In this
DRISP: Anne Ranning, Annette Erlangsen, Trine Madsen, Merete Nordentoft
Partners:
- Center for Register-based Research
In this
DRISP: Anne Ranning, Annette Erlangsen, Trine Madsen, Merete Nordentoft
Partners:
Approximately, 11,000 self-harm episodes occur on a yearly basis in Denmark. Of these, the majority are among youth below the age of 25 years. The Suicide Prevention Clinics experience that parents often request information on how they can best help their child after a self-harm episode. The aim of this project is to 1) in collaboration with parents to develop a webpage for this group, 2) to test whether the webpage can help reduce the stress burden that parents experience in a randomised trial, 3) to examine whether parents of children who self-harm have a higher rate of stress-related response when compared to parents not exposed. The project has received 3.7 DKR from the Danish TRYG Foundation
DRISP: Jette Louise Skovgaard Larsen, Anette Juel Kynde, Britt Morthorst, Annette Erlangsen
Partners
Some people intentionally harm themselves to relieve mental pain. It may be difficult to stop this behavior once it has been initiated. There are, unfortunately, few treatment options for people with self-harm. One recommended approach is to develop strategies in the form of a safety plan, which can be activated if the urge for self-harm arises.
The Zero Self-Harm app was developed as an extension of the MYPLAN app. People with lived experiences, in the form of current and past self-harm, were included in the development process through focus group interviews. The app helps the user to identify warning signs and to develop strategies to cope with future crises.
Zero Self-Harm is currently being tested in a research project, which consists of: 1) a randomized study to investigate whether the Zero Self-Harm app may reduce self-harming behavior, and 2) a qualitative evaluation of barriers and facilitators for using the app. The RCT is expected to be initiated in the autumn of 2020 and to be completed in 2023.
The project is supported by the TRYG Foundation.
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Drisp: Lene Qvist Larsen, Annette Erlangsen, Jette Louise Skovgaard Larsen; Kate Andreasson Aamund, Merete Nordentoft
To examine the trend and excess risk of suicide in suicidal high-risk phases, namely among psychiatric inpatients and recently discharged patients. We will examine the risk in these high-risk phases according to sex, age-groups and psychiatric diagnoses.
DRISP: Trine Madsen, Merete Nordentoft & Annette Erlangsen
Different patient groups are seen across psychiatric sectors and it is relevant to know which groups are at imminent risk of suicide. In this project, the risk of suicide is examined according to the highest level of psychiatric service received. The level will be graded according to severity as well as by type of contact, such as psychiatric admission, psychiatric ER visit, psychiatric outpatient, psychiatric medicine.
DRISP: Trine Madsen, Merete Nordentoft, Annette Erlangsen
Neurological disorders have severe impacts on people’s lives in terms of both disability and dependency and have been linked to suicide. Yet, a comprehensive overview was lacking. This study examined whether people with specific neurological disorders die by suicide more often than other people. The study was based on the register data covering the entire population of Denmark during 1980-2016.
The findings from study, which was published in JAMA, shows that people with neurological disorders have a 75% higher suicide rate than people with no neurological disorders. Still, suicide deaths are rare events. While the suicide rate for the general population was around 20 per 100,000, the rate for people with neurological disorders is around 40 per 100,000 person-years. One out of 150 persons diagnosed with a neurological disorder dies by suicide. For severe neurological diseases, such as Huntington’s, one out of 61 diagnosed went on to die by suicide. This study is the most comprehensive assessment of neurological disorders’ link to suicide conducted to date.
The study shows that people who have been diagnosed with amyotrophic lateral sclerosis (ALS) or Huntington’s disease have a particular high risks, as the suicide rate associated with these disorders is 4-5 times higher than in the general population. People who have been exposed to traumatic brain injury, multiple sclerosis, or epilepsy have a suicide rate, which is double the level of the one found among those with no such disorders.
People with dementia were found to have a 2-3 time higher suicide rate during the first three months after being diagnosed. On the other hand, people who had been diagnosed with dementia more than a year ago were found to have a lower suicide rate than the general population.
– This is the first time we have examined this many different neurological disorders to gain a more detailed understanding of when risk of suicide is pronounced. These insights can help us shape dedicated preventive effort says Dr. Annette Erlangsen, lead author and senior researcher at Danish Research Institute for Suicide Prevention (DRISP). The project has received support from the Psychiatric Research Foundation, Region of Southern Denmark.
Link to study:
https://jamanetwork.com/journals/jama/article-abstract/2760389
DRISP: Annette Erlangsen, Merete Nordentoft
Partners:
People who have had a suicide attempt have a significantly higher risk of repeated suicidal behaviour. MYPLAN was created with the intention of being a self-help tool for management of suicidal crisis. This project consists of 1) a qualitative study of stakeholders on improvements to MYPLAN; 2) a randomized clinical trial to evaluate MYPLAN’s efficacy in reducing suicide intent among persons at risk of suicide, and 3) a person-centered evaluation of the MYPLAN to identify barriers and facilitators to its general implementation. The RCT was initiated in 2019 and is currently ongoing. Following studies have been published :
The project received support from the Danish TRYG Foundation.
Publications
https://trialsjournal.biomedcentral.com
https://www.tandfonline.com
DRISP: Charlotte Mühlmann Kate Andreassen Aamund, Jette Louise S. Larsen, Annette Erlangsen
Partners:
People with schizophrenia have an increased risk of premature mortality compared to the general population. This study aimed to quantify which types of causes of death contributed to
The study has been published in Schizophrenia Research
https://www.sciencedirect.com/science/article/pii/S0920996418306339#f0005
DRISP: Annette Erlangsen & Merete Nordentoft
Partners:
Although deliberate self-harm is a strong predictor of suicide, evidence for effective interventions is missing. The aim of this study was to examine whether psychosocial therapy after self-harm was linked to lower risks of repeated self-harm, suicide, and general mortality.
Our findings show a lower risk of repeated deliberate self-harm and general mortality in recipients
The project was supported by Danish Health Insurance Foundation; the Research Council of Psychiatry, Region of Southern Denmark; the Research Council of Psychiatry, Capital Region of Denmark; and the Strategic Research Grant from Health Sciences, Capital Region of Denmark.
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The study was published in Psychological Medicine and Lancet Psychiatry.
DRISP: Annette Erlangsen & Merete Nordentoft
Partners:
Family studies
The study was published in Molecular Psychiatry.
The project was funded by the iPSYCH-grant from the Danish Lundbeck Foundation
DRISP: Annette Erlangsen & Merete Nordentoft
Partners:
Findings suggest that infections might be linked to the development of psychiatric disorders and suicidal
The study was published in JAMA Psychiatry.
The project has received support from the Lundbeck Foundation.
DRISP: Annette Erlangsen, Trine Madsen, og Merete Nordentoft
Partners:
Non-suicidal self-injury (NSSI) is very prevalent among adolescents estimated to a lifetime prevalence in non-clinical samples of 17%; increasing in psychiatric populations. NSSI an important predictor of later suicidal behavior. Evidence for treatment is spares but internet-based interventions guided by a therapist have been suggested. We aim to investigate the effect of internet-based
DRISP: Britt Morthorst
Partners:
The aim is to implement three questionnaires regarding protective and risk factors in
DRISP: Britt Morthorst
Partners:
Persons diagnosed with ADHD have been found to have an increased risk of suicidal behaviour but the pathway remains to be thoroughly explored. The aim of this study was to determine whether persons with ADHD were more likely to present with suicidal behaviour, ie. suicide attempts, and deaths by suicide if they had a comorbid psychiatric disorder.
The findings of the study revealed that having a comorbid disorder was associated with a significantly higher rate of suicidal behavior; comorbid schizophrenia or substance abuse disorder were associated with the largest increase.
The project was carried out in cooperation with Prof Søren Dalgaard from Aarhus University and has received support from the Danish Lundbeck Foundation.
Published in British Journal of Psychiatry.
DRISP: Cecilie Aaling, Annette Erlangsen, Merete Nordentoft
Partners:
The period immediately after a psychiatric discharge is associated with very high suicide risk. With the SAFE project, carried out at the Psychiatric Center Copenhagen in the period March 2018 to May 2020, the purpose is to examine whether the risk of suicidal behavior can be reduced by introducing a more systematic discharge process. The SAFE project implements three procedures 1) before the patient is discharged, there is face-to-face contact with the outpatient unit that will follow up on the patient after discharge 2) involvement of relatives before discharge or during the week after discharge 3) the outpatient team makes a home visit in the first week after discharge where a suicide risk assessment is carried out and a crisis plan is updated.
DRISP: Trine Madsen, Eybjørg A Heygum Egilsdóttir, Annette Erlangsen, Merete Nordentoft