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Remco FP De Winter

Remco FP De Winter
GGZ Rivierduinen/ Vrije Universiteit Amsterdam / Parnassia Group · General

M.D. Ph.D.
Medical directorate and research for suicide prevention in mental health. Validation of suicidal subtypes.

About

123
Publications
16,953
Reads
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593
Citations
Citations since 2016
66 Research Items
327 Citations
20162017201820192020202120220204060
20162017201820192020202120220204060
20162017201820192020202120220204060
20162017201820192020202120220204060
Introduction
Differentiation of suicidal behaviour Prevention of suicidal behaviour in Mental Health Intensive Home Treatment and emergency psychiatry
Additional affiliations
December 2019 - present
GGZ Rivierduinen
Position
  • Managing Director
January 2016 - present
Vrije Universiteit Amsterdam
Position
  • PhD
Description
  • Affiliated researcher
January 2014 - present
Parnassia Bavo Groep/ VU University Amsterdam
Position
  • Emergency Psychiatry leader Parnassia Group, the Netherlands, Visiting Scholar VU university faculty of psychology & education, IASP national representative
Education
September 2000 - December 2005
Parnassia Bavo Groep
Field of study
  • psychiatry
January 2000 - December 2009
Leiden University
Field of study
  • Scientific research PhD student
September 1989 - June 1996
Leiden University Medical Centre
Field of study
  • general medicine

Publications

Publications (123)
Article
Full-text available
Anxious-retarded depression is a two-dimensionally defined subcategory of depression derived from DSM-IV melancholia. It is related to increased plasma vasopressin, correlative plasma vasopressin and cortisol levels, and a positive family history. We now explored its relation with outcome. Seventy depressed patients were included to follow-up for t...
Article
Full-text available
ACHTERGROND De psychiatrische crisisdiensten spelen een belangrijke rol in de herkenning, behandeling en preventie van suïcide en suïcidaal gedrag. Er is weinig bekend over de beoordelingen van suïcidaal gedrag door de crisisdienst. DOEL Beschrijven van relaties tussen patiëntkenmerken en suïcidaal gedrag en suïcidepogingen bij beoor­ delingen door...
Article
Full-text available
ACHTERGROND Om verbeteringen in de zorg voor suïcidale patiënten in ggz-instellingen te onderbouwen zijn speci-fieke en systematische gegevens nodig over hulpverlenersgedrag jegens patiënten die waren betrokken bij suïcidale incidenten. METHODE Exploratief observationeel onderzoek naar de relatie tussen patiënt-en hulpverlenerskenmerken en gedrag v...
Article
Full-text available
Aim: With the introduction of “Electronic Medical Record” (EMR) a wealth of digital data has become available. This provides a unique opportunity for exploring precedents for seclusion. This study explored the feasibility of text mining analysis in the EMR to eventually help reduce the use of seclusion in psychiatry. Methods: The texts in notes and...
Article
Full-text available
Background: Outreach psychiatric emergency services play an important role in all stages of a suicidal crisis; however, empirical assessment data are scarce. This study describes characteristics of patients assessed by these services and involved in suicidal crises. Method: During a 5-year period, detailed information from psychiatric emergency ser...
Article
Full-text available
Mental health smartphone apps could increase the safety and self-management of patients at risk of suicide, but it is still unclear whether it is feasible to integrate such apps into routine mental healthcare. This study reports on the feasibility of using a safety planning app (BackUp) and a self-monitoring app (mEMA) as components of the routine...
Article
Full-text available
Introduction Intensive home treatment (IHT) is intended to prevent the (mostly voluntary) admission of mentally ill patients by providing intensive care in their domestic environment. It requires approaches to referral that ensure the delivery of the best possible acute care. Indications for referral may be improved by greater understanding of the...
Article
Full-text available
Resumo Objetivo: Afeto pseudobulbar é uma forma de expressão emocional patológica, na qual o paciente com transtorno neurológico apresenta explosões de riso e choro incongruentes ao humor. Está relacionado ao isolamento social. A esclerose múltipla é uma doença relacionada a risco aumentado de suicídio. O objetivo desse estudo é verificar se há alg...
Poster
Full-text available
Pilot validering van subtypen bij suïcidaliteit Achtergrond Vanuit klinische en wetenschappelijke ervaring is een model ontwikkeld voor 4 subtypen van suïcidaliteit; 1)perceptuele desintegratie(PD), 2)primair depressieve cognitie(PDC), 3) psychosociale “turmoil"(PT) en 4) inadequate communicatie/coping(IC). Voor het model is een vragenlijst ontwik...
Research Proposal
Achtergrond Suïcidaal gedrag wordt bijna altijd als een uniform verschijnsel gedefinieerd. Er is ook nauwelijks onderzoek naar verschillende vormen van suïcidaal gedrag gedaan. Mede naar aanleiding van onze klinische ervaring en vanuit bestudering van het wetenschappelijke onderzoek, constateren we dat er in de psychiatrische praktijkvoering versch...
Chapter
A clinical differentiation model of suicidal behaviors may improve clinical practice. It may be helpful to determine which type of treatment is most appropriate for subtypes of suicidal behaviors and may improve adherence to suicide prevention guidelines. Also, differentiation of suicidal behaviors may create clarity about the role of healthcare pr...
Preprint
Full-text available
Background: Anxious-retarded depression is a two-dimensionally defined subcategory of depression that has been derived from the DSM-IV melancholic subcategory. This subcategory is related to increased plasma vasopressin, a high correlation between plasma vasopressin and cortisol, and a positive family history. The original melancholic subcategory i...
Preprint
Full-text available
De huisarts heeft vaak te maken met suïcidaal gedrag wat kan worden opgevat als een symptoom dat zich uitstrekt over diverse psychiatrische aandoeningen. Ook komt suïcidaal gedrag voor zonder dat er sprake is van een "harde" classificatie voor een psychiatrische en/of persoonlijkheidsstoornis en lijkt soms meer bij een ingewikkeld existentieel geda...
Preprint
Full-text available
Background. Suicide ideations among the elderly are highly prevalent and attempts often have lethal
Preprint
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Background: Each year, around 1800 patients commit suicide in the Netherlands and this number is increasing. Around 40% of these suicides received mental health care at the time. Aims: To gain knowledge about risk taxation for the prevention of suicide during ordinary or crisis consultation. Methods: By comparing data of two groups, a) recent menta...
Article
Full-text available
In this case report, we will present two cases in which the Dutch municipal coroner registered a natural death, but treating psychiatrists doubted the validity of this decision on the grounds of clinical data and investigation. For both cases, we present evidence that deaths likely resulted from suicide, raising serious doubts about the accuracy of...
Article
Full-text available
Resumo Objetivo: Afeto pseudobulbar é uma forma de expressão emocional patológica, na qual o paciente com transtorno neurológico apresenta explosões de riso e choro incongruentes ao humor. Está relacionado ao isolamento social. A esclerose múltipla é uma doença relacionada a risco aumentado de suicídio. O objetivo desse estudo é verificar se há alg...
Article
Na een ongeval thuis is suïcide de meest voorkomende oorzaak van een niet-natuurlijke dood. Er overlijden 3 keer zoveel mensen door zelfdoding dan door verkeersongevallen. Toch wordt de huisarts relatief weinig geconfronteerd met suïcide. Naar schatting maakt een huisarts iedere 4 tot 8 jaar een patiënt mee die suïcide pleegt. Suïcidepogingen en de...
Presentation
Differentiation of Suicidal Behaviour, a practical clinical approach
Article
Suicide rates appear to be influenced by the economy. In the Netherlands, fluctuation in these rates in the last 10 years was mainly seen in men. The COVID-19 pandemic is likely to have a negative impact on this fluctuation. There are no reliable predictors of suicidality yet, but there are developments that could lead to better predictions. Exampl...
Article
Full-text available
Suicide rates appear to be influenced by the economy. In the Netherlands, fluctuation in these rates in the last 10 years was mainly seen in men. The COVID-19 pandemic is likely to have a negative impact on this fluctuation. There are no reliable predictors of suicidality yet, but there are developments that could lead to better predictions. Exampl...
Book
Veel personen met suïcidaal gedrag belanden in de eerste- of tweedelijns geestelijke gezondheidszorg (ggz). De Nederlandse en Vlaamse richtlijnen voor de diagnostiek en behandeling van suïcidaal gedrag zijn richtinggevend voor de beoordeling van suïciderisico’s. Contact maken over de wanhoop en de weging van stress- en kwetsbaarheidsfactoren en bes...
Poster
Full-text available
Study objectives: There is little literature about differentiation of suicidal behavior. Generally, suicidality is defined as an uniform phenomenon. When this is the case, mainly specific and not general "groups" are investigated (such as students, adolescents, patients with bipolar disorder etc.) or factor analytic research is done but seldom for...
Presentation
Full-text available
In general, suicidal behaviour is defined as a uniform phenomenon and most research into suicidal behaviour has not focused on different types of suicidal behaviour(1,2). In clinical practice we do recognize different types of suicidal behaviour however those behaviours are not precisely described and/or investigated. Except for making the distinct...
Book
Suïcidaal gedrag is een symptoom dat vaak voorkomt en zich uitstrekt over veel verschillende psychiatrische ziekten. Ook komt suïcidaal gedrag voor zonder dat er sprake is van een classificatie volgens de dsm en lijkt het soms bij een ingewikkeld existentieel gedachtepatroon te passen. Er zijn overigens in de dsm 5 maar twee classificaties waarin s...
Article
Full-text available
De hersenen van adolescenten zijn nog in ontwikkeling  3 reacties  Getty Images De wet staat het toe, maar het zou eigenlijk verboden moeten worden: euthanasie bij adolescenten met een psychiatrische aandoening die uitzichtloos en ondraaglijk lijden. Dat bepleiten Pieter Jan Stallen en collega's. Het brein van jongeren is immers nog niet uitgerij...
Chapter
1 Multidisciplinaire evaluatie als onderdeel van kwaliteitssystemen 1.1 Wettelijke kaders voor de kwaliteit van zorg 1.2 Kwaliteitsnormen voor de omgang met suïcidaal gedrag 2 Evaluatie van suïcide: de huidige praktijk 2.1 Prospectieve en retrospectieve risicoanalyse 2.2 Sterke en zwakke kanten van de huidige praktijk 3 KEHR SUICIDE: datagestuurd e...
Chapter
Full-text available
1 Opleiding van intermediairen en gatekeepers in de herkenning en bevraging van suïcidaliteit 2 Suïcidepreventie in de zorg, een multilevelmodel met een aantal basisprincipes 2.1 Een goed contact leggen 2.2 Bevorderen van de veiligheid 2.3 De omgeving erbij betrekken 2.4 Zorgen voor continuïteit 3 Een goed uitgewerkt suïcidepreventiebeleid als esse...
Poster
Full-text available
1 Parnassia Groep, Den Haag 2 VU, Amsterdam 3 Rivierduinen, Leiden 4 Sussex Partnership NHS Foundation Trust, Eastbourne England 5 Lentis GGz, Groningen Achtergrond Suïcidaliteit wordt in de regel als een uniform verschijnsel gedefinieerd. Er is weinig onderzoek naar typen van suïcidaal gedrag gedaan(1,2). In de praktijk zien we verschillende typen...
Presentation
Full-text available
Development of smart inpatient rooms using automation and preventing using restraints in suicidal patients
Article
Full-text available
Background: Specific and systematic data on health care providers' behaviour is needed to futher improve the care provided to suicidal patiënts in mental health care facilities. METHOD: Explorative observational study of all suicidal incidents (n=50) that occurred in a Dutch mental health care facility over a one year period. Incidents were evalua...
Article
Full-text available
Background It remains difficult to predict and prevent suicidal behaviour, despite growing understanding of the aetiology of suicidality. Clinical guidelines recommend that health care professionals develop a safety plan in collaboration with their high-risk patients, to lower the imminent risk of suicidal behaviour. Mobile health applications prov...
Presentation
Full-text available
Development of smart inpatient rooms using automation and preventing restraints in suicidal patients, extension
Article
Full-text available
Background: The outreach emergency psychiatric service plays an important role in recognising, arranging interventions and preventing suicide and suicidal behaviour. However, little is known about the assessments that members of the emergency team make when faced with patients showing suicidal behaviour. AIM: To describe the relationships that are...
Article
Full-text available
ACHTERGROND Het hebben van een psychiatrische stoornis is een bekende risicofactor voor suïcide en suïcidaal gedrag. De behandeling van psychiatrische stoornissen kan het risico op suïcidaal gedrag en suïcide verminderen. Sinds 2012 is de behandeling van een aantal psychiatrische stoornissen uitgesloten van vergoeding door de zorgverzekeraar. DOEL...
Article
Full-text available
Background: Suffering from a psychiatric disorder is a well-known risk factor for suicide and suicidal behavior. Treatment of psychiatric disorders can reduce the risk of suicidal behavior and suicide. In the Netherlands, however, since 2012 the treatment costs of some psychiatric disorders have no longer been covered by health insurance. AIM: To...
Presentation
Full-text available
Using automation in preventing using restraints in acutely suicidal patients
Conference Paper
Full-text available
Using automation in preventing using restraints in acutely suicidal patients Remco Winter1, Willem Nugteren, Wouter van Maanen, Arlette van Amerongen 1corresponding author RFP de Winter MD PhD Parnassia Group The Hague/VU Amsterdam Background When acute suicidal inpatients are estimated, by clinicians, as a high risk for suicide, permanent observa...
Chapter
Bij ernstig suïcidaal gedrag komt het voor dat patiënten worden opgenomen in een psychiatrische kliniek. Een opname wordt gerealiseerd als een hulpverlener door de ernstige suïcidaliteit geen mogelijkheden ziet om de patiënt verder ambulant te behandelen. Wanneer is het risico op suïcidaal gedrag zo groot dat een patiënt opgenomen dient te worden?...
Presentation
Full-text available
Background: Outreach psychiatric emergency services play an important role in all stages of a suicidal crisis; however, empirical assessment data are scarce. This study describes characteristics of patients assessed by these services and involved in suicidal crises. Method: During a 5-year period, detailed information from psychiatric emergency ser...
Article
Full-text available
Background: Admission at a closed acute psychiatric ward is a severe and possibly life changing experience for a patient. Sometimes admission is accompanied by coercive measures. Despite the impact that these measures may have on the patient, very little research has been published concerning this patient population. Aim: To obtain insight into...
Article
Full-text available
https://www.ntvg.nl/artikelen/een-aanjaagteam-voor-verwarde-personen
Article
Full-text available
An evaluation of a new Dutch suicide prevention tool (KEHR); datadriven evaluation and learning BACKGROUND Multidisciplinary evaluation of suicide cases effectively decreases the suicide rate in mental health care. A new suicide prevention tool (kehr) can be used in this connection. kehr has been developed on the basis of the Dutch multidiscipli...
Article
Full-text available
Background: Multidisciplinary evaluation of suicide cases effectively decreases the suicide rate in mental health care. A new suicide prevention tool (KEHR) can be used in this connection. KEHR has been developed on the basis of the Dutch multidisciplinary practice guideline on the assessment and treatment of suicidal behaviour. The guideline can...
Article
Full-text available
Background Randomised studies examining the effect on patients of training professionals in adherence to suicide guidelines are scarce.AimsTo assess whether patients benefited from the training of professionals in adherence to suicide guidelines.Method In total 45 psychiatric departments were randomised (Dutch trial register: NTR3092). In the inter...
Data
Full-text available
Article
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There is a lack of information on the cost-effectiveness of suicide prevention interventions. The current study examines the cost-effectiveness of a multifaceted structured intervention aiming to improve adherence to the national suicide practice guideline in comparison with usual implementation. In the intervention condition, professionals of psyc...
Conference Paper
Full-text available
Emergency psychiatric service and determining factors for decision making during assessment of suicidal behavior. R.F.P. de Winter, M. Deen, M. Dassen,. DP. De Beurs, M.H. de Groot Introduction Emergency psychiatric service plays an important role in the assessment and follow-up of patients with acute suicidal behaviour. These services play an imp...
Research
Full-text available
KEHR SUICIDE-Evalueren en leren van suïcide. Results of a pilot study.
Poster
Full-text available
Terugdringen van separa.e bij pa.ënten met suïcidaal gedrag door middel van domo.ca WA Nugteren a , WS van Maanen a, AS van Amerongen a , RFP de Winter a, b a Parnassia Groep, Den Haag, b VU Amsterdam 2 Achtergrond Bij een hoog suïciderisico krijgen patiënten binnen een acute gesloten opname afdeling zeer regelmatig te maken met vrijheid beperkende...
Data
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Article
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Dit manuscript is een bewerking van een bijdrage voor een voordracht gehouden op 27 november 2014 voor Rotterdamse BOPZ advocaten
Article
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Background: Randomized studies examining the effect of training of mental health professionals in suicide prevention guidelines are scarce. We assessed whether professionals benefited from an e-learning supported Train-the-Trainer programme aimed at the application of the Dutch multidisciplinary suicide prevention guideline. Methods: 45 psychiat...
Conference Paper
Full-text available
A new tool for qualitative evaluation of professional performance regarding suicidal behaviour
Conference Paper
Full-text available
Remco de Winter (NLD) Parnassia Group / VU University Amsterdam Co-authors: Dassen M, Deen M, de Groot MH Assessment of suicidal patients by emergency psychiatric service and factors related to admission. Introduction Emergency psychiatry plays an important role in the assessment and follow-up of patients with suicidal behavior. Investigation of ch...
Conference Paper
Full-text available
Remco de Winter (NLD) Parnassia Group Co-authors: Leezer YM, Bueno-de-Mesquita JM Gender differences and characteristics in mental health care patients committing suicide at a single psychiatric institution in The Hague: 1999 to 2013 Introduction Overview of characteristics of psychiatric patients committing suicide while receiving mental health ca...
Presentation
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Gender differences and characteristics in suicidal mental health care patients in The Hague: 1999 to 2013
Poster
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Patient and staff perspective on alternatives for seclusion on sixteen closed psychiatric wards in The Netherlands
Article
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Copy number variations (CNVs) are subtle variations in our genetic material. In view of the scientific claim that schizophrenia depends for 40 to 80% on hereditary factors, we need to find out what role the cnvs play in this process. To provide an overview of what is currently known about CNVs and to summarise the implications of this information f...