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Medical Forum / General / General / June 2005Morning Wood Means Ways ~ Hung Out TO Dry ~ * ~
!Be Warned! Sign Says ... ~ * ~ _________________________________________ ~ * ~ A Sign, A Boarded Shingle Hung Out TO Dry ~ * ~ ! * ! A Clinical Instrument Whining In The Key Of C ~ ! * ~ ~ _________________________________________ ~ * Suicide Resilience Scale * ~ A Clinical Measure Of ~ Revenge Level & Determination To SUE the sh.t Out of The Stinking Rotten Incompetent Bastards ~ * ~ _________________________________________ Reference * Range ~ 1 to !0 1 = Indifference, aka, Near Death [Alert family to severe risk]. 5 = Waffling [Likely requires medication]. !0 = Highly Driven, Effervescent Motivation, A MUST WIN Scenario [You got a survivor here!]. ~ * ~ ~ ~ ~ ~ ~ ~ ~ ~ * Beta version. _________________________________________ Yes ~ A Morning Wood Roadside Semi ~ OTIC _________________________________________ * Dogging Arts * Fogging Minds * It's a Star * _________________________________________ * ~ * ~ Blog, or dog? Who knows. But if you see my lost pup, please bring him home! I got Leon a brand-new bone. _________________ http://journals.aol.com/virginiaz/DreamingofLeonardo "There are important implications if ADD is indeed a vulnerability factor for the development of PTSD in terms of preventative treatment of ADD symptoms in at risk population (e.g. military inductees) or pharmacological treatment selection in patients with comorbid ADD and PTSD. Defining vulnerabilities for trauma-related psychiatric disorders may have implications for forensic-psychiatric evaluations of psychologic damages in civil negligence litigations. Some individuals with significant vulnerabilities may develop PTSD after exposure to an event that does not fulfill the criteria of stressor as defined in the "Diagnostic and Statistical Manual of Mental Disorders, 4th edition" (DSM-IV). The resulting psychiatric damage may be compensable under the legal maxim, "The victim is taken as he is found." ~ Michal Kunz, M.D. Yes, understood. Thank you for explaining. New York State Psychiatric Association Suicidal Risk A critical step in preventing suicide is to identify and understand the risk factors that contribute to it. A risk factor is anything that increases the likelihood that persons will harm themselves. Risk factors are not causes, but are contributors to unhealthy behavior and outcomes. (CDC: 2004) A population-based study confirms that not all individuals and regions are equally at risk . Maintaining a favorable balance of protective vs. risk factors is key to preventing harmful behavior. Targeting efforts to those harboring actual risk should contribute to a rational allocation of resources and to achieving desired outcomes. Risk factors may be biological, psychological, or social in nature, and can exist in the individual, family and environment. Risk Factors The Department of Health and Human Services has identified the following risk factors for suicide: * Previous suicide attempt(s) * History of mental disorders, especially depression * History of alcohol and substance abuse * Family history of suicide * Family history of child maltreatment * Feelings of hopelessness * Impulsive or aggressive tendencies * Barriers to accessing mental health treatment * Loss (relational, social, work, or financial) * Physical illness * Easy access to lethal means * Unwillingness to seek help because of the stigma attached to mental health and substance abuse disorders or suicidal thoughts * Cultural and religious beliefs - for instance, the belief that suicide is a noble resolution of a personal dilemma * Local epidemics of suicide * Isolation, a feeling of being cut off from other people Protective Factors Protective factors buffer people from the risks associated with suicide. A number of protective factors have been identified: * Effective clinical care for mental, physical, and substance abuse disorders * Easy access to a variety of clinical interventions and support for help seeking * Family and community support * Support from ongoing medical and mental health care relationships * Skills in problem solving, conflict resolution, and nonviolent handling of disputes * Cultural and religious beliefs that discourage suicide and support self-preservation instincts (DHHS: 1999) Gary L. Spielmann, M.A., M.S. Director of Project Management & Chair Suicide Prevention Working Group New York State Office of Mental Health PLEASE NOTE ~ Protective Factors ~ EFFECTIVE Clinical Care http://www.omh.state.ny.us/omhweb/savinglives/Vol1_TheChallenge.htm "Another finding to consider is ~ That an individual who attempts, but does not complete, suicide, is actually at higher risk for eventual suicide than he/she was before the initial attempt. Apparently, once the threshold of self-destructive action is crossed, it is much easier for the would-be suicidal person to cross a second or third time." CLINICAL PEARL ~ Do NOT Let the Crisis Reach That Point, A Life & Brain Is Altered Forever, Or At Least, In This Motal Life Action Steps 1. Developing resilience is a personal journey, and no two journeys are exactly the same. However, perseverance and trust in one's ability to manage risks and stressors are important in building confidence and insight. Knowing when and where to seek outside assistance when needed is a personal strength, not a weakness. CLINICAL PEARL ~ Trust In One's Mental Healthcare Professional Builds Confiedence & Insight ~ ! Knowing Where NOT to GO Is a Personal Strength, Not A Weaness Knowing When TO Sue, When Your Life Was NeedLessly Endangered Is a Personal Strength, NOT A Weakness ~ ! Action Steps 6. Suicide survivors are at greater risk for complicated grief. 9. Access to care must be assured to optimize the chances of recovery from mental illness. http://www.omh.state.ny.us/omhweb/savinglives/Vol1_ActionSteps.htm Action Steps Elders Deserve Respect & Attention 32. Outreach to elders at risk is an important element in any comprehensive plan for late life suicide prevention 33. Diagnosis and treatment of depression in elders should be aggressively pursued in the primary care practitioner's office and/or done through close collaboration of primary and specialist mental health providers. Students and Youth Need the Message That It Is Okay to Seek Help 34. Social marketing strategies that de-stigmatize mental illness, remove barriers to identifying and treating students in need of mental health services, and encourage help-seeking are ways to stimulate a change in campus culture toward suicide prevention. 35. Campus mental health services should include clear procedures to ensure that students who have made a suicide attempt are given priority access to evaluation and treatment services. Campus personnel should be specifically trained to link the suicidal student to evaluation and treatment services, either on or off campus. 36. Campus policies should provide medical leaves for students with mental health needs and non-punitive procedures for subsequent re-entry. Relevant personnel should be fully trained to comply with such policies. Ask Tough Questions ~ Who Failed? What Gatekeepers Did Not Hear? What Gatekeepers Did Not Act? Establish Disciplinary Actions to Address Failures, And to Ensure Failures Are Not Repeated. Praise and Reward Effective Clinical Intervention. Empower and enable patients who have been "failed" by the system to take steps to file state professional board complaints and civil complaints. Any mental health professional who knowingly and/or willfully discourages a patient from filing appropriate complaints should be disciplined. Any mental health professional who knowingly and/or willfully provides false material, or fails to supply accurate medical records, which deters or intimidates a patient from filing appropriate complaints should be disciplined. Any mental health professional who knowingly and/or willfully fails to report suspected abuse and/or deleterious mental health care which may or potentially may cause harm should be disciplined. Abuse ~ The physical or psychological maltreatment Of a person or animal. The illegal, improper, Or harmful use of something, Or an illegal, improper, or harmful practice. To use something in an improper, Illegal, or damaging way. To maltreat a person Or animal physically, sexually, Or psychologically. Morning wood is what keeps you from wetting the bed in the morning.  SignatureTheodore A. Kaldis kaldis@worldnet.att.net > Morning wood is what keeps you from wetting the bed in the morning. By his own admission, our TeddiBeer doesn't seem to have that problem any more. Depends ... right, Teddi? :) > Morning wood is what keeps you from wetting the bed in the morning. > -- > Theodore A. Kaldis > kaldis@worldnet.att.net Leave her alone, please. She's not bothering you. Thanks! Dane >Leave her alone, please. She's not bothering you. Tens of thousands of voluminous, illiterate, semi-verbal regurgitations clogging up usenet bothers no one? What planet are you from? Marz. U ~ ? >Marz. U ~ ? No habla Marzian. O. Got cookie? >O. Got cookie? No. Got nookie. Whoopie ~ ! Who the HELL RU ~ ? >Who the HELL RU ~ ? The poet who didn't know it. No -- the poet -- YOU didn't know it. >HELL RU Very perceptive. Even so, you have NO idea..... Goldberg Variations ~ ? > >Leave her alone, please. She's not bothering you. > > Tens of thousands of voluminous, illiterate, semi-verbal regurgitations > clogging up usenet bothers no one? What planet are you from? Oh, it's clogging it up, is it? Isn't that why they have Roto Rooter? You're just a tad addled. Action Steps 75. Support research on mental health screening to improve the capacity to identify mental illness in its early stages, and to promote adoption of mental health checkups. 76. Investigate the following neurobiological aspects of suicidal behavior, including identification of: * specific genes that contribute to suicide risk; and * the influence of child abuse and other trauma on subsequent suicide risk. Apparently, once the threshold of self-destructive action is crossed, or an individual reaches a level of despair and hopeless that mandates a person self-report severe suicidal feelings and a sense of hopeless, and mental healthcare professional(s) fails to respond, it is much easier for the would-be suicidal person to cross a second or third time. Further, if mental healthcare professionals, or friends and family fail to respond, a sense of hopeless may become neurologically wired within neural circuits, forever altering an individual's mental framework of the world in which s/he lives. Recognizing that we ALL Impact the lives and will to live Of all fauna and flora Is a moral act of consciousness. Taking responsibility For other's lives is a moral imperative. >Recognizing that we ALL Impact the lives and will to live Of all fauna and flora Is a moral act of consciousness. >Taking responsibility For other's lives is a moral imperative. Perhaps. But when John Donne said so, a few people actually got the message. Now, when, oh when, will that damn bell toll? I'm dying to see if it also tolls for me. "While the main goal of the SPEAK campaign is education and awareness to prevent suicide, it is hoped that SPEAK's broad-based public health approach will help to mitigate the stigma associated with seeking help for psychological distress. An important message of the SPEAK campaign Is to ~ ASK for help When an individual Or someone they care for NEEDS it. SPEAK is available in multi-media (print, electronic, website) in both English and Spanish, with a Chinese version in production. Feature articles on SPEAK have appeared in Governing magazine, Mental Health Weekly and Behavioral Healthcare Tomorrow." Suicide Prevention Working Group New York State Office of Mental Health CLINICAL PEARL ~ Call Back ~ ! http://www.omh.state.ny.us/omhweb/savinglives/Vol1_TheChallenge.htm |
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