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  1. Article ; Online: Correction to: Implicit Cognition Tests for the Assessment of Suicide Risk: a Systematic Review.

    Moreno, Manon / Gutiérrez-Rojas, Luis / Porras-Segovia, Alejandro

    Current psychiatry reports

    2022  Volume 24, Issue 3, Page(s) 227

    Language English
    Publishing date 2022-03-04
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-022-01332-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Implicit Cognition Tests for the Assessment of Suicide Risk: a Systematic Review.

    Moreno, Manon / Gutiérrez-Rojas, Luis / Porras-Segovia, Alejandro

    Current psychiatry reports

    2022  Volume 24, Issue 2, Page(s) 141–159

    Abstract: Purpose of review: Suicide risk assessment is a challenge in clinical practice. Implicit measures may present with advantages with respect to explicit methods, and therefore may be useful for the assessment of suicide risk. We conducted a systematic ... ...

    Abstract Purpose of review: Suicide risk assessment is a challenge in clinical practice. Implicit measures may present with advantages with respect to explicit methods, and therefore may be useful for the assessment of suicide risk. We conducted a systematic review of 2 databases (PubMed and EMBASE) about implicit tests that measure suicide risk to explore their validity and reliability.
    Recent findings: Initial research revealed 321 articles. After the selection process, 31 articles were included in the review. The most death-related implicit cognition test used was the Death/Suicide Implicit association test (D/S IAT), followed by the Suicide Stroop Task. The Suicide Affect Misattribution Procedure (S-AMP) and the Death version of the Implicit Relational Assessment Procedure (D-IRAP) were also used. We found that the measures reviewed were generally valid for the assessment of past and future suicidal thoughts and behaviors, with statistically significant results regarding retrospective and prospective associations.
    MeSH term(s) Cognition ; Humans ; Reproducibility of Results ; Retrospective Studies ; Risk Assessment/methods ; Suicidal Ideation ; Suicide ; Suicide, Attempted
    Language English
    Publishing date 2022-02-12
    Publishing country United States
    Document type Journal Article ; Review ; Systematic Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-022-01316-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: COVID-19 impact vs. suicide impact in Spain.

    Merayo-Cano, Jimena María / Porras-Segovia, Alejandro Albán / Baca-García, Enrique

    Spanish journal of psychiatry and mental health

    2022  Volume 16, Issue 2, Page(s) 129–130

    MeSH term(s) Humans ; COVID-19/epidemiology ; Spain/epidemiology ; Suicide
    Language English
    Publishing date 2022-06-03
    Publishing country Spain
    Document type Case Reports
    ISSN 2950-2853
    ISSN (online) 2950-2853
    DOI 10.1016/j.rpsm.2022.05.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Barriers for the Research, Prevention, and Treatment of Suicidal Behavior.

    Oquendo, Maria A / Porras-Segovia, Alejandro

    Current topics in behavioral neurosciences

    2020  Volume 46, Page(s) 25–40

    Abstract: Efforts in research, prevention, and treatment of suicidal behavior have produced mixed results. One of the main barriers to combating suicidal behavior lies in the very conceptualization of suicide, a phenomenon that is at once sociological, psychiatric, ...

    Abstract Efforts in research, prevention, and treatment of suicidal behavior have produced mixed results. One of the main barriers to combating suicidal behavior lies in the very conceptualization of suicide, a phenomenon that is at once sociological, psychiatric, and even philosophical, and one that has not always been included in the field of health care. There are also many barriers at the social level, ranging from stigma against people with suicidal behavior to stigma towards psychiatric care, as well as the controversial role of the media. The media plays an important role in society and depending on its attitude it can be either beneficial or harmful in our fight against suicidal behavior. Differences between countries - in the provision of resources, in the way of understanding the phenomenon or in the manner of providing official figures - pose an additional challenge to suicide prevention on a global level. In the field of research, predicting suicidal behavior by identifying effective risk markers is severely hampered by the low occurrence of suicide in the population, which limits the statistical power of studies. The authors recommend combining various risk factors to build predictive models. This, in addition to employing increasingly precise machine learning techniques, is a step in the right direction, although there is still a long way to go before the expected results can be obtained. Finally, adequate training of health professionals, both specialized and non-specialized, as well as gatekeeper training, is crucial for implementing suicide prevention strategies in the population.
    MeSH term(s) Humans ; Risk Factors ; Suicidal Ideation ; Suicide/prevention & control
    Language English
    Publishing date 2020-10-06
    Publishing country Germany
    Document type Journal Article
    ISSN 1866-3370
    ISSN 1866-3370
    DOI 10.1007/7854_2020_159
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: eHealth tools for assessing psychomotor activity in schizophrenia: a systematic review.

    Molina, Rosa / Porras-Segovia, Alejandro / Ruiz, Marta / Baca-García, Enrique

    Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)

    2021  Volume 43, Issue 1, Page(s) 102–107

    Abstract: Objective: Psychomotor abnormalities are relevant symptoms in the clinical presentation of schizophrenia, and assessing them could facilitate monitoring. New technologies can measure psychomotor activity objectively and continuously, but evidence on the ...

    Abstract Objective: Psychomotor abnormalities are relevant symptoms in the clinical presentation of schizophrenia, and assessing them could facilitate monitoring. New technologies can measure psychomotor activity objectively and continuously, but evidence on the topic is scarce. Our aim is to systematically review the existing evidence about eHealth tools for assessing psychomotor activity in patients diagnosed with schizophrenia.
    Method: We performed a systematic search of the PubMed and Embase databases and identified 15 relevant articles on eHealth tools for assessing psychomotor activity in schizophrenia.
    Results: eHealth devices accurately assessed psychomotor activity and were well accepted. Abnormalities in psychomotor activity helped differentiate between different subtypes of schizophrenia. Abnormal increases in psychomotor activity were correlated with acute presentations, while lower activity was associated with relapses, deterioration, and negative symptoms.
    Conclusion: Actigraphy is still the preferred eHealth device in research settings, but mobile applications have great potential. Further studies are needed to explore the possibilities of psychomotor monitoring and mobile health applications for preventing relapses in schizophrenia. eHealth could be useful for monitoring psychomotor activity, which might help prevent relapses.
    MeSH term(s) Humans ; Mobile Applications ; Schizophrenia/diagnosis ; Telemedicine
    Language English
    Publishing date 2021-02-01
    Publishing country Brazil
    Document type Journal Article ; Systematic Review
    ISSN 1809-452X
    ISSN (online) 1809-452X
    DOI 10.1590/1516-4446-2019-0867
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Use of new technologies for the promotion of physical activity in patients with mental illness: A systematic review.

    Guerrero-Jiménez, Margarita / Ruiz, Marta / Gutiérrez-Rojas, Luis / Jiménez-Muñoz, Laura / Baca-Garcia, Enrique / Porras-Segovia, Alejandro

    World journal of psychiatry

    2023  Volume 13, Issue 4, Page(s) 182–190

    Abstract: Background: Physical exercise is an underutilized tool for the management of mental disorders. New technologies have made a breakthrough in health care, and one of its possible applications (apps) could be that of customizing exercise programs for ... ...

    Abstract Background: Physical exercise is an underutilized tool for the management of mental disorders. New technologies have made a breakthrough in health care, and one of its possible applications (apps) could be that of customizing exercise programs for special populations, such as patients with mental disorders. However, the app of the so-called e-health to mental health care is still limited.
    Aim: To know the efficacy of apps to promote physical activity in patients with mental disorders.
    Methods: We conducted a systematic review of the PubMed and Embase databases with the aim of exploring the use of new technologies for the enhancement of physical exercise in patients with a psychiatric illness. Following the selection process, 10 articles were included in the review.
    Results: The most commonly used devices in this type of intervention are wearable devices and web platforms. Good results in terms of effectiveness and acceptability were obtained in most of the studies.
    Conclusion: Our findings suggest that the use of new technologies in mental health represents a feasible strategy with great potential in clinical practice.
    Language English
    Publishing date 2023-04-19
    Publishing country United States
    Document type Journal Article
    ISSN 2220-3206
    ISSN 2220-3206
    DOI 10.5498/wjp.v13.i4.182
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Early Risk Factors for Self-Injurious Thoughts and Behaviours: A UK Population-Based Study of 219,581 People.

    Porras-Segovia, Alejandro / Pascual-Sanchez, Ana / Greenfield, Geva / Creese, Hanna-Marie / Saxena, Sonia / Hargreaves, Dougal / Nicholls, Dasha

    Behavioral sciences (Basel, Switzerland)

    2023  Volume 14, Issue 1

    Abstract: Mental disorders are a major problem among young people. To identify early risk factors of self-injurious thoughts and behaviours (SITB) among young adults with mental health problems, this case-control study drew data from the Clinical Practice Research ...

    Abstract Mental disorders are a major problem among young people. To identify early risk factors of self-injurious thoughts and behaviours (SITB) among young adults with mental health problems, this case-control study drew data from the Clinical Practice Research Datalink (CPRD), a primary care database covering 8% of the UK population. We explored the role of early factors (presenting at 8-14 years old) for suicidal ideation, suicide attempts, and non-suicidal self-injury (NSSI) in young adulthood (age 18-25 years) by performing logistic regressions. Our sample consisted of 219,581 participants, of which 6.51% had at least one SITB in young adulthood. Early risk factors for SITB included early NSSI, suicidal ideation, sexual abuse, behavioural problems, and mood and psychotic symptoms. Frequency of GP visits had a protective effect. Lack of access to mortality data, ethnicity, and socioeconomic status was a limitation of the current study. In conclusion, early symptoms in late childhood/early adolescence can be the start of long-standing problems going into adult life. The training of primary care providers in suicide risk assessment and proper co-ordination with child and adolescent mental health services are crucial for suicide prevention.
    Language English
    Publishing date 2023-12-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2651997-5
    ISSN 2076-328X
    ISSN 2076-328X
    DOI 10.3390/bs14010016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Characteristics of Single vs. Multiple Suicide Attempters Among Adult Population: A Systematic Review and Meta-Analysis.

    Abascal-Peiró, Sofía / Alacreu-Crespo, Adrián / Peñuelas-Calvo, Inmaculada / López-Castromán, Jorge / Porras-Segovia, Alejandro

    Current psychiatry reports

    2023  Volume 25, Issue 11, Page(s) 769–791

    Abstract: Purpose of review: We aimed to examine the factors that differentiate single and multiple suicide attempters in adult population. We followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines to conduct this ... ...

    Abstract Purpose of review: We aimed to examine the factors that differentiate single and multiple suicide attempters in adult population. We followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines to conduct this review and meta-analysis. The review protocol was registered in PROSPERO. We carried out a systematic literature search in three databases to identify original studies that explored the differences between single and multiple suicide attempters among adult population.
    Recent findings: There might be meaningful differences between those individuals that attempt suicide once in their lifespan and those who make multiple attempts in terms of sociodemographic and clinical characteristics. There are no previous meta-analysis addressing this topic in the adult population. A total of 75 studies were included in the review and 69 were included in the meta-analysis. Multiple attempters were more likely to present certain disorders such as mood and psychotic disorders, as well as personality or substance use disorders. Higher suicide ideation and suicide intent scores also characterized this group. Childhood trauma experiences, stressful life events, and higher rates of hopelessness were statistically significant in multiple attempters. Identifying the factors predicting multiple suicide attempts helps to delineate a high-risk suicidal profile that should be taken into account in the clinical and suicide prevention scenario.
    MeSH term(s) Humans ; Adult ; Suicide, Attempted ; Suicidal Ideation ; Personality Disorders ; Suicide Prevention ; Substance-Related Disorders/epidemiology ; Risk Factors
    Language English
    Publishing date 2023-09-23
    Publishing country United States
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-023-01461-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Factors associated with transitioning from suicidal ideation to suicide attempt in the short-term: Two large cohorts of depressed outpatients.

    Porras-Segovia, Alejandro / Nobile, Bénédicte / Olié, Emilie / Gourguechon-Buot, Elia / Garcia, Enrique Baca / Gorwood, Philip / Abascal-Peiró, Sofía / Courtet, Philippe

    Journal of affective disorders

    2023  Volume 335, Page(s) 155–165

    Abstract: Background: This study explores factors associated with transitioning from recent suicidal ideation (SI) to suicide attempt (SA) in depressed outpatients.: Methods: This is a case-control study nested in two cohorts (LUEUR and GENESE) of depressed ... ...

    Abstract Background: This study explores factors associated with transitioning from recent suicidal ideation (SI) to suicide attempt (SA) in depressed outpatients.
    Methods: This is a case-control study nested in two cohorts (LUEUR and GENESE) of depressed adult outpatients recruited in France and followed up for six weeks. SI, depression, anxiety, insomnia, impulsivity, and hopelessness were assessed with validated scales. Differences between patients with SI who attempted suicide during follow up and those who did not were explored using logistic regressions.
    Results: There was a slight majority of females in both cohorts. Mean age was 47.2 years in LUEUR and 49.4 years in GENESE. Of the 3785 participants in the LUEUR cohort, 72 (2.1 %) attempted suicide within the 6-week period vs. 19 of the 2698 participants (0.7 %) in the GENESE cohort. In LUEUR, factors associated with SA within the 6-week period were lifetime history of SA (OR = 5.35, 95 % CI = 3.30-8.66), high SI at baseline (OR = 3.87, 95 % CI = 2.4-6.24), associated treatments (OR = 3.28, 95 % CI = 2.00-5.38), and less improvement over follow-up in the following symptoms: SI (OR = 3.64, 95 % CI = 1.89-7.02), depression (OR = 3.66, 95 % CI = 1.76-7.62), and anxiety (OR = 3.26, 95 % CI = 1.46-7.27). In GENESE, associated factors were lifetime history of SAs (OR = 9.93, 95 % CI = 3.83-25.80), and less improvement in SI (OR = 9.20, 95 % CI = 3.61-23.44).
    Limitations: Heterogeneity of cohorts prevented from performing a pooled analysis with a greater sample size.
    Conclusions: In depressed outpatients, lack of improvement was strongly associated with a short-term SA, particularly in patients with a history of previous SAs. Fast acting treatment on SI and depression may help prevent SAs.
    MeSH term(s) Adult ; Female ; Humans ; Middle Aged ; Suicide, Attempted/prevention & control ; Suicidal Ideation ; Outpatients ; Case-Control Studies ; Risk Factors
    Language English
    Publishing date 2023-05-12
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2023.05.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Writing to Keep on Living: A Systematic Review and Meta-Analysis on Creative Writing Therapy for the Management of Depression and Suicidal Ideation.

    Porras-Segovia, Alejandro / Escobedo-Aedo, Paula Jhoana / Carrillo de Albornoz, Carmen Maura / Guerrero-Jiménez, Margarita / Lis, Laura / Molina-Madueño, Rosa / Gutiérrez-Rojas, Luis / Alacreu-Crespo, Adrián

    Current psychiatry reports

    2024  

    Abstract: Purpose of review: The purpose of this review and meta-analysis was to explore the effectiveness of creative writing therapies for the management of depression and suicidal ideation.: Recent findings: Twenty one of the 31 reviewed studies showed that ...

    Abstract Purpose of review: The purpose of this review and meta-analysis was to explore the effectiveness of creative writing therapies for the management of depression and suicidal ideation.
    Recent findings: Twenty one of the 31 reviewed studies showed that creative writing significantly improved depressive symptoms, while five studies suggested improvement in other symptoms. The results of meta-analyses showed that narrative writing significantly reduced depression compared to those in neutral writing or treatment as usual condition in both post intervention and follow-up. However, the number of studies exploring the effects of creative writing in suicidal ideation was too low to perform a meta-analysis. A structured and well-targeted intervention using creative writing could have beneficial results for the management of depressive symptoms. More studies are needed to explore the potential benefits of creative writing for reducing suicidal ideation.
    Language English
    Publishing date 2024-05-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-024-01511-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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