Anti-ligature Fixture
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Anti-ligature Fixture
An anti-ligature fixture or fitting (or ligature resistant fitting) is a component used to reduce the risk of suicide and self-harm by preventing the attachment of ligatures. They are used in environments such as prisons and secure healthcare settings, where vulnerable individuals may attempt to harm themselves. Their use is guided by clinical evidence, government policy, and architectural standards. In the UK, their design, specification, and implementation are governed by NHS and Ministry of Justice standards. Design principles Ligature resistant design involves eliminating potential ligature points on fixtures and surfaces. Typical features include sloped or curved geometry, minimal gaps, tamper-resistant fastenings, and durable materials. These are applied to lighting, sanitary ware, door hardware, beds, curtain tracks, and furniture. These design principles form part of wider suicide prevention strategies and are incorporated into building standards for mental health a ...
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Suicide
Suicide is the act of intentionally causing one's own death. Risk factors for suicide include mental disorders, physical disorders, and substance abuse. Some suicides are impulsive acts driven by stress (such as from financial or academic difficulties), relationship problems (such as breakups or divorces), or harassment and bullying. Those who have previously attempted suicide are at a higher risk for future attempts. Effective suicide prevention efforts include limiting access to methods of suicide such as firearms, drugs, and poisons; treating mental disorders and substance abuse; careful media reporting about suicide; improving economic conditions; and dialectical behaviour therapy (DBT). Although crisis hotlines, like 988 in North America and 13 11 14 in Australia, are common resources, their effectiveness has not been well studied. Suicide is the 10th leading cause of death worldwide, accounting for approximately 1.5% of total deaths. In a given year, ...
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Fire Safety
Fire safety is the set of practices intended to reduce destruction caused by fire. Fire safety measures include those that are intended to prevent wikt:ignition, the ignition of an uncontrolled fire and those that are used to limit the spread and impact of a fire. Fire safety measures include those that are planned during the construction of a building or implemented in structures that are already standing and those that are taught or provided to occupants of the building. Threats to fire safety are commonly referred to as fire hazards. A fire hazard may include a situation that increases the likelihood of a fire or may impede fire escape, escape in the event a fire occurs. Fire safety is often a component of building code, building safety. Those who inspect buildings for violations of the Fire Code and go into schools to educate children on fire safety topics are Fire Department members known as ''Fire Prevention Officers''. The Chief Fire Prevention Officer or Chief of Fire ...
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Self-harm
Self-harm refers to intentional behaviors that cause harm to oneself. This is most commonly regarded as direct injury of one's own skin tissues, usually without suicidal intention. Other terms such as cutting, self-abuse, self-injury, and self-mutilation have been used for any self-harming behavior regardless of suicidal intent. Common forms of self-harm include damaging the skin with a sharp object or scratching with the fingernails, hitting, or burning. The exact bounds of ''self-harm'' are imprecise, but generally exclude tissue damage that occurs as an unintended side-effect of eating disorders or substance abuse, as well as more societally acceptable body modification such as tattoos and piercings. Although self-harm is by definition non-suicidal, it may still be life-threatening. People who do self-harm are more likely to die by suicide, and self-harm is found in 40–60% of suicides. Still, only a minority of those who self-harm are suicidal. The desire to sel ...
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Suicide Prevention
Suicide prevention is a collection of efforts to reduce the risk of suicide. Suicide is often preventable, and the efforts to prevent it may occur at the individual, relationship, community, and society level. Suicide is a serious public health problem that can have long-lasting effects on individuals, families, and communities. Preventing suicide requires strategies at all levels of society. This includes prevention and protective strategies for individuals, families, and communities. Suicide can be prevented by learning the warning signs, promoting prevention and resilience, and committing to social change. Beyond direct Suicide intervention, interventions to stop an impending suicide, methods may include: * Treating mental illness * Improving coping strategies of people who are at risk * Reducing risk factors for suicide, such as substance misuse, poverty and social vulnerability * Giving people hope for a better personal life, life after current problems are resolved * Cal ...
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Suicide Watch
Suicide watch (sometimes shortened to SW) is an intensive monitoring process used to ensure that any person cannot attempt suicide. Usually the term is used in reference to inmates or patients in a prison, hospital, psychiatric hospital or military base. People are placed on suicide watch when it is believed that they exhibit warning signs indicating that they may be at risk of committing bodily harm or purposefully killing themselves. In hospitals In hospitals, the practice is sometimes referred to as constant visual observation (CO). CO is the practice of placing somebody, generally someone in a psychiatric inpatient unit, under the constant supervision of a healthcare worker. CO is widely used for potentially suicidal patients, but the evidence to support its effectiveness is weak. Concerns around the use of constant visual observation include paternalism, distrust and dislike by patients, job dissatisfaction amongst staff on CO, and the high cost of paying staff for long shift ...
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Suicide By Hanging
Suicide by hanging is the intentional killing of oneself (suicide) via suspension from an anchor-point such as an overhead beam or hook, by a rope or cord or by jumping from a height with a noose around the neck. Hanging is often considered to be a simple suicide method that does not require complicated techniques; a study of people who attempted suicide by hanging and lived usually suggests that this perception may not be accurate. It is one of the most commonly used suicide methods and has a high mortality rate; Gunnell ''et al''. gives a figure of at least 70 percent. The materials required are easily available, making it a difficult method Suicide prevention, to prevent. In the International Classification of Diseases, International Statistical Classification of Diseases and Related Health Problems, suicides by hanging are classified under the code X70: "Intentional self-harm by hanging, strangulation, and suffocation.""Trends". Hanging is divided into suspension hanging an ...
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Mental Health Law
Mental health law includes a wide variety of legal topics and pertain to people with a diagnosis or possible diagnosis of a mental health condition, and to those involved in managing or treating such people. Laws that relate to mental health include: *employment laws, including laws that prohibit employment discrimination on the basis of a mental health condition, require reasonable accommodations in the workplace, and provide mental health-related leave; *insurance laws, including laws governing mental health coverage by medical insurance plans, disability insurance, workers compensation, and Social Security Disability Insurance; *housing laws, including housing discrimination and zoning; *education laws, including laws that prohibit discrimination, and laws that require reasonable accommodations, equal access to programs and services, and free appropriate public education; *laws that provide a right to treatment; * involuntary commitment and guardianship laws; *laws gov ...
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Incarceration And Health
Mass incarceration is a major problem in the United States. People who have been incarcerated or are currently incarcerated face many challenges including challenges with their health. This Wikipedia article highlights some of the health problems that can come with incarceration by looking at the relationship between children being incarcerated and the health outcomes they have as adults, the health effects of incarcerated people with HIV, the effect of aging on people with a history of incarceration, the effect that the Affordable Care Act has on the health insurance status of people who have been incarcerated, and the mental health of prisoners. Youth incarceration and adult health The number of people being incarcerated in the U.S. has been rapidly increasing over the years. The United States has more children incarcerated than the rest of the world, and in 2015 had 920,000 people arrested under the age of 18. Some people are even arrested when they are younger than 14 and do ...
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Detention (confinement)
Detention is the process whereby a State (polity), state or private citizen holds a person by removing or restricting their personal freedom, freedom or liberty at that time. Detention can be due to (pending) criminal charges against the individual pursuant to a prosecution or to protective custody, protect a person or property. Being detained does not always result in being taken to a particular area (generally called a detention center), either for interrogation or as punishment for a crime (see prison). Persons can be detained if they are not allowed to leave a specific jurisdiction (a type of travel ban known as an 'exit ban') or if they are prevented from traveling to or from a specific area or region. An individual may be Involuntary commitment, detained due a psychiatric disorder, potentially to Involuntary treatment, treat this disorder involuntarily. They may also be detained for to prevent the spread of infectious diseases such as tuberculosis. The term can also be use ...
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Death In Custody
A death in custody is a death of a person in the custody of the police or other authorities or while in prison. In the 21st century, death in custody remains a controversial subject, with the authorities often being accused of abuse, neglect and cover-ups of the causes of these deaths. By country Algeria Argentina Australia In Australia, deaths in custody automatically trigger an inquest. Bangladesh At least 32 people have died in " Operation Clean Heart" by the government of Bangladesh. Burma Chad China Congo Cuba Egypt Germany * Oury Jalloh * Rosa Luxemburg India In the financial year 2021–22, the National Human Rights Commission reported 2152 deaths in judicial custody and 155 deaths in police custody. Indonesia Iran Ireland Italy Jamaica "At least 650 people have been killed by police officers in Jamaica since 1999. Many of these have been blatantly unlawful killings, yet not one officer has been convicted since then." Piers Bannis ...
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Assessment Of Suicide Risk
Suicide risk assessment refers to the process of evaluating an individual's likelihood of dying by suicide. While commonly practiced in psychiatric and emergency care settings, suicide risk assessments lack predictive accuracy and do not improve clinical outcomesSimon RI. "Suicide risk assessment: is clinical experience enough?" ''J Am Acad Psychiatry Law.'' 2006;34(3):276–8.Bryan CJ, Rudd MD. "Advances in the assessment of suicide risk." ''J Clin Psychol.'' 2006;62(2):185–200.Chan MKY, Bhatti H, Meader N, et al. Predicting suicide following self-harm: systematic review of risk factors and risk scales. British Journal of Psychiatry. 2016;209(4):277-283. doi:10.1192/bjp.bp.115.170050 and it has even been suggested that clinicians doing suicide risk assessments may be putting their "own professional anxieties above the needs of service users and paradoxically, increasing the risks of suicide following self-harm.” Overview The goal of suicide risk assessment is to identify warnin ...
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Inpatient Care
Inpatient care is the care of patients whose condition requires admission to a hospital. Progress in modern medicine and the advent of comprehensive out-patient clinics ensure that patients are only admitted to a hospital when they are extremely ill or have severe physical trauma. Progress Patients enter inpatient care mainly from previous ambulatory care such as referral from a family doctor, or through emergency medicine departments. The patient formally becomes an " inpatient" at the writing of an admission note. Likewise, it is formally ended by writing a discharge note. Planning for patient discharge Health care professionals involved in rehabilitation are often involved in discharge planning for patients. When considering patient discharge, there are a number of factors to take into consideration: the patient's current state, their place of residence and the type of support available. When considering the patient's current state, although the patient may be eligible f ...
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