PubMed Journals Articles About "Halt Physician Harm" RSS

10:01 EDT 22nd March 2019 | BioPortfolio

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Showing "Halt Physician Harm" PubMed Articles 1–25 of 1,500+

Patterns of self-harm methods over time and the association with methods used at repeat episodes of non-fatal self-harm and suicide: A systematic review.

The risk of self-harm repetition and suicide may be influenced by self-harm method choice. However, there are mixed findings regarding whether there is a discernible pattern in self-harm methods over successive episodes of non-fatal self-harm, and if so, how these may be associated with self-harm repetition and/or suicide.

Self-harm among children and adolescents.

Self-harm among children and adolescents is a prevalent health issue. Definitions of self-harm differ, and the distinction between attempted suicide or self-harm is often unclear. A recent large population-based cohort study on self-harm among children and adolescents aged 10-29 years showed a sharp increase in the incidence of self-harm, especially in girls aged 13-16 years. It also showed an inequality in treatment offered, depending upon the socio-economic profile of the region in which the patient prese...

Assessing the predictability of self-harm in a high-risk adult prisoner population: a prospective cohort study.

Prisoners are at increased risk of self-harm and when either intent is expressed, or an act of self-harm carried out, prisoners in the UK are subject to self-harm/suicide monitoring (referred to as "open ACCT" monitoring). However, there is a paucity of validated instruments to identify risk of self-harm in prisoner populations. In response to the need to support prison staff to determine who is at increased risk of self-harm or repeat self-harm, the aim of this study was to determine whether any pre-existi...

Potential for physician communication to build favorable medication beliefs among older adults with hypertension: A cross-sectional survey.

Older adults suffering from hypertension form firm medication beliefs through lifetime medication management, which significantly affect their medication adherence and treatment outcomes. Understanding whether the patient-physician communication has the potential to change medication beliefs will help design an effective communication strategy to foster favorable medication beliefs. This study aims to determine whether the patient-physician communication is associated with medication beliefs among older adu...

Talk About Self-Harm (TASH): participatory action research with young people, GPs and practice nurses to explore how the experiences of young people who self-harm could be improved in GP surgeries.

The incidence of self-harm in young people in primary care is increasing dramatically, and many young people who self-harm visit their GP surgery as a first point of contact for help.

The harm of medical disorder as harm in the damage sense.

Jerome Wakefield has argued that a disorder is a harmful dysfunction. This paper develops how Wakefield should construe harmful in his harmful dysfunction analysis (HDA). Recently, Neil Feit has argued that classic puzzles involved in analyzing harm render Wakefield's HDA better off without harm as a necessary condition. Whether or not one conceives of harm as comparative or non-comparative, the concern is that the HDA forces people to classify as mere dysfunction what they know to be a disorder. For instan...

Challenges in the Conceptualisation and Measurement of Gambling-Related Harm.

This paper examines the significance of recent developments in research relating to gambling-related harm. Previous research, it is argued, has failed to capture gambling-harm in a way that is useful to inform public policy and regulation. This is because most standardised psychometric measures and the DSM classifications have conflated gambling behaviour and harm and mostly focused on serious harms. As a result, little has generally been known about the prevalence of harm in lower risk gambling groups. Her...

Demographic and psychosocial characteristics of self-harm: The Pakistan perspective.

Self-harm is a major public health issue in Pakistan, yet the characteristics of those who self-harm are under-explored. This is a secondary analysis from a large randomized control trial on the prevention of self-harm, exploring demographic, clinical and psychological characteristics of people who self-harm in Pakistan. A total of 221 participants with a history of self-harm were recruited from medical wards of three major hospitals in Karachi. The Beck Scale for Suicidal Ideation (BSI), Beck Depression In...

Principles, practice, and policy vacuums: Policy actor views on provincial/territorial harm reduction policy in Canada.

Canada is experiencing a new era of harm reduction policymaking and investment. While many provinces and territories are expanding access to these services, harm reduction policy and policymaking varies across the country. The present study, part of the Canadian Harm Reduction Policy Project (CHARPP), described policy actors' views on formal harm reduction policies in Canada's 13 provinces and territories.

What is the relationship between rejection and self-harm or suicidality in adulthood?

Rejection is an adverse experience that may help explain the heightened risk of self-harm and suicide amongst many societal groups. The aim of this systematic review was to determine the relationship between rejection experiences and self-harm and suicidal ideation.

The implementation and first insights of the French-speaking Swiss programme for monitoring self-harm.

Self-harm is a major risk factor for suicide but remains poorly documented. No data on self-harm in French-speaking Switzerland exist. To address this deficiency, the Swiss Federal Office of Public Health commissioned a specific self-harm monitoring programme. We present and discuss its implementation and first findings.

Non-suicidal self-harm in prison: A national population-based study.

Prisoners are at risk of self-harm during incarceration, yet national estimates of the rate and risk factors of self-harm are rare. We aimed to examine the rate and risk factors of self-harm on aggregate and by sex using a national population-based study design. Israel Prison Service data were examined on all persons incarcerated for a criminal offense 2009-2015 (N = 263,794). Self-harm was ascertained from real-time recorded observations. The study covariates were: demographic, criminal history, and pr...

Risk assessment scales to predict risk of hospital treated repeat self-harm: A cost-effectiveness modelling analysis.

Risk scales are used widely for assessing individuals presenting to Emergency Departments (EDs) following self-harm. There is growing evidence that risk scales have limited clinical utility in identifying episodes at highest risk of repeat self-harm. However, their cost-effectiveness in terms of treatment allocation and subsequent repeat self-harm is unknown. We aimed to examine the cost-effectiveness of five risk scales (SAD PERSONS Scale, Modified SAD PERSONS Scale, ReACT Self-Harm Rule, Manchester Self-H...

Different Harm and Mortality in Critically Ill Medical vs Surgical Patients: Retrospective Analysis of Variation in Adverse Events in Different Intensive Care Units.

Institutional harm reduction campaigns are essential in improving safe practice in critical care. Our institution embarked on an aggressive project to measure harm. We hypothesized that critically ill surgical patients were at increased risk of harm compared with medical intensive care patients.

Harm perceptions of e-cigarettes and other nicotine products in a UK sample.

E-cigarettes (EC) and nicotine replacement therapy (NRT) are less harmful than smoking, but misperceptions of relative harm are common. Aims were to (1) assess nicotine knowledge and perceptions of: harm of EC and NRT relative to smoking, addictiveness of EC relative to smoking, and change in harm to user if smoking replaced with EC; (2) define associations of these perceptions with respondent characteristics including nicotine knowledge; and (3) explore perceived main harms of EC and whether these differ b...

The growing pains of physician-administration relationships in an academic medical center and the effects on physician engagement.

Physician engagement has become a key metric for healthcare leadership and is associated with better healthcare outcomes. However, engagement tends to be low and difficult to measure and improve. This study sought to efficiently characterize the professional cultural dynamics between physicians and administrators at an academic hospital and how those dynamics affect physician engagement.

Self Harm and Suicidality: an audit of follow-up in primary care.

Deliberate self harm is the strongest predictor of completed suicide. Primary care is often the entry point for those presenting with self harm and suicidality and so the primary care follow-up of such patients should include risk assessment for repeated self harm and completed suicide. This is of particular importance in patients at high risk for suicide, such as those with Bipolar Affective Disorder. This audit makes recommendations for the average UK GP Teaching Practice based on standards from the NICE ...

Will the Real Physician Retirees Please Stand Up?

Policy makers and health workforce planners rely on counts of practice licences as a measure of the size of the active physician workforce. We use a population-based approach to correlate estimates of retirement from clinical care based on these data with those produced using physician payment data. We find that licensure data generates per-capita estimates of physician supply in British Columbia that are substantially higher than activity-based estimates. Licensure data are unlikely to produce reliable est...

Sex differences in the impact of secondhand harm from alcohol on student mental health and university sense of belonging.

University students report high rates of secondhand harm from alcohol (i.e., harm from another person's drinking). The current study investigated the association between students' exposure to secondhand harm and student mental health and university sense of belonging. We also assessed whether students' sense of belonging mediated the association between secondhand harm and mental health and sex differences in these associations.

What is the Relationship Between Dissociation and Self-Harming Behaviour in Adolescents?

Deliberate self-harm in adolescents is an increasing clinical problem, but there is a limited understanding of the mechanisms causing or maintaining this behaviour. One proposed mechanism is that of dissociation. However, the role this mechanism may play is unclear: whilst some suggest that adolescents engage in self-harm to end the aversive experience of dissociation, others propose that self-harm is used to purposefully trigger a dissociative state to avoid emotional pain. This systematic review is the fi...

Mediating and moderating variables in the prediction of self-harm in young people: A systematic review of prospective longitudinal studies.

Self-harm is widespread amongst young people. A growing body of research has explored factors that predict self-harm in young people, however, a systematic review of mediators and moderators of those factors has not yet been offered. This review aims to fill this gap by synthesising research about mediators and moderators of factors that prospectively predict self-harm in young people.

Carer insights into self-harm in the very old: A qualitative study.

To examine the insights of carers to better understand self-harm in their older relatives.

Non-fatal self-harm in Scottish military veterans: a retrospective cohort study of 57,000 veterans and 173,000 matched non-veterans.

Although suicide risk in veterans has been widely studied, there is little information on the risk of non-fatal self-harm in this population. We used data from the Scottish Veterans Health Study to conduct an epidemiological analysis of self-harm in veterans, in comparison with people who have never served.

When the body is the target - Representations of one's own body and bodily sensations in self-harm: A systematic review: Intended for Neuroscience and Biobehavioral Reviews.

Typically, we try to protect our own bodies and this is supported by internal representations that specify one's body identity, spatial parameters, and bodily sensations, but in self-harm the body becomes the target. First acts of self-harm are typically reported in adolescence. At this age, the body also becomes more salient to one's self-concept. It may be possible that disturbances in representations of one's own body and its sensations contribute to self-harm.

Analysis of Dermatologic Procedures Billed Independently by Non-Physician Practitioners in the United States.

Non-physician practitioners (NPPS), including nurse practitioners (NPs) and physician assistants (PAs) are expanding their scope of practice outside of primary care and performing more procedures in dermatology.

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