scholarly journals Excess mortality among patients with severe mental disorders and effects of community-based mental healthcare: a community-based prospective study in Sichuan, China

BJPsych Open ◽  
2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Yaxi Li ◽  
Lijing L. Yan ◽  
Carine Ronsmans ◽  
Hong Wen ◽  
Jiajun Xu ◽  
...  
Keyword(s):  
Medication Adherence ◽  
High Risk ◽  
Excess Mortality ◽  
Mental Healthcare ◽  
Risk Behaviour ◽  
Community Management ◽  
Community Based ◽  
Management Measures ◽  
High Risk Behaviour ◽  
The Impact

Background High-quality primary care reduces premature mortality in the general population, but evidence for psychiatric patients in China is scarce. Aims To confirm excess mortality in patients with severe mental illness (SMI), and to examine the impact of community-based mental healthcare and other risk factors on their mortality. Method We included 93 655 patients in 2012 and 100 706 in 2013 from the national mental health surveillance system in Sichuan, China to calculate the standardised mortality ratio (SMR). A total of 112 576 patients were followed up from 2009 to 2014 for model analyses. We used growth models to quantify the patterns of change for community management measures, high-risk behaviour, disease stability and medication adherence of patients over time, and then used multilevel proportional hazard models to examine the association between change patterns of management measures and mortality. Results The SMR was 6.44 (95% CI 4.94–8.26) in 2012 and 7.57 (95% CI 5.98–9.44) in 2013 among patients with SMI aged 15–34 years, and diminished with age. Unfavourable baseline socioeconomic status increased the hazard of death by 38–50%. Positive changes in high-risk behaviour, disease stability and medication adherence had a 54% (95% CI 47–60%), 69% (95% CI 63–73%) and 20% (4–33%) reduction in hazard of death, respectively, versus in those where these were unchanged. Conclusions High excess mortality was confirmed among younger patients with SMI in Sichuan, China. Our findings on the relationships between community management and socioeconomic factors and mortality can inform community-based mental healthcare policies to reduce excess mortality among patients with SMI.

scholarly journals Effectiveness of Yoga Lifestyle on Lipid Metabolism in a Vulnerable Population—A Community Based Multicenter Randomized Controlled Trial

Medicines ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 37
Author(s):  
Raghuram Nagarathna ◽  
Saurabh Kumar ◽  
Akshay Anand ◽  
Ishwara N. Acharya ◽  
Amit Kumar Singh ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
High Risk ◽  
Controlled Trial ◽  
Density Lipoprotein ◽  
Lipid Profiles ◽  
Community Based ◽  
Randomized Controlled ◽  
Rural And Urban ◽  
Yoga Group ◽  
The Impact

Background: Dyslipidemia poses a high risk for cardiovascular disease and stroke in Type 2 diabetes (T2DM). There are no studies on the impact of a validated integrated yoga lifestyle protocol on lipid profiles in a high-risk diabetes population. Methods: Here, we report the results of lipid profile values of 11,254 (yoga 5932 and control 5322) adults (20–70 years) of both genders with high risk (≥60 on Indian diabetes risk score) for diabetes from a nationwide rural and urban community-based two group (yoga and conventional management) cluster randomized controlled trial. The yoga group practiced a validated integrated yoga lifestyle protocol (DYP) in nine day camps followed by daily one-hour practice. Biochemical profiling included glycated hemoglobin and lipid profiles before and after three months. Results: There was a significant difference between groups (p < 0.001 ANCOVA) with improved serum total cholesterol, triglycerides, low-density lipoprotein, and high-density lipoprotein in the yoga group compared to the control group. Further, the regulatory effect of yoga was noted with a significant decrease or increase in those with high or low values of lipids, respectively, with marginal or no change in those within the normal range. Conclusion: Yoga lifestyle improves and regulates (lowered if high, increased if low) the blood lipid levels in both genders of prediabetic and diabetic individuals in both rural and urban Indian communities.

High-risk behaviour in hypomanic states

2013 ◽  
Vol 150 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Kathryn Fletcher ◽  
Gordon Parker ◽  
Amelia Paterson ◽  
Howe Synnott
Keyword(s):  
High Risk ◽  
Risk Behaviour ◽  
High Risk Behaviour

Risk Taking Behaviour Associated with Alcohol use among College Student

2021 ◽  
pp. 317-320
Author(s):  
Puspanjali Mohapatro ◽  
Rashmimala Pradhan
Keyword(s):  
High Risk ◽  
Alcohol Use ◽  
Risk Taking ◽  
Rating Scale ◽  
Sampling Technique ◽  
Risk Behaviour ◽  
Low Risk ◽  
Living Standard ◽  
Risky Behaviour ◽  
High Risk Behaviour

Objective: This study is designed to examine the risk taking behaviours that are harmful to students at a selected university. In this case, high-risk behaviours have been studied, such as harmful behaviours, coercion, smoke, alcohol contain substance abuse, and drug addiction. Materials and methods: Current study which is a type of descriptive survey research. The sample of this study included 200 students from a selected university in Bhubaneswar, who were selected through a convenient sampling technique. The Self -structured questionnaire tool has been used for a to collect socio demographic variables. A Structured checklist developed to measure risk taking behaviour. For this section rating scale was adopted with score was low risk, medium risk and high risk. In this study, score range 14-28 divided in to 3 scales- Low risk (14-18), Medium (19-24), High (25-28). A behavioural rating scale was used to analyse the behaviour. Results: The results showed that the increase in risky behaviour among students was 87% and higher for boys than girls and 40% for campus students had a higher risk of alcohol use. About 69.5% of the age group 19-27 were involved in alcohol consumption due to level of high living standard, high sources of income and happiness. Conclusion: The results of the study on identification of risky behaviours to precedence among students, by accessing a high-risk behaviour profile will help policymakers accurately identify student behaviours to make plan for promoting health improvements activity, with to linking the group's real needs and challenges.

scholarly journals Community-based aftercare following an emergency department presentation for attempted suicide or high risk for suicide: study protocol for a non-randomised controlled trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Vida V. Bliokas ◽  
Alex R. Hains ◽  
Jonathan A. Allan ◽  
Luise Lago ◽  
Rebecca Sng
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Suicide Attempt ◽  
Repeated Measures ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Community Based ◽  
Treatment As Usual ◽  
The Impact

Abstract Background Suicide is a major public health issue worldwide. Those who have made a recent suicide attempt are at high risk for dying by suicide in the future, particularly during the period immediately following departure from a hospital emergency department. As such the transition from hospital-based care to the community is an important area of focus in the attempt to reduce suicide rates. There is a need for evaluation studies to test the effectiveness of interventions directed to this stage (termed ‘aftercare’ interventions). Methods A controlled non-randomised two group (intervention vs treatment-as-usual control) design, using an intention-to-treat model, will evaluate the effectiveness of a suicide prevention aftercare intervention providing follow-up after presentations to a hospital emergency department as a result of a suicide attempt or high risk for suicide. The intervention is a community-based service, utilising two meetings with a mental health clinician and follow-up contacts by peer workers via a combination of face-to-face and telephone for four weeks, with the option of extension to 12 weeks. Seventy-five participants of the intervention service will be recruited to the study and compared to 1265 treatment-as-usual controls. The primary hypotheses are that over 12 months, those who participate in the aftercare follow-up intervention are less likely than controls to present to a hospital emergency department for a repeat suicide attempt or because of high risk for suicide, will have fewer re-presentations during this period and will have lower all-cause mortality. As a secondary aim, the impact of the intervention on suicide risk factors for those who participate in the service will be evaluated using pre- and post-intervention repeated measures of depression, anxiety, stress, hopelessness, belongingness, burdensomeness, and psychological distress. Enrolments into the study commenced on 1 November 2017 and are anticipated to cease in November 2019. Discussion The study aims to contribute to the understanding of effective interventions for individuals who have presented to a hospital emergency department as a result of a suicide attempt or at high risk for suicide and provide evidence in relation to interventions that incorporate peer-workers. Trial registration ACTRN12618001701213. Registered on 16 October 2018. Retrospectively registered.

scholarly journals Factors Associated with Urban Risk-Taking Behaviour during 2018 Typhoon Mangkhut: A Cross Sectional Study

2020 ◽  
Vol 17 (11) ◽  
pp. 4150
Author(s):  
Evan Su Wei Shang ◽  
Eugene Siu Kai Lo ◽  
Zhe Huang ◽  
Kevin Kei Ching Hung ◽  
Emily Ying Yang Chan
Keyword(s):  
Hong Kong ◽  
Risk Perception ◽  
High Risk ◽  
Extreme Events ◽  
Risk Taking ◽  
Sensation Seeking ◽  
Risk Behaviour ◽  
Disaster Risk ◽  
Cross Sectional ◽  
High Risk Behaviour

Although much of the health emergency and disaster risk management (Health-EDRM) literature evaluates methods to protect health assets and mitigate health risks from disasters, there is a lack of research into those who have taken high-risk behaviour during extreme events. The study’s main objective is to examine the association between engaging in high-risk behaviour and factors including sociodemographic characteristics, disaster risk perception and household preparedness during a super typhoon. A computerized randomized digit dialling cross-sectional household survey was conducted in Hong Kong, an urban metropolis, two weeks after the landing of Typhoon Mangkhut. Telephone interviews were conducted in Cantonese with adult residents. The response rate was 23.8% and the sample was representative of the Hong Kong population. Multivariable logistic regressions of 521 respondents adjusted with age and gender found education, income, risk perception and disaster preparedness were insignificantly associated with risk-taking behaviour during typhoons. This suggests that other factors may be involved in driving this behaviour, such as a general tendency to underestimate risk or sensation seeking. Further Health-EDRM research into risk-taking and sensation seeking behaviour during extreme events is needed to identify policy measures.

scholarly journals Vital spaces and mental health

2019 ◽  
Vol 45 (2) ◽  
pp. 131-140
Author(s):  
Steven D Brown ◽  
Paula Reavey
Keyword(s):  
Mental Health ◽  
Research Agenda ◽  
Mental Healthcare ◽  
Community Based ◽  
Diagnostic Categories ◽  
Material Conditions ◽  
The Impact ◽  
Individual Body

The impact of social and material conditions on mental health is well established but lacking in a coherent approach. We offer the concept of ‘vitality’ as means of describing how environments facilitate ‘feelings of being alive’ that cut across existing diagnostic categories. Drawing on the work of Stern, Fuchs, Worms and Duff, we argue that vitality is not solely a quality of an individual body, but rather emerges from attunements and resonances between bodies and materials. We use vitality as a lens to explore how movements within and between assembled sets of relations can facilitate or disable feelings and expressions of being alive. Building on extended discussions of both inpatient and community-based mental healthcare, we sketch out a research agenda for analysing ‘vital spaces’.

Sign in / Sign up

Export Citation Format

Share Document