DOCSLIB.ORG

(Ipts) in the South African Context

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
(Ipts) in the South African Context UNIVERSITY OF KWAZULU-NATAL TESTING THE INTERPERSONAL-PSYCHOLOGICAL THEORY OF SUICIDAL BEHAVIOUR (IPTS) IN THE SOUTH AFRICAN CONTEXT BY SAROJINI NAIDOO A dissertation submitted in fulfilment of the requirements for the degree of Doctor of Philosophy (Psychology) Discipline of Psychology School of Applied Human Sciences College of Humanities December 2016 Supervisor: Professor Steven J. Collings DECLARATION I, Sarojini Naidoo, declare that: (i) The research reported in this dissertation, except where otherwise indicated, is my original work. (ii) This dissertation has not been submitted for any degree or examination at any another university. (iii) This dissertation does not contain other persons’ data, pictures, graphs or other information, unless specifically acknowledged as being sourced from said persons. (iv) This dissertation does not contain other persons’ writing, unless specifically acknowledged as being sourced from other researchers. Where other written resources have been quoted, then: a. their words have been rewritten but the general information attributed to them has been referenced b. where their exact words have been used, their writing has been placed inside quotation marks, and referenced. (v) This dissertation does not contain text, graphics or tables copied and pasted from the Internet, unless specifically acknowledged, and the source being detailed in the dissertation and in the references section. Signed: …………………………………………… Date : ……………………………………………. ii ACKNOWLEDGEMENTS I would like to express my gratitude to the following persons/organisation: 1. My supervisor, Professor Steven Collings, whose passion for research and amazing statistical brain kept me motivated and inspired throughout this process. I owe you a debt of gratitude. 2. My family, especially my sister and brother in law, Vasie and Leon Pillay, for their constant support and encouragement. Thank you for always being there for me. 3. My friends, Cynthia Patel and Zubi Paruk, who ignited my interest in academic writing and readily assisted me in numerous ways through this process. Thank you for your friendship and support through the years. 4. My friend Sachet Valjee, who walked on this journey with me and shared the highs and lows that completing a dissertation entails. This journey has sealed our friendship. 5. My amazing Kris, Kerushan and Sachin whose boundless love, patience and belief in me have sustained me through this period. I could not have done this without your presence in my life. 6. The National Research Foundation for their awarding of a Doctoral Sabbatical grant to me that enabled me to complete this dissertation. 7. The gatekeepers of all the sites included in this research for facilitating my access to the participants of this study. 8. Finally, the participants of the study, whose contributions to the generation of knowledge in this field are acknowledged with gratitude. iii ABSTRACT In spite of suicidality being a global mental health care problem, there has been relatively little empirical advancement in the conceptualization of suicide in recent years. Joiner’s (2005) Interpersonal-Psychological theory of suicidal behaviour (IPTS) attempts to answer the question of why people die by suicide. Joiner contends that people die by suicide because they can and because they want to. He proposes that the confluence of the interpersonal states of perceived burdensomeness and thwarted belongingness is the condition under which death ideation transforms into suicidal ideation, and in the presence of a third construct, an acquired capability for suicide, leads to a lethal suicide attempt. The theory has been lauded as an empirical advancement in our understanding of suicidality, as it provides testable hypotheses that translate into practical interventions. However, tests of the theory have provided inconsistent support for its hypotheses. Using a sample of 239 psychiatric outpatients from nine sites, the main hypotheses of Joiner’s theory were tested in the present study. Study findings provide unqualified support for all key IPTS hypotheses: Perceived burdensomeness and thwarted belongingness independently predicted death ideation; the confluence of these interpersonal states, in the presence of hopelessness regarding these states, predicted suicidal ideation and finally, the joint presence of acquired capability for suicide and suicidal ideation was associated with moderate to high risk for a suicide attempt. In addition, two new measures were developed for the present study: (a) the Death Inurement Scale and (b) the Interpersonal Hopelessness Scale, to address the limitations of available measures. Demographic and mental health predictors of IPTS constructs were also explored using regression analyses. The study findings suggest that the IPTS is a valid theory for understanding suicidal behaviour in the South African context. The findings are discussed with respect to their implications for theory, practice, and future research. iv TABLE OF CONTENTS Page No. DECLARATION………………………………………………………………………….............ii ACKNOWLEDGEMENTS………………………………………………………........................iii ABSTRACT……………………………………………………………………………………...iv LIST OF TABLES…………………………………………………………………. …………..xiv LIST OF FIGURES…………………………………………………………………….…...…..xvi LIST OF ABBREVIATIONS………………………………………………………………….xvii CHAPTER ONE: INTRODUCTION ………………………………………………………….….1 1.1 Background to the research problem………………………………………………………….1 1.2 The Interpersonal-Psychological Theory of suicidal behaviour (IPTS)……………………..3 1.3 Objectives of the present study……………………………………………….……………...5 1.4 Contributions of the present study to the existing body of knowledge………………………5 1.5 Organization of the dissertation……………………………………………………………...6 CHAPTER TWO: REVIEW OF THE LITERATURE…………………………………………...8 2.1 Introduction………………………………………………………………………………......8 2.2 The nature of the problem………………………………………………………………........8 2.2.1 Changing social perspectives on suicide……………………………………………….......8 2.2.2 Nomenclature…………………………………………………………………………......10 2.2.3 Nosology……………………………………………………………………………….....15 2.2.3.1 Suicidal behaviour……………………………………………………………………....15 2.2.3.2 Distinguishing suicidal and nonsuicidal self-injury….………………………………….18 v 2.3 The epidemiology of suicide……………………………………………………………….,21 2.3.1 The extent of the problem………………………………………………………………….21 2.3.1.1 International perspectives…………………………………………………………….....21 2.3.1.2 South African perspectives……………………………………………………………...23 2.4 Risk and protective factors for suicide……………………………………………………….26 2.4.1 Demographic characteristics………………………………………………………………27 2.4.1.1 Age………………………………………………………………………………………27 2.4.1.2 Gender…………………………………………………………………………………..28 2.4.1.3 Race/ethnicity……………………………………………………………………...........30 2.4.2 Biopsychosocial risk factors………………………………………………………………32 2.4.2.1 Interpersonal conflict……………………………………………………………............32 2.4.2.2 Mental disorders…………………………………………………………………............34 2.4.2.3 Previous suicide attempts…………………………………………………….................36 2.4.2.4 Physical illness………………………………………………………………………....38 2.4.2.5 Poverty and unemployment…………………………………………………………......39 2.4.2.6 Social isolation……………………………………………………………………….....40 2.4.2.7 Religion and suicide……………………………………………………………….........42 2.4.2.8 Coping styles……………………………………………………………………….........43 2.5 Conceptualising suicidal thoughts and behaviours…………………………………………45 2.5.1 Sociological theories………………………………………………………………………45 2.5.2 Bio-physical theories…………………………………………………………………......47 2.5.3 Psychoanalytic theories……………………………………………………………………49 2.5.4 Shneidman’s psychological theory………………………………………………………..51 vi 2.5.5 Cognitive theories of suicide………………………………………………………………53 2.5.5.1 Beck’s cognitive theory………………………………………………………….............53 2.5.5.2 Baumeister’s escape theory………………………………………………………...........55 2.5.5.3 The Hopelessness theory of suicidality………………………………………..........……57 2.6 The case for a multidimensional theory of suicide………………………………………......58 2.7 The Interpersonal-Psychological theory of suicidal behaviour (IPTS)………………………59 2.8 A brief comparison of the Hopelessness and the Interpersonal-Psychological theories of suicidality………………………………………………………………………..64 2.9 Key hypotheses of the IPTS…………………………………………………………………66 2.10 Empirical tests of IPTS hypotheses………………………………………………………...66 2.10.1 Hypothesis 1: Risk factors for death ideation…………………………………………......66 2.10.2 Hypothesis 2: Proximal risk factors for suicide ideation………………………………….68 2.10.3 Hypothesis 3: Risk factors for potentially lethal suicidal behaviour………………............69 2.11 Methodological issues in research on the IPTS………………………………………….....70 2.12 Conclusions and implications………………………………………………………………73 CHAPTER THREE : RESEARCH METHODOLOGY…………………………………………75 3.1 Introduction……………………………………………………………………………….....75 3.2 Research approach…………………………………………………………………………...75 3.3 Research aims………………………………………………………………………………..76 3.4 Research objectives……………………………………………………………………….....76 3.5 Research questions…………………………………………………………………………..77 3.6 Location of the study…………………………………………………………………………78 3.7 Sites of the study…………………………………………………………………………......78 vii 3.8 Sampling strategy……………………………………………………………………………79 3.9 Research participants………………………………………………………………………..80 3.10 Research procedure………………………………………………………………………...82 3.11 Research instruments………………………………………………………………………83 3.11.1 Measures of IPTS risk factors……………………………………………………………83 3.11.2 Measures of IPTS outcome variables……………………………………………………85 3.12 Data preparation……………………………………………………………………………86
Load more

Recommended publications
  • ISCTM SIB Consensus Statements for the Nomenclature & Classification
    ISCTM SIB Consensus Statements for the Nomenclature & Classification Working Group Members of the Nomenclature & Classification Working Group: Mort Silverman, Chair; Phil Chappell, Co-Chair; Lisa Brenner, PhD; Greg Brown, PhD; Diego De Leo, MD; Suresh Durgam, MD; Robert Goldman, PhD; Susan Kozauer, MD; Shane McInerney, MD; Kelly Posner, PhD; John Rush, MD; David Sheehan, MD; Leonard Tondo, MD Objective of WG: Review status of currently used systems and develop consensus on the principles and characteristics of a standardized nomenclature and classification scheme for SIB. The WG established two subcommittees, as described below, each focusing on different components of the overall objective. Subcommittee #1 addressed the conceptual basis of SIB Nomenclature and Classification Systems, covering such questions as: (1) What constitutes SIB (categorical vs dimensional terms; flat vs hierarchic systems) (2) What terms to use and how to define them (3) What categories and qualifiers to use (4) What a classification system might look like that incorporates those concepts/terms Members – Mort Silverman, Lisa Brenner, Greg Brown, Diego De Leo, John Rush, Kelly Posner, David Sheehan Summary of the Output of Subcommittee #1 A list of the statements, terms, and definitions considered by Subcommittee #1 and the full Workgroup is presented below following a brief summary of the work of Subcommittee #2. These tables include both statements where consensus was reached as well as statements of areas where there is continuing disagreement. Subcommittee #2 reviewed the currently used SIB classification systems to characterize their strengths and weaknesses and determine what gaps exist. Each system was systematically assessed using criteria based on the UN Best Practices Guideline for Developing Classifications (2011), which was agreed by the full Workgroup as the appropriate standard to use.
    [Show full text]
  • Copyright by Christopher Damien Chung 2008
    Copyright by Christopher Damien Chung 2008 The Dissertation Committee for Christopher Damien Chung certifies that this is the approved version of the following dissertation: “Almost Unnamable”: Suicide in the Modernist Novel Committee: Alan Friedman, Supervisor Mia Carter Tony Hilfer Charles Rossman Elizabeth Pomeroy “Almost Unnamable”: Suicide in the Modernist Novel by Christopher Damien Chung, B.A. Dissertation Presented to the Faculty of the Graduate School of The University of Texas at Austin in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy The University of Texas at Austin May 2008 Acknowledgements I owe an incalculable debt of gratitude to my advisor, Alan Friedman, who posed the question that led to this dissertation and whose unflagging encouragement motivated me to persevere when the end seemed unattainable. I am also indebted to Mia Carter, Charles Rossman, Elizabeth Pomeroy, and Tony Hilfer for their perceptive criticism, kind words, and enthusiasm, all of which sustained me throughout the writing process. Unfortunately, Tony Hilfer, an inimitable teacher and human being, died in a car accident while driving to my dissertation defense – a tragic occurrence that saddens me enormously. Tony taught one of my first graduate seminars, and he was the first UT English professor that I esteemed, one who regularly shared with his students his awe- inspiring knowledge of literature, rousing intellectual curiosity, and deep compassion for other people, both fictional and actual. I am delighted that he saw my graduate career commence and cheered me on through its middle stages; I wish he were a part of its conclusion. Friends have kept me sane and honest.
    [Show full text]
  • Suicide Prevention for Older People
    Suicide Prevention for Older People Early intervention, assessment and referral options for staff working with older people who may be at risk of suicide Training Manual NSW DEPARTMENT OF HEALTH 73 Miller Street NORTH SYDNEY NSW 2060 Tel. (02) 9391 9000 Fax. (02) 9391 9101 www.health.nsw.gov.au This work is copyright. It may be reproduced in whole or in part for study training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above, requires written permission from the NSW Department of Health. © NSW Department of Health 2003 SHPN (CMH) 030049 ISBN 0 7347 3522 7 Further copies of this document can be downloaded from the NSW Health website: www.health.nsw.gov.au June 2003 FOREWORD Preventing suicide requires an holistic approach to service delivery requiring a range of organisations and individuals working in partnership. One of the key focus areas in NSW is to enhance the effectiveness of individuals working with older people at risk of suicide. While not all suicide deaths can be prevented, effective and appropriate early intervention at the right time may help to prevent some suicide deaths. The diversity of circumstances and psychological factors that may lead people to attempt suicide need to be considered in implementing effective prevention strategies. Therefore, of particular importance to suicide prevention are the many staff, across a variety of settings, who work with older people. The Suicide Prevention for Older People, Training Manual, is designed to improve the awareness of suicidal behaviour in older people.
    [Show full text]
  • MANAGING INTERACTION and MENTAL HEALTH on a CRISIS HELP LINE by STEPHEN MICHAEL DIDOMENICO
    ©2015 Stephen Michael DiDomenico ALL RIGHTS RESERVED HELP SEEKING IN ACTION: MANAGING INTERACTION AND MENTAL HEALTH ON A CRISIS HELP LINE By STEPHEN MICHAEL DIDOMENICO A Dissertation submitted to the Graduate School-New Brunswick Rutgers, The State University of New Jersey in partial fulfillment of the requirements for the degree of Doctor of Philosophy Graduate Program in Communication, Information, and Library Studies written under the direction of Galina Bolden and approved by ________________________ ________________________ ________________________ ________________________ ________________________ New Brunswick, New Jersey October, 2015 ABSTRACT OF THE DISSERTATION Help Seeking in Action: Managing Interaction and Mental Health on a Crisis Help Line By STEPHEN MICHAEL DIDOMENICO Dissertation Director: Dr. Galina Bolden The primary purpose of this study is to better understand the communication processes of telephone help lines dedicated to crisis intervention and suicide prevention. Whereas prior research primarily considers these issues in terms of psychological predispositions and call outcomes, this study shows how many of the core considerations of crisis and suicide prevention are interactionally negotiated and managed. Callers and call takers are shown to utilize a range of interactional practices and actions in order to jointly construct and negotiate institutionally-relevant identities, stages of the call (e.g., opening, problem presentation, questioning), and larger institutional missions. The study uses the methodology of Conversation Analysis to examine audio- recorded naturally-occurring calls made to a mid-size crisis call center, HelpNow (pseudonym), located in the northeastern United States. Several findings emerged from the study. First, in call openings, a set of institutionally-significant ii identity categories (first-time caller, repeat caller, and regular caller) were revealed to be established and managed through particular interactional practices.
    [Show full text]
  • International Study of Definitions of English-Language
    BMJ Open: first published as 10.1136/bmjopen-2020-043409 on 9 February 2021. Downloaded from PEER REVIEW HISTORY BMJ Open publishes all reviews undertaken for accepted manuscripts. Reviewers are asked to complete a checklist review form (http://bmjopen.bmj.com/site/about/resources/checklist.pdf) and are provided with free text boxes to elaborate on their assessment. These free text comments are reproduced below. ARTICLE DETAILS TITLE (PROVISIONAL) International Study of Definitions of English-Language Terms for Suicidal Behaviors ©: A survey exploring preferred terminology AUTHORS Kolves, Kairi; De Leo, Diego; Goodfellow, Benjamin; Silverman, Morton; Berman, Alan; Mann, John; Arensman, Ella; Hawton, Keith; Phillips, M. R.; Vijayakumar, Lakshmi; Andriessen, Karl; Chavez-Hernandez, Ana-Maria; Heisel, Marnin VERSION 1 – REVIEW REVIEWER Barbara D'Avanzo Istituto di Ricerche Farmacologiche Mario Negri IRCCS Milan, Italy REVIEW RETURNED 18-Oct-2020 GENERAL COMMENTS This paper deals with the possibility to give a foundation to a shared nomenclature for suicidal behaviour, with attention to integrate countries with different levels of experience in suicide research. It produces several definitions and conceptual distinctions which are extremely useful in research and in clinical work. It is a well written paper with solid background, methodology and lines of interpreation. I have no major comment, but a few points might be useful in front http://bmjopen.bmj.com/ of questions or difficulties the reader might have. Abstract Concerning the methods, it would be more interesting to understand how the survey was conceived (ie, for each definition the four dimensions of outcome, intent, knowledge and agency were tested). Among the limitations, the differential in representation between on September 26, 2021 by guest.
    [Show full text]
  • Correlates of Suicide-‐Related Behaviors Among
    Correlates of Suicide-Related Behaviors among Children Ages Six to Twelve Dissertation Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By Molly S. Martinez, M.A. Graduate Program in Psychology The Ohio State University 2013 Dissertation Committee: Mary A. Fristad, PhD, Advisor Steven Beck, PhD Jennifer Cheavens, PhD Copyright by Molly S. Martinez 2013 Abstract Research has shown young children do contemplate and attempt suicide and are considered an under-studied population. Studies have identified risk factors for suicide-related behaviors among children across several domains; however, few studies have examined how risk factors from disparate domains interact to increase or decrease risk for suicide attempt in children. The Longitudinal Assessment of Manic Symptoms (LAMS) study (Findling et al., 2010; Horwitz et al., 2010) has collected a wealth of data on a child (ages 6 to 12) community mental health sample enriched for elevated symptoms of mania. Current or past suicidal acts were present for 57 (8.4%) of the 678 participants in the LAMS study for whom SRB status could be determined. For the current project, data from the LAMS study were analyzed in a multiple logistic regression model-building procedure. First, five independent domain-specific models (i.e., demographic variables, psychiatric family history, child psychopathology, psychosocial factors, and stressful life events) were constructed to better understand correlates of suicide-related
    [Show full text]
  • Suicide Prevention: the Role of the IHS Environmental Health Officer
    Suicide Prevention: The Role of the IHS Environmental Health Officer Jason D. Hymer, BS, District Injury Prevention Coordinator, documented the importance of stigma reduction as a part of a 7­9 Phoenix Area IHS, Office of Environmental Health and comprehensive suicide prevention program. The lack of Engineering, Sparks, Nevada; Gina Pahona, MPH, District confidentiality that exists in some small communities can Environmental Health Officer, Phoenix Area IHS, Office of cause individuals to not seek treatment for behavioral health Environmental Health and Engineering, Sparks; Holly Billie, issues. MPH, Senior Injury Prevention Specialist, Centers for Disease Compounding the problem is a lack of behavioral health Control and Prevention, National Center for Injury providers in Indian Country. Many of the Indian Health Prevention, Chamblee, Georgia Service (IHS), tribal, and urban mental health programs do not have enough staff to operate 24 hours a day and 7 days a week.10 Out of 242 tribal health centers nationwide, ten Background percent (10%) noted no mental health services were provided Suicide is a serious public health problem in tribal at all.11 A study released in 2000 indicated there was only one communities nationwide. Between 1999 and 2006, suicide children’s mental health provider for every 25,000 Indian was the second leading cause of death for American Indians children.12 IHS does not have a current vacancy rate for and Alaska Natives (AI/AN) ages 10 ­ 34 and the 8th leading behavioral health providers, but acknowledges that, cause of death overall, resulting in 2,746 deaths. The suicide anecdotally, there is a shortage.13 These figures indicate a clear rate for AI/AN ages 10 ­ 44 was 15.63 between 1999 and 2006, need for additional mental health providers in Indian Country.
    [Show full text]
  • Journal of Indian Academy of Forensic Medicine (JIAFM)
    JIAFM, 2007 29 (2) ISSN: 0971-0973 Journal of Indian Academy of Forensic Medicine (JIAFM) A Peer-reviewed Journal by Dr. R.K. Gorea Dr. A.K. Srivastava Professor & Head, Department of Forensic Medicine Professor & Head, Department of Forensic Medicine Govt. Medical College, Patiala, Punjab. Subharti Medical College, Meerut, U.P. Dr. V.V. Pillay Dr. B.R. Sharma Professor & Head, Department of Forensic Medicine Reader, Department of Forensic Medicine Amrita Institute of Medical Science, Cochin Govt. Medical College, Chandigarh Dr. O.P. Jasuja, Professor, Deptt. Of Forensic Sciencs, Patiala University International Advisory Board Dr. Patrick Besant-Mathews, USA Dr. Ahmet Sadi Cagdir Dr. E.N. Michalodimitrakis, Greece Prof. (Dr.) F.W. Rosing, Germany Prof. (Dr.) P. Sema Aka, Turkey Dr. Z.G. Standing Bear, USA Mr. Nirman Arora, Belgium Prof. (Dr.) Calin Scripcau, Romania Ms. Virginia Lynch, USA Dr. Parikh C.K., USA Advisory Board Aggrawal B.B.L., New Delhi Thind A.S. Faridkot Das Sanjoy, Dehradoon Dogra T.D., New Delhi Aggarwal Akash, Ambala Chandraprakash, Haldwani Sharma G.K., New Delhi Kumar Pradeep, Manglore Ray Inderjit, Kolkota Murty O.P., New Delhi Kaur Balbir, SrinagarGupta Mahtoo Tulsi, Ranchi Verma S.K., New Delhi Thakur S.D., Jammu Gupta R.K., Kanpur Kumar Adarsh, New Delhi Kumar Shantha, Tamilnadu K. Ravindran, Pandicherry Singh Dalbir, Chandigarh Manju Nath K.H, Banglore Jani C.B., Anand (Official Publication of Indian Academy of Forensic Medicine) (i) JIAFM, 2007 29 (2) ISSN: 0971-0973 Journal of Indian Academy of Forensic Medicine (JIAFM) Editor-in-Chief Joint Editor Dr. Mukesh Yadav Dr. D.S.
    [Show full text]
  • Q1.An Optimal Nomenclature for Suicide Terminology Should Be Clinically Relevant, Reliable and Valid, and Easily Understood and Applied
    SIB Consensus Pre-meeting Survey: Nomenclature & Classification Recipients 129 Responded 89 Unresponded 30 % Responded 69% Q1.An optimal nomenclature for suicide terminology should be clinically relevant, reliable and valid, and easily understood and applied. Response Response Answer Options Percent Count Yes 100.0% 88 No 0.0% 0 answered question 88 skipped question 1 An optimal nomenclature for suicide terminology should be clinically relevant, reliable and valid, and easily understood and applied. 120.0% 100.0% 80.0% 60.0% Yes No 40.0% 20.0% 0.0% Yes No Q2.An optimal classification system for suicide terminology should be clinically/population health relevant, comprehensive, reliable and valid, and easily understood and applied. Response Response Answer Options Percent Count Yes 100.0% 88 No 0.0% 0 answered question 88 skipped question 1 An optimal classification system for suicide terminology should be clinically/population health relevant, comprehensive, reliable and valid, and easily understood and applied. 120.0% 100.0% 80.0% 60.0% Yes No 40.0% 20.0% 0.0% Yes No SIB Consensus Pre-meeting Survey: Nomenclature & Classification Q3.Are suicide-related phenomena best described as (please select only one): Response Response Answer Options Percent Count Self-inflicted 41.3% 33 Self-injurious 27.5% 22 Self-harming 31.3% 25 answered question 80 skipped question 9 Are suicide-related phenomena best described as (please select only one): 45.0% 40.0% 35.0% 30.0% Self-inflicted 25.0% Self-injurious 20.0% Self-harming 15.0% 10.0% 5.0% 0.0% Self-inflicted Self-injurious Self-harming Q4.The intention to die (whether explicit or implicit/inferred) is the most critical distinction between suicidal and non-suicidal thoughts and behaviors.
    [Show full text]
  • Balancing Care and Risk in Clinical Ser Vices Vol. 3: Stigma
    The Consumers’ Atlas to Mental Health CONVERSATION STARTERS Vol. 1: The Medical Model Vol. 2: Entering the labyrinth: Balancing care and risk in clinical services Vol. 3: Stigma: The precarious balance between social and personal identity Vol. 4: Where mental health is made: Personal autonomy and social regulation Vol. 5: Mad Studies Vol. 6: Musings about the National Disability Insurance Scheme (NDIS): Are we in or out? Vol. 7: Holding ourselves together in time and space: Living in community Vol. 8: In the news: The wider context of mental health and illness Compiled by Merinda Epstein in partnership with Jacques Boulet The Consumer’s Atlas to Mental Health Published by Our Community Pty Ltd Melbourne Victoria Australia © Our Community Pty Ltd This publication is copyright. Apart from any fair use as permitted under the Copyright Act 1968, no part may be produced by any process without permission from the publisher. Requests and inquiries concerning reproduction should be addressed to: Our Consumer Place PO Box 354 North Melbourne 3051 Victoria, Australia Please note: The views expressed in this guide are not necessarily the views of all partners in the Our Consumer Place initiative. While all care has been taken in the preparation of this material, no responsibility is accepted by the author(s) or Our Community, or its staff, for any errors, omissions or inaccuracies. The material provided in this guide has been prepared to provide general information only. It is not intended to be relied upon or be a substitute for legal or other professional advice. No responsibility can be accepted by the author(s), funders or publishers for any known or unknown consequences that may result from reliance on any information provided in this publication.
    [Show full text]
  • Rural Suicide Rates: by Sex United States, 1999-2016 32 28 24 Rural Male
    4/24/2018 ruralhealthinfo.org NACRHHS Policy Brief on Understanding the Impact of Suicide in Rural America Housekeeping • Q & A to follow – Submit questions using Q&A area • Slides are available at https://www.ruralhealthinfo.org/webinars/suicide- impact-rural-america • Technical difficulties please call 866-229-3239 ruralhealthinfo.org 1 4/24/2018 Understanding the Impact of Suicide in Rural America Policy Brief Webinar April 24, 2018 National Advisory Committee on Rural Health and Human Services 3 Background on the Committee • A federally chartered independent citizens’ panel comprised of 21 members with knowledge and expertise in rural health and human services. • The Committee was chartered in 1987 to advise the Secretary of the U.S. Department of Health and Human Services (HHS) on ways to address health care challenges in rural America. National Advisory Committee on Rural Health and Human Services 4 2 4/24/2018 The Committee convenes twice a year to: • Examine important issues that affect the health and well-being of rural Americans; • Provide policy recommendations to advise the Secretary of HHS on how the Department and its programs can better address these issues. Link to Committee’s Policy Briefs: https://www.hrsa.gov/advisory- committees/rural-health/publications/index.html National Advisory Committee on Rural Health and Human Services 5 Webinar Speakers Ronnie Musgrove Chair | National Advisory Committee on Rural Health and Human Services Former Governor of Mississippi | State of Mississippi Holly Hedegaard, MD, MSPH Injury Epidemiologist | National Center for Health Statistics Centers for Disease Control and Prevention Kathleen Belanger, PhD, MSW Member | National Advisory Committee on Rural Health and Human Services Professor Emeritus | Stephen F.
    [Show full text]
  • Understanding the Impact of Suicide in Rural America
    CHAIR Ronnie Musgrove, JD Jackson, MS MEMBERS Kathleen Belanger, PhD Nacogdoches, TX William Benson Silver Spring, MD Ty Borders, PhD Lexington, KY Kathleen Dalton, PhD Chapel Hill, NC Carolyn Emanuel-McClain, MPH Clearwater, SC Kelley Evans Red Lodge, MT Barbara Fabre White Earth, MN Constance Greer St. Paul, MN National Advisory Committee on Rural Octavio Martinez, Jr., MD Austin, TX Health and Human Services Carolyn Montoya, PhD, CPNP Albuquerque, NM Maria Sallie Poepsel, PhD, MSN, CRNA Columbia, MO Chester Robinson, DPA Jackson, MS Mary Kate Rolf, MBA, FACHE Understanding the Impact of Syracuse, NY Suicide in Rural America John Sheehan, MBA, CPA Chesterfield, MO Mary Sheridan, RN, MBA Boise, ID Benjamin Taylor, PhD, DFAAPA, PA-C Martinez, GA Policy Brief and Recommendations Donald Warne, MD, MPH Fargo, ND Peggy Wheeler, MPH Sacramento, CA EXECUTIVE SECRETARY Paul Moore, DPh Rockville, MD December 2017 National Advisory Committee on Rural Health and Human Services EDITORIAL NOTE During its September 2017 meeting in and near Boise, Idaho, the National Advisory Committee on Rural Health and Human Services (hereinafter referred to as “the Committee”) examined the impact of suicide among rural communities. Specifically, on the first day, the Committee heard about suicide epidemiology as well as national and Idaho-specific suicide prevention efforts. On the second day, the subcommittee tasked with this topic traveled to Emmett and heard from an array of community stakeholders, which included local behavioral health providers and practitioners, first responders, school-based counselors, and faith-based leaders. ACKNOWLEDGEMENTS The Committee would like to acknowledge and give thanks to all whose participation and work helped make the meeting in Boise, the site visit in Emmett, and this policy brief possible.
    [Show full text]