Detecting and distinguishing indicators of risk for suicide using clinical records

Ahmedani, Brian K.; Cannella, Cara E; Yeh, Hsueh‐Han; Westphal, Joslyn; Simon, Gregory E.; Beck, Arne; Rossom, Rebecca C.; Lynch, Frances L.; Lu, Christine Y.; Owen-Smith, Ashli; Sala-Hamrick, Kelsey; Frank, Catherine; Akinyemi, Esther; Beebani, Ganj; Busuito, Christopher; Boggs, Jennifer M.; Daida, Yihe G.; Waring, Stephen; Gui, Hongsheng; Levin, Albert M.

doi:10.1038/s41398-022-02051-4

Cited by 3 publications

(4 citation statements)

References 34 publications

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“…Based on these findings, we recommend that health practitioners be encouraged to assess for suicide ideation during follow-up visits among all rape survivors, specifically those who reported to have experienced TI and show signs of self-loathing. It is therefore crucial that all rape victims who report to have experienced TI during their ordeal to be assessed for early identification of SI as a global public health concern (ICD 10-CM) and the second leading cause of death worldwide [ 98 , 99 ]. This is especially so in Nigeria, where a study recently reported that the pooled prevalence of suicidal ideation was 9.8% and pooled suicide attempts was 16.2% annually [ 100 ].…”

Section: Discussionmentioning

confidence: 99%

I did not scream. i could not; i was terrified. i just followed them. . .i blocked my mind. then they all raped me: A narrative inquiry on the onset of tonic immobility among women rape victims in Nigeria

Gbahabo,

Duma

2024

PLoS ONE

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Tonic immobility (TI) is a common uncontrollable autonomic mammalian response to an extremely fearful situation. It is one of the most immediate devastating consequences of rape and remains poorly understood. While controversies over its definition persist among researchers, this also reflects on the care for and support to victims. The study aimed to explore and describe the onset of TI and the meaning attached to the experience among women raped victims in Nigeria. The study design was the qualitative narrative inquiry approach. Criterion and purposive sampling were conducted across four post-rape care facilities in Lagos, Nigeria, to recruit 13 participants. In-depth face-to-face interviews were conducted using a semi-structured interview guide to generate data that were thematically analysed. The findings of the study revealed five themes relating to the onset of TI as follows: the first two focused on the experience of TI: (1) the onset of TI prior to rape due to perceived imminent danger, (2) the onset of TI as a self-protection mechanism from further harm) while the last three relate to the meaning-making of the experience of TI (3) self-loathing as a meaning attached to TI, (4) suicidal ideations as a meaning attached to TI, and (5) divine intervention as a meaning attached to TI. Conclusion: The findings underscore the experiences and meanings that participants attach to TI following rape. There is a strong likelihood that tonic-immobility is not an uncommon experience amongst rape victims, but that in the absence of research, specialized care on the condition, and its associated consequences will haunt many women, affecting their psychological well-being and their entire quality of life. Describing the phenomenon as it is experienced by the participants is critical because understanding the condition is the first step toward effective appropriate management.

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Section: Discussionmentioning

confidence: 99%

I did not scream. i could not; i was terrified. i just followed them. . .i blocked my mind. then they all raped me: A narrative inquiry on the onset of tonic immobility among women rape victims in Nigeria

Gbahabo,

Duma

2024

PLoS ONE

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“…With respect to the current state of suicide prevention, there is extensive literature on the effectiveness of its early detection [23,24]. This interest arises from the need to determine the specific characteristics of suicide risk in people with or without psychological problems who receive health care [25][26][27]. Some studies [27,28] show that the identification of suicide risk needs to evolve towards more precise detection strategies than those based on the general factors traditionally associated with suicidal behaviour (mental health problems, chronic illness, loneliness, hopelessness, etc.).…”

Section: Introductionmentioning

confidence: 99%

“…This interest arises from the need to determine the specific characteristics of suicide risk in people with or without psychological problems who receive health care [25][26][27]. Some studies [27,28] show that the identification of suicide risk needs to evolve towards more precise detection strategies than those based on the general factors traditionally associated with suicidal behaviour (mental health problems, chronic illness, loneliness, hopelessness, etc.). For this reason, work is currently underway to construct predictive models using algorithms based on clinical information [29][30][31].…”

Section: Introductionmentioning

confidence: 99%

Health Service Protection vis-à-vis the Detection of Psychosocial Risks of Suicide during the Years 2019–2021

2023

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Health services are especially relevant in suicide prevention and intervention, representing a favourable environment in which to implement specific strategies to detect and address suicidal behaviours. Indeed, a significant proportion of people who die by suicide (DBS) present at primary care and mental health services during the last year, month, or even days before committing suicide. The objective of this descriptive and cross-sectional study of all registered cases of death by suicide (N = 265) in Extremadura (Spain) was to determine which of those people who died by suicide had mental health problems (MHP) and what type of assistance they had requested. Diagnoses, previous suicide attempts, type of health service, and last visit before death were explored with univariate analyses and logistic regressions. The proportion of people without MHP was found to be high, and these people had hardly visited the health services at all in their last year. People with MHP, between the ages of 40 and 69, and with previous suicide attempts were more likely to have visited the mental health service in the three months prior to their death. It is, thus, necessary to provide health professionals with tools and training in the prevention of and approach to suicide. Efforts must be directed towards effectively assessing mental health and the risk of suicide since a large proportion of people who die by suicide may go unnoticed.

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“…In Sweden, 0.3% of individuals suffering from non-communicable diseases (such as chronic respiratory diseases, cardiovascular diseases and diabetes) died by suicide within five years after diagnosis, compared to a five-year cumulative risk of 0.1% in the general population [134]. Ahmedani et al recently showed that people who had been diagnosed with cancer, and among them especially those not diagnosed with any mental health condition, were at higher risk of suicide as well [5]. In another study, the relative risk of suicide was found to be as high as 12.6 within one week following a diagnosis of cancer compared to cancer-free individuals [57].…”

Section: Chapter 5 On the Relation Between Medication Prescriptions A...mentioning

confidence: 99%

Turing and Van Gogh walk into a bar

Berkelmans

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Over 700,000 people a year. That's how many people die due to suicide worldwide. It is therefore incredibly important to implement effective prevention interventiosn. However, for most of these interventions it is crucial to know which subgroups in the population to target. The first part of this thesis focuses entirely on this problem, and approaches it through the lens of big data. Using data from Statistics Netherlands we start out looking at demographic data, and whether we can identify groups of high risk by their demographic features. We find many of these groups, such as men, those of middle age, those on benefits, and those living alone. We then consider whether there are intersections of these populations that are at higher risk than you would expect if these risk factors act independently. Again we find multiple unexpected groups such as male widowers, and people with a low level of education between ages 25 and 40. We subsequently looked at medication usage, and found that a great deal of classes of medication were associated with a heightened risk of suicde. The second part focuses on the theoretical questions that arose in relation to the first part: how do you decide which features to include, is it possible to quantify dependence between observer variables? We started out designing a measure of dependence which answers the second of these questions. We showed it had a number of basic properties you would expect such a measure to have, and showed none of the reasonably commonly used measures have these properties. We then extended this to a measure of feature importance by considering how much a feature contributes to the dependency of the outcome on "coalitions" of features. We then examined certain basic properties and showed our notion of feature importance satisfied all of them, whereas most other feature importance methods had less than half, with none having more than 13 of the 20 properties.

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Detecting and distinguishing indicators of risk for suicide using clinical records

Cited by 3 publications

References 34 publications

I did not scream. i could not; i was terrified. i just followed them. . .i blocked my mind. then they all raped me: A narrative inquiry on the onset of tonic immobility among women rape victims in Nigeria

I did not scream. i could not; i was terrified. i just followed them. . .i blocked my mind. then they all raped me: A narrative inquiry on the onset of tonic immobility among women rape victims in Nigeria

Health Service Protection vis-à-vis the Detection of Psychosocial Risks of Suicide during the Years 2019–2021

Turing and Van Gogh walk into a bar

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