La santé mentale est une composante à part entière de la santé. La promotion du bien-être, l'offre de soins et l'inclusion sociale des personnes atteintes de troubles psychiques constituent des enjeux majeurs pour notre société. Les problèmes de santé mentale représentaient déjà un enjeu majeur de santé publique avant la crise sanitaire de la Covid-19. Cette dernière a largement contribué à leur intensification, avec des effets qui risquent de s'inscrire dans la durée notamment si les politiques de prévention et de prise en charge ne sont pas renforcées. La crise sanitaire a toutefois permis une prise de conscience collective. Celle que nous avons tous une santé mentale, qu'elle est en grande partie déterminée par des facteurs environnementaux et que la préserver ne relève pas seulement de notre responsabilité individuelle, mais d'une responsabilité sociale et politique.
Adolescent self‐harm is a major public health concern. To date there is a limited evidence‐base for prevention or intervention, particularly within the school setting. To develop effective approaches, it is important to first understand the school context, including existing provision, barriers to implementation, and the acceptability of different approaches.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
In this cohort comparison study, patients who visited the emergency department for suicide-related concerns and received the Safety Planning Intervention with structured follow-up telephone contact were half as likely to exhibit suicidal behavior and more than twice as likely to attend mental health treatment during the 6-month follow-up period compared with their counterparts who received usual care following their ED visit.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
A euthanasia advocate, who was convicted in June after assisting in the death of Alzheimer's sufferer Graeme Wylie, has taken her life. Caren Jenning, 75, who was convicted of being an accessory to manslaughter after helping Mr Wylie take a lethal dose of veterinary drug Nembutal, had been suffering breast cancer.
Two high court judges rejected Debbie Purdy's request for guidelines from the Director of Public Prosecutions on when assisted suicide cases would be prosecuted, saying it was a matter for parliament and not the courts.
There has been growing concern in recent years about whether current law is adequate to deal with misuse of the internet to promote suicide and suicide methods. The Government share the concerns that have been expressed about such misuse, in particular about suicide websites and the influence they may have over vulnerable people, especially young people.
In 2004, Mrs Carol Savage was one of 165 who took their own life while receiving treatment as a psychiatric in-patient.1 With the trial yet to take place, few facts are presently known. The day after voluntarily attending Runwell Hospital, she was detained for treatment under section 3 of the Mental Health Act 1983 (‘the 1983 Act’) with a diagnosis of paranoid schizophrenia. Having made a number of attempts to leave the open acute psychiatric ward, checks on her whereabouts were prescribed for every 30 minutes. Believed to be at low risk of suicide, Mrs Savage was allegedly left unsupervised on hospital grounds from which she was able to flee, walking 2 miles to Wickford railway station before fatally jumping in front of a train. A coroner's jury concluded that the preventive precautions in place were ‘inadequate’. And her daughter, Ms Anna Savage, claimed that the hospital had breached her mother's right to life by allowing her to escape.
Doctors were forced to allow a young woman to die as she had made a "living will" requesting no medical help if she attempted suicide. They would have risked breaking the law by treating Kerrie Wooltorton, 26, of Norwich, an inquest heard. Miss Wooltorton wrote her living will in September 2007, asking for no intervention if she tried to take her own life.
Following advance directives in emergencies throws up some complicated problems, as Stephen Bonner and colleagues found. We asked an emergency doctor, a medical defence adviser, and an ethicist what they would do in the circumstances
Two daughters who sat with their mother for four days as she lay dying will not be charged with assisted suicide. Jane Aiken Hodge, 91, who had high blood pressure and mild leukaemia, held a “Do not resuscitate” card. She wrote a letter to her GP saying she did not want to be revived when she took an overdose of sleeping pills in June last year. Michael Jennings, a reviewing lawyer for the Crown Prosecution Service, said that he was satisfied the death was an independent suicide.
A Minnesota judge on Wednesday sentenced a former nurse to nearly a year's worth of jail time — spread out over the next decade — for helping to persuade two people, including a Brampton, Ont., woman, to kill themselves. William Melchert-Dinkel, 48, was ordered to serve 360 days total behind bars, but only 320 of those days will be served consecutively. For the remainder of the sentence, he will be forced to return to prison for two-day spells every year for a decade on the anniversaries of both of his victims' deaths.
Australians in their 20s and 30s are killing themselves with the drug that euthanasia advocate, Dr Philip Nitschke, has promoted as the ''peaceful pill''. The Victorian Institute of Forensic Medicine has found that 51 people in Australia have died from an overdose of Nembutal in the past 10 years. While the lethal barbiturate is only available for veterinarians to euthanise animals in Australia, Dr Nitschke has been helping people obtain it from Mexican vets and other overseas sources since the late 1990s.
At least one in 10 suicides in England is by someone with a chronic or terminal illness, found researchers who tried to obtain information on the subject from local health authorities. Coroners told them that people were increasingly killing themselves at a younger age, rather than waiting until they were in severe pain in their 80s or 90s. And two of 15 coroners interviewed also indicated they deliberately avoided probing into possible cases of assisted suicide - which remains illegal in Britain - "often for fear of causing problems for the friends and family left behind".
Most senior doctors in England and Wales feel that rational suicide is possible. There was no association with specialty. Strong religious belief was associated with disagreement, although levels of agreement were still high in people reporting the strongest religious belief. Most doctors who were opposed to physician assisted suicide believed that rational suicide was possible, suggesting that some medical opposition is best explained by other factors such as concerns of assessment and protection of vulnerable patients.
End-of-life decision making is fraught with ethical challenges. Withholding or withdrawing life support therapy is widely considered ethical in patients with high treatment burden, poor premorbid status, or significant projected disability even when such treatment is not “futile.” Whether such withdrawal of therapy in the aftermath of attempted suicide is ethical is not well established in the literature. We provide a clinical vignette and propose criteria under which such withdrawal would be ethical. We suggest that it is appropriate to withdraw life support, regardless of the cause of the critical illness or disability, when the following criteria are met: (1) Surrogates request withdrawal of care and the adequacy of surrogates is confirmed, (2) an external reasonability standard is met, (3) passage of time, perhaps 72 hours, to allow certainty regarding the patient's wishes, and (4) psychiatric morbidity should be considered as grounds for withdrawal only in truly treatment-refract
B. Wheeler, D. Gunnell, C. Metcalfe, P. Stephens, and R. Martin. BMJ (Clinical research ed.), 336 (7643):
542-5(March 2008)4942<m:linebreak></m:linebreak>LR: 20081120; JID: 8900488; 0 (Serotonin Uptake Inhibitors); CIN: BMJ. 2008 Mar 8;336(7643):515-6. PMID: 18276665; OID: NLM: PMC2265377; 2008/02/14 aheadofprint; ppublish;.
N. Wallerstein, and N. Wiggins. La Santé en action, (décembre 2018)Tiré du dossier EMPOWERMENT DES JEUNESURL : http://inpes.santepubliquefrance.fr/SLH/sommaires/446.asp?.