Thesis (doctoral)--Humboldt-Universität Berlin, 2004. / Includes bibliographical references (p. [xiii]-lxix).

Thesis (M.S.P.H.)--University of Michigan, 1932.

Thesis (doctoral)--Bayerische Ludwig-Maximilians-Universität, Munich, 1934.

Thesis (M. Div.)--St. Vladimir's Orthodox Theological Seminary, 2006. / Abstract. Includes bibliographical references (leaves 63-65).

Thesis (M.S.)--University of West Florida, 2006. / Title from title page of source document. Document formatted into pages; contains 89 pages. Includes bibliographical references.

Th.--Méd.--Nancy 1, 1983. N°: 23.

abstract: The bereaved and those who have experienced trauma have received support through music therapy. However, there has been no research on the effectiveness of music therapy as a therapeutic intervention for those who have experienced the loss of a loved one by suicide. While every loss presents its own challenges, those who experience a suicide loss may need extra support to process the traumatic nature of the death. This study aims to explore the current research on grief and trauma to determine what information can be applied to the care of those who have experienced a suicide loss. The present study is a group case study of survivors of suicide who have experienced a loss within the last 3 years. Participants received weekly music therapy sessions for four weeks. All participants completed the Inventory of Traumatic Grief, prior to and at the conclusion of the music therapy sessions, and the pre and post test scores were compared. Additionally qualitative data was collected throughout the sessions, indicating any common themes that emerged throughout the sessions and the participants’ reactions to the interventions, as well as in a short questionnaire following the four sessions. / Dissertation/Thesis / Masters Thesis Music Therapy 2016

La violence est un phénomène fréquent dans les prisons. D'après la théorie générale de la tension (Agnew, 1992, 2002), l'agressivité (Blevins et al., 2010) ou le suicide (Zhang et al., 2008) seraient le fruit de tensions éprouvées par les détenus. Notre recherche s'appuie sur le modèle d'Agnew pour créer et tester une échelle standardisée appliquée aux détenus. Les analyses en composantes principales et confirmatoires montrent des résultats satisfaisants, avec des indices de cohérence interne significatifs. Notre échelle est donc une première ébauche pour mesurer la tension en détention. Nos résultats montrent que les comportements agressifs et suicidaires peuvent être prédits de façon significative par la mesure de la tension. Toutefois, la tension en tant que variable indépendante et les stratégies de régulation émotionnelle et/ou de coping comme variables médiatrices ne permettent pas de mettre en évidence des modèles significatifs. Cela signifie que la tension doit être appréhendée comme une variable proximale. De même, nous testons les effets modérateurs des variables personnelles et judiciaires. Nos analyses infirment l'effet modérateur supposé des facteurs personnels et situationnels, même si la dépression et le stress ont un effet significatif. Enfin, nos analyses de médiations modérées ne sont pas significatives, que ce soit pour les comportements agressifs ou suicidaires. Pour conclure, la tension serait la variable la plus proximale pour prédire la violence en prison, alors que la régulation émotionnelle ou les stratégies de coping auraient un effet plus distal. Comme les variables modératrices n'ont pas d'effet significatif, nous proposons de les considérer comme des formes implicites de tension. La théorie de la tension appliquée aux détenus est un modèle prometteur mais récent, qui n'a pas été testé empiriquement. Ainsi, au travers de cette recherche, nous avons essayé de mesurer la tension, afin de tester ce modèle et d'identifier ses limites. / Violence is common and frequent in most prisons. According to the general strain theory (Agnew, 1992, 2002), aggression (Blevins et al., 2010) or suicidality (Zhang et al., 2008) are caused by strains experienced by inmates. Our study intends to rely on Agnew's general strain theory in order to create and test a standardized scale applied to inmates, since no psychometric instrument evaluating Agnew's model exists. Principal component analyses and confirmatory analyses applied to our psychometric data show satisfying results, with significant internal consistency indices. Our scale is thus a first attempt to measure strain for inmates. In a second step, this research aims at understanding the effect of strains on inmates' violent behaviors. Our results show that aggressive and suicidal behaviors can significantly be predicted by the strain measure. The strains due to daily-life in jail have a direct effect (indirect for Agnew) on inmates' externalizing violent outcomes. Then, we test the mediating effects of coping skills and emotion regulation strategies. The model depicted by our analyses is not fully consistent with the general strain theory. Analyses considering strain as an independant variable and coping skills and emotion regulation strategies as mediating variables are not significant. This implies that strain measure could be seen as a proximal variable. This conclusion does not totally support Agnew's model, which considers strain as a distal variable. In a next step, we test the moderating effects of personal and judicial variables. Our analyzes invalidate the supposed moderating effect of such factors, even if depression and stress are significant moderating variables. Finally, our moderated mediating analyses are not significant, whether on aggressive or suicidal behaviors. As a conclusion, according to our results, strain would be a proximal variable to predict violence in prison, whereas emotion regulation or coping strategies would be more distal. As the moderating variables are not significant, we suggest to consider them as indirect forms of strains. The general strain theory, especially applied to inmates, is a promising but recent model which has not been empirically tested. Therefore, through this research, we tried to measure strain, in order to test this model and identify its limits.

O suicídio é um problema passível de prevenção, com relevante impacto mundial. Os profissionais de enfermagem que atuam em emergências tem papel central no manejo inicial de tentativas de suicídio e a qualidade do cuidado prestado por esses profissionais pode ser influenciada por suas atitudes frente ao comportamento suicida. O conhecimento sobre as atitudes relacionadas ao suicídio e fatores associados é escasso e precisa ser investigado em diferentes países, culturas e épocas. Este investigou, entre profissionais de enfermagem que atuam em emergências, as atitudes relacionadas ao suicídio e fatores associados. Estudo transversal quantitativo desenvolvido com uma população de 146 profissionais de enfermagem de dois serviços de emergência (pré-hospitalar e hospitalar) do interior de São Paulo, Brasil. Os dados foram coletados em 2015 pela autoaplicação de questionário sociodemográfico e do Questionário de Atitudes Frente ao Comportamento Suicida (QACS). Esse questionário não possui pontos de corte e sua análise pode ser feita por meio dos itens isolados e dos fatores \"Sentimentos em relação ao paciente\", \"Percepção de capacidade profissional\" e \"Direito ao suicídio\". Os dados foram analisados com os softwares Statistical Package for the Social Sciences (SPSS), versão 19.0 e R GUI 3.0.1. Foram aplicados os testes de normalidade Kolmogorov-Smirnova e Shapiro-Wilk, o teste de correlação de Spearman e o teste de Mann-Whitney. Os participantes apresentaram baixa exposição educacional sobre o suicídio e foram obtidas as pontuações mínima e máxima em cada um dos itens do questionário. Atitudes mais negativas foram associadas a ter trabalhado em serviço de saúde mental (p=0,00). Maior percepção de capacidade profissional esteve associada a formação específica em saúde mental (p=0,00) ou suicídio (p=0,00) e trabalhar em serviço hospitalar (p=0,01). Atitudes menos moralistas e condenatórias foram associadas a experiência de trabalhar serviços de saúde mental (p=0,01) e ser enfermeiro (p=0,00). Houve correlação positiva fraca entre a percepção da capacidade profissional e atitudes menos negativas. Este estudo é pioneiro na investigação de fatores associados a atitudes frente ao suicídio entre profissionais de enfermagem que atuam em emergências no contexto hospitalar e pré-hospitalar brasileiro. É importante investir em estratégias que promovam a saúde mental dos profissionais, melhores atitudes e preparo para a qualificação da assistência / The suicide is a problem liable of prevention. Nursing professionals who work in emergencies have a central role in the first management of suicide attempts, and the quality of care provided by these professionals may be influenced by their attitudes front of suicidal behavior. The knowledge about the attitudes related to the suicide and its associated factors is scarce and needs to be investigated in differents countries, cultures and times. This study investigated, among the nursing professionals who work in the emergencies, the attitudes related to suicide and associated factors. Quantitative cross-sectional study, developed with a population of 146 nursing professionals from two emergency services (prehospital and hospital services) in the interior of the state of São Paulo, Brazil. The data was collected in 2015 by the self application of a social-demografic questionnaire and Suicide Behavior Attitude Questionnaire (SBAQ). This questionnaire does not have cutoffs and its analysis can be done through the isolated items and factors \"Feelings towards the patient\", \"Professional capacity of perception\" and \"Right to Suicide\". The data was analyzed with Statistical Package for Social Sciences software (SPSS) version 19.0 and R GUI 3.0.1. The Kolmogorov-Smirnov and Shapiro-Wilk normality tests, The Spearman correlation test and Mann-Whitney test were applied. The participants presented low educacional exposure about the suicide and were obtained the maximum and minimum punctuations in each one of the items of the questionnaire. More negative attitudes were associated with have worked in mental health service (p=0,00). More perception of professional capacity was associated with specific formation in mental health (p=0,00) or suicide (p=0,00) and work in hospital service (p=0,01). Attitudes less moralists and condemnatory were associated to experience of working in mental health services (p=0,01) and being nurse (p=0,00). There was a weak positive correlation between the perception of professional capacity and attitudes less negatives. This study is a pioner in the investigation of associated factors front to suicide attitudes among nursing professionals who work in Brazilian prehospital and hospital emergencies. It is important to invest in stratagies that promote professional\'s mental health, better attitudes and preparation for the qualification of care

É importante investigar os atendimentos a pessoas com comportamento suicida, pois uma tentativa de suicídio é o principal preditor de futuro óbito por suicídio. Há uma carência de estudos que analisem sobre o assunto no Brasil. Este estudo teve como objetivo investigar os atendimentos relacionados ao comportamento suicida em 2014, em um serviço de atendimento móvel de urgência e fatores associados. Estudo quantitativo, transversal, documental. Foi realizada consulta manual de fichas de atendimento de enfermagem geradas por Unidades de Suporte Básico nas quais estivessem documentados chamados por comportamento suicida no ano de 2014. Os dados foram registrados em roteiros elaborados pelas pesquisadoras e analisados por meio de estatística descritiva, teste qui-quadrado, teste exato de Fisher, testes de correlação e testes de comparação de média. O estudo foi aprovado por Comitê de Ética em pesquisa. Nas 313 fichas analisadas, houve predomínio de mulheres adultas, que tentaram suicídio por intoxicação medicamentosa, na própria residência e foram encaminhadas para um serviço pré-hospitalar de atendimento a urgências. Na maioria das fichas não havia sinais, sintomas ou agravos documentados. As intervenções mais executadas pela enfermagem estiveram relacionadas à monitorização de parâmetros clínicos. Houve diferenças relacionadas ao sexo da vítima e letalidade do comportamento suicida, método da tentativa de suicídio, encaminhamento para serviços de emergência e semestre da ocorrência. As tentativas de suicídio por intoxicação ou por lesões autoprovocadas diferiram em relação ao horário do chamado, tempo de espera pelo atendimento, letalidade, documentação de avaliação clínica e intervenções, encaminhamento para serviços de emergência. Este estudo permitiu o melhor mapeamento das demandas relacionadas ao comportamento suicida, conhecimento relevante para o planejamento dos cuidados de enfermagem e compreensão sobre as competências necessárias para tais atendimentos / It is important to investigate the attendance of people with suicidal behavior, since suicide attempt is the main predictor of future suicide death. There is a lack of studies that analyze on the subject in Brazil. This study aimed to investigate the attendances related to suicidal behavior in 2014, in an emergency mobile service and associated factors. Quantitative study, transversal, documentary. A manual consultation of nursing care records generated by Basic Support Units in which they were documented called suicidal behavior in the year 2014. The data were recorded in scripts prepared by the researchers and analyzed by means of descriptive statistics, chi-square test , Fisher\'s exact test, correlation tests, and mean comparison tests. The study was approved by the Research Ethics Committee. In the 313 files analyzed, there was a predominance of adult women, who attempted to commit suicide due to drug intoxication, at home and were referred to a pre-hospital emergency room service. Most signs had no documented signs, symptoms, or complaints. The interventions most performed by nursing were related to the monitoring of clinical parameters. There were differences related to the sex of the victim and lethality of the suicidal behavior, suicide attempt method, referral to emergency services and half of the occurrence. Attempts to commit suicide due to intoxication or self-inflicted injuries differed in relation to the time of the call, waiting time for care, lethality, documentation of clinical evaluation and interventions, referral to emergency services. This study allowed the best mapping of the demands related to suicidal behavior, knowledge relevant to the planning of nursing care and understanding of the skills required for such care