212 research outputs found

    Evidence-based practice in cognitive-behavioural therapy

    Get PDF

    Geochemistry and paleoceanographic setting of Central Nevada bedded barites

    Get PDF
    Journal ArticleThe bedded barite deposits of central Nevada are hosted by rocks of the Roberts Mountains allochthon and constitute the largest barite reserves in North America. Detailed geochemical studies of three barite deposits in the Devonian Slaven Chert indicate that rocks surrounding the barite have elevated concentrations of carbon and phosphorousr elative to nonbarite-bearing rocks. Rare earth element data suggest that the barites were deposited in oxygenated seawater far from a spreading center. Ratios of Al, Ti, Fe, and Mn indicate that hydrothermal input to the sediment was minor relative to detrital input. The assembled data suggest a biogenic rather than a hydrothermal origin for the barite deposits. A model is proposed in which the barites were deposited at the O2-H2S transition of a coastal upwelling system in the Late Devonian ocean. This model is consistent with recent paleoceanographica nalyses of rocks in the Roberts Mountains allochthon, and studies indicating that the Late Devonian marked the transition from an anoxic to an oxic deep ocean

    Acceptability, Use, and Safety of a Mobile Phone App (BlueIce) for Young People Who Self-Harm: Qualitative Study of Service Users’ Experience

    Get PDF
    Background: Self-harm is common among adolescents and is associated with a number of negative psychosocial outcomes including a higher risk of suicide. Recent reviews highlight the lack of research into specific interventions for children and young people who self-harm. Developing innovative interventions that are coproduced with individuals with lived experience and that reduce self-harm are key challenges for self-harm prevention. Objective: The aim of this study was to explore the acceptability, use, and safety of BlueIce, a mobile phone app for young people who self-harm and who are attending child and adolescent mental health services (CAMHS). Methods: This study is part of a mixed methods phase 1 trial of BlueIce. Young people aged 12-17 years attending specialist CAMHS were recruited. Clinicians were invited to refer young people who were self-harming or who had a history of self-harm. On consent being obtained and baseline measures taken, participants used BlueIce as an adjunct to usual care for an initial familiarization period of 2 weeks. If after this time they wanted to continue, they used BlueIce for a further 10 weeks. Semistructured interviews were conducted at postfamiliarization (2 weeks after using BlueIce) and postuse (12 weeks after using BlueIce) to assess the acceptability, use, and safety of BlueIce. We undertook a qualitative analysis using a deductive approach, and then an inductive approach, to investigate common themes. Results: Postfamiliarization interviews were conducted with 40 participants. Of these, 37 participants elected to use BlueIce, with postuse interviews being conducted with 33 participants. Following 6 key themes emerged from the data: (1) appraisal of BlueIce, (2) usability of BlueIce, (3) safety, (4) benefits of BlueIce, (5) agency and control, and (6) BlueIce less helpful. The participants reported that BlueIce was accessible, easy to use, and convenient. Many highlighted the mood diary and mood lifter sections as particularly helpful in offering a way to track their moods and offering new strategies to manage their thoughts to self-harm. No adverse effects were reported. For those who did not find BlueIce helpful, issues around motivation to stop self-harming impeded their ability to use the app. Conclusions: BlueIce was judged to be a helpful and safe way of supporting adolescents to manage thoughts of self-harming. Adolescents reported numerous benefits of using BlueIce, and all would recommend the app to other young people who were struggling with self-harm. These preliminary findings are encouraging and provide initial support for the acceptability of BlueIce as a self-help intervention used in conjunction with the traditional face-to-face therapy

    Suicide rates in children and young people increase

    Get PDF
    • …
    corecore