Suicide Rates and Mental Health Services in Modern China

Crisis ◽  
2000 ◽  
Vol 21 (3) ◽  
pp. 118-121 ◽  
Author(s):  
Ji Jianlin
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rural Areas ◽  
Economic Status ◽  
Age Groups ◽  
Modern China ◽  
Suicide Rates ◽  
Cultural Variables ◽  
Chinese Public

Suicide rates in China have in the past been reported to be very low for a variety of historical and political reasons. In recent years, however, the reported suicide rates in China have increased alarmingly among certain age groups. This article reviews reports of the national rural suicide rates in China for 1992, gathered from the Annal of Chinese Public Health, which has previously never been reported publicly. The highest suicide rates occur in the rural areas and among young women and men over 60 years. These data reveal that suicide in China may have some unique characteristic associated with a variety of socio-cultural variables, such as traditional culture, social class, economic status, health care levels, and interpersonal problems. The author shows that lack of mental health services in rural areas in China may be considered one of associated reasons to the high rural suicide rate in China.

scholarly journals The Greek Hybrid Version of the Assertive Community Treatment Model: A Perspective View between Challenges and Limitations

Psych ◽  
2021 ◽  
Vol 3 (4) ◽  
pp. 792-799
Author(s):  
Vaios Peritogiannis ◽  
Fotini Tsoli
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Professionals ◽  
Assertive Community Treatment ◽  
Rural Areas ◽  
Community Treatment ◽  
Community Mental Health Service ◽  
Perspective View

The Assertive Community Treatment (ACT) model of care has been long considered to be effective in the management of patients with severe mental illness (SMI) in most Western countries. The implementation of the original ACT model may be particularly challenging in rural and remote communities with small and dispersed populations and lack of adequate mental health services. Rural programs may have to adapt the model and modify the ACT fidelity standards to accommodate these limitations, and this is the rationale for the introduction of more flexible, hybrid ACT models. In rural Greece, the so called Mobile Mental Health Units (MMHUs) are well-established community mental health services. For patients with SMI that have difficulties engaging with treatment services, the new hybrid ACT model has been recently launched. The objective of this manuscript is to present the recently launched hybrid ACT model in rural areas in Greece and to explore the challenges and limitations in its implementation from the experience of a team of mental health professionals with ACT experience. Referral criteria have not been strictly set, but the number of previous relapses and hospitalizations is taken under consideration, as well as the history of poor treatment adherence and disengagement from mental health services. The main limitation in the implementation of the hybrid ACT service is that it has been introduced in several areas in the absence of a pre-existing community mental health service. This may impact referrals and limit focus on the difficult cases of patients with SMI, thus making the evaluation of the model inapplicable.

scholarly journals What is the impact of socio-economic inequalities on the use of mental health services?

2007 ◽  
Vol 16 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Francesco Amaddeo ◽  
Julia Jones
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Social Background ◽  
Developed Countries ◽  
Socio Economic Status ◽  
The Impact ◽  
Economic Inequalities

AbstractAmartya Sen, who received the Nobel Prize for Economics, has demonstrated that the incidence of deprivation, in terms ofcapability, can be surprisingly high even in the most developed countries of the world. The study of socio-economic inequalities, in relation to the utilisation of health services, is a priority for epidemiological research. Socio-economic status (SES) has no universal definition. Within the international research literature, SES has been related to social class, social position, occupational status, educational attainment, income, wealth and standard of living. Existing research studies have shown that people from a more deprived social background, with a lower SES, are more likely to have a higher psychiatric morbidity. Many studies show that SES influences psychiatric services utilization, however the real factors linking SES and mental health services utilisation remain unclear. In this editorial we discuss what is currently known about the relationship between SES and the use of mental health services. We also make an argument for why we believe there is still much to uncover in this field, to understand fully how individuals are influenced by their personal socio-economic status, or the neighbourhood in which they live, in terms of their use of mental health services. Further research in this area will help clarify what interventions are required to provide greater equality in access to mental health services.

Use of Mental Health Services in Rural Areas

1998 ◽  
Vol 49 (1) ◽  
pp. 107-a-108
Author(s):  
Barbara M. Rohland ◽  
Douglas R. Langbehn
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rural Areas

Rising Indigenous suicide rates in Kimberley and implications for suicide prevention

2016 ◽  
Vol 24 (6) ◽  
pp. 561-564 ◽  
Author(s):  
Anita Campbell ◽  
Murray Chapman ◽  
Cate McHugh ◽  
Adelln Sng ◽  
Sivasankaran Balaratnasingam
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Suicide Prevention ◽  
Indigenous Australians ◽  
Indigenous Youth ◽  
Suicide Rates ◽  
Culturally Informed ◽  
Retrospective Audit ◽  
Prevention Interventions

Objectives: This audit examined the demographics of Indigenous Australians dying by suicide in the Kimberley region of Western Australia during the period 2005–2014. Methods: This is a de-identified retrospective audit of reported suicide deaths provided to Kimberley Mental Health and Drug Service during the period 2005–2014. Variables such as age, sex, method of suicide, previous engagement with mental health services, locality and ethnicity were assessed. Results: Indigenous suicide rates in the Kimberley region have dramatically increased in the last decade. There is also an overall trend upwards in Indigenous youth suicide and Indigenous female suicides. Conclusions: These findings highlight the need for culturally informed, and youth focussed, suicide prevention interventions within the Kimberley region.

Utilization of Mental Health Services by Veterans Living in Rural Areas

2016 ◽  
Vol 33 (3) ◽  
pp. 297-304 ◽  
Author(s):  
Judith Teich ◽  
Mir M. Ali ◽  
Sean Lynch ◽  
Ryan Mutter
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rural Areas

scholarly journals Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health Programme for providing innovative mental health care in rural communities in India

2015 ◽  
Vol 2 ◽  
Author(s):  
P. K. Maulik ◽  
S. Devarapalli ◽  
S. Kallakuri ◽  
D. Praveen ◽  
V. Jha ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mixed Methods ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Rural Areas ◽  
Health Workers ◽  
Mental Health Programme ◽  
Health Programme

Background.India has few mental health professionals to treat the large number of people suffering from mental disorders. Rural areas are particularly disadvantaged due to lack of trained health workers. Ways to improve care could be by training village health workers in basic mental health care, and by using innovative methods of service delivery. The ongoing Systematic Medical Appraisal, Referral and Treatment Mental Health Programme will assess the acceptability, feasibility and preliminary effectiveness of a task-shifting mobile-based intervention using mixed methods, in rural Andhra Pradesh, India.Method.The key components of the study are an anti-stigma campaign followed by a mobile-based mental health services intervention. The study will be done across two sites in rural areas, with intervention periods of 1 year and 3 months, respectively. The programme uses a mobile-based clinical decision support tool to be used by non-physician health workers and primary care physicians to screen, diagnose and manage individuals suffering from depression, suicidal risk and emotional stress. The key aim of the study will be to assess any changes in mental health services use among those screened positive following the intervention. A number of other outcomes will also be assessed using mixed methods, specifically focussed on reduction of stigma, increase in mental health awareness and other process indicators.Conclusions.This project addresses a number of objectives as outlined in the Mental Health Action Plan of World Health Organization and India's National Mental Health Programme and Policy. If successful, the next phase will involve design and conduct of a cluster randomised controlled trial.

scholarly journals Advances in the Basicneeds Mental Health Services and Development Model of Mental Illness in Rural China

2016 ◽  
Vol 5 (1) ◽  
pp. 8 ◽  
Author(s):  
Shao Chen ◽  
Yunshu Zhang ◽  
Jinghua Cao ◽  
Keqing Li
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Rural Areas ◽  
Rural China ◽  
Development Model ◽  
Ability To Work ◽  
Charitable Organization ◽  
Mental Health Patients

Basicneeds Foundation as an international charitable organization，after years of efforts，it explores a suitable for the development of mental health services and the development model and developed countries.It makes the majority of mental health patients recover their health, social function and the ability to work has been restored.Since 2012, carried out in China, also made a lot of results.This article starts from Basicneeds’s five modules, which were summarized in China Baoding Shunping rural areas, for mental illness research progress.At the same time, the Basicneeds group also hopes to improve its model, making it more suitable for the situation in China, and in more places be promoted.

scholarly journals Public Attitudes Toward Psychiatric Hospitals: A Rural-Urban Comparative Public Survey in Odisha State, India

2021 ◽  
Vol 12 ◽  
Author(s):  
Sunita Jena ◽  
Aron Zieger ◽  
Kerem Böge ◽  
Gayatri Salunkhe ◽  
Georg Schomerus ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Rural Areas ◽  
Psychiatric Hospitals ◽  
Urban Setting ◽  
Negative Attitudes

Background: Integration of psychiatric care with public health services and offering mental health care services to patients from lower socioeconomic status remains a global challenge. Scarcity of funds and professional workforce in psychiatric hospitals contribute to this situation. However, negative attitudes in the population are also a known impediment to patients seeking mental health services. This study aimed to assess the attitudes toward psychiatric hospitals among the urban and rural population in India.Subjects and Methods: The study was carried out amongst the general population in Odisha, India. The total sample (n = 988) includes 496 respondents from an urban-setting, and 492 respondents from rural parts of the district. Participants were selected by using simple random-sampling from the Asian Institute of Public Health (AIPH) data base. A standardized seven-item questionnaire was adopted, with responses indicated on a 5-point Likert-scale. Interviews were fully structured and conducted face-to-face.Results: Level of education (B = −0.192, ß = −0.320, p < 0.000) and urban-rural comparison (B = −0.272, ß = −0.189, p < 0.000) significantly influenced attitudes toward psychiatric hospitals. Gender, age, and religious beliefs did not show any significant effect on attitudes toward psychiatric hospitals. Individuals in rural areas and those with lower education levels showed more negative attitudes toward psychiatric hospitals.Conclusion: Negative attitudes toward psychiatric hospitals from those living in rural areas as well as those with lesser education may be reflective of the lack of availability, accessibility, affordability, and credibility of such mental health services. The Mental Health Care Act in India is a progressive legislation which might improve the situation of the provided services and, consequently, reduce negative attitudes in the years to come.

scholarly journals IDENTIFYING BARRIERS TO MENTAL HEALTH SERVICES IN A RURAL COMMUNITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S553-S553
Author(s):  
Robert J Maiden ◽  
Danielle Gagne ◽  
Daniel l Segal ◽  
Bert Hayslip Jr.
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rural Areas ◽  
Fundamental Problem ◽  
Past Research ◽  
Care Needs ◽  
Insurance Costs ◽  
Behavioral Services ◽  
Internal Barriers

Abstract Unmet mental health care needs of older people living in rural areas have been identified as a fundamental problem. This project engaged a rural consortium of service agencies to support recruitment through advertising, word of mouth, social media. So far, 100 rural participants aged 50 and older have completed our survey which includes the revised Barriers to Mental Health Services Scale, (BMHSS-R) which measures intrinsic barriers attributed to internal characteristics and beliefs, e.g. stigma, and extrinsic barriers, e.g. insurance costs, and lack of transportation. Preliminary results revealed increased services utilization compared to past research. However, several serious barriers remained, e.g. as lack of insurance/costs, distance/location, stigma, and lack of knowledge. The BMHSS-R results e demonstrate how the two types of barriers are related and interact within individuals. Implications are that internal barriers (e.g., stigma) and external ones (location, costs) can be reduced or eliminated through integrated medical/behavioral services.

Mental Health Services in Rural Areas

2020 ◽  
Vol 71 (9) ◽  
pp. 984-985
Author(s):  
Hector Colon-Rivera ◽  
Lisa B. Dixon
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rural Areas
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