Psychiatric intervention and repeated admission to emergency centres due to drug overdose

Self-harm, with or without suicidal intent, substantially increases the risk of future suicide and is known to be the strongest predictor of completed suicide. Furthermore, repetition of self-harm is common: 16% of patients who self-harmed were found to repeat a similar episode within 1 year. Repetition of self-harm increases the risk of completed suicide. One study found overdose to be the most prevalent type of suicide attempt that required admission, and approximately 80% of self-harm episodes have been reported to involve overdose. It is therefore necessary to prevent the repetition of self-harm by drug overdose. According to clinical guidelines on the management of self-harm published in 2004, it is recommended that every patient presenting to hospital with self-harm should undergo a psychosocial assessment by specialists before being discharged. Despite this recommendation, some studies have found that many patients, especially those with repeated self-harm did not actually receive such assessments. That would suggest that the guideline has not been widely used – possibly because it was not based on firm evidence. There is a lack of data on the influence of psychosocial assessments on preventing repetition of self-harm. Some studies have suggested that such assessments do have an influence, but they were based on a small sample size or on a small number of highly advanced institutions. The present study focused on patients with drug overdose who were admitted to emergency centres. Using a national in-patient database in Japan, it aimed to investigate whether psychiatric intervention before discharge was associated with reduced patient readmissions with drug overdose.UTokyo Research掲載「過量服薬による入院患者と精神科医による診察の関係」 URI: http://www.u-tokyo.ac.jp/ja/utokyo-research/research-news/psychiatric-intervention-and-repeated-emergency-admission-due-to-drug-overdose.htmlUTokyo Research "Psychiatric intervention and repeated emergency admission due to drug overdose" URI: http://www.u-tokyo.ac.jp/en/utokyo-research/research-news/psychiatric-intervention-and-repeated-emergency-admission-due-to-drug-overdose.htm

Barriers to mental health care in Japan: Results from the World Mental Health Japan Survey

El presente artículo se enmarca en la investigación “Reflexiones de la práctica pedagógica de los docentes de la IEDI Sutatausa para la transformación de la enseñanza de la comprensión lectora en los niveles literal, inferencial y crítico”. Refleja un ejercicio colaborativo entre pares académicos, en el que se suscitan cambios en la enseñanza de la comprensión lectora. Los resultados muestran la necesidad de profundizar la gestión de aula, ampliar el conocimiento didáctico del contenido y la visibilización del pensamiento para mejorar la enseñanza de la comprensión lectora. Se concluye que la investigación-acción es fundamental para el profesorado, haciendo de esta un pilar en el crecimiento profesional del mismo, así como la necesidad de pensar en el desarrollo de estrategias metodológicas para la enseñanza de la comprensión lectora en los escenarios mencionados.The present article is part of the research “Reflections of the pedagogical practice of teachers from IEDI Sutatausa for transformation of reading comprehesion teaching, at the literal, inferential and critical levels”. It reflects a collaborative exercise among academic peers, which changes are produced on the reading comprehesion teaching. The results reflect the need to get deep on the classroom management of the classroom, expand didactic knowledge of content and the thinking to improve the reading comprehension teaching. It is concluded that action research is fundamental for teachers, making it a pillar in their professional increase, as well as the need to think about the developing methodological strategies for teaching reading comprehension in the aforementioned scenarios.Facultad de Humanidades y Ciencias de la Educació

Additional file 1: of The Japanese version of the questionnaire about the process of recovery: development and validity and reliability testing

Japanese version of the Questionnaire about the Process of Recovery (QPR-J). (PDF 133 kb

Relationship between high trait anxiety in 22q11.2 deletion syndrome and the difficulties in medical, welfare, and educational services

Abstract Aim The 22q11.2 deletion syndrome (22q11DS) is associated with a high prevalence of mental health comorbidities. However, not enough attention has been paid to the elevated prevalence of high trait anxiety that begins early in life and may be enduring. We sought to identify specific medical, welfare, or educational difficulties associated with high trait anxiety in 22q11DS. Methods A questionnaire‐based survey was conducted for the parents of 22q11DS individuals (N = 125). First, a multiple regression analysis was conducted to confirm the hypothesis that high trait anxiety in individuals with 22q11DS would be associated with parents' psychological distress. This was based on 19 questionnaire options regarding what difficulties the parents currently face about their child's disease, characteristics, and traits. Next, we explored what challenges faced in medical, welfare, and educational services would be associated with the trait anxiety in their child. Results The multiple regression analysis confirmed that the high trait anxiety was significantly associated with parental psychological distress (β = 0.265, p = 0.018) among the 19 clinical/personal characteristics of 22q11DS. Furthermore, this characteristic was associated with various difficulties faced in the medical care, welfare, and education services, and the parent–child relationship. Conclusion To our knowledge, this is the first study to clarify quantitatively how the characteristic of high anxiety level in 22q11DS individuals is related to the caregivers' perceived difficulties in medical, welfare, and educational services. These results suggest the necessity of designing service structures informed of the fact that high trait anxiety is an important clinical feature of the syndrome