949 resultados para Suicidal attempt


Relevância:

20.00% 20.00%

Publicador:

Resumo:

Even though shark-cetacean interactions have been the subject of numerous studies worldwide, several ecological aspects such as competition, predation risk and co-evolution remain unclear. on February 16th, 2008, during a photo-identification survey to investigate population parameters of Guiana dolphins, Sotalia guianensis, in estuarine waters of Parana State (25[degree]S; 48[degree]W), Brazil, an adult dolphin was photographed without its dorsal fin. A detailed analysis of the healed area on the injured dolphin showed that the circular, crescent-shaped outlined wound was provoked by the bite of a bull shark, Carcharhinus leucas. Wound shape, prey-predator distributional patterns (sympatry) and feeding habits of the shark species here considered were indicative of the species' identity. The wound is likely to be the result of a failed predation attempt. Interactions between C. leucas and S. guianensis should be expected, since they are sympatric along almost all of their distribution range in the tropical and subtropical western South Atlantic. The presented observation adds S. guianensis to the list of cetacean species involved in interactions with large coastal predatory sharks.

Relevância:

20.00% 20.00%

Publicador:

Relevância:

20.00% 20.00%

Publicador:

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Background: Attempted suicide is a strong risk factor for subsequent suicidal behaviors. Innovative strategies to deal with people who have attempted suicide are needed, particularly in resource-poor settings. Aims: To evaluate a brief educational intervention and periodic follow-up contacts (BIC) for suicide attempters in five culturally different sites (Campinas, Brazil; Chennai, India; Colombo, Sri Lanka; Karaj, Islamic Republic of Iran; and Yuncheng, People's Republic of China) as part of the WHO Multisite Intervention Study on Suicidal Behaviors (SUPRE-MISS). Methods: Among the 1,867 suicide attempters enrolled in the emergency departments of the participating sites, 922 (49.4%) were randomly assigned to a brief intervention and contact (BIC) group and 945 (50.6%) to a treatment as usual (TAU) group. Repeated suicide attempts over the 18 months following the index attempt - the secondary outcome measure presented in this paper - were identified by follow-up calls or visits. Subsequent completed suicide - the primary outcome measure has been reported in a previous paper. Results: Overall, the proportion of subjects with repeated suicide attempts was similar in the BIC and TAU groups (7.6% vs. 7.5%, chi(2) = 0.013; p = .909), but there were differences in rates across the five sites. Conclusions: This study from five low-and middle-income countries does not confirm the effectiveness of brief educational intervention and follow-up contacts for suicide attempters in reducing subsequent repetition of suicide attempts up to 18 months after discharge from emergency departments.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

This paper deals with Joan Robinson's contributions to the issue of technical progress and her attempts at treating this subject in accordance with the Keynesian theory of employment and income distribution, mainly in the long run. The paper aims to review this aspect of her work and to establish a systematisation and a formalisation of her approach. At the same time, the paper exposes the problems she faced - but did not always solve. Looking through her main contributions, the paper concludes that she used different criteria for the classification of innovations and that they depended on the specific situations described by the models in which she used the classification.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Background: The World Health Organization (WHO) study entitled Suicide Trends in At-Risk Territories (START) is an international multisite initiative that aims to stimulate suicide research and prevention across different areas of the globe. A central component of the study is the development of registration systems for fatal and nonfatal suicidal behaviors. Aims: This paper provides an overview of the data collected on suicidal behaviors from the participating locations in the START study. Method: Descriptive statistics on the data are presented in terms of age, sex, and method. Results: Agreater proportion of suicide deaths occurred among males. In all areas except the Philippines more females than males engaged in nonfatal suicidal behaviors. Compared to Australia, Italy, New Zealand, the Philippines, and Hong Kong SAR, in the Pacific Islands suicide most often occurs in younger age groups. Results indicate notable variations between countries in choice of method. A greater proportion of suicides occurred by hanging in Pacific Islands, while inhalation of carbon monoxide, use of firearms, ingestion of chemicals and poisons, and drug overdose were the most frequent methods of choice in other areas. Conclusion: The information drawn from this study demonstrates the enormous variation in suicidal behavior across the areas involved in the START Study. Further research is needed to assess the reliability of the established data-recording systems for suicidal behaviors. The baseline data established in START may allow the development of suicide prevention initiatives sensitive to variation in the profile of suicide across different locations. © 2013 Hogrefe Publishing.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

The aim of this study was to estimate the prevalence and correlates of suicidal ideation among low-income pregnant women living in Brazil. We performed a cross-sectional analysis of 831 women surveyed during 20 to 30 weeks of pregnancy using the Self-Report Questionnaire-20. The prevalence of suicidal ideation was 6.3%. The factors associated with suicidal ideation were common mental disorders, single partner status, past psychiatric history, and smoking tobacco. All cases of suicidal ideation were associated with common mental disorders.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

After decades of successful hot big-bang paradigm, cosmology still lacks a framework in which the early inflationary phase of the universe smoothly matches the radiation epoch and evolves to the present “quasi” de Sitter spacetime. No less intriguing is that the current value of the effective vacuum energy density is vastly smaller than the value that triggered inflation. In this paper, we propose a new class of cosmologies capable of overcoming, or highly alleviating, some of these acute cosmic puzzles. Powered by a decaying vacuum energy density, the spacetime emerges from a pure nonsingular de Sitter vacuum stage, “gracefully” exits from inflation to a radiation phase followed by dark matter and vacuum regimes, and, finally, evolves to a late-time de Sitter phase.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

In clinical medicine, plane radiography is used for detecting the remains of medications in the stomach in oral medication intoxication cases. Since postmortem computed tomography (CT), performed prior to autopsy, is currently intensively entering the forensic routine, the technique was applied to three fatal cases of oral medication intoxication. Here we report CT and autopsy findings for these cases. In all three cases, hyperdense areas within the stomach content were documented. The measurement of Hounsfield Units (HU) beyond 74HU showed mean values of 338, 88 and 98HU. Postmortem CT also showed brain edema and pulmonary aspiration in one case. At autopsy, tablet remains in the stomach were detected microscopically in all three cases. The ex vivo CT scans of the ingested medicaments showed similar HU values. Despite the fact that further case studies are necessary beyond this one, and in spite of its limitations, postmortem CT was found to be a useful screening and documentation method for stomach contents in oral medication intoxication.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Suicide is a poorly understood phenomenon. A clinical model of suicide conceptualizes suicidal behavior as a solution to an unbearable state of mind, experienced as mental pain.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

We present a case of an individual who stabbed himself through the heart with a large knife. Post mortem computed tomography (CT) and CT-angiography were used to assess the stab channel and to reconstruct the sequence of events. After penetrating injuries to the chest, both the intra-thoracic organs and the injury causing instrument may shift (e.g. from pnemothorax) and render forensic reconstructions more challenging. This case report illustrates the potentials and the pitfalls of CT for the reconstruction of penetrating injures to the chest.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Individuals with first episode psychosis (FEP) experience high rates of premature mortality, in particular due to suicide. The study aims were to: a) Estimate the rate of sudden death among young people with FEP during an 8-10 year period following commencement of treatment; b) Examine and describe the socio-demographic and clinical characteristics associated with sudden death; and c) Examine the timing of death in relation to psychiatric treatment.This was a cohort study. The sample comprised 661 patients accepted into treatment at the Early Psychosis Prevention and Intervention Centre between 1/1/1998 and 31/12/2000. Demographic and clinical data were collected by examination of the medical files. Mortality data were collected via a search of the National Coroners Information System; the Victorian State Coroner's office and clinical files. Nineteen patients died and just over two thirds of deaths were classified as intentional self-harm or suicide. Death was associated with male gender, previous suicide attempt and greater symptom severity at last contact. People with FEP are at increased risk of premature death, in particular suicide. A previous suicide attempt was very common amongst those who died, suggesting that future research could focus upon the development of interventions for young people with FEP who engage in suicidal behaviour.