regional town, and rural. Results: Results from the Reasons for Living Inventory revealed significant differences as a function of residential location. Overall, residents in rural locations reported having significantly more to live for than their urban counterparts. Further analysis of six reasons for living (child, family, moral, social, coping and death-related concerns) showed a pattern whereby residents in rural locations reported having the most to live for, followed by regional residents, and urban residents who reported having the least to live for. Conclusions: These findings are in contrast to increase of suicide rates in rural areas, and highlight the need for a greater understanding of the mechanisms underlying suicidal behaviour.
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Biswas, Mathin, and Marjorie Jerrard. "Photo elicitation in management history." Journal of Management History 24, no. 4 (September 10, 2018): 362–76. http://dx.doi.org/10.1108/jmh-02-2018-0018.

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Purpose This paper aims to demonstrate advantages of using the photo elicitation technique from sociology, ethnography and visual anthropology to management history through reference to a study of job loss within the State Electricity Commission of Victoria in the Latrobe Valley, Australia, as it was undergoing transition and privatization in the early 1990s. Design/methodology/approach This is a methodology paper exploring photo elicitation and the theoretical perspectives of life course and identity work when applied in management history. Findings The use of photo elicitation encouraged interview participants to share their perspectives about the common experience of job loss in an Australian regional area which gave rise to some common themes about occupational identity and the challenges of being unemployed. Social implications After job loss, some common experiences have been found, namely, depression; drug and alcohol addiction; domestic violence and family break down; and even suicide. Originality/value Use of photo elicitation provided the methodology and framework to undertake original research in management history in an Australian region still experiencing denidustrialization of brown coal mining and power generation.
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40

Berman, Alan L. "Book Review Words I Never Thought to Speak: Stories of life in the wake of suicide By Victoria Alexander. 235 pp. New York, Lexington Books, 1991. $22.95." New England Journal of Medicine 326, no. 20 (May 14, 1992): 1367–68. http://dx.doi.org/10.1056/nejm199205143262021.

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41

Moran, Richard, and Olive Anderson. "Suicide in Victorian and Edwardian England." American Historical Review 95, no. 4 (October 1990): 1197. http://dx.doi.org/10.2307/2163560.

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42

Selway, Richard. "Gunshot Suicides in Victoria, Australia, 1988." Medicine, Science and the Law 31, no. 1 (January 1991): 76–80. http://dx.doi.org/10.1177/002580249103100114.

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43

Schlicht, Susan M., Ian R. Gordon, J. Richard B. Ball, and David G. S. Christie. "Suicide and related deaths in Victorian doctors." Medical Journal of Australia 153, no. 9 (November 1990): 518–21. http://dx.doi.org/10.5694/j.1326-5377.1990.tb126190.x.

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44

Luke, Joanne N., Ian P. Anderson, Graham J. Gee, Reg Thorpe, Kevin G. Rowley, Rachel E. Reilly, Alister Thorpe, and Paul J. Stewart. "Suicide Ideation and Attempt in a Community Cohort of Urban Aboriginal Youth: A Cross-Sectional Study." Crisis 34, no. 4 (July 1, 2013): 251–61. http://dx.doi.org/10.1027/0227-5910/a000187.

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Background: There has been increasing attention over the last decade on the issue of indigenous youth suicide. A number of studies have documented the high prevalence of suicide behavior and mortality in Australia and internationally. However, no studies have focused on documenting the correlates of suicide behavior for indigenous youth in Australia. Aims: To examine the prevalence of suicide ideation and attempt and the associated factors for a community 1 The term ”community” refers specifically to Koori people affiliated with the Victorian Aboriginal Health Service. cohort of Koori 2 The term ”Koori” refers to indigenous people from the south-eastern region of Australia, including Melbourne. The term ”Aboriginal” has been used when referring to indigenous people from Australia. The term ”indigenous” has been used throughout this article when referring to the first people of a nation within an international context. (Aboriginal) youth. Method: Data were obtained from the Victorian Aboriginal Health Service (VAHS) Young People’s Project (YPP), a community initiated cross-sectional data set. In 1997/1998, self-reported data were collected for 172 Koori youth aged 12–26 years living in Melbourne, Australia. The data were analyzed to assess the prevalence of current suicide ideation and lifetime suicide attempt. Principal components analysis (PCA) was used to identify closely associated social, emotional, behavioral, and cultural variables at baseline and Cox regression modeling was then used to identify associations between PCA components and suicide ideation and attempt. Results: Ideation and attempt were reported at 23.3% and 24.4%, respectively. PCA yielded five components: (1) emotional distress, (2) social distress A, (3) social distress B, (4) cultural connection, (5) behavioral. All were positively and independently associated with suicide ideation and attempt, while cultural connection showed a negative association. Conclusions: Suicide ideation and attempt were common in this cross-section of indigenous youth with an unfavorable profile for the emotional, social, cultural, and behavioral factors.
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Higonnet, Margaret, and Patrice Higonnet. "Suicide in Victorian and Edwardian England. Olive Anderson." Isis 80, no. 1 (March 1989): 102–3. http://dx.doi.org/10.1086/354939.

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46

Sutherland, Georgina, Allison Milner, Jeremy Dwyer, Lyndal Bugeja, Alan Woodward, Jo Robinson, and Jane Pirkis. "Implementation and evaluation of the Victorian Suicide Register." Australian and New Zealand Journal of Public Health 42, no. 3 (October 18, 2017): 296–302. http://dx.doi.org/10.1111/1753-6405.12725.

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47

Turner, Trevor. "Suicide now and then … an elusive comparison." British Journal of Psychiatry 188, no. 3 (March 2006): 229–30. http://dx.doi.org/10.1192/bjp.bp.104.007526.

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SummaryComparing suicide rates between Victorian and modern times, and the impact of the asylum, should enable a useful historical perspective on how effective our treatment approaches really are. Difficulties include clarifying the ‘social geography’, the underlying diagnoses, the reasons for admission and the reliability of casebook data and follow-up arrangements.
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48

Giacomazzi, Enzo. "Victoires de Wajdi Mouawad: de la défenestration à l’espoir collectif." Cahiers ERTA, no. 29 (March 31, 2022): 106–29. http://dx.doi.org/10.4467/23538953ce.22.004.15625.

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Victoires of Wajdi Mouawad : when defenestration becomes a collective hope Victoire, a student at the National Conservatory of Dramatic Art, committed suicide when she was only twenty-four years old. This death, inspired by Greek tragedies, reveals a gesture that is both heroic and symptomatic of an era. In his play, Wajdi Mouawad questions the depth of the deadly gesture of suicide as well as fate of death. By analyzing the funeral rites evoked in the play, we will see how Victoire's friends engage in a process of idealizing death, making Victoire a modern heroine. The gesture of death transforms into that of a gesture of hope, leading them towards a surge of life itself.
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Shepherd, Anne, and David Wright. "Madness, Suicide and the Victorian Asylum: Attempted Self-Murder in the Age of Non-Restraint." Medical History 46, no. 2 (April 2002): 175–96. http://dx.doi.org/10.1017/s0025727300000053.

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On 20 July 1870, Catherine Tyrrell found herself transferred to another asylum. The 32-year-old nurse suffering from melancholia had previously been a private patient in Bethlem Hospital; but, having had her twelve months expire at that institution, she was conveyed across the metropolis and into the bucolic countryside and county asylum of Buckinghamshire. Up to this point, Catherine had had a long and sad history of suicide attempts and food refusal. Indeed, when she was transferred the following year, this time from Buckinghamshire to the Surrey County Asylum at Wandsworth, she was listed as “very suicidally disposed”. Now diagnosed as suffering from “mania”, she managed only three months before arriving at her fourth institution in as many years—the Surrey County Asylum at Brookwood. On admission, the medical superintendent described, with transparent disapproval, the precautionary clothing that held her suicidal impulses in check:She was brought in a canvas garment which fitted her person even down to her ankles, the arms however not going through the sleeves, but being folded across her chest close to her skin, the hands being locked in leather gloves. The jacket or whatever it is called being [fastened] at the back by 5 locks. All this complicated arrangement was immediately removed. There was no clothing of ordinary kind under it.
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Guiney, Robyn. "Farming suicides during the Victorian drought: 2001-2007." Australian Journal of Rural Health 20, no. 1 (January 17, 2012): 11–15. http://dx.doi.org/10.1111/j.1440-1584.2011.01244.x.

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