Loneliness and suicidal ideation (SI) are relevant issues. This study aimed to examine the prevalence of death ideation (DI) and SI in the general population across four age groups and to determine ...the extent to which emotional and social loneliness are associated with SI. Data were collected via an online panel in Slovenia in February 2019 on a representative sample of 991 participants (50.5% men) aged 18 years and over. Participants completed a series of questionnaires on loneliness, suicidality, stress, and well-being. DI, SI, and previous suicide attempts were most common among younger participants. In each age group, several factors appeared as important predictors of SI, with emotional loneliness being a significant factor in all groups. Given the role of emotional loneliness in SI, prevention programs should address loneliness and its correlates across age groups.
The changing landscape of the work environment, which often encompasses expectations of employees being continuously available, makes it difficult to disengage from work and recover. This can have a ...negative impact on employees' well-being, resulting in burnout, depression and anxiety, among other difficulties. The current study will test the effectiveness of two different online interventions (i.e., cognitive behavioral therapy; CBT and mindfulness-based stress reduction; MBSR) on employees' psychological detachment, burnout and other variables related to general (e.g., life satisfaction) and work-specific (e.g., work engagement) well-being.
The study is designed as a randomized control trial with two intervention groups (i.e., CBT, MBSR) and a waitlist control group. Participants will be full-time employees from a wide range of organizations from Slovenia, who report moderate difficulties with psychological detachment from work and burnout and are not receiving any other form of treatment. The online interventions will encompass 12 sessions over 6 weeks (2 sessions per week); each session will include 1) an active audio-guided session and 2) home assignments, accompanied by handouts and worksheets. The study outcomes (i.e., psychological detachment, burnout, general and work-specific well-being), potential mechanisms (i.e., work-related maladaptive thinking patterns, mindfulness) and moderators (e.g., supervisor support for recovery) will be assessed immediately before and after the interventions (pre and post measurement) and 3 months after intervention completion (follow-up). Additionally, participants will fill out questionnaires for the assessment of the central mechanisms and study outcomes each week.
We expect that the CBT-based intervention will lead to greater improvements in psychological detachment from work and burnout compared to the MBSR and the waitlist control group. Additionally, we expect that the CBT-based intervention will also lead to greater enhancement of both general and work-related well-being.
https://doi.org/10.1186/ISRCTN98347361 May 19, 2020.
In this cross-sectional study, physical activity, sport participation and associations with well-being, anxiety and depressive symptoms were examined in a large representative sample of European ...adolescents. A school-based survey was completed by 11,110 adolescents from ten European countries who took part in the SEYLE (Saving and Empowering Young Lives in Europe) study. The questionnaire included items assessing physical activity, sport participation and validated instruments assessing well-being (WHO-5), depressive symptoms (BDI-II) and anxiety (SAS). Multi-level mixed effects linear regression was used to examine associations between physical activity/sport participation and mental health measures. A minority of the sample (17.9 % of boys and 10.7 % of girls;
p
< 0.0005) reported sufficient activity based on WHO guidelines (60 min + daily). The mean number of days of at least 60 min of moderate-to-vigorous activity in the past 2 weeks was 7.5 ± 4.4 among boys and 5.9 days ± 4.3 among girls. Frequency of activity was positively correlated with well-being and negatively correlated with both anxiety and depressive symptoms, up to a threshold of moderate frequency of activity. In a multi-level mixed effects model more frequent physical activity and participation in sport were both found to independently contribute to greater well-being and lower levels of anxiety and depressive symptoms in both sexes. Increasing activity levels and sports participation among the least active young people should be a target of community and school-based interventions to promote well-being. There does not appear to be an additional benefit to mental health associated with meeting the WHO-recommended levels of activity.
Background and Objectives: The coronavirus disease 2019 (COVID-19) preventive measures affected various aspects of people’s lives, while also representing an important risk factor for people’s mental ...health. In the present study, we examined the negative psychological consequences of the preventive measures on people’s mental health and the protective factors that strengthened their mental health and well-being during the pandemic. Materials and Methods: A study, using a combination of qualitative and quantitative methods based on a Delphi protocol, was conducted with a sample of Slovenian professionals who worked with people from different demographic groups (i.e., children and adolescents, emerging adults, the adult working population, the elderly) during the pandemic. We conducted (i) a qualitative study involving semi-structured interviews with 11 professionals and (ii) a quantitative study where 73 professionals completed a structured online questionnaire. Results: Experts recognized the disruption of informal face-to-face social contacts as the measure with the greatest impact on people’s lives across all groups studied, the effect being particularly evident in relation to individuals’ development period and socio-demographic characteristics. An individual’s ability to adapt to change and emotional support provided by family or other close persons contributed significantly to maintaining mental health and well-being during the pandemic. Conclusions: Considering the interplay of various COVID-19-related risk and protective factors for mental health, enabling and promoting the maintenance and development of social relationships (including through alternative pathways) should be a priority aspect of (mental health) intervention for all demographic groups.
Progress in Postvention Maple, Myfanwy; Poštuvan, Vita; McDonnell, Sharon
Crisis : the journal of crisis intervention and suicide prevention,
11/2019, Letnik:
40, Številka:
6
Journal Article
Recenzirano
This editorial presents a call to a focused future to support those exposed to suicide. In the late 1960s, Edwin Shneidman first focused attention on the needs of those bereaved by suicide and coined ...the term postvention. While we have not forgotten to cite Shneidman over the past 50 years, the crucial part of his message, that we “ought routinely provide postventive mental health care” for those exposed is yet to be realized. His key message that “postvention probably represents the largest problem and thus presents the greatest area for potential aid” is undisputed. We are now aware of the magnitude of the problem, the level of unmet need, and the urgency to address it. Thus, our challenge now is to strengthen the “postvention pillar” of suicide prevention originally proposed by Shneidman. Current research enables us to confidently claim that exposure to suicide is widespread. The urgency to address this phenomenon, to help influence policy and practice in order to save lives cannot be underestimated. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
As first responders in prisons, correctional officers are more exposed to suicides than the general population. The aim of the study was to explore how they experience the suicidal behavior of ...inmates and how they cope with potential psychological consequences of these experiences. We conducted interviews with 11 male correctional officers working in 12-h shifts, and analysed the data using a grounded theory approach. Results were conceptualised in The Model of a House, which consists of five parts representing different aspects of the experience. The model provides an overall understanding of how correctional officers experience the suicidal behavior of inmates.
: The impact of coronavirus disease 2019 (COVID-19) goes beyond the consequences of the infectious disease, especially as the measures taken to prevent the spread of the virus have had a very ...profound impact on people's social relationships and everyday lives. Several studies have investigated these effects, but there is a lack of longitudinal studies in Central Europe. Objective: The aim of our study was to observe changes in well-being, loneliness, and suicidal behaviour before, during, and after the COVID-19 pandemic using the same population-based cohort.
: A representative sample of 440 participants completed online questionnaires at four time points: 2019 (wave 0), 2021 (wave 1), 2022 (wave 2), and 2023 (wave 3).
: The results show significant changes in the levels of well-being and loneliness over these periods. In particular, both social and emotional loneliness increased during the pandemic, while emotional loneliness increased to a greater extent without further decreases. Well-being appeared to increase after pandemic-related restrictions diminished but decreased again one year later. No significant changes concerning suicidal ideation were observed.
: Our study suggests that the COVID-19 pandemic changed the way in which people perceive their well-being and especially their relationships with others. From the data, we can conclude that people's worldview is now lonelier than before the pandemic.
Resuscitation is one of the most stressful tasks in emergency medicine. The participation of nurses in this procedure can have specific effects on them. In this research, we wanted to find out what ...these effects are.
A qualitative approach by conducting semi-structured interviews was used, and a thematic data analysis of the recorded interviews was carried out. The collected data were transcribed verbatim, with no corrections to the audio recordings. The computer program ATLAS.ti 22 was used for the qualitative data analysis.
Eleven male registered nurses were interviewed, with an average of 18.5 years of experience working in a prehospital environment (max. 32/min. 9). A total of 404 min of recordings were analyzed, and 789 codes were found, which were combined into 36 patterns and 11 themes. As the most stressful situations, the interviewees pointed out the resuscitation of a child, familiar persons, conflicts with the environment, conflicts within the resuscitation team, nonfunctioning or insufficient equipment, complications during resuscitation, and resuscitating a person only for training. As positive effects, the interviewees cited successful resuscitations or their awareness that, despite an unsuccessful resuscitation, they did everything they could.
Participation in these interventions has a specific positive or negative impact on the performers. The interviewees shared the opinion that they can cope effectively with the adverse or stressful effects of resuscitation. Yet, despite everything, they allow the possibility of subconscious influences of this intervention on themselves.
Sexual-minority youth have a two to three times higher risk for suicidal behaviour than their peers. They also have increased mental health risk factors, such as depression and substance abuse, and ...are often victims of homophobia and discrimination. Available data are unable to provide a clear understanding of the psychosocial factors contributing to these unfavourable mental health indicators. In this Review, we assess current knowledge about the effect of variables, such as acceptance and support, as possible risk factors or protective factors for the development of suicidal behaviour among sexual-minority youth (we consider youth as those aged 13-25 years). 34 articles were eventually included in the review process; and we contextualised their content at three different levels (society, social network, and individual) before integrating the outcomes into a model. This Review shows how negative social environments (such as a non-acceptant school climate), inadequate support within the closest social network, and an absence of lesbian, gay, bisexual, transgender, intersex, queer or questioning support movements in communities contribute to the development of suicidality in young people. Furthermore, the unsupportive reactions of others can be internalised, manifesting as homophobic, biphobic, and transphobic patterns in the individual. To prevent suicidal behaviour, we suggest that all these aspects need to be taken into consideration when planning interventions.
Working with suicidal clients is frequently referred to as one of the most demanding and anxiety‐provoking aspects of therapeutic work. The aim of this study was to obtain an in‐depth understanding ...of therapists' experience in treating suicidal individuals and to develop a theoretical model of it. Eleven psychotherapists (four men and seven women) participated in individual semistructured interviews. The interviews were audiotaped, transcribed and analysed by the principles of grounded theory. We developed a model of dynamic balance in therapists' experiences and views on working with suicidal clients. The model includes six core themes, which represent aspects of therapists' experience and views where a dynamic balance is needed between two different poles. The core themes are as follows: (i) understanding of suicidality: the general versus specific; (ii) the role of alliance: protective factor versus no guarantees; (iii) attitudes: acceptant versus life‐oriented; (iv) emotional response: worry versus trust; (v) responsibility: therapist's professionality versus client's autonomy; and (vi) focus: suicidality versus individual as a person. The model takes into account other variables that are relevant to the process and outcomes of the therapy: factors, related to the therapist and the client, as well as system regulations and therapeutic setting. The presented model may be helpful for mental health professionals in reflecting on their experiences of working with suicidal clients, describing the relevant topics and the way they relate to each other.
PDF
