Individual and population level estimates of work loss and related economic costs due to mental and substance use disorders in Metropolitan São Paulo, Brazil

2022 ◽  
Vol 296 ◽  
pp. 198-207
Author(s):  
Mariane Henriques França ◽  
Flavia Garcia Pereira ◽  
Yuan-Pang Wang ◽  
Laura Helena Andrade ◽  
Jordi Alonso ◽  
...  
10.2196/22047 ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. e22047
Author(s):  
Vincent Israel Opoku Agyapong ◽  
Marianne Hrabok ◽  
Wesley Vuong ◽  
April Gusnowski ◽  
Reham Shalaby ◽  
...  

Background With the emergence of the COVID-19 pandemic, providing counseling to people with drug or alcohol addiction while maintaining physical distance has been challenging. This protocol describes the use of text messaging (as used in the Text4Hope-Addiction Support program) as a convenient, evidence-based, cost-effective, and accessible population-level mental health intervention with high user satisfaction proven in prior research. Objective The project goal is to implement a program of daily supportive text messaging (Text4Hope-Addiction Support) to reduce drug or alcohol cravings as well as anxiety and depression, typically associated with alcohol and substance use disorders. The aim of this study is to evaluate the prevalence of cravings, anxiety, and depressive symptoms; demographic correlates of the same; and the outcomes of the Text4Hope-Addiction Support intervention in mitigating cravings, anxiety, and depressive symptoms. Methods Self-administered, anonymous, online questionnaires will be used to assess cravings for the primary substance of addiction (Brief Substance Craving Scale), anxiety (Generalized Anxiety Disorder-7), and depressive symptoms (Patient Health Questionnaire-9). Data will be collected at baseline (onset of receiving text messages), program midpoint (6 weeks), and program end (12 weeks). Results As of October 2020, data collection is in progress; and it is expected to be completed by fall 2021. Data analysis will include parametric and nonparametric techniques, focusing on primary outcomes (ie, cravings, anxiety, and depressive symptoms) and metrics of use, including the number of subscribers and user satisfaction. Conclusions This Text4Hope-Addiction Support project will provide key information regarding the prevalence rates of cravings, anxiety, and depressive symptoms among persons with alcohol and substance use disorders; demographic correlates of cravings, anxiety, and depression; and outcome data related to this scalable population-level intervention. Information from this study will be valuable for addiction care practitioners; it will inform the policy and decision making regarding population-level addiction treatment and support during emergencies. International Registered Report Identifier (IRRID) DERR1-10.2196/22047


Author(s):  
Tine Maes ◽  
Geert Dom

Up to 90% of the individuals who complete suicide meet criteria for a psychiatric disorder. Specifically, substance use disorders (SUD) are highly prevalent and frequently associated with an increased risk of suicidal behaviours. Growing evidence shows that this also counts for behavioural addictions, such as gambling. Comorbidity of psychiatric disorders such as major depression, bipolar disorder, schizophrenia, and personality disorder, with SUD, increase the risk. Pathways underlying the relationship between substance abuse and suicidality are multifactorial; the short-term effect of intoxication, impulsivity as trait and state, neurobiological consequences of chronic substance abuse, and accumulating adverse life events all contribute. Assessment and management of suicidality within SUD patients are mandatory for suicide prevention. Further, the evidence is growing that treatment of SUD in itself can reduce suicidality risk. Finally, and from a prevention perspective, decreasing substance use on a general population level is associated with decreases of population-level suicidality.


2012 ◽  
Vol 12 (5) ◽  
pp. 826-833 ◽  
Author(s):  
Fernando Rodrigues-Silva ◽  
Ubiratan de Paula Santos ◽  
Paulo Hilário Nascimento Saldiva ◽  
Luis Fernando Amato-Lourenço ◽  
Simone Georges El Khouri Miraglia

Injury ◽  
2018 ◽  
Vol 49 (12) ◽  
pp. 2186-2192
Author(s):  
G. Andreuccetti ◽  
C.J. Cherpitel ◽  
H.B. Carvalho ◽  
V. Leyton ◽  
I.D. Miziara ◽  
...  

2021 ◽  
Author(s):  
Bryan R. Garner ◽  
Heather J. Gotham ◽  
Hannah K. Knudsen ◽  
Brittany A. Zulkiewicz ◽  
Stephen J. Tueller ◽  
...  

AbstractAlthough HIV and substance use disorders (SUDs) constitute a health syndemic, no research to date has examined the perceived negative impacts of different SUDs for people with HIV (PWH). In May 2019, 643 stakeholders in the U.S., representing clients of AIDS service organizations (ASOs), ASO staff, and HIV/AIDS Planning Council members, participated in an innovative Stakeholder-Engaged Real-Time Delphi (SE-RTD) survey focused on the prevalence and individual-level negative impact of five SUDs for PWH. The SE-RTD method has advantages over conventional survey methods by efficiently sharing information, thereby reducing the likelihood that between-group differences are simply due to lack of information, knowledge, and/or understanding. The population-level negative impacts were calculated by weighting each SUD’s individual-level negative impact on indicators of the HIV Care Continuum and other important areas of life by the perceived prevalence of each SUD. Overall, we found these SUDs to have the greatest population-level negative impact scores (possible range 0–24): alcohol use disorder (population-level negative impact = 6.9; perceived prevalence = 41.9%), methamphetamine use disorder (population-level negative impact = 6.5; perceived prevalence = 3.2%), and opioid use disorder (population-level negative impact = 6.4; perceived prevalence = 34.6%). Beyond further demonstration of the need to better integrate SUD services within HIV settings, our findings may help inform how finite funding is allocated for addressing the HIV-SUD syndemic within the U.S. Based on our findings, such future efforts should prioritize the integration of evidence-based treatments that help address use disorders for alcohol, methamphetamine, and opioids.


2011 ◽  
Vol 41 (2) ◽  
pp. 201-207 ◽  
Author(s):  
Michael L. Dennis ◽  
Michael T. French ◽  
Kathryn E. McCollister ◽  
Christy K. Scott

2020 ◽  
Author(s):  
Vincent Israel Opoku Agyapong ◽  
Marianne Hrabok ◽  
Wesley Vuong ◽  
April Gusnowski ◽  
Reham Shalaby ◽  
...  

BACKGROUND With the emergence of the COVID-19 pandemic, providing counseling to people with drug or alcohol addiction while maintaining physical distance has been challenging. This protocol describes the use of text messaging (as used in the Text4Hope-Addiction Support program) as a convenient, evidence-based, cost-effective, and accessible population-level mental health intervention with high user satisfaction proven in prior research. OBJECTIVE The project goal is to implement a program of daily supportive text messaging (Text4Hope-Addiction Support) to reduce drug or alcohol cravings as well as anxiety and depression, typically associated with alcohol and substance use disorders. The aim of this study is to evaluate the prevalence of cravings, anxiety, and depressive symptoms; demographic correlates of the same; and the outcomes of the Text4Hope-Addiction Support intervention in mitigating cravings, anxiety, and depressive symptoms. METHODS Self-administered, anonymous, online questionnaires will be used to assess cravings for the primary substance of addiction (Brief Substance Craving Scale), anxiety (Generalized Anxiety Disorder-7), and depressive symptoms (Patient Health Questionnaire-9). Data will be collected at baseline (onset of receiving text messages), program midpoint (6 weeks), and program end (12 weeks). RESULTS As of October 2020, data collection is in progress; and it is expected to be completed by fall 2021. Data analysis will include parametric and nonparametric techniques, focusing on primary outcomes (ie, cravings, anxiety, and depressive symptoms) and metrics of use, including the number of subscribers and user satisfaction. CONCLUSIONS This Text4Hope-Addiction Support project will provide key information regarding the prevalence rates of cravings, anxiety, and depressive symptoms among persons with alcohol and substance use disorders; demographic correlates of cravings, anxiety, and depression; and outcome data related to this scalable population-level intervention. Information from this study will be valuable for addiction care practitioners; it will inform the policy and decision making regarding population-level addiction treatment and support during emergencies. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/22047


2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Caio Vinicius Silva ◽  
Raphael Besborodco ◽  
Cintia Rodrigues ◽  
Carlos Górios

INTRODUCTION: An important issue to be discussed by researchers, managers and other members of the crisis committees to face the pandemic are the repercussions of social detachment, such as domestic accidents with child and adolescent victims. OBJECTIVES: To describe domestic accidents in childhood and adolescence during the period of social isolation in the city of São Paulo-SP, regarding the characteristics of individuals, the event and the evolution of the case. METHODS: Cross-sectional, descriptive study, based on data on hospitalizations for external causes, accidents and violence in the city of São Paulo. Data were collected in the hospital information system and the violence and accident information system. The period used for the study was from January to May 2020. RESULTS: 4,169 accidents were registered among children and adolescents living in the city of São Paulo, and consequently, resulting in the diagnosis of injury, trauma and head injury. Among the victims, predominantly male and the main type of accident was falls. CONCLUSION: Given the above, the severity of COVID-19 in Brazil, in the city of São Paulo and in the world, and the need for efforts to reduce the speed of virus transmission at the population level and to reduce the incidence of the disease, so far, social detachment is part of the set of measures necessary to achieve these goals, permanent health education for parents, family members and society is necessary to prevent domestic accidents.


Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Daniel Hideki Bando ◽  
Fernando Madalena Volpe

Background: In light of the few reports from intertropical latitudes and their conflicting results, we aimed to replicate and update the investigation of seasonal patterns of suicide occurrences in the city of São Paulo, Brazil. Methods: Data relating to male and female suicides were extracted from the Mortality Information Enhancement Program (PRO-AIM), the official health statistics of the municipality of São Paulo. Seasonality was assessed by studying distribution of suicides over time using cosinor analyses. Results: There were 6,916 registered suicides (76.7% men), with an average of 39.0 ± 7.0 observed suicides per month. For the total sample and for both sexes, cosinor analysis estimated a significant seasonal pattern. For the total sample and for males suicide peaked in November (late spring) with a trough in May–June (late autumn). For females, the estimated peak occurred in January, and the trough in June–July. Conclusions: A seasonal pattern of suicides was found for both males and females, peaking in spring/summer and dipping in fall/winter. The scarcity of reports from intertropical latitudes warrants promoting more studies in this area.


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