On purpose of multiple cases: Quaternary prevention on mental health – “Primum non-nocere”

IntroductionQuaternary prevention, concept coined by the Belgian Marc Jamoulle, are the actions taken to avoid or mitigate the consequences of unnecessary or excessive intervention of the health system. The concept alludes to actions to avoid the over-diagnoses and over-treatment, trying to reduce the incidence of iatrogeny in patients, which is a serious public health problem and even more in mental health.MethodsSystematic review of bibliography.ObjectivesDo a systematic review of bibliography and through the results invite to the analytic and critic reflection of our professional activities and the current situation of mental health.ResultsThere is not enough studies about quaternary prevention in mental health.–Some studies found that about one-third of diseases of a hospital are iatrogenic, most of them for pharmacological causes.–There is iatrogeny at different levels of the attention of mental health: primary prevention, diagnosis and treatment.–Non-treatment indication avoids in multiple cases iatrogenesis and contributes to the correct distribution of the economic and care resources.ConclusionsSince one of the fundaments of medicine is “primun non nocere” that means “first do no harm” and one of principles of bioethics is “non-maleficence”, quaternary prevention should prevail over any other preventive or curative option.–We should define in a more realistic way the limits, benefits and damages of our interventions in order to not promote a passive and sick role.–Must be recognized the non-treatment intervention as a therapeutic and useful intervention, and one of the best tools of quaternary prevention.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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Effects of falls prevention interventions on falls outcomes for hospitalised adults: protocol for a systematic review with meta-analysis

BMJ Open ◽

10.1136/bmjopen-2017-017864 ◽

2017 ◽

Vol 7 (11) ◽

pp. e017864 ◽

Cited By ~ 6

Author(s):

Susan C Slade ◽

David L Carey ◽

Anne-Marie Hill ◽

Meg E Morris

Keyword(s):

Mental Health ◽

Systematic Review ◽

Meta Analysis ◽

Unintentional Injury ◽

Public Health Problem ◽

Risk Identification ◽

Falls Prevention ◽

Global Public Health ◽

Prevention Interventions ◽

Randomised Controlled

IntroductionFalls are a major global public health problem and leading cause of accidental or unintentional injury and hospitalisation. Falls in hospital are associated with longer length of stay, readmissions and poor outcomes. Falls prevention is informed by knowledge of reversible falls risk factors and accurate risk identification. The extent to which hospital falls are prevented by evidence-based practice, patient self-management initiatives, environmental modifications and optimisation of falls prevention systems awaits confirmation. Published reviews have mainly evaluated community settings and residential care facilities. A better understanding of hospital falls and the most effective strategies to prevent them is vital to keeping people safe.ObjectivesTo evaluate the effectiveness of falls prevention interventions on reducing falls in hospitalised adults (acute and subacute wards, rehabilitation, mental health, operating theatre and emergency departments). We also summarise components of effective falls prevention interventions.Methods and analysisThis protocol has been registered. The systematic review will be informed by Cochrane guidelines and reported according to the Preferred Reporting Items for Systematic review and Meta-Analysis statement. Inclusion criteria: randomised controlled trials, quasi-randomised trials or controlled clinical trials that evaluate falls prevention interventions for use by hospitalised adults or employees. Electronic databases will be searched using key terms including falls, accidental falls, prevention, hospital, rehabilitation, emergency, mental health, acute and subacute. Pairs of independent reviewers will conduct all review steps. Included studies will be evaluated for risk of bias. Data for variables such as age, participant characteristics, settings and interventions will be extracted and analysed with descriptive statistics and meta-analysis where possible. The results will be presented textually, with flow charts, summary tables, statistical analysis (and meta-analysis where possible) and narrative summaries.Ethics and disseminationEthical approval is not required. The systematic review will be published in a peer-reviewed journal and disseminated electronically, in print and at conferences. Updates will guide healthcare translation into practice.Trail registration numberPROSPERO 2017: CRD 42017058887. Available fromhttps://www.crd.york.ac.uk/prospero

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How is Evaluated Mental Health Recovery?

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.2145 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S199-S199

Author(s):

P. Penas ◽

M.C. Moreno ◽

J.J. Uriarte ◽

P. Ridgway ◽

I. Iraurgi

Keyword(s):

Mental Health ◽

Systematic Review ◽

Mental Illness ◽

Psychometric Properties ◽

Mental Health Recovery ◽

Clinical Settings ◽

Personal Recovery ◽

Systematic Revision ◽

Recovery Orientation ◽

Competing Interest

IntroductionThere is an increasingly recognition of the concept of recovery in the treatment of mental illness. Recovery defined as living a fulfilling, rewarding life, even in the ongoing presence of a mental illness. Consequently, a number of instruments have been designed to assess recovery-oriented outcomes.ObjectiveThe objective of the study was to conduct a systematic revision of the instruments used to assess recovery with appropriate psychometric properties.MethodA systematic review of the literature has been realized. The adequacy of the instruments utilization, the content validity and psychometrics properties were gathered and analyzed.Results/discussionAfter a systematic review, it has been obtained 25 different instruments for measuring personal recovery and 17 for assessing the orientation of recovery in mental health services. As a consequence of the lack of consensus that exists in the conceptualization of recovery; several instruments have been developed and used to assess the different recovery domains. But it is essential to select scales that match with the recovery model and assess adequately the individual's recovery, and also, the recovery orientation of services. Moreover, those instruments should have appropriate psychometric properties and should be suitable to be introduced in routinely clinical settings.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Post-traumatic Stress Disorder, Violence and War: A Documental Exploratory Research

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1309 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S722-S723

Author(s):

M.A. Dos Santos ◽

R.D.C. Soares Junior

Keyword(s):

Mental Health ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Interpersonal Violence ◽

Stress Disorder ◽

Public Health Problem ◽

Exploratory Research ◽

Post Traumatic Stress ◽

Post Traumatic ◽

Competing Interest

IntroductionIn a globalized world, violence, present in all forms and everywhere, it is a serious public health problem. Violence and war lead to death and leave marks on the bodies and minds, and the post-traumatic stress disorder (PTSD) is a mental disorder that may develop following exposure to a potential event traumatic.ResultsIn the 3-month period (January 2016 to April 2016), according to typological analysis of the journal cover, the following results were found: the type of prevailing violence was interpersonal, community, committed by a stranger (75%), followed by the violence of the economic type (16.7%), and finally interpersonal violence committed by partner (8.3%). Although not all cases have provided the number of people who perpetrated or suffered violence, most victims of violence were male (8), aged 3 months and 36 years, followed by 2 women, and as a perpetrator of violence the men were in excess (4 men) followed by one woman.DiscussionViolence and war are traumatic stressors and risk factors for PTSD which, in turn, is also a risk factor to perpetrate violence, such as domestic violence. The costs of violence are high and its routinization as a way of life has important effects on the mental health of population.ConsiderationsScientific research, including qualitative studies, on PTSD, violence and war are necessary so that we have a better understanding of the phenomenon as well as to promote the mental health of all through early intervention or even in preventing the onset of this disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Attitudes Toward Intimate Partner Violence Against Women in the European Union: A Systematic Review

European Psychologist ◽

10.1027/1016-9040/a000392 ◽

2020 ◽

Vol 25 (2) ◽

pp. 104-121 ◽

Cited By ~ 5

Author(s):

Enrique Gracia ◽

Marisol Lila ◽

Faraj A. Santirso

Keyword(s):

Systematic Review ◽

Intimate Partner Violence ◽

Violence Against Women ◽

Partner Violence ◽

Public Health Problem ◽

Intimate Partner ◽

Cochrane Library ◽

Effective Prevention ◽

Partner Violence Against Women ◽

The Eu

Abstract. Attitudes toward intimate partner violence against women (IPVAW) are increasingly recognized as central to understanding of this major social and public health problem, and guide the development of more effective prevention efforts. However, to date this area of research is underdeveloped in western societies, and in particular in the EU. The present study aims to provide a systematic review of quantitative studies addressing attitudes toward IPVAW conducted in the EU. The review was conducted through Web of Science, PsychINFO, Medline, EMBASE, PUBMED, and the Cochrane Library, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) recommendations. This review aimed to identify empirical studies conducted in the EU, published in English in peer-reviewed journals from 2000 to 2018, and analyzing attitudes toward IPVAW. A total of 62 of 176 eligible articles were selected according to inclusion criteria. Four sets of attitudes toward IPVAW were identified as the main focus of the studies: legitimation, acceptability, attitudes toward intervention, and perceived severity. Four main research themes regarding attitudes toward IPVAW emerged: correlates of attitudes, attitudes as predictors, validation of scales, and attitude change interventions. Although interest in this research area has been growing in recent years, the systematic review revealed important gaps in current knowledge on attitudes toward IPVAW in the EU that limits its potential to inform public policy. The review outlines directions for future study and suggests that to better inform policy making, these future research efforts would benefit from an EU-level perspective.

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