scholarly journals Epidemiology, public health and the problem of personality disorder

2003 ◽  
Vol 182 (S44) ◽  
pp. s3-s10 ◽  
Author(s):  
Jeremy Coid
Keyword(s):  
Public Health ◽  
Problem Solving ◽  
Personality Disorder ◽  
Public Health Problem ◽  
Population Level ◽  
Case Definition ◽  
Public Health Approach ◽  
Preventive Interventions ◽  
The Public ◽  
Comprehensive Method

BackgroundThe public health problem-solving paradigm is a comprehensive method not previously applied to preventive interventions for personality disorder.AimsTo present an overview for clinical psychiatrists.MethodReview of epidemiological research into DSM–IV Axis II disorders and application to the paradigm.ResultsPersonality disorder affects a substantial proportion of the population. Burdens on health care, social and criminal justice agencies have yet to be accurately quantified. Debates continue over case definition, but there is increasing information on prevalence using ‘broad’ definitions and aetiology. A conceptual framework, based on development, suggests preventive interventions should be targeted in childhood. The public health approach also requires monitoring of risk factors operating at the population level.ConclusionsServices in England and Wales for persons with personality disorder are currently inadequate. The problem-solving paradigm suggests new preventive interventions. Psychiatrists should renegotiate their relationship with policy-makers and reconsider their preventive role.

The public health approach to suicide prevention in Ireland

2021 ◽  
pp. 1-6
Author(s):  
S. Rochford ◽  
P. Dodd ◽  
C. Austin
Keyword(s):  
Public Health ◽  
Suicide Prevention ◽  
Population Level ◽  
Prevention Strategy ◽  
Public Health Approach ◽  
National Strategy ◽  
Extended Phase ◽  
The Public ◽  
National Implementation

Abstract This article provides an overview of the public health approach to suicide in Ireland. The authors provide detail on the current suicide prevention strategy in Ireland, Connecting for Life, which is a whole-of-government, systemic, multicomponent national strategy. As the strategy enters its final extended phase of implementation over the period 2020–2024, the public health elements of Connecting for Life are presented, including the population level and more targeted approaches. The findings of an interim review of the strategy are discussed, in addition to the local and national implementation structures which are in place to assist implementation and monitoring of the strategy.

New Directions in Violence Prediction: The Public Health Arena

1988 ◽  
Vol 3 (4) ◽  
pp. 285-301 ◽  
Author(s):  
James A. Mercy ◽  
Patrick W. O’Carroll
Keyword(s):  
Public Health ◽  
Risk Factor ◽  
Interpersonal Violence ◽  
Relative Effectiveness ◽  
Group Identification ◽  
Public Health Problem ◽  
Public Health Approach ◽  
Prevention Strategies ◽  
Important Public Health Problem ◽  
The Public

Injury resulting from interpersonal violence is now recognized as an important public health problem. Consequently, the public health community is applying its perspectives and strategies to the goal of preventing violence. The public health approach emphasizes preventing injuries due to interpersonal violence from occurring or recurring, rather than treating the health consequences of these injuries. Four interrelated steps are used to develop information to guide the development of prevention strategies: public health surveillance, risk group identification, risk factor exploration, and program implementation/evaluation. The ability to predict which people are at greatest risk of injury (or producing injury) and the relative effectiveness and costs of alternative prevention strategies are central to decisions influencing the nature and focus of public health prevention strategies. In order to improve the information base on which decisions concerning violence prevention strategies are founded, the following activities should be given priority: (a) developing surveillance systems for morbidity associated with interpersonal violence; (b) precisely identifying risk groups for nonfatal violent events; (c) applying case-control methods to the exploration of potentially modifiable risk factors for injuries and violent behaviors; and (d) rigorously evaluating extant programs that are intended to prevent interpersonal violence or modify a suspected risk factor for violence.

scholarly journals Healthy People 2020 Objectives for Violence Prevention and the Role of Nursing

2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Thomas Simon ◽  
Kimberly Hurvitz
Keyword(s):  
Public Health ◽  
Violence Prevention ◽  
Partner Violence ◽  
Youth Violence ◽  
Public Health Problem ◽  
The United States ◽  
Healthy People ◽  
Public Health Approach ◽  
Prevention Strategies ◽  
Healthy People 2020

Violence, including child maltreatment, youth violence, intimate partner violence, and sexual violence, is a significant public health problem in the United States. A public health approach can help providers understand the health burden from violence, evaluate evidence for prevention strategies, and learn where to turn for information about planning and implementing prevention strategies for this preventable problem. For the past three decades, the U.S. Department of Health and Human Services has published “Healthy People” objectives for the next decade. The Healthy People 2020 initiative includes 13 measurable objectives related to violence prevention, one of which was selected as a Healthy People 2020 Leading Health Indicator. Progress to achieve these objectives can save thousands of lives, reduce the suffering of victims and their families, and decrease financial cost to the law enforcement and healthcare systems. The role that nurses can and do play in violence prevention is critical and extends beyond just caring for victims to also include preventing violence before it happens. This article summarizes the violence prevention objectives in Healthy People 2020 and the resources for prevention available to support nurses and others as they move prevention efforts forward in communities to stop violence before it starts.

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