scholarly journals Psychiatric symptoms and risk of victimisation: a population-based study from Southeast London

2018 ◽  
Vol 28 (2) ◽  
pp. 168-178 ◽  
Author(s):  
V. Bhavsar ◽  
K. Dean ◽  
S. L. Hatch ◽  
J. H. MacCabe ◽  
M. Hotopf
Keyword(s):  
Mental Health ◽  
Violence Exposure ◽  
Service Use ◽  
Psychiatric Symptoms ◽  
Public Health Problem ◽  
Sensitivity Analyses ◽  
Mental Health Service Use ◽  
Violence Perpetration ◽  
History Of ◽  
The Impact

AbstractAimsAlthough violence is a vital public health problem, no prospective studies have tested for subsequent vulnerability to violence, as a victim or witness, in members of the general population with a range of psychiatric symptoms, or evaluated the importance of higher symptom burden on this vulnerability.MethodsWe used successive waves of a household survey of Southeast London, taken 2 years apart, to test if association exists between psychiatric symptoms (symptoms of psychosis, common mental disorders, post-traumatic stress disorder and personality disorder) and later victimisation, in the form of either witnessing violence or being physically victimised, in weighted logistic regression models. Statistical adjustment was made for prior violence exposure, sociodemographic confounders, substance/alcohol use and violence perpetration. Sensitivity analyses were stratified by violence perpetration, sex and history of mental health service use.ResultsAfter adjustments, psychiatric symptoms were prospectively associated with reporting any subsequent victimisation (odds ratio (OR) 1.88, 95% confidence interval (CI) 1.25–2.83), a two times greater odds of reporting witnessed violence (OR 2.24, 95% CI 1.33–3.76) and reporting physical victimisation (OR 1.76, 95% CI 1.01–3.06). One more symptom endorsed was accompanied by 47% greater odds of subsequent victimisation (OR 1.47, 95% CI 1.16–1.86). In stratified analyses, statistical associations remained evident in non-perpetrators, and among those without a history of using mental health services, and were similar in magnitude in both men and women.ConclusionsPsychiatric symptoms increase liability to victimisation compared with those without psychiatric symptoms, independently of a prior history of violence exposure and irrespective of whether they themselves are perpetrators of violence. Clinicians should be mindful of the impact of psychiatric symptoms on vulnerability to victimisation, including among those with common psychiatric symptoms and among those who are not considered at risk of perpetrating violence.

scholarly journals Shame, perceived knowledge and satisfaction associated with mental health as predictors of attitude patterns towards help-seeking

2013 ◽  
Vol 23 (2) ◽  
pp. 177-187 ◽  
Author(s):  
N. Rüsch ◽  
M. Müller ◽  
V. Ajdacic-Gross ◽  
S. Rodgers ◽  
P.W. Corrigan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Help Seeking ◽  
Latent Profile Analysis ◽  
Service Use ◽  
Psychiatric Symptoms ◽  
Mental Health Service Use ◽  
Psychiatric Medication ◽  
Perceived Knowledge ◽  
Professional Help

Aims.To examine stigma- and knowledge-related barriers to help-seeking among members of the general population.Methods.In a representative survey of young to middle-aged Swiss adults (n = 8875), shame about a potential own mental illness, perceived knowledge about and satisfaction with one's mental health, psychiatric symptoms and attitudes towards help-seeking were assessed.Results.A latent profile analysis of all participants yielded two groups with different attitudes towards help-seeking. Relative to the majority, a one-in-four subgroup endorsed more negative attitudes towards seeking professional help, including psychiatric medication, and was characterized by more shame, less perceived knowledge, higher satisfaction with their mental health, younger age, male gender and lower education. Among participants with high symptom levels (n = 855), a third subgroup was reluctant to seek help in their private environment and characterized by high symptoms as well as low satisfaction with their mental health.Conclusions.Shame as an emotional proxy of self-stigma as well as poor subjective mental health literacy may be independent barriers to help-seeking. Interventions to increase mental health service use could focus on both variables and on those individuals with more negative views about professional help, in the general public as well as among people with a current mental illness.

Mental health service use and help-seeking among women firefighters with a career history of suicidality.

2018 ◽  
Vol 15 (3) ◽  
pp. 316-324 ◽  
Author(s):  
Melanie A. Hom ◽  
Ian H. Stanley ◽  
Sally Spencer-Thomas ◽  
Thomas E. Joiner
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Help Seeking ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Women Firefighters ◽  
History Of

scholarly journals Child Abuse Experiences and Perceived Need for Care and Mental Health Service Use among Members of the Canadian Armed Forces

2017 ◽  
Vol 62 (6) ◽  
pp. 413-421 ◽  
Author(s):  
Sarah Turner ◽  
Tamara Taillieu ◽  
Kristene Cheung ◽  
Mark Zamorski ◽  
David Boulos ◽  
...  
Keyword(s):  
Mental Health ◽  
Child Abuse ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Mental Health Service Use ◽  
Perceived Need ◽  
Regular Force ◽  
History Of ◽  
Canadian Military

Objective: Child abuse is associated with poor mental health outcomes in adulthood. However, little is known about how a history of child abuse may be related to perceived need for care (PNC) and mental health service use (MHSU) among Canadian military personnel. The objectives of this study were to determine 1) the relationship between child abuse history and PNC and 2) the relationship between child abuse history and MHSU in the Canadian military. Method: Data were drawn from the 2013 Canadian Forces Mental Health Survey ( n = 6692 Regular Force personnel between the ages of 18 and 60 years). Logistic regression was used to examine the relationships between individual child abuse types and PNC and MHSU while adjusting for sociodemographic variables, the presence of mental disorders, deployment-related variables, and other types of child abuse. Population attributable fractions (PAFs) were calculated to estimate the proportion of PNC and MHSU that may be attributable to child abuse. Results: Each individual child abuse type was associated with increased odds of PNC and MHSU after adjusting for all covariates (adjusted odds ratio ranging from 1.26 to 1.80). PAFs showed that if any child abuse did not occur, PNC and MHSU among Regular Force personnel may be reduced by approximately 14.3% and 11.3%, respectively. Conclusions: This study highlights that preenlistment factors, such as a history of child abuse, have an independent association with PNC and MHSU and hence need to be considered when assessing the mental health service needs of the Canadian Regular Force personnel.

scholarly journals Childhood bullying victimization is associated with use of mental health services over five decades: a longitudinal nationally representative cohort study

2016 ◽  
Vol 47 (1) ◽  
pp. 127-135 ◽  
Author(s):  
S. Evans-Lacko ◽  
R. Takizawa ◽  
N. Brimblecombe ◽  
D. King ◽  
M. Knapp ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Bullying Victimization ◽  
Childhood Bullying ◽  
The Impact ◽  
Victims Of Bullying

BackgroundResearch supports robust associations between childhood bullying victimization and mental health problems in childhood/adolescence and emerging evidence shows that the impact can persist into adulthood. We examined the impact of bullying victimization on mental health service use from childhood to midlife.MethodWe performed secondary analysis using the National Child Development Study, the 1958 British Birth Cohort Study. We conducted analyses on 9242 participants with complete data on childhood bullying victimization and service use at midlife. We used multivariable logistic regression models to examine associations between childhood bullying victimization and mental health service use at the ages of 16, 23, 33, 42 and 50 years. We estimated incidence and persistence of mental health service use over time to the age of 50 years.ResultsCompared with participants who were not bullied in childhood, those who were frequently bullied were more likely to use mental health services in childhood and adolescence [odds ratio (OR) 2.53, 95% confidence interval (CI) 1.88–3.40] and also in midlife (OR 1.30, 95% CI 1.10–1.55). Disparity in service use associated with childhood bullying victimization was accounted for by both incident service use through to age 33 years by a subgroup of participants, and by persistent use up to midlife.ConclusionsChildhood bullying victimization adds to the pressure on an already stretched health care system. Policy and practice efforts providing support for victims of bullying could help contain public sector costs. Given constrained budgets and the long-term mental health impact on victims of bullying, early prevention strategies could be effective at limiting both individual distress and later costs.

Predisposing, enabling and need factors associated with increased use and ongoing increased use of inpatient mental health care: A population-based longitudinal study

2020 ◽  
pp. 000486742097684
Author(s):  
Bianca Suesse ◽  
Luise Lago ◽  
Victoria Westley-Wise ◽  
Jose Cuenca ◽  
Nagesh Pai
Keyword(s):  
Mental Health ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Service Use ◽  
Population Based ◽  
Mental Health Service Use ◽  
History Of ◽  
Self Harm ◽  
History Of Depression ◽  
Hospital Use

Objective: The study investigated factors associated with frequent (admissions), high (total length of stay) or heavy (frequent and high) hospital use, and with ongoing increased hospital use, for mental health conditions in a regional health district. Methods: A retrospective population-based study using longitudinal hospital, emergency department and community service use data for people admitted with a mental health condition between 1 January 2012 and 31 December 2016. Multivariate logistic regression models assessed the association of predisposing, enabling and need factors with increased, and ongoing increased, hospital use. Results: A total of 5,631 people had at least one mental health admission. Frequent admission was associated with not being married (odds ratio = 2.3, 95% confidence interval = [1.5, 3.3]), no private hospital insurance (odds ratio = 2.2, 95% confidence interval = [1.2, 3.8]), previous mental health service use (community, emergency department, lengthy admissions) and a history of a substance use disorder, childhood trauma, self-harm or chronic obstructive pulmonary disease. High and heavy hospital use was associated with marital status, hospital insurance, admission for schizophrenia, previous mental health service use and a history of self-harm. Ongoing frequent use was less likely among those aged 65 and older (odds ratio = 0.2, 95% confidence interval = [0.1, 1.0]) but more likely among those with a history of depression (odds ratio = 2.2, 95% confidence interval = [1.1, 4.4]). Ongoing high use was also associated with admissions for schizophrenia and a history of self-harm. Conclusion: Interventions targeted at younger people hospitalised with schizophrenia, a history of depression or self-harm, particularly with evidence of social and or health disadvantage, should be considered to improve long-term consumer and health system outcomes. These data can support policymakers to better understand the context and need for improvements in stepped or staged care for people frequently using inpatient mental health care.

The impact of viral epidemics and pandemics on acute mental health service use: an integrative review

2021 ◽  
Vol 15 (1) ◽  
pp. 1-33
Author(s):  
Candice Bowman ◽  
Grace Branjerdporn ◽  
Kathryn Turner ◽  
Memunatu Kamara ◽  
Nischal Tyagi ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Integrative Review ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
The Impact

Prevalence and Predictors of Psychological Distress Among Women With Ovarian Cancer

2004 ◽  
Vol 22 (5) ◽  
pp. 919-926 ◽  
Author(s):  
Tina R. Norton ◽  
Sharon L. Manne ◽  
Stephen Rubin ◽  
John Carlson ◽  
Enrique Hernandez ◽  
...  
Keyword(s):  
Mental Health ◽  
Ovarian Cancer ◽  
Psychological Distress ◽  
Stress Responses ◽  
Service Use ◽  
High Stress ◽  
Disease Stage ◽  
Mental Health Service Use ◽  
Stage Disease ◽  
The Impact

Purpose To identify the prevalence of psychological distress among women with ovarian cancer and to examine the association between these symptoms of distress and demographic and medical variables. Patients and Methods Participants were 143 women with ovarian cancer. Forty-eight percent of participants had been diagnosed with advanced-stage disease (stage III or IV) and most (80%) were currently receiving treatment. Psychological distress was assessed with the following measures: the Beck Depression Inventory, the Mental Health Inventory, the Impact of Events Scale, and a questionnaire regarding mental health service use. Results Approximately one fifth of women reported moderate to severe levels of distress, and more than half reported high stress responses to their cancer and its treatment. Most participants (60%) were not using any mental health services or psychotropic medications. There was also evidence to suggest that younger patients, patients with more advanced or recurrent disease, and patients who had more recently been diagnosed with ovarian cancer experienced greater psychological distress. Conclusion These findings indicate that psychological distress and high stress responses to cancer are prevalent among women with ovarian cancer, suggesting they should be carefully evaluated to determine whether treatment for these symptoms is warranted.

scholarly journals A randomised test of the effect of medical v. lay idiom on assessment of perceived mental health condition in the USA

2020 ◽  
Vol 29 ◽  
Author(s):  
J. Breslau ◽  
R. McBain ◽  
E. C. Wong ◽  
E. Roth ◽  
M. A. Burnam ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Poor Mental Health ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Self Rated Health ◽  
The Impact

Abstract Aims To test the impact of using different idioms in epidemiological interviews on the prevalence and correlates of poor mental health and mental health service use. Methods We conducted a randomised methodological experiment in a nationally representative sample of the US adult population, comparing a lay idiom, which asked about ‘problems with your emotions or nerves’ with a more medical idiom, which asked about ‘problems with your mental health’. Differences across study arms in the associations of endorsement of problems with the Kessler-6 (a validated assessment of psychological distress), demographic characteristics, self-rated health and mental health service use were examined. Results Respondents were about half as likely to endorse a problem when asked with the more medical idiom (18.1%) than when asked with the lay idiom (35.1%). The medical idiom had a significantly larger area under the ROC curve when compared against a validated measure of psychological distress than the lay idiom (0.91 v. 0.87, p = 0.012). The proportion of the population who endorsed a problem but did not receive treatment in the past year was less than half as large for the medical idiom (7.90%) than for the lay idiom (20.94%). Endorsement of problems differed in its associations with age, sex, race/ethnicity and self-rated health depending on the question idiom. For instance, the odds of endorsing problems were threefold higher in the youngest than the oldest age group when the medical idiom was used (OR = 3.07; 95% CI 1.47–6.41) but did not differ across age groups when the lay idiom was used (OR = 0.76; 95% CI 0.43–1.36). Conclusion Choice of idiom in epidemiological questionnaires can affect the apparent correlates of poor mental health and service use. Cultural change within populations over time may require changes in instrument wording to maintain consistency in epidemiological measurement of psychiatric conditions.

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