scholarly journals A Cascade of Care Model for Suicide Prevention

2021 ◽  
Author(s):  
Emily E Haroz ◽  
Liina M. Sarapik ◽  
Leslie B. Adams ◽  
Paul Nestadt ◽  
Alison Athey ◽  
...  
Keyword(s):  
United States ◽  
At Risk ◽  
Suicide Prevention ◽  
Service Sector ◽  
Systems Of Care ◽  
The United States ◽  
Integrated System ◽  
Outpatient Services ◽  
Cascade Of Care ◽  
Suicidal Thoughts And Behaviors

The rising rates of suicide in the United States, particularly among young people of color, requires urgent attention. While the healthcare system is a critical service sector for suicide prevention given high levels of utilization by people at risk of suicide, it is not sufficient. Only approximately 50% of those identified as at-risk in an Emergency Department, agree to be connected to outpatient services, with even small proportions engaging in these services. This “care cascade” parallels health services challenges in other domains, such as HIV. Corresponding Cascade of Care (COC) models have been galvanizing public health frameworks, as they can be utilized to track both patient-level outcomes and leveraged to form aspirational goals to improve systems of care for those in need. We aim to delineate a COC model specific to suicide prevention efforts, to help frame existing challenges and unify efforts to address these gaps. Given the complexity of suicidal thoughts and behaviors, solutions are needed that address care at multiple levels of the socio-ecological framework and build multisectoral networks into an integrated system of care. Defining and delineating this COC model can help structure local and national efforts to comprehensively address the suicide epidemic in the United States.

scholarly journals Food Insecurity in the United States: Identification, Treatment, and Implications

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 772-773
Author(s):  
Rose Ann DiMaria-Ghalili ◽  
Connie Bales ◽  
Julie Locher
Keyword(s):  
United States ◽  
Older Adults ◽  
At Risk ◽  
Food Insecurity ◽  
Well Being ◽  
The United States ◽  
Health Clinic ◽  
High Risk Population ◽  
Geriatric Syndrome ◽  
The Impact

Abstract Food insecurity is an under-recognized geriatric syndrome that has extensive implications in the overall health and well-being of older adults. Understanding the impact of food insecurity in older adults is a first step in identifying at-risk populations and provides a framework for potential interventions in both hospital and community-based settings. This symposium will provide an overview of current prevalence rates of food insecurity using large population-based datasets. We will present a summary indicator that expands measurement to include the functional and social support limitations (e.g., community disability, social isolation, frailty, and being homebound), which disproportionately impact older adults, and in turn their rate and experience of food insecurity and inadequate food access. We will illustrate using an example of at-risk seniors the association between sarcopenia, the age-related loss of muscle mass and function, with rates of food security in the United States. The translational aspect of the symposium will then focus on identification of psychosocial and environmental risk factors including food insecurity in older veterans preparing for surgery within the Veterans Affairs Perioperative Optimization of Senior Health clinic. Gaining insights into the importance of food insecurity will lay the foundation for an intervention for food insecurity in the deep south. Our discussant will provide an overview of the implications of these results from a public health standpoint. By highlighting the importance of food insecurity, such data can potentially become a framework to allow policy makers to expand nutritional programs as a line of defense against hunger in this high-risk population.

scholarly journals Systematic Review of Arts-Based Interventions to Address Suicide Prevention and Survivorship in Australia, Canada, the United Kingdom, and the United States of America

2021 ◽  
Vol 22 (1_suppl) ◽  
pp. 53S-63S
Author(s):  
Jill Sonke ◽  
Kelley Sams ◽  
Jane Morgan-Daniel ◽  
Andres Pumariega ◽  
Faryal Mallick ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
United Kingdom ◽  
Suicide Prevention ◽  
United States Of America ◽  
The United States ◽  
Current Evidence ◽  
Study Objective ◽  
The United Kingdom ◽  
The Arts

Study Objective. Suicide is a serious health problem that is shaped by a variety of social and mental health factors. A growing body of research connects the arts to positive health outcomes; however, no previous systematic reviews have examined the use of the arts in suicide prevention and survivorship. This review examined how the arts have been used to address suicide prevention and survivorship in nonclinical settings in Australia, Canada, the United Kingdom, and the United States of America. Design and Setting. Ten bibliographic databases, five research repositories, and reference sections of articles were searched to identify published studies. Articles presenting outcomes of interventions conducted between 2014 and 2019 and written in English, were included. Primary Results. Nine studies met inclusion criteria, including qualitative, quantitative randomized controlled trials, quantitative nonrandomized, quantitative descriptive, and mixed-methods studies. The programs studied used film and television (n = 3), mixed-arts (n = 3), theatre (n = 2), and quilting (n = 1). All nine interventions used the arts to elicit emotional involvement, while seven also used the arts to encourage engagement with themes of health. Study outcomes included increased self-efficacy, awareness of mental health issues, and likelihood for taking action to prevent suicide, as well as decreases in suicidal risk and self-harming behaviors. Conclusions. Factors that influence suicide risk and survivorship may be effectively addressed through arts-based interventions. While the current evidence is promising with regard to the potential for arts programs to positively affect suicide prevention and survivorship, this evidence needs to be supplemented to inform recommendations for evidence-based arts interventions.

Prevalence of at-risk hyperandrogenism by age and race/ethnicity among females in the United States using NHANES III

2021 ◽  
Vol 260 ◽  
pp. 189-197
Author(s):  
Pallavi Dubey ◽  
Sireesha Y. Reddy ◽  
Luis Alvarado ◽  
Sharron L. Manuel ◽  
Alok K. Dwivedi
Keyword(s):  
United States ◽  
At Risk ◽  
The United States ◽  
Nhanes Iii ◽  
Race Ethnicity

Why Are the Missiles (and Missile Defence) Called Peace-Keepers? – Corroding the Concept of Peaceful Use

2001 ◽  
Vol 14 (4) ◽  
pp. 789-828
Author(s):  
Keith Wilson
Keyword(s):  
United States ◽  
At Risk ◽  
Cold War ◽  
Outer Space ◽  
The United States ◽  
International Peace ◽  
Security Framework ◽  
Crucial Element ◽  
Earth Space ◽  
Peace And Security

The United States is abrogating the Anti-Ballistic Missile Treaty in order to deploy a limited missile defence shield. Amongst other developments, this is prompting a reconsideration of the global security framework. However, a crucial element is missing from the current missile defence proposals: a clearly articulated concept of peaceful use, applicable both to outer space and to earth-space. The deployment of missile defence runs counter to emerging norms. It has effects going far beyond the abandonment or re-configuration of specific Cold War agreements. In a community of nations committed to the maintenance of international peace and security (cf. national or plurilateral security), sustainable meaning for widely used and accepted norms of peaceful use and peaceful purposes is at risk.

Creating an Environment in Which Youths Are Encouraged to Eat a Healthier Diet

2007 ◽  
Vol 26 (2) ◽  
pp. 162-181 ◽  
Author(s):  
Marvin E. Goldberg ◽  
Kunter Gunasti
Keyword(s):  
United States ◽  
At Risk ◽  
Young People ◽  
Food Industry ◽  
The United States ◽  
Product Price ◽  
End Points ◽  
Convenience Stores ◽  
Marketing Activities ◽  
Youth Obesity

More than one-third of young people in the United States are either obese or at risk of becoming obese. The authors consider how food marketers have contributed to this problem and how they might help resolve it. The article organizes the marketing activities of food-related companies around the classic four Ps. The authors first discuss product, price, and promotion in terms of past, present, and potential future industry actions. They then discuss place as a function of four key commercial end points in the food channel: (1) supermarkets, (2) convenience stores, (3) restaurants, and (4) schools. The authors consider government actions in terms of how they affect the actions of both the food industry and consumers. Throughout the article, the authors consider how extant research can be extended in an effort to better understand and address the youth obesity problem.

The Service Sector in the United States, 1839 to 1899

1967 ◽  
Vol 27 (4) ◽  
pp. 625-628 ◽  
Author(s):  
Thomas Weiss
Keyword(s):  
United States ◽  
Service Sector ◽  
Value Added ◽  
The United States ◽  
Professional Services ◽  
Service Industries ◽  
Public Utilities ◽  
Personal Services ◽  
Government Education ◽  
Quantitative Development

The dissertation is a study of the service industries in the United States during the period 1839 through 1899. The primary purpose of the study is to provide three series relating to the quantitative development of the sector. These series—value-added, gainful workers, and capital stock—provide benchmark estimates at decade intervals centered on census years. Series are presented for the aggregate sector; the major components, final and intermediate services; and eight industries. These eight industries, defined as the service sector, are trade, transportation and public utilities, finance and insurance, professional services, personal services, government, education, and the independent hand trades.

Sign in / Sign up

Export Citation Format

Share Document