Translating promise into practice : a review of machine learning in suicide research and prevention

In ever more pressured health-care systems, technological solutions offering scalability of care and better resource targeting are appealing. Research on machine learning as a technique for identifying individuals at risk of suicidal ideation, suicide attempts, and death has grown rapidly. This research often places great emphasis on the promise of machine learning for preventing suicide, but overlooks the practical, clinical implementation issues that might preclude delivering on such a promise.

Impact on routine psychiatric diagnostic practice from implementing the DSM-5 cultural formulation interview : a pragmatic RCT in Sweden

Background

Culture and social context affect the expression and interpretation of symptoms of distress, raising challenges for transcultural psychiatric diagnostics. This increases the risk that mental disorders among migrants and ethnic minorities are undetected, diagnosed late or misdiagnosed. We investigated whether adding a culturally sensitive tool, the DSM-5 core Cultural Formulation Interview (CFI), to routine diagnostic procedures impacts the psychiatric diagnostic process.

 

 

Method

“I lost so much more than my partner” : Bereaved partners’ grief experiences following suicide or physician-assisted dying in case of a mental disorder

Background

There is a lack of existing research on grief following the intentional death of people suffering from a mental disorder. Our study aims to provide insight into grief experiences and social reactions of bereaved persons who lost their life partners, who were suffering from a mental disorder, to physician-assisted dying (PAD) or suicide.

Methods

The role of social support in the aftermath of victimization : Interpersonal aspects of coming to terms with a victimization experience

Enduring a serious victimization experience significantly affects the social fabric of individuals and their surroundings. People suffering similar or even the same forms of victimization have vastly different experiences of the event and its aftermath (Ten Boom & Kuijpers, 2012). However, there is a common need for sense-making in the aftermath of such an experience, including a search for explanations of and meaning in the event (Aarten et al., 2020; Crossley 2000; Pemberton et al., 2019b).

 

Sleep spindle dynamics suggest over-consolidation in post-traumatic stress disorder

Devastating and persisting traumatic memories are a central symptom of post-traumatic stress disorder (PTSD). Sleep problems are highly co-occurrent with PTSD and intertwined with its etiology. Notably, sleep hosts memory consolidation processes, supported by sleep spindles (11-16 Hz). Here we assess the hypothesis that intrusive memory symptoms in PTSD may arise from excessive memory consolidation, reflected in exaggerated spindling.

 

 

Depression, anxiety, and post-traumatic stress disorder symptoms after hyperemesis gravidarum : a prospective cohort study

Objective
To determine the prevalence of depression, anxiety, and posttraumatic stress disorder (PTSD) years after hyperemesis gravidarum (HG) and its association with HG severity.

 

The ICD-11 and DSM-5-TR prolonged grief criteria: Validation of the Traumatic Grief Inventory-Self Report Plus using exploratory factor analysis and item response theory.

More recently, the prolonged grief disorder (PGD) has been recognized as a mental health disorder following bereavement, which is distinct from depression and PTSD. However, the number and proposed symptom items vary across the ICD-11 and the DSM-5-TR criteria for PG. The Traumatic Grief Inventory-Self Report Plus (TGI-SR+), which is an updated version of the TGI-SR, is currently the only robust instrument that assesses PG according to the ICD-11 and DSM-5-TR criteria.

The Need for a Diagnostic Instrument to Assess Post-Traumatic Stress Disorder in People with Dementia : Findings from a Delphi Study.

Cognitive and behavioral aspects may mask posttraumatic stress disorder (PTSD) in people with dementia. PTSD severely lowers quality of life in people with dementia. Proper recognition of PTSD is essential to ensure adequate treatment. However, a valid diagnostic tool for PTSD in dementia is lacking. A Delphi study was conducted among 20 Dutch and 6 international experts in the field of PTSD and dementia care or research. The aim was to reach consensus in 3 rounds on the added value, form, content, and application for developing such an instrument.

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