scholarly journals Mental health presentations to an inner-city accident and emergency department

2002 ◽  
Vol 26 (4) ◽  
pp. 134-136 ◽  
Author(s):  
S. Cassar ◽  
A. Hodgkiss ◽  
A. Ramirez ◽  
D. Williams

AIMS AND METHODTo study the presentation, assessment and management of all patients attending St Thomas' accident and emergency (A&E) department with overt mental health problems. The method included a pragmatic definition of ‘overt mental health problems' and a range of strategies to maximise case ascertainment.RESULTSThe department saw 565 presentations in a 3-month period. Patients were predominantly young, male, single, unemployed, housed outside the area served by the local primary care group and presented outside normal working hours.CLINICAL IMPLICATIONSThis study confirms that A&E departments may be the most frequently used setting for urgent mental health assessments in central London. The patients attending differ from those using community mental health teams. It is argued that mental health liaison services based in inner-city A&E departments should be developed.

2015 ◽  
Vol 26 (5) ◽  
pp. 352-365 ◽  
Author(s):  
Cyril Boonmann ◽  
Rebecca J. Nelson ◽  
Frank DiCataldo ◽  
Lucres M. C. Jansen ◽  
Theo A. H. Doreleijers ◽  
...  

2020 ◽  
Author(s):  
Puthy PAT ◽  
Linda Richter-Sundberg ◽  
Bhoomikumar Jegannathan ◽  
Kerstin Edin ◽  
Miguel San Sebastian

Abstract Background: incarceration and mental health problems are empirically known to have a strong association. Many studies have confirmed the high prevalence of mental health problems among young prisoners in particular, yet none have been conducted in Cambodia. Objectives: this study aimed first to assess the prevalence of mental health problems and suicidal expressions among young prisoners, and second, to determine the risk factors associated with these two outcomes in Cambodia. Method: a cross-sectional study among 572 young male prisoners between the ages of 15 and 24 from three prisons was conducted. Sociodemographic data and detailed information on participants’ profiles were gathered, and the Youth Self-Report (YSR) and the Attitude towards Suicide (ATTS) questionnaires were applied. Results: anxiety-depression affected 52.10% of the respondents with a similar prevalence of withdrawal depression, somatic complaints, social problems, and aggressive behaviours (around 46%). Mental health problems were strongly associated with younger age, lower educational background, and less time spent in prison. Around half (51.05%) considered life to be meaningful while 16.26% had thoughts about their own death, and 12.06% expressed wishes to die. Suicide ideation, planning, and attempts were reported by almost 6.82%, 1.75% and 2.80% of participants respectively. Prisoners who used drugs prior to imprisonment thought about death significantly more than their counterparts while suicide ideation was reported to be significantly lower among prisoners with higher education. Conclusion: the prevalence of mental health problems among young male prisoners was considerably high, while suicide expressions were reported to be lower compared to studies from other countries. This study highlights the need for implementing preventive interventions integrated into the prison health care system to im­prove the mental health of young prisoners.


Author(s):  
Bach Xuan Tran ◽  
Giang Thu Vu ◽  
Kiet Tuan Huy Pham ◽  
Quan-Hoang Vuong ◽  
Manh-Tung Ho ◽  
...  

Depressive disorders have been found to be a significant health issue among industrial workers, resulting from work-related factors and causing serious burdens for the workers as well as their employers. Literature on mental health problems of Vietnamese industrial workers has been limited, despite the rapid foreign investment-fueled industrialization process of the country. This study aimed to fill the gap in literature by examining the prevalence of depressive disorders and their potential associated factors among a cohort of Vietnamese industrial workers. A cross-sectional study was conducted in 3 industrial areas in Hanoi and Bac Ninh. A total of 289 workers agreed to participate in the study. Generalized linear mixed models were applied to identify associated factors with depression status of respondents. 38.6% of participants reported suffering depression. Factors found to be positively associated with the possibility of having depression and higher PHQ9 score were long working hours, suffering more health problems, and health hazards exposure at work. Meanwhile, being females, having more children, living with parents, engaging in smoking, and being local workers were found to correlate with lower likelihood of being depressed. The findings suggested the importance of regular health screening, work safety assurance, and social support outside of workplace on the mental health of the workers.


2001 ◽  
Vol 36 (9) ◽  
pp. 448-455 ◽  
Author(s):  
H. L. Graham ◽  
J. Maslin ◽  
A. Copello ◽  
M. Birchwood ◽  
K. Mueser ◽  
...  

2008 ◽  
Vol 1 (3) ◽  
pp. 205-215 ◽  
Author(s):  
Ruth Clutterbuck ◽  
Derek Tobin ◽  
Jim Orford ◽  
Alex Copello ◽  
Max Birchwood ◽  
...  

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Puthy Pat ◽  
Linda Richter-Sundberg ◽  
Bhoomikumar Jegannathan ◽  
Kerstin Edin ◽  
Miguel San Sebastian

2008 ◽  
Vol 14 (4) ◽  
pp. 302-311 ◽  
Author(s):  
Laura Anne Nicholson

A significant proportion of people live and work in rural areas, and rural mental health is important wherever psychiatry is practised. There are inherent difficulties in conducting rural research, due in part to the lack of an agreed definition of rurality. Mental health is probably better in rural areas, with the exception of suicide, which remains highest in male rural residents. A number of aspects of rural life (such as the rural community, social networks, problems with access, and social exclusion) may all have particular implications for people with mental health problems. Further issues such as the effect of rural culture on help-seeking for mental illness, anonymity in small rural communities and stigma may further affect the recognition, treatment and maintenance of mental health problems for people in rural areas. Providing mental health services to remote and rural locations may be challenging.


2007 ◽  
Vol 191 (6) ◽  
pp. 477-483 ◽  
Author(s):  
Craig Morgan ◽  
Tom Burns ◽  
Ray Fitzpatrick ◽  
Vanessa Pinfold ◽  
Stefan Priebe

BackgroundThe concept of social exclusion is now widely used in discussions about the nature of disadvantage, and there are ongoing initiatives to promote social inclusion among those with mental health problems.AimsTo conduct a conceptual and methodological review of social exclusion, focusing initially on the origins and definitions of the concept and then on approaches to its measurement, both in general and in relation to mental health.MethodWe used two main strategies. First, we utilised expertise within the study team to identify major texts and reviews on social exclusion and related topics. Second, we searched major bibliographic databases for literature on social exclusion and mental health. We adopted a non-quantitative approach to synthesising the findings.ResultsThere is no single accepted definition of social exclusion. However, most emphasise lack of participation in social activities as the core characteristic. There are a number of approaches to measuring social exclusion, including use of indicator lists and dimensions. In the mental health literature, social exclusion is poorly defined and measured.ConclusionsIf social exclusion is a useful concept for understanding the social experiences of those with mental health problems, there is an urgent need for more conceptual and methodological work.


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