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| 2. |
- Andréasson, Sven, et al.
(författare)
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Psychosocial Treatment for Alcohol Dependence
- 2003
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Ingår i: Treating Alcohol and Drug Abuse : An Evidence Based Review - An Evidence Based Review. - : Wiley. - 352730682X - 9783527306824 - 9783527601462 ; , s. 43-188
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Bokkapitel (refereegranskat)
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| 3. |
- Berglund, Mats, et al.
(författare)
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Depression och självmord
- 2005
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Ingår i: Alkohol och hälsa – en kunskapsöversikt. - 9172573376 ; , s. 73-79
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Vi har systematiskt gått igenom befolkningsbaserade studier, som separat har analyserat frekvenserna för depression och självmord eller självmordsbeteende och deras samband med alkoholberoende, alkoholmissbruk eller riskfylld alkoholkonsumtion. Depressionssjukdomar visade en stark ökning vid alkoholberoende, men endast en marginell ökning vid alkoholmissbruk och riskfylld alkoholkonsumtion. Hela 48 procent av självmorden i Sverige har visat sig vara alkoholrelaterade. Självmordsfrekvensen var förhöjd vid alkoholberoende och hade ofta samband med samtidig depression. En mindre del av självmorden kan förklaras av akut berusningsdrickande oberoende av samtidig depressions- eller alkoholdiagnos.
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| 5. |
- Cedereke, Marie, et al.
(författare)
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Formal and informal help during the year after a suicide attempt: A one-year follow-up
- 2007
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Ingår i: International Journal of Social Psychiatry. - : SAGE Publications. - 1741-2854 .- 0020-7640. ; 53:5, s. 419-429
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Tidskriftsartikel (refereegranskat)abstract
- Aims: The aims of this study are threefold: to investigate formal and informal help with clinical and social needs that patients who attempted suicide received during the year after their attempt; to examine whether help from services was estimated to be adequate; and to look at whether patients who repeated suicide attempt(s) during follow-up differed from those who did not. Methods: The Camberwell Assessment of Need instrument measuring 22 need areas was used in semi-structured interviews with 140 patients at 1 and 12 months after a suicide attempt. Results: Help given from services was rated as high at both 1 and 12 months in health-related areas, but lower in areas related to social needs. Informal help was initially frequent, with some exceptions. The amount of help from services did not decrease in any need area during follow-up, neither in repeaters nor in non-repeaters. There were no changes in informal help in repeaters, while in non-repeaters informal help decreased in some areas. At both 1 and 12 months, repeaters and non-repeaters mostly found help from services to be adequate. However, in the areas of information, intimate relationships, psychotic symptoms and sexual expression about half of the patients in both groups did not consider that they had received the right type of help. Conclusions: The generally high level of formal help in health-related areas during the first year after a suicide attempt and the high rated adequacy of help given is satisfactory. However, in certain areas lack of formal help was evident. Informal caregivers contributed significantly to the help that patients received. The use of the Camberwell Assessment of Need instrument could improve observation on needs areas and whether help is available. Perhaps this kind of evaluation could be used earlier than after 1 year in such a vulnerable group as suicide attempters.
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| 6. |
- Cedereke, Marie, et al.
(författare)
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Patients' needs during the year after a suicide attempt A secondary analysis of a randomised controlled intervention study.
- 2002
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 37:8, s. 357-363
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: We first studied whether changes of needs were influenced by randomly allocated telephone interventions between 1 and 12 months after a suicide attempt in addition to treatment as usual. These were aimed at improving motivation for professional treatment. As a secondary analysis we investigated the frequency and changes of needs during this period and if changes were related to other outcome measures. Method One month after a suicide attempt 216 patients were randomised to two telephone interventions or to no such interventions within 1 year. The Camberwell Assessment of Need (CAN) was used to evaluate 22 different need areas at 1 and 12 months. Other outcome measurements used were Global functioning axis V (GAF), psychological symptoms (SCL-90, GSI) and scale of suicide ideation (SSI). Results Of 178 patients who were followed up, 140 had been rated by CAN at both 1 and 12 months. Changes of needs did not differ between the randomised groups. At 1 month the patients had a mean number of 5.1 +/- 2.4 needs and 2.4 +/- 1.5 of these were considered as unmet. The most frequently reported needs concerned health aspects, basic needs and social needs. At 12 months needs concerning health aspects were significantly reduced, while basic needs and social needs were not. Changes of GAF explained 21 % and changes of GSI 4 % of the variance of the reduction of needs. Conclusions After 12 months, needs in health aspects, basic needs and social needs were still common. A structured evaluation of the patient's needs seems to be helpful when planning treatment after a suicide attempt.
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| 7. |
- Cedereke, Marie, et al.
(författare)
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Prediction of repeated parasuicide after 1-12 months.
- 2005
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Ingår i: European Psychiatry. - : Cambridge University Press (CUP). - 1778-3585 .- 0924-9338. ; 20:2, s. 101-109
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundTo investigate predictors for repetition of suicide attempts 1–12 months after a suicide attempt.MethodsTwo hundred and sixteen patients who had made a suicide attempt were investigated after 1 month, and 178 were followed up again after 12 months.ResultsDuring 1–12 months after the suicide attempt, 30 patients reattempted suicide (repeaters). During 0–1 month 13 patients had reattempted suicide (early repeaters), and nine of them also repeated between 1 and 12 months. Repeaters had more often made three or more attempts before index attempt, they more often were in treatment at the index attempt and at 1 month they had lower global functioning and higher suicide ideation. In a Cox Regression analysis two predictors for repetition between 1 and 12 months remained significant; early repetition (OR 6.7, 95% CI, 3.0–14.9) and having GAF-scores below 49 (median cut-off) (OR 3.4 (95% CI, 1.5–7.5).ConclusionsOur findings suggest that repetitive behaviour in itself is a strong predictor of future attempts. Strategies focusing on the repetitive behaviour are warranted.
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| 8. |
- Cedereke, Marie, et al.
(författare)
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Telephone contact with patients in the year after a suicide attempt: does it affect treatment attendance and outcome? A randomised controlled study.
- 2002
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Ingår i: European Psychiatry. - 1778-3585. ; 17:2, s. 82-91
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Tidskriftsartikel (refereegranskat)abstract
- Ambivalence to treatment and repeated suicidal behaviour are well-known problems in suicide attempters. A randomised controlled study was performed to investigate the influence of repeated telephone contacts on treatment attendance, repetition of suicidal behaviour and mental health the year after a suicide attempt. SUBJECTS AND METHODS: One month after their suicide attempt 216 patients were randomised to either two telephone interventions in addition to treatment as usual, or no such intervention during the subsequent year. The interventions included motivational support to attend and/or to stay in treatment. At 1 month and again after 12 months the following measurements were used: GSI (SCL-90), GAF and SSI. RESULTS: At follow-up treatment attendance was high and did not differ between the randomised groups. Among those with an initial treatment contact other than psychiatric, more patients in the intervention group had such contact at follow-up. The randomised groups did not differ in repetition of suicide attempts during follow-up or in improvement in GSI (SCL-90), GAF and SSI. In individuals with no initial treatment the intervention group improved more in certain psychological symptom dimensions (SCL-90). CONCLUSION: Telephone interventions seem to have an effect on patients who at their suicide attempt had other treatment than psychiatric and in those with no treatment.
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| 9. |
- Cruce, Gunilla, et al.
(författare)
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Experiences of alcohol and other drugs in individuals with severe mental illness and concomitant substance use disorders
- 2008
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Ingår i: Mental Health and Substance Use. - 1752-3281. ; 1:3, s. 228-241
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Tidskriftsartikel (refereegranskat)abstract
- Background: It is well known that severe mental illness (SMI) with concurrent substance use disorders (SUD) commonly occurs. This comorbidity has distressing social, psychological, psychiatric and somatic consequences. Aim: To gain greater understanding of how individuals with SMI and SUD experience the roles of alcohol and other drugs for their health and in their life situation. Method: Eight individuals were interviewed on two occasions. The semi-structured interviews, which were based on an interview guide, were transcribed verbatim and analysed thematically. Results: Alcohol and drug use influenced the individuals’ own experiences of their health and life situation both in a positive and negative way. Substance use had meaning for their 1) experience of themselves – well-being and discomfort, energy and lack of energy, meaningfulness and disorientation, identity and personality change; 2) experiences of relationships – affiliation and alienation; 3) experiences of mental health – decreased and increased symptom levels. Conclusions: When providing treatment and support it seems important to be aware of a person’s own motives for using alcohol and drugs. From the individuals’ point of view their misuse appeared as a reasonable, but misguided effort to obtain control over his/her health and life situation.
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