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Involving People with Lived Experience in Research on Suicide Prevention
Sarah MacLean Sarah MacLean

Involving People with Lived Experience in Research on Suicide Prevention

Suicide is one of the leading causes of death in Canada, with about 10 Canadians dying by suicide each day. Men represent nearly two-thirds of those who die by suicide after an initial episode of self-harm. However, interventions for these men have had modest effects and, generally, suffer from a lack of engagement by patients. Partnerships with patients and other people with lived experience of suicide are essential to developing interventions that work for the people they are designed to treat.

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Feasibility and acceptability of Narrative Exposure Therapy to treat individuals with PTSD who are homeless or vulnerably housed: A pilot randomized controlled trial
Sarah MacLean Sarah MacLean

Feasibility and acceptability of Narrative Exposure Therapy to treat individuals with PTSD who are homeless or vulnerably housed: A pilot randomized controlled trial

Previous studies have shown that rates of PTSD in people who are homeless and vulnerably housed are between 21% and 53% (much higher than the general population). One promising treatment for PTSD is Narrative Exposure Therapy (NET), a type of psychotherapy that helps patients place their experience of trauma within a larger narrative of their life. There is also evidence that implies that tracing your family history helps people to deepen their roots so they are not blown over by life’s storms.

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Interventions to treat post-traumatic stress disorder (PTSD) in vulnerably housed populations and trauma-informed care: A scoping review
Sarah MacLean Sarah MacLean

Interventions to treat post-traumatic stress disorder (PTSD) in vulnerably housed populations and trauma-informed care: A scoping review

A trauma-informed care approach to care acknowledges that we need a complete picture of a person’s life (both past and present) to be able to provide healthcare that is focused on healing. The Trauma-Informed Care Implementation Resource Center explain that this approach understands that the impacts of trauma are widespread looks to identify signs and symptoms of this in patients, family, and staff; use knowledge about trauma to inform an organization’s policies and procedures; and, actively avoid re-traumatizing individuals.

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Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review
Sarah MacLean Sarah MacLean

Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review

In March 2020, the World Health Organization (WHO) declared the novel coronavirus (COVID-19) a global pandemic. It is expected that this will have a major impact on people’s mental health. Because of the pandemic, many providers have had to switch to virtual tools to deliver care. As such, we have to consider what equitable access to these virtual tools looks like for patients that are most at risk of having mental health problems.

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Coach-Facilitated Web-Based Therapy Compared With Information About Web-Based Resources in Patients Referred to Secondary Mental Health Care for Depression: Randomized Controlled Trial
Sarah MacLean Sarah MacLean

Coach-Facilitated Web-Based Therapy Compared With Information About Web-Based Resources in Patients Referred to Secondary Mental Health Care for Depression: Randomized Controlled Trial

Depression is a common mental disorder that has a significant impact on quality of life as well as a high social burden. Many of those with depression go on to self-harm or die by suicide. Due to long wait times for face-to-face therapy, treatment is often limited to drug therapies despite recommendations that counselling should be a first-line treatment for those with mild to moderate levels of depression.

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Health outcomes associated with emergency department visits by adolescents for self-harm: A propensity-matched cohort study
Sarah MacLean Sarah MacLean

Health outcomes associated with emergency department visits by adolescents for self-harm: A propensity-matched cohort study

Self-harm among adolescents is a significant public health concern associated with many adverse outcomes. To explore this further, we conducted a study using data collected by the Ontario Health Insurance Plan (OHIP) to compare the health outcome of adolescent who presented to the emergency department (ED) after self-harm versus those who presented to the ED for other reasons.

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Changing Rates of Self-Harm and Mental Disorders by Sex in Youths Presenting to Ontario Emergency Departments: Repeated Cross-Sectional Study
Sarah MacLean Sarah MacLean

Changing Rates of Self-Harm and Mental Disorders by Sex in Youths Presenting to Ontario Emergency Departments: Repeated Cross-Sectional Study

Understanding the changing rates of self-harm and mental disorders among young people is crucial for developing effective support systems and interventions. Using data collected by the Ontario Health Insurance Plan (OHIP) between 2003 and 2017, this study explored trends in self-harm and mental disorders among youth presenting to emergency departments (EDs) in Ontario, with a specific focus on gender differences.

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Mental Disorder Symptoms among Public Safety Personnel in Canada
Sarah MacLean Sarah MacLean

Mental Disorder Symptoms among Public Safety Personnel in Canada

Because of their jobs, Canadian Public Safety Personnel (PSP) are often exposed to situations that are potentially traumatizing. Exposure to these situations put PSP at a higher risk of developing mental health disorders, such as post-traumatic stress disorder (PTSD), depression, anxiety, panic disorder, obsessive-compulsive disorder (OCD), and substance use disorders. Prior to this study, data on the rates of mental health disorders among Canadian PSP were extremely limited.

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