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Results for “Dangerous Behavior”

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At least 1,261 records · Page 70Linked to original sources
PubMed1996

Mental health clinicians' attitudes about reporting threats against the president.

OBJECTIVE: A recent review by the United States Secret Service of cases involving threats against the President indicated that about 50 percent of subjects had received mental health care. However, only 12 percent of referrals for investigation came from mental health professionals. This study explored reasons for this discrepancy by examining mental health clinicians' attitudes about reporting threats against the President to the Secret Service. METHODS: A questionnaire developed using findings from a series of focus groups was mailed to a stratified sample of 1,200 psychiatrists, psychologists, and social workers in four states. The instrument included questions about their experience with threats against the President, factors that influence reporting of threats, and knowledge about the Secret Service and its functions. RESULTS: A total of 592 questionnaires were returned, for a response rate of 49.3 percent. Therapists know very little about the Secret Service and are unclear about how to appropriately respond to threats against the President by their clients. The majority of respondents (89.9 percent) indicated they would report a threat against the President only if they thought the threat was "real," contingent on situational and patient variables and elements of the threat itself. Most of the respondents (62.4 percent) indicated that regardless of what information they considered clinically relevant to the investigation. CONCLUSIONS: Given the importance of clinical information for assessing risk to the President, the Secret Service should consider increased educational efforts to inform the mental health community about the functions and mission of the Secret Service and to clarify professional obligations to report threats against the President.

Adult↗
PubMed1996

Supervision of suicidal patients in adult inpatient psychiatric units in general hospitals.

OBJECTIVE: The safety of suicidal patients is expected to be maintained during hospitalization. This study surveyed a sample of adult inpatient psychiatric units in general hospitals across the United States about their use of various levels of supervision for suicidal patients, the advantages and disadvantages of these interventions, and issues of cost and reimbursement for the services. METHODS: A 33-item questionnaire was sent to a nationwide random sample of hospital-based adult inpatient psychiatric units. A total of 105 surveys from all regions of the country were used in the analysis. RESULTS: Although 98 hospitals reported that they used one-to-one continuous observation of suicidal patients, observation of the suicidal patient every 15 minutes was the most frequently used type of supervision, ranked first or second in frequency by 69 hospitals. Patients' safety was the most frequently cited advantage of supervision, and increased staffing the most frequently cited disadvantage. In most cases, the cost of supervision for suicidal patients was absorbed by the hospital, and hospitals were not reimbursed for care based on the severity of patients' illness. CONCLUSIONS: Future research on the effectiveness of various strategies for supervision of suicidal patients should include cost-benefit analyses. Policies for reimbursement for care of suicidal patients should be based on the patient's severity of illness.

Adolescent↗
PubMed1997

Ethnic and racial differences in perceptions of dangerousness of persons with mental illness.

Ethnic and racial differences in the stigma associated with mental illness in the general population were examined through secondary analysis of data from a survey of a nationally representative sample (N = 1,468) on attitudes toward homeless and homeless mentally ill people. American Indian (1 percent of the sample), Asian-Pacific Islander (1.5 percent), black (10 percent), and Hispanic respondents (4 percent) were compared with white respondents (82 percent) to determine if the groups differed in their perception of the dangerousness of mental patients and if contact with mentally ill persons moderated ethnic and racial differences in perceptions of dangerousness. Asian and Hispanic respondents perceived mental patients as significantly more dangerous than did white respondents. Increased contact with mentally ill people was associated with lower levels of perceived dangerousness among white respondents but not among black respondents.

Attitude↗
PubMed1997

The wrong issue.

Explore the source record for details and available documents.

Commitment of Persons with Psychiatric Disorders↗
PubMed1998

Two cases of suicide attempt by patients with Down's syndrome.

This report documents cases of suicide attempts by two persons with Down's syndrome. The patients experienced dysphoric affect and feelings of hopelessness about unmet needs associated with their disability. During the course of a major depressive episode, each individual made a suicide attempt that could have been fatal. Although suicidal ideation and attempts are infrequent among patients with mental retardation, completed suicides and potentially fatal attempts have been reported. It is vitally important that mental health practitioners appreciate the seriousness of suicidal ideation among persons who have mental retardation and treat the underlying psychiatric disorder.

Adult↗
PubMed1996

Worries of parents and their children.

Parents' major concerns were bicycle and car accidents, head injuries, abduction, exposure to environmental poisons, appropriate discipline, values and morals, affection, finances, too much television, and eating properly. Schoolchildren's concerns differed from their parents' and, for boys, included having to eat food they did not like, finances, people telling lies about them, and other issues about failure and criticism. Girls were more concerned about such dangers as abduction, burglars, strange people following them, and death. Major concerns shared by both sexes were looking foolish, people telling lies about them, being in a big crowd, and failing tests. Parents have many often unfounded or exaggerated fears about their children that are fanned by news media. This has led to the speculation that parents' insecurity about raising children has made them less effective. Continued reassurances by health professionals are needed to help parents believe more in themselves and become more secure in bringing up their children.

Adult↗
PubMed1989

Honig v. Doe: the suspension and expulsion of handicapped students.

Public Law 94-142 provides for a free appropriate public education for all handicapped children, but does not address the issue of disciplining handicapped students. The result has been confusion and uncertainty, particularly concerning expulsion and suspension. The courts have been forced into this vacuum, acting as arbiters. The Supreme Court's ruling in Honig v. Doe will help to delineate the proper role of educators in the suspension and expulsion of handicapped students. This article examines that role and offers recommendations for school policies regarding the discipline of handicapped students.

Dangerous Behavior↗
PubMed1988

Lay theories of schizophrenia.

Subjects completed two brief questionnaires, one concerning the description of, and attitudes towards schizophrenia and schizophrenics and the second on the possible cause of schizophrenia. Both questionnaires yielded a clearly interpretable factor structure and the relationship between the cause and 'symptoms' was examined. The results are discussed in terms of the range, determinants and structure of lay beliefs in mental illness, particularly schizophrenia.

Adult↗
PubMed1992

Attitudes towards mental patients.

A study of attitudes towards mental patients was made using a questionnaire developed by Lehtinen and Väisänen. Five hundred and fourteen persons from different parts of Finland filled in the questionnaire. The attitudes were generally positive, although, as in other studies, the attitudes of those older and less educated were more negative compared with the other groups. This result was interpreted as a generational effect, which will vanish as the educational level of the population increases. The questionnaire also included questions about the attitudes and behaviour of 'other people'. The attitudes of 'other people' were thought to be very negative compared with one's own attitudes.

Adolescent↗