Suicidality and Treatment Experience Among Young People Who Inject Drugs

2020 ◽  
Author(s):  
Mary Ellen Mackesy-Amiti ◽  
Lawrence J. Ouellet
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young People ◽  
Mental Disorders ◽  
Mental Health Treatment ◽  
People Who Inject Drugs ◽  
Multivariable Analysis ◽  
Psychiatric Research ◽  
Health Treatment ◽  
The Past

Background. We examined correlates of past year suicidal thoughts and behavior (STB) and described past year treatment experiences among young people who inject drugs (PWID). Methods. Participants were 570 adults (18-25 years) who injected primarily heroin. Interviews were conducted at field stations operated by Community Outreach Intervention Projects in Chicago, Illinois (USA). Interviewers administered the Psychiatric Research Instrument for Substance and Mental Disorders. Substance use and mental disorders were based on DSM-IV diagnostic criteria. Past year STB was based on multiple questions. Results. Sixteen percent of men and 25% of women reported STB in the past year. In multivariable analysis, STB was associated with non-heterosexual orientation, foster care, and being raised by two parents. Primary major depression, post-traumatic stress disorder, other anxiety disorders, and borderline personality disorder had independent effects on suicidality. Among those reporting past year STB (n=111), 83% ever received mental health treatment, while 44% did so in the past year. While 24% of respondents indicated that at least one treatment matched their needs very well, 30% reported treatment that did not match their needs at all. The most common reason for ending treatment was program completion (about 50%) while getting better was endorsed by about 25%. Nearly half reported ending treatment due to a bad experience, logistical issues, or expense. Conclusions. Young PWID are at high risk for suicidal behavior and their mental health treatment experiences often do not meet their needs. There is a pressing need for more integrated substance use and mental health treatment.

scholarly journals Proportion of patients without mental disorders being treated in mental health services worldwide

2015 ◽  
Vol 206 (2) ◽  
pp. 101-109 ◽  
Author(s):  
Ronny Bruffaerts ◽  
Jose Posada-Villa ◽  
Ali Obaid Al-Hamzawi ◽  
Oye Gureje ◽  
Yueqin Huang ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Dose Response ◽  
Mental Health Treatment ◽  
World Health ◽  
Health Treatment ◽  
The Past ◽  
The World ◽  
Dsm Iv

BackgroundPrevious research suggests that many people receiving mental health treatment do not meet criteria for a mental disorder but are rather ‘the worried well’.AimsTo examine the association of past-year mental health treatment with DSM-IV disorders.MethodThe World Health Organization's World Mental Health (WMH) Surveys interviewed community samples of adults in 23 countries (n = 62 305) about DSM-IV disorders and treatment in the past 12 months for problems with emotions, alcohol or drugs.ResultsRoughly half (52%) of people who received treatment met criteria for a past-year DSM-IV disorder, an additional 18% for a lifetime disorder and an additional 13% for other indicators of need (multiple subthreshold disorders, recent stressors or suicidal behaviours). Dose–response associations were found between number of indicators of need and treatment.ConclusionsThe vast majority of treatment in the WMH countries goes to patients with mental disorders or other problems expected to benefit from treatment.

Components of the Economic Burden of Serious Mental Illness in the US

US Neurology ◽  
2009 ◽  
Vol 05 (01) ◽  
pp. 10 ◽  
Author(s):  
Thomas R Insel ◽  
Michael Schoenbaum ◽  
Philip S Wang ◽  
◽  
◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Health Treatment ◽  
Cost Effective ◽  
Health Treatment ◽  
Effective Strategies ◽  
The Past ◽  
The Us

Mental disorders impose considerable socioeconomic costs due to their episodic/chronic nature, their relatively early ages at onset, and the highly disabling nature of inadequately treated mental illness. Despite substantial increases in the volume of mental health treatment for disorders in the past two decades, particularly pharmacotherapies, the level of morbidity and mortality from these disorders does not appear to have changed substantially over this period. Improving outcomes will require the development and use of more efficacious treatments for mental disorders. Likewise, implementation of cost-effective strategies to improve the quality of existing care for these disabling conditions is required.

scholarly journals PATTERNS AND DETERMINANTS OF POLYSUBSTANCE USE AMONG RETIRED POPULATION IN A U.S. NATIONALLY REPRESENTATIVE SAMPLE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S693-S693
Author(s):  
Tzung-Shiang Ou ◽  
Yi-Han Hu ◽  
Hsien-Chang Lin ◽  
Su-Wei Wong
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Health Treatment ◽  
Health Concern ◽  
Health Issues ◽  
Health Treatment ◽  
The Past ◽  
Polysubstance Use ◽  
Mental Health Issues ◽  
The U.S

Abstract Polysubstance use in the U.S. has been a public health concern. The prevalence of substance use among middle-aged and older adults is predicted to increase by 50% by 2020. Previous studies revealed retirement could serve as a risk factor for substance use as this population was known to be more susceptible to mental health issues. However, patterns and determinants of polysubstance use among retired population remained understudied. The purpose of this study was to investigate the patterns and determinants of polysubstance use among retired adults aged 50 and older. This study extracted 3,019 retired participants from the 2017 National Survey on Drug Use and Health study. Polysubstance use was defined as the use of two or more substances, including alcohol, tobacco, marijuana, and painkiller misuse, in the past month. Weighted multinomial logistic regression model was conducted to examine the associations between utilization of mental health treatment and poly-use of substances. The findings suggested 52.0% of retired adults used at least one substance in the past month, where 17.0% used substances concurrently; 15% co-used alcohol, tobacco, and marijuana; 8.6% co-used tobacco and marijuana. Females were less likely to poly-use substances (RRR=0.37, p<.001) than males. Those who had received mental health treatment in the past year were more likely to co-use more than two substances in relative to substance non-users in the past month (RRR=1.71, p<.05). Retirement plan incorporating behavioral intervention and early detection of mental health issues are warranted to reduce polysubstance use among the retired population in the U.S.

Impact of Co-Occurring Substance use on 6 Month Outcomes for Young People Seeking Mental Health Treatment

2007 ◽  
Vol 41 (11) ◽  
pp. 896-902 ◽  
Author(s):  
Kathryn D. Baker ◽  
Dan I. Lubman ◽  
Elizabeth M. Cosgrave ◽  
Eoin J. Killackey ◽  
Hok Pan Yuen ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young People ◽  
Psychosocial Functioning ◽  
Mental Health Treatment ◽  
Structured Interview ◽  
Health Treatment ◽  
Axis I ◽  
The Impact

Objective: Co-occurring substance use and mental health disorders are highly prevalent among young people attending services, yet few studies have examined the effect of such comorbidity among those referred for treatment. The aim of the current study was to examine the impact of co-occurring substance use disorders (SUDs) on 6 month outcomes for young people seeking mental health treatment. Method: One hundred and six young people (aged 15–24 years) with a non-psychotic DSM-IV Axis I disorder were assessed following referral to a specialist youth public mental health service. Participants were given a structured interview, as well as questionnaires assessing drug use, psychopathology, psychosocial functioning and self-esteem at baseline and 6 month follow up. Results: At baseline, 23 participants met criteria for a co-occurring SUD and 83 had a non-psychotic Axis I disorder. Both the non-SUD and the co-occurring SUD groups had high levels of psychopathology, serious impairments in functioning and moderate levels of suicidal ideation, although those with co-occurring SUD had significantly poorer levels of functioning. At 6 month follow up the co-occurring SUD group continued to experience substantial problems with symptoms and functioning whereas the non-SUD group had significant improvement in both of these domains. Conclusions: The present findings are consistent with studies examining the impact of co-occurring substance use and mental health issues across different treatment settings, and reinforce recommendations that young people with co-occurring disorders require more intensive and integrated interventions. The present findings also highlight the need for routine assessment and management of substance use issues within youth mental health settings.

Motives for substance use among young people seeking mental health treatment

2008 ◽  
Vol 2 (3) ◽  
pp. 188-194 ◽  
Author(s):  
Leanne Hides ◽  
Dan I. Lubman ◽  
Elizabeth M. Cosgrave ◽  
Joe A. Buckby ◽  
Eoin Killackey ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young People ◽  
Mental Health Treatment ◽  
Health Treatment

scholarly journals Mental health of young Brazilians: Barriers to professional help-seeking

2016 ◽  
Vol 33 (2) ◽  
pp. 355-365 ◽  
Author(s):  
Cláudia Cristina FUKUDA ◽  
Maria Aparecida PENSO ◽  
Deise Matos do AMPARO ◽  
Bruno Coimbras de ALMEIDA ◽  
Camila de Aquino MORAIS
Keyword(s):  
Mental Health ◽  
Young People ◽  
Private School ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Structural Barriers ◽  
Professional Help ◽  
Health Treatment ◽  
Major Barrier ◽  
Positive Effects

The present study investigated the perception of young Brazilians of professional help and barriers to seeking mental health services. A total of the 1,030 questionnaires were administered to young people aged 8-21 years of both genders attending public and private school or who had received or were receiving treatement at mental health facilities in three Brazilian cities. The data were evaluated using descriptive statistics, exploratory factor analysis, and comparison between means. The results showed fear of stigmatization as a major barrier to seeking mental health treatment, exerting greater impact than that of structural barriers. Regional differences influenced their perception of the treatment. Having undergone previous mental health treatment was found to be related to a greater perception of the positive effects of the treatment and the structural barriers to accessing care services. It was found that the onset of mental disorders usually occurs during early adolescence. School-related issues, anxiety, fear, and depression were the most common reasons for mental health treatment seeking among young people.

scholarly journals Residential transience among US adolescents: association with depression and mental health treatment

2019 ◽  
Vol 28 (6) ◽  
pp. 682-691 ◽  
Author(s):  
C. Glasheen ◽  
V. Forman-Hoffman ◽  
S. Hedden ◽  
T. Ridenour ◽  
J. Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Mental Health Treatment ◽  
Representative Sample ◽  
Care Providers ◽  
Health Treatment ◽  
The Past ◽  
Significant Difference ◽  
Nationally Representative ◽  
To Receive

AbstractAimsResidential instability, including transience (i.e. unusually frequent mobility), is associated with higher risk for emotional and behavioural problems in children and young adults. However, most studies have not compared the effect of recent v. more distal moves on mental health or on mental health treatment. This study examined associations between recent (past year) and distal (past 2–4 years) residential transience and past year major depressive episode (MDE) and mental health treatment in a nationally representative sample of US adolescents aged 12–17.MethodsData are from the 2010–2014 National Surveys on Drug Use and Health (n = ~107 300 adolescents). T-tests were used to examine the prevalence of MDE by number of moves in the past 5 years among a nationally representative sample of adolescents. Additionally, multivariable logistic regression models were used to evaluate the adjusted association between recent (⩾2 moves in the past year) and distal (⩾4 moves in the past 5 years, but no recent transience) and (1) past year MDE and (2) past year mental health treatment among adolescents with MDE.ResultsMDE prevalence increased linearly with number of moves in the past 5 years (p < 0.001). The adjusted odds of MDE were greater among youths with distal transience (adjusted odds ratio (AOR) = 1.25, 95% confidence interval (CI) = 1.09–1.44) and among those with proximal transience (AOR = 1.31, 95% CI = 1.17–1.46), compared with those without transience in the past 5 years. The MDE prevalence did not differ between those with distal and proximal transience (p = 0.163). In youths with past year MDE, the prevalence of past year mental health treatment was greater among those with proximal transience compared with those without transience (AOR = 1.40, 95% CI = 1.15–1.70), but there was no significant difference in treatment among those with distal v. no transience.ConclusionsDistal and recent transience are associated with past year MDE among adolescents. Adolescents with MDE who had recent transience were more likely to receive past year mental health treatment compared with those without transience. However, those with only distal transience were not more likely to receive treatment. Parents, school officials and health care providers should be aware that residential mobility in the past 5 years may indicate increased odds of depression among adolescents even among adolescents whose housing stability has improved in the past year.

scholarly journals Mental Health Treatment Among Soldiers With Current Mental Disorders in the Army Study to Assess Risk and Resilience in Service Members (Army STARRS)

2015 ◽  
Vol 180 (10) ◽  
pp. 1041-1051 ◽  
Author(s):  
Lisa J. Colpe ◽  
James A. Naifeh ◽  
Pablo A. Aliaga ◽  
Nancy A. Sampson ◽  
Steven G. Heeringa ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Health Treatment ◽  
Service Members ◽  
Risk And Resilience ◽  
Health Treatment
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