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Background and aims: This study explored the associations between symptoms of the Suicide Crisis Syndrome (SCS) at admission and self-harm and death by suicide post-discharge. The association between clinicians' emotional responses toward inpatients at admission and post-discharge self-harm and suicide death was also explored. Methods: Within the first 24-h of admission, patients completed a self-report measure of symptoms of SCS, and clinicians reported their emotional responses toward the patients. Follow-up data were obtained from the Norwegian Patient Registry and the Norwegian Cause of Death Registry. Results: Within 18 months post-discharge, 44 (12.7%) out of 347 patients had self-harmed, and five patients (1.4%) had died by suicide. At admission, patients who later self-harmed reported higher symptoms of SCS compared to the other patients. Clinicians reported more negative emotional responses toward the self-harm group. In a regression analysis, previous suicidal behavior and a diagnosis of "emotionally unstable personality disorder" (EUPD; F60.3) were associated with increased risk of self-harm post-discharge. Conclusion: The results indicated that patients with post-discharge episodes of self-harm are significantly different from patients who do not self-harm in terms of more intense symptoms of SCS during admission. Clinicians' negative emotional responses may be relevant in the assessment of the risk of post-discharge self-harm. [ABSTRACT FROM AUTHOR]

Human cells and bacteria secrete extracellular vesicles (EV) which play a role in intercellular communication. EV from the host intestinal epithelium are involved in the regulation of bacterial gene expression and growth. Bacterial EV (bactEV) produced in the intestine can pass to various tissues where they deliver biomolecules to many kinds of cells, including neurons. Emerging data indicate that gut microbiota is altered in patients with psychotic disorders. We hypothesized that the amount and content of blood-borne EV from intestinal cells and bactEV in psychotic patients would differ from healthy controls. We analyzed for human intestinal proteins by proteomics, for bactEV by metaproteomic analysis, and by measuring the level of lipopolysaccharide (LPS) in blood-borne EV from patients with psychotic disorders (n = 25), tested twice, in the acute phase of psychosis and after improvement, with age- and sex-matched healthy controls (n = 25). Patients with psychotic disorders had lower LPS levels in their EV compared to healthy controls (p =.027). Metaproteome analyses confirmed LPS finding and identified Firmicutes and Bacteroidetes as dominating phyla. Total amounts of human intestine proteins in EV isolated from blood was lower in patients compared to controls (p =.02). Our results suggest that bactEV and host intestinal EV are decreased in patients with psychosis and that this topic is worthy of further investigation given potential pathophysiological implications. Possible mechanisms involve dysregulation of the gut microbiota by host EV, altered translocation of bactEV to systemic circulation where bactEV can interact with both the brain and the immune system. [ABSTRACT FROM AUTHOR]

The aim of the present study was to investigate the psychometric validity of the Modular Assessment of Risk for Imminent Suicide (MARIS) questionnaire in relation to recent suicidal ideation and behavior among a sample of patients admitted to an acute psychiatric inpatient department in Norway. The MARIS was completed within the first 24 h after admission by 338 patients and their clinicians. Information on recent suicidal ideation and behavior was extracted from patients' medical charts. Two out of four MARIS modules, the Suicide Trigger Scale Short-Form (STS-SF; modified version), and the Therapist Response Questionnaire Short-Form (TRQ-SF) demonstrated good internal consistency. The relationships between the STS-SF, addressing symptoms of the suicide crisis syndrome, and the TRQ-SF, exploring therapist emotional responses, and recent suicidal ideation was investigated by logistic regression analysis. In the logistic regression analysis including pre-selected diagnoses, age, and gender as covariates, both STS-SF and TRQ-SF showed significant associations with recent suicidal ideation (inclusive of suicidal behavior in 27% of the patients with suicidal ideation). Both the STS-SF and the TRQ-SF showed concurrent and incremental validity with regard to suicidal ideation. This is the first study showing the cross-cultural validity of the MARIS and supports its clinical utility as a suicide risk assessment tool in inpatient settings. Additionally, this study adds to the literature supporting the value of assessing clinicians' emotional responses to high risk patients. [ABSTRACT FROM AUTHOR]

Cardiometabolic disease in patients with severe mental illness is a major cause of shortened life expectancy. There is sparse evidence of real-world clinical risk prevention practice. We investigated levels of assessments of cardiometabolic risk factors and risk management interventions in patients with severe mental illness in the Norwegian mental health service according to an acknowledged international standard. We collected data from 264 patients residing in six country-wide health trusts for: (a) assessments of cardiometabolic risk and (b) assessments of levels of risk reducing interventions. Logistic regressions were employed to investigate associations between risk and interventions. Complete assessments of all cardiometabolic risk variables were performed in 50% of the participants and 88% thereof had risk levels requiring intervention according to the standard. Smoking cessation advice was provided to 45% of daily smokers and 4% were referred to an intervention program. Obesity was identified in 62% and was associated with lifestyle interventions. Reassessment of psychotropic medication was done in 28% of the obese patients. Women with obesity were less likely to receive dietary advice, and use of clozapine or olanzapine reduced the chances for patients with obesity of getting weight reducing interventions. Nearly nine out of the ten participants were identified as being at cardiometabolic high risk and only half of the participants were adequately screened. Women with obesity and patients using antipsychotics with higher levels of cardiometabolic side effects had fewer adequate interventions. The findings underscore the need for standardized recommendations for identification and provision of cardiometabolic risk reducing interventions in all patients with severe mental illness. [ABSTRACT FROM AUTHOR]

The presence of COVID-19 data in business databases is reflected by some providers making changes in how they collect, organize, share, and maintain data. These changes have implications for those who rely on business information for their decision-making or research. In this study, the authors sought to provide an overarching summary of ways business data providers are presenting COVID-19 data. Findings include the features used in business databases to address the impact of COVID-19 and considerations for librarians who work with business data. [ABSTRACT FROM AUTHOR]

The study explored how common non-disclosure of suicidal ideation is in a sample of adult psychiatric inpatients (N = 171) plus associated patient characteristics. A large percentage (51.5%) withheld some information on suicidal ideation during admission. In multivariable analyses, correlates of non-disclosure included a diagnosis of emotionally unstable personality disorder, low satisfaction with stay, and symptoms of the suicide crisis syndrome. In univariate analyses, therapists' emotional response to the patient was also a correlate. Findings indicate that among acute psychiatric inpatients, non-disclosure of suicidal ideation is quite common, requiring awareness from clinicians relying on this parameter in suicide risk assessments. [ABSTRACT FROM AUTHOR]

Origin-state institutions dedicated to emigrants and their descendants have been largely unnoticed by mainstream political studies even though diaspora institutions are now found in over half the countries of the world. In response, we first develop alternative theories explaining diaspora institution emergence. They emerge to: 'tap' diasporas for resources vital to origin-state development and security; 'embrace' diasporas to help define origin-state political identity and achieve domestic political goals; or 'govern' diasporas in ways that demonstrate origin-state adherence to global norms. Second, we investigate empirical support for these tapping, embracing and governing explanations in regression and related analyses of diaspora institution emergence in 113 origin states observed from 1992 to 2012. Findings suggest support for all three perspectives with more robust evidentiary support for governing. Our analyses suggest several directions for future research on how and why diaspora institutions emerge for different origin-state purposes. [ABSTRACT FROM AUTHOR]

Industry standards have a significant impact on business. Despite the importance of standards, they are not universally integrated into the college and university curricula. Given the widespread use of standards in business, a study was undertaken by four academic librarians to explore the use and potential integration of standards in undergraduate business management curricula. This was accomplished through curriculum mapping of two top-ranked undergraduate business management programs. This study found that few undergraduate business management courses specifically taught or used standards based on the syllabi, but considerable potential exists for the integration of standards into undergraduate business management courses. [ABSTRACT FROM AUTHOR]

This study analyzed 260 syllabi representing a year of the undergraduate curriculum from a business school. The syllabi were examined based on the mentions of the library from across three categories: spaces, resources, and services, as well as possible opportunities for engagement that librarians could target for collaboration. In this study, the library was mentioned 79 times, mostly in relation to library resources. There were also 479 opportunities for engagement coded. This study found that the majority of undergraduate syllabi do not mention the library, but that there are considerable opportunities that librarians can target for future engagement. [ABSTRACT FROM AUTHOR]

A citation analysis study was conducted on faculty publications from Business School at Institution. Citations were analyzed by format of materials, library availability, journal concentration by department and the citation age of the journal articles. This study was undertaken in an effort to guide local collection development knowledge, compare how departments in the business school used different resources, and illustrate trends in business faculty citations as compared to similar studies. The study was also conducted in order to enable business librarians to be able to understand, anticipate, and respond to faculty research needs in the business school. [ABSTRACT FROM AUTHOR]

Collection development analysis in academic libraries typically involves collection-centered and user-centered methods. These approaches focus on building collections that help students with their academic needs but may overlook resources that students need experience with when employed. To address this gap, the authors analyzed early-career advertising agency positions to identify a list of information resources that advertising agencies expect employees to use. This list was then compared against the library websites of 158 universities with advertising programs to see how sufficiently libraries are fulfilling these resource needs. The authors found that overall, university libraries only subscribe to a small number of resources used by advertising agencies. [ABSTRACT FROM AUTHOR]

Objectives. Suicide is a serious public health concern, and it is partly genetic. The brain-derived neurotrophic factor ( BDNF) gene has been a strong candidate in genetic studies of suicide (Dwivedi et al., Arch Gen Psychiatry 2010;60:804-815; Zai et al., Prog Neuropsychopharmacol Biol Psychiatry 2012;34:1412-1418) and BDNF regulates the expression of the dopamine D3 receptor. Objective. We examined the role of the BDNF and DRD3 genes in suicide. Methods. We analysed four tag single-nucleotide polymorphisms (SNPs) in BDNF and 15 SNPs in the D3 receptor gene DRD3 for possible association with suicide attempt history in our Canadian sample of Schizophrenia (SCZ) patients of European ancestry ( N = 188). Results. In this sample, we found a possible interaction between the BDNF Val66Met and DRD3 Ser9Gly SNPs in increasing the risk of suicide attempt(s) in our SCZ sample. Specifically, a larger proportion of SCZ patients who were carrying at least one copy of the minor allele at each of the Val66Met and Ser9Gly functional markers have attempted suicides compared to patients with other genotypes (Bonferroni P < 0.05). However, we could not replicate this finding in samples from other psychiatric populations. Conclusions. Taken together, the results from the present study suggest that an interaction between BDNF and DRD3 may not play a major role in the risk for suicide attempt, though further studies, especially in SCZ, are required. [ABSTRACT FROM AUTHOR]

Substance use is prevalent in patients with psychiatric disorders and may cause severe symptoms in addition to complicating the diagnosis of psychiatric disorders. The aims of the study were to find the prevalence in use of alcohol, drugs, benzodiazepines, hypnotics, opiates and stimulants, and to find the prevalence of substance use disorders at admission to an acute psychiatric department receiving all admissions from a catchment area. Patients were interviewed about use of medications and intoxicating substances during the last week before admission in 227 consecutive admissions. Urine samples were analysed with the liquid chromatography with mass spectrometry (LC-MS) method. Use of substances was determined from reported use and findings in urine samples. Diagnoses were set at discharge according to ICD-10 research criteria. In 81.9% of the admissions, the patient had used alcohol, drugs, benzodiazepines, hypnotics, opiates or stimulants prior to admission. More men used alcohol, cannabis and stimulants, whereas more women used benzodiazepines. In 31.7% of the admissions, 49.5% of men and 16.4% of women, the patients had a substance use disorder (ICD-10, F10-19). Patients with substance use disorders had a shorter stay in hospital than other patients, and patients with no psychiatric disorder other than substance use disorders had a median length of stay of 2 days. Most patients had used psychoactive substances before admission to the acute psychiatric department, and half of the men had a substance use disorder. [ABSTRACT FROM AUTHOR]

Research on help-seeking patterns and resources for relationship violence survivors has been documented in social science literature, though whether or not victims seek help from the clergy for interpersonal violence is understudied in the academic literature. Findings from the present study show that clergy are sought out for help with problems related to relationship violence. When the clergy are sought out for assistance in response to violence, they are utilized under varying types of relationship violence. Findings show that Hispanic women are prone to seek the clergy regarding spousal abuse. Additionally, education increases the likelihood that women will seek the help of the clergy, while low-income women are also likely to do so. Women will seek help from the clergy when their depression symptoms are high. Implications and directions for future research will be addressed. [ABSTRACT FROM AUTHOR]

Psychiatric acute units use different levels of segregation to satisfy needs for containment and decrease in sensory input for behaviourally disturbed patients. Controlled studies evaluating the effects of the procedure are lacking. The aim of the present study was to compare effects in acutely admitted patients with the use of a psychiatric intensive care unit (PICU) and not in a psychiatric acute department. In a naturalistic study, one group of consecutively referred patients had access only to the PICU, the other group to the whole acute unit. Data were obtained for 56 and 62 patients using several scales. There were significant differences in reduction of behaviour associated with imminent, threatening incidents (Broset Violence Checklist), and actual number of such incidents (Staff Observation Aggression Scale-Revised) in favour of the group that was treated in a PICU. The principles of patient segregation in PICUs have favourable effects on behaviours associated with and the actual numbers of violent and threatening incidents. [ABSTRACT FROM AUTHOR]

The objective of the study was to compare development in symptoms, behaviours, treatment and patient satisfaction of a traditional interior and an interior furnished like an ordinary home in a seclusion area. A naturalistic sample of 56 consecutive patients admitted to an acute ward was allocated to two different seclusion areas, one with a traditional interior and one decorated as an ordinary home. Symptoms of psychopathology, therapeutic steps taken, violent episodes, length of patient stay and patient satisfaction were recorded. There were no differences in changes in scores on The Positive and Negative Syndrome Scale for schizophrenia, The Brøset Violence Checklist or the Global Assessment of Function split version scale between the two patient groups. Therapeutic steps taken, number of violent episodes and length of patient stay was also similar. Female patients preferred an ordinary home interior. It was concluded that interior and furnishing like an ordinary home in the seclusion areas created an environment with comparable treatment outcomes to the traditional dismal interior, and had positive effects on many patients' well-being, at least among the women. The traditional beliefs that a sparsely decorated interior is a method to reduce symptoms of psychopathology and dangerous behaviours were not supported by our data. [ABSTRACT FROM AUTHOR]

Objective - To examine whether lp(a) can explain a) the increased cardiovascular morbidity in patients with non-insulin-dependent diabetes mellitus (NIDDM) and b) the wide variation in the tendency for such complications to develop in the patients. Design - Cross-sectional study. Setting - General practice in a local community in Norway. Subjects - One hundred and thrirty NIDDM patients and a reference group drawn from a twin study. Main outcome measures - Lp(a), self-reported cardiovascular disease, urinary albumin excretion. Results - The level of lp(a) was equally distributed in our NIDDM population and a reference group. We found no association between lp(a) and self-reported cardiovascular disease and urinary albumin excretion (UAE). Conclusion - Lp(a) cannot explain the increased risk for cardiovascular disease in NIDDM patients, nor can it explain the variation in the tendency for such complications to develop. [ABSTRACT FROM AUTHOR]

Background and aims: To describe use of and adherence to psychotropic medication 1 week prior to acute admission to a psychiatric inpatient department. Methods: All acute inpatient admissions to a department serving a catchment area were included. Results and conclusions: Of the 227 admissions, 158 were prescribed psychotropic medication and 129 of the 158 had taken at least 75% of the prescribed dose. Among 59 patients with affective disorders, 23 were not prescribed medication prior to admission and two refused medication, while the rest were adherent. Conclusion: The high adherence to medication 1 week prior to admission might be related to increased experience of serious symptoms. Lack of opportunity to receive pharmacological treatment is a major problem. [ABSTRACT FROM AUTHOR]