Doctors, suicide and mental illness

This article focuses on doctors and suicide. It provides real examples to illustrate why doctors die by their own hand. These reasons are replicated in the general population, but also include a host of additional risk factors related to being a doctor. In each case, information about the doctor is in the public domain or, as in one case, consent from the next of kin has been obtained for a detail not in the public domain. The author is a doctors' doctor, heading up a confidential health service for doctors with mental illness or addiction, the National Health Service Practitioner Health Programme. Mortality data from the programme (January 2008–January 2017) will also be included. For the sake of confidentiality, data is collated and details regarding age and gender have been approximated.Declaration of interestNone.

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Associations between mental illnesses and acute cardiovascular events and cancers in France in 2016

European Journal of Public Health ◽

10.1093/eurpub/ckz187.194 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

T Lesuffleur ◽

M Coldefy ◽

A Rachas ◽

C Gastaldi-Ménager ◽

P Tuppin

Keyword(s):

Heart Failure ◽

Mental Illness ◽

Pulmonary Embolism ◽

General Population ◽

Cardiovascular Events ◽

Healthcare Professionals ◽

Mental Illnesses ◽

Age And Gender ◽

Addictive Disorder ◽

And Gender

Abstract Background People with a mental illness have higher risks of somatic diseases and higher mortality, but this has been poorly documented in France. We studied the associations between mental illnesses and acute cardiovascular events (ACEs) and cancers in the French national health data system (SNDS). Methods We included all health insurance general scheme beneficiaries ≥18 years-of-age in 2016. Mental illnesses (psychotic disorder, neurotic or mood disorder, mental retardation and addictive disorder), ACEs (acute coronary syndrome (ACS), stroke, acute heart failure and pulmonary embolism) and cancers (breast, colorectal, lung and prostate) were identified using algorithms based on long-term disease registry, hospitalization diagnoses and specific drug deliveries. The associations were measured using morbidity ratios standardized by age and gender when appropriate (SMRs). Results ACEs were more frequent in the subjects with a mental illness than in the general population: ACS (SMR: 1.6), stroke (2.3), acute heart failure (1.9), pulmonary embolism (2.4). Similar results were found for each mental illness, except for ACS, which were less frequent in those with a mental retardation (SMR: 0.5) and were not associated with psychotic disorder (SMR: 1.0). Mental illness was also associated with more frequent breast (SMR: 1.3), colorectal (1.3), lung (2.0) and prostate (1.2) cancers, in particular for those with a neurotic or mood disorder (SMRs: 1.3, 1.5, 2.3, 1.2, respectively) and, for lung cancer, those with an addictive disorder (SMR: 2.6). Conclusions Globally, ACEs and cancers were more frequent in patients with a mental illness relative to the general population after standardization by age and gender, which could be related to adverse effects of certain psychotropic drugs or behaviours or risk factors related to the mental illness. Healthcare professionals should be aware of this to more adequately account for the specificities of the patients with a mental illness. Key messages ACEs and cancers were more frequent in patients with a mental illness relative to the general population after standardization by age and gender. Healthcare professionals should be aware of this to more adequately account for the specificities of the patients with a mental illness.

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Association between psychosomatic health symptoms and common mental illness in Ghanaian adolescents: Age and gender as potential moderators

Journal of Health Psychology ◽

10.1177/1359105316628736 ◽

2016 ◽

Vol 22 (11) ◽

pp. 1376-1386 ◽

Cited By ~ 6

Author(s):

Franklin N Glozah ◽

David J Pevalin

Keyword(s):

Mental Illness ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Age And Gender ◽

Psychosomatic Symptoms ◽

School Based ◽

And Gender ◽

Using Data

Little is known about the role of age and gender in the association between psychosomatic symptoms and common mental illness in Ghanaian adolescents. This cross-sectional study examined age and gender as moderators between psychosomatic symptoms and common mental illness using data from a school-based survey ( N = 770). Males reported higher psychosomatic symptoms and common mental illness, while younger adolescents reported higher common mental illness only. Psychosomatic symptoms were positively associated with common mental illness, but age and gender did not moderate this association. Interventions aimed at reducing the prevalence rate in psychosomatic symptoms are crucial in decreasing common mental illness in Ghanaian adolescents.

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PMH27 HEALTH SERVICE EXPENDITURES FOR PATIENTS WITH A DIAGNOSIS OF ATTENTION-DEFICIT/HYPERACTIVITY DISORDER (ADHD) IN GERMANY—AN AGE AND GENDER SPECIFIC ANALYSIS

Value in Health ◽

10.1016/s1098-3015(10)66928-8 ◽

2008 ◽

Vol 11 (6) ◽

pp. A588 ◽

Cited By ~ 3

Author(s):

M Schlander ◽

O Schwarz ◽

GE Trott ◽

M Viapiano ◽

N Bonauer

Keyword(s):

Attention Deficit Hyperactivity Disorder ◽

Health Service ◽

Attention Deficit ◽

Age And Gender ◽

Hyperactivity Disorder ◽

Specific Analysis ◽

And Gender ◽

Gender Specific

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A Feminist Peep into Public Art in India’s Northeast

Antyajaa Indian Journal of Women and Social Change ◽

10.1177/2455632717708714 ◽

2017 ◽

Vol 2 (1) ◽

pp. 110-115

Author(s):

Samhita Barooah

Keyword(s):

Public Space ◽

Urban Landscape ◽

Participant Observation ◽

Public Domain ◽

Northeast India ◽

Feminist Analysis ◽

The Public ◽

Modern Cities ◽

Gender Based ◽

And Gender

Based on participant observation, symbolic interactionism and feminist analysis of diverse art forms available in the public domain, the article focuses on the stereotyped notion of masculinity, which gets projected into the urban landscape of modern cities in Northeast India. It takes a critical stance on some of the prominent mascots, symbols and identities which are attached to products, services and ideologies predominantly rooted in patriarchy and gender-based discrimination. The observations shared in the article are drawn from the researcher’s field experiences and do not hold any offence to any particular agency, group, denomination or individual. It attempts to bring forth a subaltern narrative which is gradually getting erased from public memory from a queer feminist lens of locating oneself in a public space. It also questions the gender-normative imagination of modern India, which is rapidly engulfing all forms of diversity into its monoculture of development.

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Suicides in Northern India: Causes, methods used and prevention

Medicine Science and the Law ◽

10.1258/rsmmsl.43.3.221 ◽

2003 ◽

Vol 43 (3) ◽

pp. 221-229 ◽

Cited By ~ 8

Author(s):

B R Sharma ◽

Vivek Sharma ◽

Dasari Harish ◽

Krishan Vij

Keyword(s):

Age And Gender ◽

The Public ◽

Northern India ◽

The North ◽

North Indians ◽

And Gender ◽

Motivating Factor ◽

And Storage ◽

Very High ◽

Commit Suicide

Suicide patterns and rates differ in various populations and cultures. It has been reported that developing countries have lower suicide rates, possibly because of a lower level of environmental stress but the Indians have a very high suicide rate (Elfawal, 1999). The choice of method used to commit suicide depends on availability of means, knowledge about lethal effectiveness, and the victim's motivation and intent. The present work was designed to investigate the different methods of self-destruction, the age and gender susceptibility to suicide, the groups particularly affected and the underlying motivating factor for such an extreme step among the North Indians. Various suggestions relating to decreasing the tensions of the modern mechanical life-style, educating the public in general and the availability, use and storage of agrochemicals have been put forward. Marriage counselling and the concept of family planning are also advocated.

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PROFILE OF USERS OF AMBULATORY AND HOSPITAL SERVICES

Colloquium Vitae ◽

10.5747/10.5747/cv.2020.v12.n2.v298 ◽

2020 ◽

Vol 12 (2) ◽

pp. 70-79

Author(s):

FlávioAlberto Oliva ◽

Maria Lúcia Ribeiro ◽

Marina Armelin Silva ◽

Marjori Leiva Camparoto ◽

Telma Reginato Martins

Keyword(s):

Public Hospital ◽

Total Population ◽

Social Inequalities ◽

Age Groups ◽

Primary Source ◽

Male Population ◽

Age And Gender ◽

The Public ◽

Gender And Age ◽

And Gender

The goal of this study was to understand the gender and age profile of the users of ambulatory services at public hospital. Gender and age are fundamental elements for the construction of public policies at local and regional level. We performed a 3-year retrospective data collection, regarding age and gender of the population of the outpatient clinic of the public hospital between 2013 and 2015. It is a research with quantitative approach performed through three databases from january 2013 to December 2015 totaling 460.505 consultations. The database of the public hospital was adopted as the primary source, it was also consulted the database of the last two censuses of the Brazilian Institute of Geography and Statistics (IBGE) and the database of the Regional Health Division. The cross-checking of data, through Microsoft Excel and the Online Analytical Processing (OLAP) software, allowed the construction of a graph structured by gender and age according to the standards defined by IBGE on 2010, as well as the comparison between age and gender profile of the total population attended by public hospital and its consultations. The female audience represents 60.5% of the attendances, while the male population accounts for 39.5%. Only in the age groups between 0 and 14 and 85 to 89 years the male audience is larger. The difference in care is accentuated in the middle of the pyramid, in the ranges between 30 and 69 years, during which time women are responsible for 65.5% of the attendances against 34.5% of men. Such gender proportional differences are maintained on the total population, the only significant variation is on the age group from 80 and older where although there is a female majority of users, there is also a larger female majority on the population. Studies show that women make more references to health problems than men, as these represent, according to the male imagination, virility and strength, not representing vulnerability to the disease. Men do not recognize themselves as targets of health care and they are less likely to seek health services for cultural reasons, mainly, opening space for discussion about social inequalities in health between men and women.

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Do Loneliness and Social Isolation Predict Mortality Because of Hazardous Drinking?

Journal of Social and Clinical Psychology ◽

10.1521/jscp.2021.40.6.508 ◽

2021 ◽

Vol 40 (6) ◽

pp. 508-533

Author(s):

Jussi Tanskanen ◽

Sarah Arpin ◽

Cynthia Mohr

Keyword(s):

Alcohol Consumption ◽

Social Isolation ◽

Mortality Data ◽

Age And Gender ◽

Underlying Causes ◽

And Gender ◽

Gender Groups ◽

Health And Mortality ◽

Excess Alcohol Consumption

Introduction: Subjective feelings of loneliness and objective social isolation have been consistently connected with ill-health and mortality, though little work has empirically examined the mechanisms explaining the adverse effects. This study examines whether alcohol consumption explains the connection of loneliness and social isolation on mortality in different age and gender groups. Methods: The sample comprised a representative 1994 Finnish sample (n = 8,650) matched with 22-year follow-up mortality data. A multigroup path analysis with discrete survival time analyses was conducted. Results: There were unique differences in the associations between loneliness, social isolation, alcohol consumption, and mortality based on age and gender groups. Loneliness and particularly social isolation predicted mortality partly through subjective intoxication for women under 40 and men 40–65. Discussion: Loneliness and social isolation are associated with mortality, partly through subjective intoxication. Interventions targeted at reducing loneliness and social isolation may help address underlying causes of excess alcohol consumption and mortality.

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Social value orientations and public confidence in institutions: A young democracy under the imprint of COVID-19

Cosmopolitan Civil Societies An Interdisciplinary Journal ◽

10.5130/ccs.v13.i2.7548 ◽

2021 ◽

Vol 13 (2) ◽

Author(s):

Sheena Moosa ◽

Aminath Riyaz ◽

Raheema Abdul Raheem ◽

Hawwa Shiuna Musthafa ◽

Aishath Zeen Naeem

Keyword(s):

Value Orientations ◽

Social Value ◽

Public Confidence ◽

Age And Gender ◽

The Public ◽

Social Value Orientations ◽

Containment Measures ◽

Urban Rural ◽

Self Transcendence ◽

And Gender

Social value orientations (SVOs) of a society determine peoples' behaviour and are critical for young democracies in crises. This paper draws on the Maldives Values in Crisis survey, conducted during the first wave of COVID-19 pandemic. SVOs assessed using the Schwartz Personal Values Questionnaire shows that Maldivian society weigh slightly towards prosocial. Urban-rural, age, and gender determine the SVOs on the dimension of Openness to change versus Conservation while age and gender determine the SVOs on Self-enhancement versus Self-transcendence dimension. Confidence in the public institutions were moderate and not associated with the SVOs. The moderate level of SVOs and confidence in institutions reflects the democratic landscape of the country. Although prosocial SVOs are favourable for implementing containment measures of the pandemic, without a strong value orientation towards conservation and self-transcendence, and confidence in the institutions, the country faces the risk of non-compliance to measures and escalation of the crisis.

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Suicide and Undetermined Deaths Among Youths and Young Adults in Latin America

Crisis ◽

10.1027/0227-5910.29.3.145 ◽

2008 ◽

Vol 29 (3) ◽

pp. 145-153 ◽

Cited By ~ 23

Author(s):

Colin Pritchard ◽

Sarah Hean

Keyword(s):

Young Adults ◽

Latin American ◽

Developed Countries ◽

Mortality Data ◽

Age And Gender ◽

Death Rates ◽

Men And Women ◽

Cultural Attitudes ◽

And Gender ◽

Methods Of Suicide

In Latin American (LA) and the major developed countries (MDC) suicide and undetermined deaths are analyzed as methods of suicide and the number of undetermined deaths are similar, possibly containing hidden suicides. The goal was to test the likelihood that LA cultural attitudes lead to higher undetermined rates and more hidden suicides. We used 3-year WHO average mortality data to compare LA and MDC mortality by age and gender, and χ² tests to examine any differences. In 13 LA countries younger-aged (15–34) men and womens suicides were higher than all-age rates, and undetermined deaths exceeded the suicide rates. Nine LA countries had significantly more undetermined younger-aged male deaths than females. Sixteen of 18 LA countries had significantly higher undetermined death rates than the MDC. LA younger-aged malefs24 146s differential suicide: Undetermined rates indicated they may contain substantial numbers of hidden suicides. Inadvertently, cultural attitudes to suicide may hinder prevention.

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