19.1 Changes in Mental Health, Psychiatric Service Use, and Bullying Behavior Among Eight-Year-Old Children Over the Course of 24 Years

2016 ◽  
Vol 55 (10) ◽  
pp. S286-S287
Author(s):  
Andre Sourander ◽  
Lotta Lempinen ◽  
Terja Ristkari ◽  
Anat Brunstein Klomek
2017 ◽  
Vol 27 (5) ◽  
pp. 510-518 ◽  
Author(s):  
A. Lundin ◽  
Y. Forsell ◽  
C. Dalman

Aims.The use of specialised psychiatric services for depression and anxiety has increased steadily among young people in Sweden during recent years. It is not known to what extent this service use is due to an increase in psychiatric morbidity, or whether other adversities explain these trends. The aim of this study is to examine if there is increased use of psychiatric services among young adults in Sweden between 2000 and 2010, and if so, to what extent this increase is associated with differences in depression, anxiety and negative life events.Methods.This is a repeated cross-sectional study of 20–30-year old men and women in Stockholm County in 2000 and 2010 (n = 2590 and n = 1120). Log-binomial regression analyses were conducted to compare the prevalence of service use, depression and panic disorder between the two cohorts. Self-reported life events were entered individually and as a summary index, and entered as potential mediators. Different effects of life events on service use were examined through interaction analysis. We report prevalence proportion ratios (PPR) with 95% confidence intervals.Results.Specialised psychiatric service use, but also depression and panic disorder was more common in the younger cohort (current service use 2.4 and 5.0%). The younger cohort did not report more life events overall or among those with depression or anxiety. Neither depression, panic disorder nor life events could explain the increased use of psychiatric services in the younger cohort (Fully adjusted model PPR = 1.70, 1.20–2.40 95% CI). There was no significant interaction between cohort and life events in predicting psychiatric service use.Conclusion.This study provides initial support for an increase in service use among young adults compared with 10 years earlier. The increased service use cannot be explained with increasing worse life situations.


2002 ◽  
Vol 36 (1) ◽  
pp. 86-91 ◽  
Author(s):  
Jane Pirkis ◽  
Philip Burgess ◽  
Damien Jolley

Objective: To examine patient- and treatment-based differences between psychiatric patients who do and do not die by suicide. Method: By linking databases of deaths and psychiatric service use in Victoria, we compared 597 cases who suicided over 5 years with individually matched controls. Results: Cases and controls could not be distinguished on the majority of patient- or treatment-based characteristics. The exceptions were that cases were more likely to be male, less likely to be outside the labour force, more likely to have recent contact with inpatient and community services, and more likely to have a registration as their last contact. Conclusions: Patients who suicide ‘look’ similar to those who do not, suggesting prevention approaches should ensure that all psychiatric patients receive optimal care, including appropriate detection, diagnosis, assessment and treatment of mental health problems, and careful, individualised assessment of suicide risk.


1992 ◽  
Vol 86 (4) ◽  
pp. 313-319 ◽  
Author(s):  
P. Hobbs ◽  
B. Deavoll ◽  
P. Abernethy

1999 ◽  
Vol 29 (2) ◽  
pp. 351-366 ◽  
Author(s):  
B. MAUGHAN ◽  
S. COLLISHAW ◽  
A. PICKLES

Background. Evidence on the adult adaptation of individuals with mild mental retardation (MMR) is sparse, and knowledge of the factors associated with more and less successful functioning in MMR samples yet more limited.Method. Prospective data from the National Child Development Study were used to examine social circumstances and psychosocial functioning in adulthood in individuals with MMR and in a non-retarded comparison group.Results. For many individuals with MMR, living circumstances and social conditions in adulthood were poor and potential stressors high. Self-reports of psychological distress in adulthood were markedly elevated, but relative rates of psychiatric service use fell between childhood and adulthood, as reflected in attributable risks. Childhood family and social disadvantage accounted for some 20–30% of variations between MMR and non-retarded samples on a range of adult outcomes. Early social adversity also played a significant role in contributing to variations in functioning within the MMR sample.Conclusions. MMR appears to be associated with substantial continuing impairment for many individuals.


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