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A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis

Due to the continuing high suicide rates among young men, there is a need to understand help-seeking behaviour and engagement with tailored suicide prevention interventions. The aim of this study was to compare help-seeking among younger and older men who attended a therapeutic centre for men in a s...

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Autores principales: Saini, Pooja, Chopra, Jennifer, Hanlon, Claire A., Boland, Jane E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307966/
https://www.ncbi.nlm.nih.gov/pubmed/34299773
http://dx.doi.org/10.3390/ijerph18147319
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author Saini, Pooja
Chopra, Jennifer
Hanlon, Claire A.
Boland, Jane E.
author_facet Saini, Pooja
Chopra, Jennifer
Hanlon, Claire A.
Boland, Jane E.
author_sort Saini, Pooja
collection PubMed
description Due to the continuing high suicide rates among young men, there is a need to understand help-seeking behaviour and engagement with tailored suicide prevention interventions. The aim of this study was to compare help-seeking among younger and older men who attended a therapeutic centre for men in a suicidal crisis. In this case series study, data were collected from 546 men who were referred into a community-based therapeutic service in North West England. Of the 546 men, 337 (52%) received therapy; 161 (48%) were aged between 18 and 30 years (mean age 24 years, SD = 3.4). Analyses included baseline differences, symptom trajectories for the CORE-34 Clinical Outcome Measure (CORE-OM), and engagement with the therapy. For the CORE-OM, there was a clinically significant reduction in mean scores between assessment and discharge (p < 0.001) for both younger and older men. At initial assessment, younger men were less affected by entrapment (46% vs. 62%; p = 0.02), defeat (33% vs. 52%; p = 0.01), not engaging in new goals (38% vs. 47%; p = 0.02), and positive attitudes towards suicide (14% vs. 18%; p = 0.001) than older men. At discharge assessment, older men were significantly more likely to have an absence of positive future thinking (15% vs. 8%; p = 0.03), have less social support (45% vs. 33%; p = 0.02), and feelings of entrapment (17% vs. 14%; p = 0.02) than younger men. Future research needs to assess the long-term effects of help-seeking using a brief psychological intervention for young men in order to understand whether the effects of the therapy are sustainable over a period of time following discharge from the service.
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spelling pubmed-83079662021-07-25 A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis Saini, Pooja Chopra, Jennifer Hanlon, Claire A. Boland, Jane E. Int J Environ Res Public Health Article Due to the continuing high suicide rates among young men, there is a need to understand help-seeking behaviour and engagement with tailored suicide prevention interventions. The aim of this study was to compare help-seeking among younger and older men who attended a therapeutic centre for men in a suicidal crisis. In this case series study, data were collected from 546 men who were referred into a community-based therapeutic service in North West England. Of the 546 men, 337 (52%) received therapy; 161 (48%) were aged between 18 and 30 years (mean age 24 years, SD = 3.4). Analyses included baseline differences, symptom trajectories for the CORE-34 Clinical Outcome Measure (CORE-OM), and engagement with the therapy. For the CORE-OM, there was a clinically significant reduction in mean scores between assessment and discharge (p < 0.001) for both younger and older men. At initial assessment, younger men were less affected by entrapment (46% vs. 62%; p = 0.02), defeat (33% vs. 52%; p = 0.01), not engaging in new goals (38% vs. 47%; p = 0.02), and positive attitudes towards suicide (14% vs. 18%; p = 0.001) than older men. At discharge assessment, older men were significantly more likely to have an absence of positive future thinking (15% vs. 8%; p = 0.03), have less social support (45% vs. 33%; p = 0.02), and feelings of entrapment (17% vs. 14%; p = 0.02) than younger men. Future research needs to assess the long-term effects of help-seeking using a brief psychological intervention for young men in order to understand whether the effects of the therapy are sustainable over a period of time following discharge from the service. MDPI 2021-07-08 /pmc/articles/PMC8307966/ /pubmed/34299773 http://dx.doi.org/10.3390/ijerph18147319 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Saini, Pooja
Chopra, Jennifer
Hanlon, Claire A.
Boland, Jane E.
A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis
title A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis
title_full A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis
title_fullStr A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis
title_full_unstemmed A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis
title_short A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis
title_sort case series study of help-seeking among younger and older men in suicidal crisis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307966/
https://www.ncbi.nlm.nih.gov/pubmed/34299773
http://dx.doi.org/10.3390/ijerph18147319
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