| 1. |
- Begum, Afroza, et al.
(författare)
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Prevalence of suicide ideation among adolescents and young adults in Bangladesh
- 2017
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Ingår i: International Journal of Mental Health. - : Informa UK Limited. - 0020-7411 .- 1557-9328. ; 46:3, s. 177-187
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Tidskriftsartikel (refereegranskat)abstract
- Suicide is a leading cause of death world-wide. However, adolescent suicidal behavior is a neglected public health issue, especially in low-income countries such as Bangladesh. The study was conducted to estimate the prevalence of suicidal ideation among adolescents in a rural community and to examine factors associated with suicidal ideation. A cross-sectional survey was carried out in 2013 among 2,476 adolescents aged 14–19 years, selected randomly from a rural community of Bangladesh. An adapted version of the WHO/SUPRE-MISS questionnaire was used to collect data in the Raiganj sub-district. A two stage screening was performed to identify the suicidal ideation cases. It was found that the life-time prevalence for suicidal ideation was 5 percent among adolescents. The majority of the adolescents with suicidal ideation were females 66 (52.8%), unmarried 103 (82.4%), and students 92 (73%). Suicidal ideation was statistically significantly associated with age, education, occupation, living with parents or others, and house ownership. Respondents who were aged 18–19 years, had secondary school certificate (SSC) and secondary school certificate (HSC) or higher education, were day laborers, had own house, and do not lived with parents had odds ratios of 2.31 (CI 1.46–3.65), 2.38 (CI 1.51–3.77), 4.15 (CI 2.41–7.14), 0.28 (CI 0.13–0.60), 0.14(CI 0.05–0.35), and 1.80 (CI 1.07–3.03), respectively. Among adolescents, the prevalence of life-time suicidal ideation was moderately high. Age, education, occupation, house ownership, and living with parents were statistically significantly associated with suicidal ideation. It is important to design and implement effective community based suicide prevention programs for adolescents in Bangladesh.
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| 2. |
- Larivière, Nadine, et al.
(författare)
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French version of the profiles of occupational engagement in people with severe mental illness : Translation, adaptation, and validation
- 2017
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Ingår i: International Journal of Mental Health. - : Informa UK Limited. - 0020-7411 .- 1557-9328. ; 46:4, s. 346-357
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Tidskriftsartikel (refereegranskat)abstract
- Occupational engagement is affected in many persons with severe mental illness (SMI) because of personal, occupational, and environmental issues. However, no French assessment tool measuring occupational engagement in these persons is currently available. The objectives of the study were to translate the “Profiles of Occupational Engagement in People with Severe Mental Illness” (POES), including a time use diary and an interview, and to measure the interrater reliability of the French version. First, a transcultural validation process of the English version of the POES into French was completed. Second, to determine interrater reliability, ten evaluators assessed 23 participants with an SMI. Specific concepts were clarified with the author of the original tool. No items were added or removed following the translation process. An interview guide was developed to assist the interview on occupational engagement. Analyses indicated high interrater reliability (ICC = 0.94). French-speaking clinicians will be able to use a validated French version of the POES to better capture occupational engagement in people with SMI, facilitating the individualisation of interventions.
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| 3. |
- Svensson, Bengt, et al.
(författare)
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What matters when implementing Flexible Assertive Community Treatment in a Swedish healthcare context : A two-year implementation study
- 2017
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Ingår i: International Journal of Mental Health. - : Taylor & Francis Group. - 0020-7411 .- 1557-9328. ; 46:4, s. 284-298
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Tidskriftsartikel (refereegranskat)abstract
- Despite the lack of scientific evidence for the effectiveness of Flexible Assertive Community Treatment (Flexible ACT), the model disseminates rapidly in the mental health services in a number of countries. This is in contrast to many evidence-based practices that often face comprehensive implementation barriers. Knowledge is needed on the dissemination of Flexible ACT to understand the relative success. The aim of this study was to explore program fidelity and factors influencing the implementation of Flexible ACT in a Swedish healthcare context over a 2-year period. Seven mental healthcare teams who decided to implement Flexible ACT were included in the study. Interviews were conducted regularly with project leaders and team leaders, and steering group meeting notes and implementation progress reports were collected during a 2-year period. Flexible ACT fidelity assessments were conducted 6 and 18 months after implementation started. Data was analysed using conventional and directed content analysis and the Sustainable Implementation Scale. All teams reached at least good fidelity 6 months after implementation, and the fidelity scores remained stable over an 18-month period. An active national initiative and support to implement Flexible ACT, as well as a willingness among managers and staff to implement the model, contributed to the seemingly swift and easy implementation. Despite the highly sectored Swedish healthcare context, implementation of high fidelity Flexible ACT was possible. Positive mental health professional attitudes, belief in the practice, and desire to offer the practice appear to have central roles when implementing new practice models in mental healthcare.
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