Mejia Mitchell (pastorrandom96)

This paper examines how history and psychiatry have shaped social work approaches to suicide prevention. Current social work intervention strategies rely on the following four positivist assumptions (1) suicide is the result of mental illness, (2) suicidal individuals are irrational, (3) social workers have more knowledge about suicide than their clients, and (4) that preserving life is the least harmful outcome. Analysis reveals that these assumptions hold little validity and cannot be generalised to all cases. Discussion encourages intervention strategies that are informed by the experiences of attempt survivors and a broader sociopolitical context. Social workers are encouraged to use methods that are not only life-preserving, but life affirming. Finally, community specific initiatives to increase resources and decrease isolation and marginalization are posited as potential ways to reduce suicide ideation.Background Influenza has been identified as a trigger for stroke and myocardial infarction (MI) with prior studies demonstrating that influenza vaccination may decrease risk of stroke and MI. Methods and Results We used data from the New York Department of Health Statewide Planning and Research Cooperative System to evaluate whether annual variability in influenza vaccination effectiveness (VE) would be associated with cardiovascular events. Daily and monthly counts of outpatient and inpatient visits for influenza-like illness (ILI), stroke, and MI were identified using International Classification of Diseases, Ninth Revision (ICD-9) codes; VE data for each year are publicly available. We identified pertinent lags between ILI, stroke, and MI using prewhitening cross-correlation functions and applied them to autoregressive integrated moving average time series regression models. Time series forecasting systems assessed correlations among ILI, stroke, and MI, and the effect of VE on these relationships. Cross-correlation functions indicated stroke events increased 1 month after increases in ILI rates; MIs increased immediately. Accounting for seasonality and lag, peaks in ILI rates were significantly related to peaks in stroke (P=0.04) and MI (P=0.01). Time forecasting analyses indicated no relationship between VE and cardiovascular events. Conclusions We identified that seasonality of cardiovascular events may be associated with seasonality in ILI, though VE did not modify this relationship. Little is known about the factors that determine vulnerability to subsequent suicide in the community following a celebrity suicide. Our objective was to investigate the link between an alleged celebrity suicide and further suicidal behaviour in the community in India. Relevant news articles that reported suicidal behaviour in the population were retrieved from online news portals of regional and English language newspapers in the immediate month following the actor's death. A deductive analysis of the retrieved suicide news articles was carried out using a pre-designed data extraction form. A total of 1160 relevant news articles were identified from the local language ( = 985) and English ( = 175) newspapers. For a sizeable percentage of these reports ( = 65, 5.6%), the media reported links with celebrity suicide. Odds of subsequent suicide among young (Odds Ratios [OR] - 9.24), female (OR - 1.94), unemployed (OR - 7.26), those without precipitating life events (OR - 2.94) or mental illness (OR - 1.69) were higher among those with link to celebrity suicide; likewise, odds of death by hanging (OR - 49.84) and leaving a suicide note (OR - 2.03) were higher among those linked to celebrity suicide. English newspapers (OR - 4.23) were more likely to report events linked to celebrity suicide than local language newspapers. Persons who died by suicide by hanging after a celebrity suicide are more likely to be young, female, unemployed, have a mental disorder or precipitating lif