scholarly journals Clustering of suicides among people with mental illness

2005 ◽  
Vol 187 (5) ◽  
pp. 476-480 ◽  
Author(s):  
Nigel McKenzie ◽  
Sabine Landau ◽  
Navneet Kapur ◽  
Janet Meehan ◽  
Jo Robinson ◽  
...  

BackgroundMost previous investigations of imitative suicide have reported suicide clustering in the general population, either temporal clustering following media reporting of suicide or case studies of geographically localised clusters.AimsTo determine whether space–time and space–time–method clustering occur in a national case register of those who had recent contact with mental health services and had died by suicide and to estimate the suicide imitation rate in this population.MethodKnox tests were used for space–time and space–time–method clustering. Model simulations were used to estimate effect size.ResultsHighly significant space–time and space–time–method clustering was found in a sample of 2741 people who died by suicide over 4 years who had had recent contact with one of 105 mental health trusts. Model simulations with an imitation rate of 10.1% (CI 4-17) reproduced the observed space–time–method clustering.ConclusionsThis study provides indirect evidence that imitative suicide occurs among people with mental illnesses and may account for about 10% of suicides by current and recent patients.

2008 ◽  
Vol 27 (2) ◽  
pp. 21-36 ◽  
Author(s):  
Ann Bates ◽  
Vivien Kemp ◽  
Mohan Isaac

The physical health of individuals with long-term mental illnesses has long been of concern. In Western Australia, the overall mortality rate from preventable causes of people living with mental illness was reported to be 2.5 times greater than that of the general population. A trial peer support service was initiated to assist people with mental illness to attend to their physical health needs. This paper presents the planning, implementation, and results of this collaborative initiative involving nongovernment agencies, the public mental health service, consumers of mental health services, and the University of Western Australia.


2020 ◽  
pp. 103985622097529
Author(s):  
Justin J Chapman ◽  
Emily Hielscher ◽  
Sue Patterson ◽  
Nicola Reavley ◽  
Wendy J Brown ◽  
...  

Objectives: People with mental illness may be vulnerable to decline in mental health and reduced physical activity because of the COVID-19 pandemic and associated restrictions. The aim of this study was to inform the design of physical activity interventions for implementation under these conditions to improve/maintain well-being and physical activity in this population. Methods: People with mental illness who had participated in a physical activity program prior to the pandemic were invited to complete a survey about the impact of COVID-19 on mental health and physical activity and their preferences for engaging in a physical activity program under pandemic-related restrictions. Results: More than half the 59 respondents reported worse mental health and lower physical activity during the pandemic. The preferred format for a physical activity program was one-on-one exercise instruction in-person in a park. Program components endorsed as helpful included incentivization, provision of exercise equipment and fitness devices, and daily exercise programs. About a third of the participants reported limitations in using technology for a physical activity program. Conclusions: In-person exercise support is preferred by people with mental illnesses during pandemic-related restrictions. Enablement strategies such as providing equipment and self-monitoring devices should be utilized; assistance may be needed to incorporate the use of technology in exercise programs.


Author(s):  
Lauren Mizock ◽  
Zlatka Russinova

The book covers a topic that is often overlooked in the literature: How people with serious mental illnesses (i.e., schizophrenia, bipolar disorder, severe depression) come to recognize and deal with the symptoms of a mental illness in order to promote recovery. Per the recovery movement in mental health, recovery is understood as not simply symptom elimination, but the process of living a meaningful and satisfying life in the face of mental illness. Acceptance of Mental Illness draws from research to provide educators, clinicians, researchers, and consumers with an understanding of the multidimensional process of acceptance of mental illness in order to support people across culturally diverse groups to experience empowerment, mental wellness, and growth. Chapters focus on providing a historical overview of the treatment of people with mental illness, examining the acceptance process, and exploring the experience of acceptance among women, men, racial–ethnic minorities, and LGBT individuals with serious mental illnesses. The book is a useful tool for mental health educators and providers, with each chapter containing case studies, clinical strategies lists, discussion questions, experiential activities, diagrams, and worksheets that can be completed with clients, students, and peers.


2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S279-S280
Author(s):  
Taiju Yamaguchi ◽  
Yoshiyo Oguchi ◽  
Yasutaka Ojio ◽  
Ryoichi Mori ◽  
Minako Oooka ◽  
...  

Abstract Background Insufficient mental health literacy (MHL) of the general public is one of the major factors that prevent early intervention for mental illness. Insufficient MHL may exacerbate the stigma attached to people with mental illness. In Japan, there have been few large-scale surveys to determine the MHL level of the general public. Hence, we conducted a large-scale internet-based survey of 3000 citizens, to clarify the knowledge, attitudes and behaviors of the general public with respect to “prevention of and recovery from mental illness.” Methods We conducted a survey of 3000 citizens (aged 18 to 79 years, 1483 males and 1517 females) to determine their MHL level, using a questionnaire posted on the internet. The survey consisted of 22 questions about MHL, grouped into 8 categories. Results The results of our survey were as follows: Discussion It was found that in Japan, many citizens were aware of the importance of mental health, but that there was still a stigma attached to people with mental illness. In addition, they were found to be still poorly aware of representative mental illnesses, such as depression and schizophrenia. For improving these aspects, the MHL level of the general public needs to be further improved. In Japan, it has been pointed out that education on mental health is insufficient. However, education on mental health as a course on “prevention of and recovery from mental illness” is expected to be started in high schools in 2022. This would be expected to further improve the MHL level of the general public in the near future.


2020 ◽  
pp. 002076402098589
Author(s):  
Bruna Sordi Carrara ◽  
Raquel Helena Hernandez Fernandes ◽  
Sireesha Jennifer Bobbili ◽  
Carla Aparecida Arena Ventura

Background: Health care providers are an important target group for anti-stigma interventions because they have the potential to convey stigmatizing attitudes towards people with mental illness. This can have a detrimental impact on the quality and effectiveness of care provided to those affected by mental illness. Aims and methods: Whittemore & Knafl’s integrative review method (2005) was used to analyze 16 studies investigating anti-stigma interventions targeting health care providers. Results: The interventions predominantly involved contact-based educational approaches which ranged from training on mental health (typically short-term), showing videos or films (indirect social contact) to involving people with lived experiences of mental illness (direct social contact). A few studies focused on interventions involving educational strategies without social contact, such as mental health training (courses/modules), distance learning via the Internet, lectures, discussion groups, and simulations. One study investigated an online anti-stigma awareness-raising campaign that aimed to reduce stigmatizing attitudes among health care providers. Conclusion: Anti-stigma interventions that involve social contact between health care providers and people with mental illness, target specific mental illnesses and include long-term follow-up strategies seem to be the most promising at reducing stigma towards mental illness among health care providers.


Impact ◽  
2021 ◽  
Vol 2021 (6) ◽  
pp. 48-49
Author(s):  
Minori Utsunomiya

Early traditional mental health policies in Japan did not protect the rights of patients with mental illnesses, with public safety prioritised over human rights. The situation has since improved, but these early perceptions have impacted on current mental health policies in Japan. Dr Minori Utsunomiya, Aichi Prefectural University, Japan, believes past policies are the root of many challenges facing people with mental illness and she is exploring Japan's complex history of mental health and psychiatric care to shed light on the correlation between past and present mental health policies. Key foci for Utsunomiya are the Psychiatric Custody Law of 1900, the Psychiatric Hospital Law of 1919 and the Mental Health Act of 1950 and she is exploring these laws from two perspectives: pre-World War II to post-war continuity/discontinuity and the structure of acceptance and exclusion for people with mental illnesses. As such, Utsunomiya embarked on an exploration of the process of the revision and abolition of laws and deliberation with respect to bills related to mental illness, investigated the roles and functions of public psychiatric hospitals and analysed the causal relationship between the revision of laws related to mental illness and social incident.


2021 ◽  
Vol 131 (1) ◽  
pp. 56-61
Author(s):  
Iryna Hora ◽  
Valeriy Kolesnyk ◽  
Oleg Batiuk

Abstract Introduction. People with mental illness can be restricted in certain constitutional rights only in the manner and within the limits that are established by the laws of a particular country. Such restrictions of the rights and interests of persons with mental health defects are possible only by court decision and to the quantities that are determined by the nature of the disease and the degree of public danger of the diseased. Defining a list of such restrictions and criteria for their application is one of the complex problems of public practice. Aim. The essence of the problem is revealed and the grounds, possibilities and procedure for interfering in the sphere of rights and interests of persons suffering from certain mental illnesses are indicated in the given research, based on results of the analysis of legislative acts and practice of rendering of psychiatric help to patients in Ukraine. Methodological framework. The authors of the article have applied scientific theoretical methods, which are analysis, synthesis, concretization, generalization, analogy, as well as empirical method of studying the normative sources, the methodical documentation, and method of system approach for forming conclusions to reveal the essence of the problem. Results. Interference in the sphere of personal rights and interests of human is possible only in the manner that is determined for this by the legislation of the country. Such are the requirements regarding the restriction of certain rights of persons who show signs of mental illness or suffer from certain mental illnesses. Restrictions of the rights of people suffering from mental illness have long been applied in society and it is based on the stigmatization of mental illness. However, certain restrictions for such persons are important primarily for the protection of their personal interests and the interests of society in general and other people, who are located near them. This relates to the application, in the court manner, of coercive measures of a medical nature not as a form of punishment, but as a system of treatment, medical-prevention and rehabilitation measures, the provision of psychiatric care in accordance with the general principles of treatment. Separate problems are the issues of provision of the rights of persons with mental disorders, who belong to the category of witnesses, victims, plaintiffs, defendants. Here the legislation of Ukraine and departmental documents, by which the issues of protection of the rights of the person with defects of mental health have been regulated, has certain inconsistencies or insufficient clarity of the wording of regulations. Conclusion. Standards and principles of the providing of psychiatric care in Ukraine are in line with modern European approaches. Judicial manner for making decisions on temporary restriction of the rights of individuals with psychiatric disorders serves as a guarantee of fairness in the application of legal requirements, and the restrictions themselves must be exclusive and minimal in nature. The disadvantage is that there are no rules for conducting psychiatric assessment of victims, witnesses, plaintiffs, defendants today in Ukraine. At the same time, all these measures require the awareness-building among the population and the education of humane treatment of those whose mental sphere of life needs help.


Somatechnics ◽  
2019 ◽  
Vol 9 (2-3) ◽  
pp. 291-309
Author(s):  
Francis Russell

This paper looks to make a contribution to the critical project of psychiatrist Joanna Moncrieff, by elucidating her account of ‘drug-centred’ psychiatry, and its relation to critical and cultural theory. Moncrieff's ‘drug-centred’ approach to psychiatry challenges the dominant view of mental illness, and psychopharmacology, as necessitating a strictly biological ontology. Against the mainstream view that mental illnesses have biological causes, and that medications like ‘anti-depressants’ target specific biological abnormalities, Moncrieff looks to connect pharmacotherapy for mental illness to human experience, and to issues of social justice and emancipation. However, Moncrieff's project is complicated by her framing of psychopharmacological politics in classical Marxist notions of ideology and false consciousness. Accordingly, she articulates a political project that would open up psychiatry to the subjugated knowledge of mental health sufferers, whilst also characterising those sufferers as beholden to ideology, and as being effectively without knowledge. Accordingly, in order to contribute to Moncrieff's project, and to help introduce her work to a broader humanities readership, this paper elucidates her account of ‘drug-centred psychiatry’, whilst also connecting her critique of biopsychiatry to notions of biologism, biopolitics, and bio-citizenship. This is done in order to re-describe the subject of mental health discourse, so as to better reveal their capacities and agency. As a result, this paper contends that, once reframed, Moncrieff's work helps us to see value in attending to human experience when considering pharmacotherapy for mental illness.


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