bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of seasonality, climatic and temporal factors on suicide attempts amongst patients from southern tunisia
Authors: Tfifha M. , Abbes W. , Mahdhaoui W. , Kerkeni A. , Dhemaid M. , Rejeb I. , Ghanmi L. 
Published: February 2022

IntroductionSeasonal changes, climatic factors such as temperature, sunlight intensity and precipitations as well as temporal factors seem to have an influence on suicidal behavior.ObjectivesOur study aimed to analyse the association between seasonal changes, climatic variations, temporal factors and suicide attempts.MethodsA retrospective descriptive and analytical study was undertaken including all patients consulting for the first time at Gabes psychiatry department from the 4th March 2009 to the 25th September 2020 for suicidal attempt. Sociodemographic and clinical data as well as suicidal attempts’ characteristics were assessed. Meteorologic data, related to the years 2009 through 2020, were obtained from the official weather website of Tunisia.Results278 patients were collected, including 217 female. Mean age was 26. Suicidal patients were unmarried (75.9%), childless (79.1%) and unemployed (47.5%). Results showed that suicidal attempts occurred most frequently in summer (32.5%) specifically in June and July (10.9% for each). Regarding the distribution of suicide attempts over the days of the week, the highest rate was observed on Monday (22.5%) and the lower one on Friday. There were a correlation between high temperature and suicide attempt by hanging (p=0.006), between days of sunlight and manifestations preceding the suicidal attempt (p=0.04) and between rainfall and anxiety disorder leading to suicidal attempt (p=0.03).We finded also an association between the summer and risk behavior such as runaways (p=0.024).ConclusionsA better identification of seasonality, climatic and temporal factors in suicidal behavior could allow a better prevention in suicidal attempts and a reduction in death by suicide
Experiencing quarantine restrictions for adolescents with and without suicidal experience in Russia
Authors: Dovbysh D. , Ermakova M. , Kiseleva M. 
Published: February 2022

IntroductionThe life changes and limitations associated with Covid-19 clearly have serious psychological implications. The life of adolescents has also changed significantly in many areas: study, communication with peers, contact with family, etc. and not all adolescents have adapted to these changes equally easily.ObjectivesStudy adolescents’ perception of Covid-19, describe the effect of self-isolation on adolescent emotional well-being, and examine changes in the family system through the eyes of a teenager.MethodsThe study involved two groups of adolescents: the first (G1) - 174 students of a Moscow school and the second (G2) - 39 adolescents hospitalized in a children’s psychiatric clinic in connection with suicidal actions. Teenagers filled out the author’s questionnaire, Short Health Anxiety Inventory (Salkovskis), Analysis of Family Anxiety (Eidemiller, Yustickis), Prohibition on the expression of feelings (Kholmogorova).ResultsParticipants in G2 significantly more often than G1 reported that their functioning worsened (it became more difficult to study - 72% versus 51%; more difficult to communicate - 76% versus 41%, more conflicts with family members - 49% versus 25%). G2 demonstrated a significantly higher level of family anxiety (M = 17.3 and M = 12.1 p<0.01), a more pronounced prohibition on expressions of negative emotions (M = 37.2 and M = 21.3 p<0.01). The level of anxiety (for one’s own health, well-being of relatives and financial stability) is also significantly higher in G2.ConclusionsMany adolescents in self-isolation need the support of relatives and the help of specialists. For a number of teenagers, self-isolation has become a crisis situation.
Sociodemographic and clinical profile of attempted suicide patients
Authors: Bader S. , Abbes W. , Mahdhaoui W. , Tfifha M. , Rjeb I. , Ghanmi L. 
Published: February 2022

IntroductionSuicide attempts are common and constitute a serious problem for public health.Thus, it is very important to evaluate risk factors for suicidal behavior.ObjectivesThe purpose of this study was to explore the socio-demographic and clinical profile of attempted suicide patients consulting in the psychiatry department in Gabes (southern of Tunisia).MethodsIt was a retrospective descriptive and analytical study covering all patients who had attempted suicide during the period from the 1st of May, 2009 to September 25th, 2020 and who were referred to the psychiatry department in the regional hospital of Gabes. Sociodemographic and clinical data of the patients as well as characteristics of the suicide attemptswere assessed.ResultsSocio-demographic profile of the suicidal consultant in psychiatry department corresponded to a single (73.4%) female (78.8%), with a mean age of 26 years, from an urban area (46%). Suicide attempts were most often by the intentional drug ingestion (67.8%), committed between March and August in 54% of cases. At most of the time, the suicidal person was alone (85%) at home (94%) when he committed his suicidal attempt. He did not communicate his intention to commit suicide in 46% of the cases and only 22 cases (7.9%) notified a person before the suicide attempt and 12.6% afterwards. Suicide behavior was impulsive in 79.5% of the cases and a verbal expression of a desire to die was only noted in 24.5% of cases.ConclusionsOur results suggest a systematic and specific psychiatric evaluation of any patient who attempts suicide.Conflict of interestNo significant relationships.
Warning signs of suicide attempts and risk of suicidal recurrence
Authors: Bader S. , Abbes W. , Tfifha M. , Dhemaid M. , Mahdhaoui W. , Ghanmi L. 
Published: February 2022

IntroductionDetecting warning signs of suicide attempts is a particular difficult task. However, people who plan to commit suicide almost always announce it to someone in some way.ObjectivesAims of this study were to describe signs preceding the suicide attempt in a group of suicidal persons and its links with suicidal recurrence.MethodsIt was a retrospective study that included all the patients who attempted suicide during the period from May 1st, 2009 to September 25th, 2020 and who were referred to the psychiatry department of the regional hospital of Gabes. Sociodemographic and clinical data as well as suicidal attempts characteristics were assessed.Results278 patients were included (female=78.1%), with mean age of 26. The common suicidal attempt method was intentional drug intoxication (67.8%). At least, one clinical manifestation was reported by 75.2% of suicide patients. The most common signs were the tendency to isolation (47.1%), a change in character or behavior (46.6%), thoughts of death (29.6%), anxiety or agitation (24.8%) and recent worsening of the pre-existing psychiatric symptoms (24.3%). Suicidal recurrence affected 24.8% of patients. It was correlated to the presence of a mental disorder (p<10-3), the presence of reflections on death (p=0.02), the onset of a state of anxiety or agitation (p<10-3), recent worsening of pre-existing psychiatric symptoms (p = 0.001) and verbal expression of suicidal thoughts (p<10-3).ConclusionsThe pre-suicidal syndrome is frequently heralded by changes in the patient’s character or behavior. Some suicidal warning signs are associated with the risk of suicidal recurrence.Conflict of interestNo significant relationships.
Quality of life of patients with nonsuicidal self-injury: The role of suicidal ideation
Authors: Zinchuk M. , Kustov G. , Voinova N. , Pashnin E. , Akzhigitov R. , Guekht A. 
Published: February 2022

IntroductionLower quality of life (QoL) scores are associated with suicidal behavior, both in the general population and in psychiatric patients. Nonsuicidal self-injury (NSSI) behavior is a public health concern because of its increasing prevalence and high risk of lifetime suicide attempt. Despite its significance QoL in patients with NSSI is underinvestigated. There is a gap in knowledge on the influence of suicidal ideation (SI) on certain domains and facets of QoL in patients with NSSI.ObjectivesThe study aimed to assess the impact of SI on QoL of patients with NSSI.MethodsWe conducted a case-control study (1:3): 13 consecutive patients (11 female) with non-psychotic mental disorders and NSSI without lifetime SI were compared to 39 age and gender matched patients with NSSI and SI. All patients were evaluated by a psychiatrist, underwent Self-Injurious Thoughts and Behaviors Interview (Nock MK et al., 2007) and filled out the World Health Organization Quality of Life Assessment 100 (WHOQOL-100). Mann-Whitney and Fishers exact test were used as statistical methods.ResultsThe overall QoL (p=0.001) and the perception of life (p=0.005) were significantly higher in patients without SI. Patients with SI had a lower scores in psychological (p=0.002), social (p=0.036) and spiritual (p=0.005) domains as well as lower rates in energy (p<0.02); positive emotions (p<0.001); thinking, learning, memory and concentration (p=0.007); self-esteem (p=0.013); negative emotions (p=0.035); activities of daily living and participation (p=0.014) and opportunities for recreation/leisure facets (p=0.007).ConclusionsSI in patients with NSSI was found to be associated with worse QoL
The unseen face of the COVID-19 pandemic
Authors: Anghel C.E. , Bacila C. 
Published: February 2022

IntroductionStarting with December 2019, the first cases of SARS-CoV2 virus appeared in the Wuhan region of China, which will become the COVID-19 pandemic and will have an impact on the bio-psycho-socio-cultural environment. Lockdown and social isolation measures have been imposed in an attempt to gain time and find a viable treatment and a vaccine, for this new infection. The media, in an attempt to promote these measures and information about COVID-19 symptoms, have further increased fear of the virus in population.ObjectivesThis presentation tried to observe the impact of the COVID-19 pandemic on patients confirmed positive with SARS- CoV2 infection, treated in hospitals, inpatients who died by suicide.MethodsAs methods a brief review of the literature was made, based on research in scientific articles published in PubMed, APA PsychNet, The BMJ, Who.int, using as keywords the terms “pandemic covid-19”, “inpatients” and “suicide”, published between January 2020 - October 2020.ResultsSeveral studies conducted to assess the impact of the pandemic on mental health found a significant increase in dysphoria, unhappiness, irritability, anxiety, dominant thoughts related to the transmission of the SARS-CoV2 virus, a tendency to worry about their health and culminating with suicide in the medical unit.ConclusionsDepending on the psychological structure of each person and the socio-cultural context, different behaviors were observed related to the impact of this pandemic on mental health. The most important is, however, the occurrence of a significant number of deaths by suicide in hospitals in the context of social isolation, patients without a psychiatric history.
Italian validation of the ACSS-FAD in a sample of university students
Authors: Dolenz F. , Magliocca S. , Silva A. , Madeddu F. , Calati R. 
Published: February 2022

IntroductionSuicide is one of the most relevant cause of death especially in young populations. The Interpersonal Theory of Suicide (Joiner, 2005) is an important contribution tends to explain variability in suicidal behavior, particularly the difference between suicidal ideation and suicide attempt.ObjectivesThis study aimed at the Italian validation of the Acquired Capability for Suicide Scale – Fearlessness About Death (ACSS-FAD), assessing fearlessness about death, one of the facets of the acquired capability (AC) to commit suicide as postulated by the Interpersonal Theory of Suicide by Thomas Joiner.MethodsThis cross-sectional research was conducted on a sample of university students (n = 458) assessed with a battery including ACSS-FAD. The sample was evaluated for the presence of suicidal ideation and suicide risk. Factor structure, internal consistency and convergent/divergent validity of the scale were assessed.ResultsOne-factor structure with good internal consistency (Cronbach’s α: 0.84) was derived. ACSS-FAD correlated with suicidal ideation and suicidal risk, and there was a tendency towards significance considering its capacity to discriminate between those who had a history of suicide attempts and those who did not. 4.1% of the sample attempted suicide at least one time. The tool showed good convergent/discriminant validity results, but the relationship between ACSS-FAD and pain needs further investigations.ConclusionsACSS-FAD seems to be a useful and valid measure of fearlessness about death especially in young adults, which could be really important to enhance suicide risk assessment.Conflict of interestNo significant relationships.
Collaborative development of course feedback with students for psyched up. Put more in, get more out
Authors: Zac-Williams L. , Kohara S. , Canon A. , Saunders C. , Zhang S. 
Published: February 2022

IntroductionPsychED Up is an extra-curricular course for 3rd year medical students at King’s College London delivered by psychiatry trainees, senior students and actors. It focuses on the hidden medical curriculum, exploration of holistic care and communication skills.ObjectivesDevelop a responsive and sustainable template for course evaluation Obtain rich and specific feedback across multiple domains which can be translated into course improvements Work collaboratively with former students Empower current students with the knowledge that their input is valuableMethodsEmbedded evaluation in start of term course development sessions to engage faculty in evaluation processes Faculty survey to determine what student feedback would be most useful Questionnaire finalised Collaborative design and refinement of questions, confirmed sub-sections and scopeResultsRevised questionnaire: - Included rationale at the start - Questions tailored to faculty development needs - Greater quantity of prompted questions - Specific questions for large group presentation, small group teaching, actors’ performances and students’ reflections - Quantitative ratings and open-space questions thoughtfully paired Reduced time between sessions and obtainment of feedback Quality and quantity of feedback: - High response rates: 32/30 (2 duplicates) mid-term, 29/30 end-of-term - High-quality filling of open-space feedback allowed consolidation of themes to improve the courseConclusionsCo-designed questionnaire brought focus and organisation to questions leading to richer, more personalised responses for faculty More detailed reflections were attributed to better student understanding of the questionnaire rationale, and knowledge that they would aid course improvement Created a robust system for collecting long-term feedback for PsychED Up and will continue making iterative amendments
Are uk higher psychiatry trainees using special interest sessions to develop their career pathways as intended? what might help achieve this goal?
Authors: Clay F. 
Published: February 2022

IntroductionUK Psychiatry Trainees are allocated one day per week in their final three years of training to use for “a clinical or clinically related area of service which cannot be provided within the training post but which is of direct relevance to the prospective career pathway of the trainee”. It is unclear how trainees in the East of England are using this time and what could help them optimise use of this time. We completed a survey to evaluate these areas.ObjectivesTo determine details of how Special interest sessions (SIS) are spent by trainees: How much support/ planning for SIS is available and if this is adequate. Whether trainees feel they are able to use their SIS for its intended purpose of providing “a clinical or clinically related area of service which cannot be provided within the training post but which is of direct relevance to the prospective career pathway of the trainee” Exploration of barriers/tensions to maximizing use of SIS. SIS Record keeping What advice would trainees give re: special interest sessions to a new SPR? What lessons can be drawn to assist trainees from other countries/ training programmes to maximise their own development.MethodsSurvey sent to all Higher trainees in the East of England via Regional Training Programme.ResultsAwaited. Survey sent 29/09/2020ConclusionsResults pending. We will feedback in detail on outcomes from the survey and subsequent discussion with Regional training programme members.
Everyday and everynight psychiatry - experiencing a ward cover shift through zoom
Authors: Fukutomi A. , Bhamra M. , Butler S. , Wilson-Jones C. 
Published: February 2022

IntroductionThe delivery of medical education has changed alongside the effects of COVID-19. As a result, the undergraduate psychiatry training for medical students at Guy’s King’s and St Thomas’ School of Medicine had to adapt rapidly. This poster portrays the journey in which the teaching sessions were developed and delivered throughout the first academic term of 2020-2021.ObjectivesTo deliver an interactive online teaching day that can provide students with the knowledge and understanding of common psychiatric disorders in the interface of other medical conditions.MethodsA clinical skills teaching day was developed to deliver the sessions via the online video calling platform Zoom. Published articles regarding online medical education as well as guidelines from the Royal College of Psychiatry were used as a resource to develop the structure. Feedback of the teaching day was collected via an anonymous survey.Results78 responses were collected in total from 4 teaching days. Overall satisfaction was high with a score of 86.5/100 in overall satisfaction. Themes for positive feedback included utilising actors in simulation (38% 30/78) and high interactivity within the teaching (31% 24/78). There were a number of students who found the whole day session online tiring (13% 10/78) and others felt the variation of scenarios were too limited (12% 9/78).ConclusionsAs lockdown has forced students to have less patient contact, they have suffered from the lack of learning opportunities. This teaching day showed the importance of organising high fidelity scenarios in order to try and fill the void that has been created due to COVID-19.
Apathy in schizophrenia: assessment in clinical settings and overlap with other dimensions of impairment
Authors: Mucci A. , Bucci P. , Giordano G.M. , Brando F. , Galderisi S. 
Published: February 2022

Negative symptoms are considered a core feature of schizophrenia. They are present since the prodromal phase and tend to persist more than other psychopathological dimensions in the chronic stages. The domain of apathy has attracted research efforts for the strong association with poor functional outcome. This negative symptom domain is observed in a number of neuropsychiatric disorders and might have both overlapping and distinct pathophysiological mechanisms. In schizophrenia it can be secondary to other aspects of the disorder, such as positive symptoms and depression, to drug side effects and/or social isolation, often observed in affected subjects. When primary to schizophrenia, apathy is conceptualized in terms of a reduction of the voluntary activity due to a lack of interest and motivation for goal-directed behavior initiation and persistence. In a percentage of subjects, apathy tend to persist and do not respond to available pharmacological and psychosocial treatments. The assessment of this domain in patients with schizophrenia using internationally recognized criteria for its definition, as were recently developed in other neuropsychiatric disorders, might help disentangle the different pathophysiological mechanisms. In the presentation, studies of apathy in schizophrenia will be illustrated to highlight the relationships with cognitive dysfunction, other psychopathological dimensions and functional outcome using state of the art instruments to assess the construct in schizophrenia.DisclosureProf. Mucci has been a consultant and/or advisor to or has received honoraria from Gedeon Richter Bulgaria, Janssen Pharmaceuticals, Lundbeck, Otsuka, Pfizer and Pierre Fabre.
Evidence-based practice a relevant piece to update knowledge in mental health nursing
Authors: Laranjeira C. , Querido A. , Valentim O. 
Published: February 2022

IntroductionWeb Journal Club as a collaborative learning method, is an effective method to enhance the knowledge base of nursing students, their presentation skills, problem-solving skills and ability to critically appraise literature.ObjectivesTo describe the experience of a online journal club on education of MHN undergraduate students.MethodsWe implemented a journal club in the online classroom with a total of 24 portuguese undergraduate students enrolled in clinical training of MHN (sixth semester). Over a two-week period, five 2-hour online journal club sessions were conducted in April 2020. During each session, five journal articles were presented synchronously to a live online audience via the Zoom Classroom technology. After all sessions, students were invited by e-mail to complete an anonymous and voluntary online questionnaire via Google Forms.ResultsAll students were all very positive about the journal club sessions and found the opportunity to discuss and reflect on practice issues in depth very helpful. They found the sessions supportive, they helped to bond the group, they learnt a great deal from each others experiences, and they felt that they gained in confidence as a group. Survey results also indicated that few participants experienced technical difficulties during sessions.ConclusionsThis pedagogical practice enhances gains in the various actors involved: 1) in students, contributing to their learning process and acquisition of competences, articulating research and clinical practice; and 2) lastly, even more indirectly, in people receiving care, since a evidence-based practice ensures safe and quality of nursing care delivery.
Gender balance in the validation of diagnostic tools for autism: A systematic review
Authors: Lonergan R. Murphy 
Published: February 2022

IntroductionAutism is a neurodevelopmental disorder that is considered more common in males; however, ascertainment estimates of ASD in the UK population suggest a significant proportion of female cases of ASD go unrecognised and undiagnosed. This review examines whether the apparent underdiagnosis of girls may be attributed to gender sampling bias in the validation of diagnostic instruments routinely used to diagnose autism.ObjectivesTo compare the gender ratio in validation samples of commonly used diagnostic tools for autism to estimates of the gender distribution of children with autism in the UK populationMethodsA review of diagnostic tool manuals and a targeted literature search identified the gender of sample participants used to validate tools used by Scottish ASD services. Analysis of validation samples compared the mean percentage of female participants with ASD to estimates of the proportion of girls with ASD in the UK population.ResultsData on 7 tools was extracted. The mean percentage of female sample participants with ASD was significantly lower than the ascertainment estimate of females with ASD in the UK population (p=0.010, t(6)=-3.67) and significantly lower than the mean percentage of females in comparison groups (p=0.010, t(12)=-3.06).ConclusionsThere is low representation of females in validity samples of tools, which may reduce their sensitivity to the female phenotype and contribute to diagnostic disparities. Future research is warranted on why instruments are poorer detectors of ASD in girls and how female features of ASD could be better represented in their structure.