A5014627292- Suicide and Self-Harm Studies
- Homicide, Infanticide, and Child Abuse
- Psychiatric care and mental health services
- Gun Ownership and Violence Research
- Child and Adolescent Health
- Emergency and Acute Care Studies
- Agriculture and Farm Safety
- Health Systems, Economic Evaluations, Quality of Life
- Quality and Supply Management
- Healthcare Policy and Management
- Stuttering Research and Treatment
- Mental Health Treatment and Access
- Health Policy Implementation Science
- Healthcare Systems and Challenges
- Healthcare Decision-Making and Restraints
- Primary Care and Health Outcomes
- Workplace Violence and Bullying
- Global Health Workforce Issues
- Maternal Mental Health During Pregnancy and Postpartum
- Healthcare Quality and Management
- Grief, Bereavement, and Mental Health
- Healthcare Systems and Technology
- Phonetics and Phonology Research
- Mental Health and Patient Involvement
- Homelessness and Social Issues
University of the Highlands and Islands
2002-2024
Sandia National Laboratories
2024
NHS Highland
2009-2021
Kansas State University
2019
Evelina London Children's Healthcare
2018
University of Aberdeen
1996-2014
Nutrition Sciences (Belgium)
2006
Crichton Royal Hospital
1995-2003
BP (Germany)
2001
University of Stirling
1998-2001
Many aspects of the management acutely disturbed behaviour have only relatively recently come under systematic scrutiny. Perhaps regrettably one last amongst range strategies that may be employed to subjected rigorous examination has been physical restraint. Considerable debate taken place around what represents good practice in this sensitive and controversial area but continuing dearth research some meant discussion arguably over reliant on 'expert' opinion. Questions continue regarding...
This paper explores the reported difficulties and satisfactions with diagnostic processes post-diagnostic support offered to people dementia their families living in largest remote rural region Scotland. A consultation 18 participants, six 12 family members, was held using semi-structured interviews between September November 2010. Three points process were explored: events experiences pre-diagnosis; experience of process; support. Experiences carers varied at all three process. Participant...
Traumatic Brain Injury (TBI) is an important global public health problem made all the more by increased likelihood of disability following a hospital admission for TBI. Understanding those groups most at risk will help inform interventions designed to prevent causes TBI, such as falls prevention measures. This study identifies rate hospitalisation episodes TBI in Scotland, explores admissions, and trends age gender over twelve year period using routinely collected data.A retrospective...
Farmers and those involved in the wider agricultural industry have a high suicide rate. They are also 'hard to reach' group who make less than average use of mental health services. There is therefore need understand how best develop interventions that meet their needs. The aims this study were deeper understanding farming context target population engage farmers shaping two potential could be incorporated pilot RCT.The was informed throughout by reference group, assisted co-production...
People experiencing a mental health crisis receive variable and poorer quality care than those physical crisis. Little is known about the epidemiology, subsequent pathways of self-harm emergencies attended by ambulance services, all-cause mortality, including deaths suicide. This first national epidemiological analysis processes outcomes people an due to or emergency. The study aimed describe patient characteristics, volume, case-mix, following attendance in this population.A linked data...
A higher risk of suicide has been associated with low birth weight in one study, but not yet replicated. Higher order self-harm, suicide.To examine the relationship between perinatal circumstances and subsequent young adult Scotland.Using linked data from Scottish Morbidity Record death records, a cohort 1061830 people was followed-up for mean 25.1 years. Data were analysed using Cox regression.Higher maternal parity, younger age (<25 years), non-professional parental occupations (<2500 g)...
Suicide is an important public health issue among rural communities although there no single pattern of suicide in areas. Despite this, are common themes much the research evidence on From published area, a conceptual model has been developed which can be used by clinical and services when considering possible routes intervention.A defined as 'a type diagram shows set relationships between factors that believed to impact or lead target condition'. The presented here uses 'Cry pain/...
Various theories provide guidance on implementing, sustaining and evaluating innovations within healthcare. There has been less attention given, however, to personal drawn from practice the expertise of managers front-line staff is a largely untapped resource. In this paper, we share learning experienced improvement organisations conceptual level explanation conditions necessary facilitate sustain at scale.Staff (n=42) three leading change in UK, spanning health, education social care, took...
Background We describe a national cohort of individuals surviving an episode deliberate self-harm (DSH). Subsequent admissions for DSH and mortality over the following 13 years were studied. Method In 1981, 8304 discharged from Scottish general hospitals with diagnosis attempted suicide (E950–959). They followed-up to end 1994 using Linked Data Set. Mortality was compared population person-years analysis. Results 2624 people (31.6%) readmitted further episodes DSH. The median number...
Male suicide rates continued to increase in Scotland when England and Wales declined. Female decreased, but at a slower rate than Wales. Previous work has suggested higher average some rural areas of Scotland. This paper describes trends undetermined death by age, gender, geographical area method for 1981 – 1999. Deaths from cause 1999 were identified using the records General Registrar Office. The deaths people not resident excluded analysis. Death calculated residence, age group, method....
The media is an important source of public information on mental ill-health. A man with a serious psychiatric illness attacked minister knife at Remembrance Sunday service in remote, rural part the Highlands, inflicting severe facial wound. We aimed to identify lessons for National Health Service (NHS) from coverage incident and subsequent court case NHS Highland inquiry addition explore how newspaper reporters approached reporting such incidents. searched local regional, national Scottish,...
Suicide rates among men have increased in Scotland while falling neighbouring countries. A national suicide prevention strategy has been produced. Previous work found that some rural areas of had higher than average male and undetermined deaths. This article describes the association between population density death Scotland.Anonymised information on deaths from cause were obtained General Registrar Office for 1981-1999, including postcode sector. Each sector was assigned a deprivation...
Abstract Background The farming community have high rates of poor mental health, and are relatively ‘hard to reach’ with health services. aim this study was therefore undertake a feasibility RCT, based on two interventions. These were (1) CBT ‘Living Life the Full for Farming Communities’ (LLTTF-F; www.llttf.com ), (2) holistic social emotional support service delivered by Royal Scottish Agricultural Benevolent Institution (RSABI). supplemented process evaluation. Methods This aimed recruit...
To determine the reasons patients seek excimer laser treatment for myopia and to measure levels of patient satisfaction with each phase this relatively new treatment.A unique 38 item visual analogue questionnaire was developed applied 100 consecutive (n = 100) who had undergone photorefractive keratectomy or myopic astigmatism at a single centre. All subjects underwent extensive ophthalmic assessment education before 90% response rate achieved 90). Improved unaided vision (85.6%), freedom...
Farmers and farm workers have higher than expected rates of suicide undetermined deaths in UK studies, some rural areas Scotland average male rates. Firearm access seems to be an influencing factor England Wales. Type farming, farming social networks may also important. This article describes farmers from 1981-1999 using anonymised, routine data.Deaths men aged 15-74 years or cause were identified anonymised Scottish death records. occupation codes. Methods used by compared with those the...
Past studies using large population based datasets link certain perinatal circumstances (birth weight, parity, etc) with mental health outcomes such as suicide, self-harm and psychiatric problems. Problematically, omit a number of social confounds. The aim this study is to replicate past research linking (suicidality use services) determine if associations remain after adjusting for circumstances.A longitudinal school-based survey 2157 young people (surveyed at age 11, 13, 15) followed up in...