Psykologiskt stöd till personal på psykiatriska vårdavdelningar och retrospektiva genomgångar efter patienters självmord
Suicide during psychiatric care results in a complex array of reactions by the family of the patient, the remaining patients, and the staff. This article describes the development and use of a programme intending to improve the psychiatric care of suicidal patients and, in case of a suicide, to ensure the maintenance of the personnel's health. The programme consists of an educational part focusing both on the understanding of suicidal behaviour and on suicide risk judgement. If, in spite of all precautions, a suicide occurs, two staff meetings are held. Directly after the event a group session using the critical incident stress debriefing technology is held. A month later a suicide review conference (“psychologic autopsy”) is performed. In the article both positive and possible negative effects of these group meetings are discussed. The programme will be finished and evaluated in 1993.
In this study, we developed a series of logistic regression models for forecasting gypsy moth de-foliation. The models were parameterized by using data collected over a small scaled l00m×100m grid-area; the independent variables included egg mass density, male moth trap, previous year defoliation, and distance to the nearest cell which was defoliated in the previous year. We simulated the decision-making by using these models; this method essentially simulated the application of current gypsy moth management decision-making. The results indicated that these models can be more reliably applied to actual manage-ment decision.