Background:Having a set of effective coping skills can prevent suicidal behavior by increasing self-control and self-direction. This study examines coping styles used by suicidal patients.Objectives:The researchers in this study try to identify coping strategies used by suicide attempters admitted to Shiraz Shahid Faghihi Hospital emergency room.Materials and Methods:This is a analytical cross-sectional study. Participants consisted of 50 suicide-attempted people admitted to Shiraz Faghihi Hospital. Instruments for data collections were a demographic checklist and the coping styles scale of Carver, Schier and Wintrope. Data were collected conveniently and analyzed using descriptive and analytic (Pearson Correlation, Student’s t-tests, and ANOVA) statistical methods.Results:Suicide attempted people used less useful coping strategies (Mean = 49.32) more than the other strategies (respectively mean of problem focused and emotion focused strategies were 30.27 and 27.83). Using ANOVA, in different educational level, problem focused and less effective coping skills of samples differed significantly (P = 0.009, P = 0.006, respectively). People with low educational level used less effective coping skills. There was a significant difference between men and women scores in use of less effective coping skills (P = 0.029).Conclusions:Teaching effective coping skills by psychological consultants in suicide attempted people, especially for women and people with low educational level, is important

Prostate cancer is one of the most prevalent diseases among men. This study aimed to assess the effect of educational program based on Predisposing, Reinforcing, and Enabling Constructs in Educational/Environmental Diagnosis and Evaluation (PRECEDE) model in promoting prostate cancer screening in a sample of Iranian men. This is a quasi-experimental study carried out on 300 men aged 40 to 70 (the subjects 150 experimental and 150 control groups) in Shiraz City, Fars Province, Iran, in 2016. The participants of the intervention group attended training based on the PRECEDE model. The study compared mean scores of knowledge, attitude, enabling factors, perceived social support, quality of life, general health, self-efficacy, and screening behaviors of the subjects before and 6 months after intervention in experimental and control groups. The mean age of experimental group was 56.45 ± 8.65, and the mean age of the control group was 55.64 ± 8.71 years (P = 0.521). The study showed that there was a significant increase in the mean score of knowledge, attitudes, perceived self-efficacy, enabling factors, perceived social support, quality of life, public health and screening behaviors of the experimental group; however, no significant change was observed in the mean score of knowledge, attitudes, self-efficacy, quality of life, general health, perceived social support, enabling factors, and screening behaviors of the control group. Our findings showed that the health education programs designed based on PRECEDE could positively affect prostate cancer screening behaviors of individuals by improving their knowledge level and attitude, enabling factors, perceived social support, quality of life, general health, and self-efficacy.

It was concluded that group spiritual intervention as a useful method could be effective in enhancing self-esteem and happiness among addicted individuals undergoing methadone maintenance treatment. The given treatment could be also used as a complementary therapy beside methadone maintenance treatment to reduce the likelihood of people returning to substance abuse.

Background: Patient's rights as one of the basic pillars in defining the standards of clinical services indicate that the patient's biopsychosocial and spiritual needs are met in the form of standards, rules, and regulations. This study aimed to evaluate the level of awareness and observance of patients' rights by nurses working in hospitals affiliated to Larestan University of Medical Sciences.Methods: In this descriptive cross-sectional study, 83 clinical nurses were recruited by convenience sampling method. To collect the research data, researcher-made questionnaires, including Patient's Rights Awareness and "Patient's Rights Observance were used. The reliability of the two parts of the questionnaire was reported using Cronbach's alpha coefficients as 0.51 and 0.69, respectively. The obtained data were analyzed in SPSS using descriptive and Chi-squared tests. Results:The knowledge of patient rights was poor, moderate, and good in 81.9%, 16.9%, and 1.2% of the nurses, respectively. Additionally, nurses' performance regarding patients' rights was reported as moderate in 83.1%, poor in 13.3%, and good only in 3.6% of them. Chi-squared test results revealed that among the demographic variables, only gender and education were significantly correlated with the knowledge and practice of nurses regarding the observance of patients' rights (P<0.05). Conclusion:The study participants' knowledge of patients' bill of rights was poor, and their observance of patients' rights was moderate; thus, interventions should be performed to prevent the violations of patients' rights. Continuing education programs and in-service training about the observance of the patients' bill of rights should be considered more seriously.

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Background: Spiritual support, belief in God, and praying are of the elements and tools used by a family to deal with stressful events. Objectives: The present study is aimed at examining the effects of spiritual and religious interventions on the resilience of family members of ICU patients. Methods: A quasi-experimental study was carried out with participation of 34 family members and blood relatives who kept the patients in the ICU ward of Kermanshah Imam Reza hospital company. The participants were selected through convenient sampling and then randomly allocated to the experiment (n = 17) and control (n = 17) groups. The experiment group received interventions in the form of spiritual-religious intervention sessions (8 group sessions, 3 sessions a week, each 45 -60 minutes). Resilience was measured using Connor Davidson resilience scale (CD RIS) before and after the interventions and the data was analyzed in SPSS (20). Results: Paired t-test results indicated that there was a significant difference in terms of the mean score of resilience before and after the religious and spiritual interventions in the experiment group (P value = 0.001). The test also showed that there was no significant difference in terms of the mean resilience score before and after the interventions in the control group (P value = 0.525). The results of independent t-test indicated that there was no statistically significant difference (P value = 0.663) between the control and experimental groups before the interventions, whereas there was a statistically significant difference between the control and experimental groups after the intervention (P value = 0.025). Conclusions:The findings showed significant effectiveness of spiritual-religious interventions on increasing the resilience of family members of patients.

Background:Since suicide attempt among adolescents is a major challenge and the reasons why this age group attempt suicide are complex, the aim of this study was to investigate the risk factors that contribute to suicide attempt among adolescents.Materials and Methods:In this qualitative content analysis, 14 adolescents (12–19 years old) who were admitted in two hospitals in Shiraz, Iran, were interviewed. Participants who tried attempt suicide with medication were selected by purposive sampling and the data were gathered by semi-structured interviews. Data analysis was guided by the conventional approach of qualitative content analysis.Results:Three major themes and 13 subthemes emerged from data analysis. The main themes were: (a) Individual factors and experiences (psycho-emotional problems, puberty, religious beliefs, stress management strategies, marriage and love, field and level of education); (b) family factors (family structure, family relationship, family economic features, family health conditions); and (c) social factors (suicidal behavior in others, media influence, professional support).Conclusions:This study identified three major themes related to suicide attempt among adolescents in the context. As a result, suicide prevention and care provision should formulate a comprehensive method, considering the interaction of medical besides individual, familiar, and social factors in their assessment and care provision.