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College suicide prevention programmes are most effective when they incorporate students sense of coherence and connectedness in their design

Por: Ghassemi · A. E.

Commentary on: Blasco MJ, Vilagut G, Alayo I, et al. First-onset and persistence of suicidal ideation in university students: a one-year follow-up study. J Affect Disord 2019;256:192–204.

Implications for practice and research

  • Planning strategies for both detection and interventions among students with suicidal ideation to decrease severe suicidal thoughts and behaviours.

  • Creating universal strategies for promoting a sense of membership and connectedness will prevent suicide among first-year college students.

  • Context

    Based on the current evidence suicidal thoughts and behaviour (STB) among university students has shown steady incline. Suicide is the second worldwide cause of death for those between ages 15 and 29.1 Suicidal behaviour (ideation, plan, attempt) has been linked to and stressors such as moving away from established social network, social isolation, issues of sexual identity, and academic and social challenges.2 Considering the significance of the problem, a number...

    The usage of coercive measures in psychiatric units and its potential counter-therapeutic impact on outcome

    Commentary on: Duxbury J, Baker J, Downe S, et al. Minimising the use of physical restraint in acute mental health services: the outcome of a restraint reduction programme (‘REsTrain YOURSELF’). Int J Nurs Stud 2019;95:40–8.

    Implications for practice and research

  • To improve the outcome of physical restraints programmes, a broader reduction prediction model must be created to capture contextual factors such as admission rate and level of violence influencing the use of coercive measure in the mental health settings.

  • Interventions such as ‘REsTrain YOURSELF’ empowers mental healthcare professionals and personnel in mental health settings to assume ownership of changes in their wards and engages service-users through informed practice and patient-centered approaches.

  • Context

    Coercive interventions including physical and chemical restraints are universally used to prevent psychiatric patients to harm themselves or others. However, the use of coercive measures is currently a highly debated and controversial...