Connectedness and suicide

Zareian, Bita; Klonsky, E. David

doi:10.1016/b978-0-12-814297-4.00007-8

Cited by 16 publications

(8 citation statements)

References 103 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This section relates to identifying the network of support and the positive relationships that the CYP has within these relationships. It helps parents to understand the importance of good family relationships, positive peer networks and social connections that build greater resilience (Zareian & Klonsky, 2020). Completing Element 3 can help parents see ways to build their child's resilience, reduce isolation and foster a sense of belonging.…”

Section: The Lothian Safekeeping Plan© For Use With Parentsmentioning

confidence: 99%

Suicide prevention: Introducing the Lothian Safekeeping Plan^© for parents as a clinical innovation for use alongside safety plans for children and young people

Abbott‐Smith,

Dougall,

Ring

2024

Child Adoles Psych Nursing

View full text Add to dashboard Cite

TopicInternationally, preventing suicide in children and young people is a priority and there are a range of preventative approaches available for health professionals to use, including brief interventions. Safety planning is one such brief intervention. Safety plans have long been recommended for use with young people who are suicidal but, these were initially developed for adults. A recent scoping review revealed safety plans need to be tailored to children and young people. This review also identified an important practice gap, that parents also require plans supporting them to keep their child safe.PurposeThis paper highlights how a Scottish clinical child and adolescent mental health setting in the UK's National Health Service developed and implemented evidence‐based safety plans for suicidality–the Lothian Safety Plan for young people and the Lothian Safekeeping Plan for parents. This paper outlines both plans and gives recommendations for their use by healthcare professionals. The parental Lothian Safekeeping Plan is discussed in more depth as this is a novel intervention.ConclusionThe Lothian Safekeeping Plan is a clinically led evidence‐based practice innovation. It is a specific suicide prevention plan for use by parents as an additional, complementary, and enhanced resource to the Lothian Safety Plan for young people. It is recommended that healthcare professionals also use a parental safety plan when supporting young people presenting with suicidal crisis. Further research is needed to evaluate the impact of these plans.

show abstract

Section: The Lothian Safekeeping Plan© For Use With Parentsmentioning

confidence: 99%

Suicide prevention: Introducing the Lothian Safekeeping Plan^© for parents as a clinical innovation for use alongside safety plans for children and young people

Abbott‐Smith,

Dougall,

Ring

2024

Child Adoles Psych Nursing

View full text Add to dashboard Cite

show abstract

“…The difficulty to connect and develop a strong alliance may be exacerbated by unspoken power dynamics involving patients’ well-documented inclination to deny existing suicidal ideation (Blanchard & Farber, 2018; Richards et al, 2019), as well as therapists’ anxiety-driven coercions, which can potentially be perceived by patients as betrayals (Jobes & Ballard, 2011). In contrast, an effective therapeutic alliance may mitigate suicidal thoughts and behaviors (Dunster-Page et al, 2017) by promoting and instilling hope in interpersonal connections (Schechter et al, 2013), which is a protective factor against suicide (Zareian & Klonsky, 2020). Accordingly, establishing a trusting and collaborative relationship with suicidal patients while assessing suicidal risk and developing a safety plan is both incredibly challenging and absolutely necessary.…”

Section: The Challenges To and Importance Of Developing A Strong Alli...mentioning

confidence: 99%

Alliance-focused safety planning and suicide risk management.

Bloch-Elkouby¹,

Barzilay²

2022

Psychotherapy

View full text Add to dashboard Cite

Patients' interpersonal vulnerabilities and problems represent major distal and proximal risk factors in the etiology of suicide. These can be triggered by the interpersonal demands of therapy and safety planning and impede the development of a strong therapeutic alliance, and thus, the effectiveness of safety planning. This article proposes that the principles put forth by the Alliance-Focused Training (AFT; Eubanks-Carter et al., 2015;Muran & Eubanks, 2020), which view the therapeutic alliance both as a precondition to therapy and as an active change mechanism, present an ideal framework for addressing patients' interpersonal challenges in the context of safety planning and suicide risk management. After discussing the relevance of AFT principles to safety planning, we will propose an approach to incorporate AFT techniques into evidencebased safety planning interventions and to monitor their impact on the therapeutic alliance and treatment outcome. Last, we will provide a brief clinical report to illustrate the principles and techniques described in the article. Clinical Impact StatementQuestion: How can clinicians promote a strong therapeutic alliance that enhances patients' engagement in safety planning and improves their interpersonal functioning outside of therapy? Findings: Drawing from the principles of Alliance-Focused Training (AFT), therapists should identify the subtle fluctuations in the quality of their alliance with suicidal patients and address them in real time throughout safety planning. Meaning: Establishing an effective therapeutic alliance with suicidal patients may enhance patients' adherence to the safety plan, promote a sense of affiliation and agency, and improve their interpersonal functioning. Next Steps: We aim at integrating AFT's principles to the treatment of suicidal patients in the context of existing and novel suicide prevention interventions.

show abstract

“…It is instead argued that connectedness reduces suicide and seasonal variation. 37 Accordingly, the widespread penetration and adoption of technology facilitates connection between people anywhere and anytime. This results in reduced communication gap, which lessens feelings of isolation, loneliness and depression, which explains to some degree, the diminishing seasonal variation.…”

Section: Seasonal Variations Of Suicidementioning

confidence: 99%

Temporal variation in suicide in peri-urban Pretoria

Onoya

Makwakwa

Motloba

2021

South African Family Practice

View full text Add to dashboard Cite

Background: Suicide is a public health problem, and the third major cause of death in Indian, black and mixed race groups. In whites suicide is the second cause of death. The patterns of suicide vary by time of day, day of the week, month of the year and seasons. As a result of limited and inaccurate data, these variations have not been fully examined in the developing world. This study investigated the diurnality and seasonality of suicide in peri-urban Pretoria, as opposed to studies conducted previously in the country’s metropolitan.Methods: A retrospective analysis of suicides recorded between 2007 and 2019 was undertaken. Data were extracted from the forensic pathology department’s database (university mortuary).Results: Of the 1515 cases of suicides examined, majority were black Africans (95.9%), male (83.9%), aged 21–40 years (50.5%). Hanging was the most common method of suicide irrespective of demographics (72.8%). Diurnal suicide variations were distinct for men and women, occurring at (16:00–20:00) and (08:00–12:00), respectively. Suicide peaked on days preceding and after the weekend (Mondays and Fridays) and in warmer seasons (summer and spring)Conclusion: The overall patterns of suicide in peri-urban Pretoria, mimic local and global trends with regard to methods, demographics and temporal characteristics. The underlying mechanism for these trends is unclear requiring in-depth investigation in order to develop appropriate interventions.

show abstract

Connectedness and suicide

Cited by 16 publications

References 103 publications

Suicide prevention: Introducing the Lothian Safekeeping Plan^© for parents as a clinical innovation for use alongside safety plans for children and young people

Suicide prevention: Introducing the Lothian Safekeeping Plan^© for parents as a clinical innovation for use alongside safety plans for children and young people

Alliance-focused safety planning and suicide risk management.

Temporal variation in suicide in peri-urban Pretoria

Contact Info

Product

Resources

About

Connectedness and suicide

Cited by 16 publications

References 103 publications

Suicide prevention: Introducing the Lothian Safekeeping Plan© for parents as a clinical innovation for use alongside safety plans for children and young people

Suicide prevention: Introducing the Lothian Safekeeping Plan© for parents as a clinical innovation for use alongside safety plans for children and young people

Alliance-focused safety planning and suicide risk management.

Temporal variation in suicide in peri-urban Pretoria

Contact Info

Product

Resources

About

Suicide prevention: Introducing the Lothian Safekeeping Plan^© for parents as a clinical innovation for use alongside safety plans for children and young people

Suicide prevention: Introducing the Lothian Safekeeping Plan^© for parents as a clinical innovation for use alongside safety plans for children and young people