scholarly journals Childhood Maltreatment and Risk of Harm to Self and Others: The Role of Sex and Polyvictimization

2020 ◽  
Vol 7 (1) ◽  
pp. 108-122
Author(s):  
Shannon L. Stewart ◽  
Ashley Toohey ◽  
Natalia Lapshina

Objectives: Research has shown that children who experience abuse and neglect are at much higher risk of experiencing negative outcomes such as physical and mental health problems, social skill deficits, and poor quality of life. The goal of this paper was to examine the relationship between polyvictimization and risk of harm to self and others, taking into account both age and sex differences. Methods: A total of 8980 participants (4156 with maltreatment history) were recruited from over 50 mental health facilities in Ontario, Canada. Group comparisons were completed to examine types of trauma experienced, and risk of harm to self and others. Results: Among our sample, we found that 29% of children and youth had experienced multiple types of interpersonal trauma. We also found that while female children and youth who had experienced trauma were at greater risk of harm to themselves, males were at greater risk of harming others. Further, our results highlight that children and youth who had experienced multiple types of maltreatment, regardless of age or sex, were at the greatest risk of harm to self and others. Implications: Findings from this research highlight that interpersonal trauma is multifaceted and add to existing evidence that there is a cumulative relationship between experiencing multiple types of maltreatment and risk in relation to harming oneself or others. Our findings underscore the importance of a background assessment that takes into account all forms of maltreatment in order to properly understand risk of harm and inform intervention.

Author(s):  
Sabyasachi Bhaumik ◽  
Dasari Mohan Michael ◽  
Reza Kiani ◽  
Avinash Hiremath ◽  
Shweta Gangavati ◽  
...  

This chapter focuses on the current knowledge in public health for people with intellectual disability and recognizes the extent of health inequalities these individuals experience. The prevalence of intellectual disability worldwide is discussed with special emphasis on the prevalence of mental health problems. Also highlighted are the population health characteristics, including physical and mental health problems. The issue of barriers to accessibility and the possible reasons are discussed. There is a section on premature mortality of people with intellectual disability and measures to improve the health status for this marginalized population. Recent initiatives, including prevention strategies and health promotional aspects, are discussed and solutions suggested, including those for low-and-middle income countries (LAMICs)emphasized. Training aspects to improve quality of health care in LAMICs is highlighted with the recognition of limitations in creating a sustainable transformation of services unless they are backed by authorities.


2019 ◽  
Vol 4 (7) ◽  
pp. 105-110
Author(s):  
Amanda Plácido da Silva Macêdo ◽  
Monnic Maria Lóssio Rocha Maia ◽  
Izadora De Sousa Pereira ◽  
Thânia Maria Rodrigues Figueiredo ◽  
Modesto Leite Rolim Neto

Child maltreatment has serious consequences, including increasing an individual's risk of physical and mental health problems across their life course. Objective: Here we show that there  is an important public health message to focus, not only on approaches that prevent or detect childhood maltreatment, but also to explore methods of prevention and detection of mental ill health. Results: The study Childhood maltreatment and adult suicidality: a comprehensive systematic review with meta-analysis (2019) showed that all different types of childhood maltreatment including sexual abuse [odds ratio (OR) 3.17, 95% confidence interval (CI) 2.76–3.64], physical abuse (OR 2.52, 95% CI 2.09–3.04) and emotional abuse (OR 2.49, 95% CI 1.64–3.77) were associated with two- to three-fold increased risk for suicide attempts. Conclusion: It is important to highlight emotional violence may actually be more powerful than physical and sexual abuse in its impact on adolescent suicide behaviors in low- and middle-income countries. Keywords: Child Maltreatment; Mental Health; Prevention.


Author(s):  
Aisha Qasim ◽  
Rabia Muzaffar

The current study was intended to determine the predicting role of Emotional Abuse to develop mental health problems among married individuals and its impact on their quality of life. Present research was quantitative correlational survey design, hypothesizing that there is a significant relationship between emotional abuse to develop mental health problems among married individuals and its impact on their quality of life. There is a significant role of emotional abuse to develop mental health problems among married individuals and its impact on their quality of life. Purposive convenient sampling technique was used to approach N= 230 married individuals ranged between 18-40 years old, from different areas of Karachi, Pakistan. The present study was assessed through Gottman Emotional Abuse Questionnaire (EAQ), Mental Health Inventory (MHI-18) and Quality of Life Scale (QOLS). Statistical Package for Social Sciences (SPSS version-22) was applied for the analysis of data. Internal consistency of the study was checked through Cronbach alpha. For the analysis of correlation between variables Pearson Correlation was used. Significance of demographic factors were analyzed through the technique of independent sampling (t-test). Results exposed that there is significant strong negative correlation of emotional abuse with mental health (r= -0.82) and quality of life (r= -0.89). The findings of the research highlighted the significant differences of emotional abuse, mental health problems and quality of life. The results of the present study could be useful for enhancing the awareness on the effect of emotional abuse and the necessity of prevent the abuse for maintaining the relationship.


Pain Medicine ◽  
2017 ◽  
Vol 19 (4) ◽  
pp. 658-676 ◽  
Author(s):  
Lynn R Gauthier ◽  
Robert H Dworkin ◽  
David Warr ◽  
Rebecca Pillai Riddell ◽  
Alison K Macpherson ◽  
...  

2021 ◽  
Vol 12 (2) ◽  
pp. 361-374
Author(s):  
Pooja Mann ◽  
Bhoomika Mann

Aim. This paper aims to bring forth how the basic right of education got adversely affected due to the COVID-19 pandemic. The unplanned and immediate shift to online classes adversely affected the students’ physical and mental health as several issues that the students faced were related to the lack of adequate resources. Methods. The data for this paper were collected through a self-prepared and structured questionnaire, using Google forms, which was then circulated among different stakeholders of the educational institutes. The statistical analysis of the collected data was done using Microsoft Excel. Results and conclusion. According to the analysis of the survey, smartphones (75% of the total respondents) are relatively more accessible by students in comparison to computers or laptops (53%). And even if students had internet connectivity (57%), they faced issues of low data bandwidth (39%) leading to poor quality of online interaction in classes. Another important analysis suggested that 57% of students lacked a quiet room or space to attend the online classes in their homes. Finally, the negative impacts of online classes on the physical and mental health of students were also analysed. Cognitive value. The findings and the analysis of this paper would thus help teachers and institutions to understand students’ views and experiences of the pandemic. This understanding would help teachers to plan their teaching plans accordingly bridging the digital divide which would help students learn and grow.


Author(s):  
Bie Nio Ong ◽  
Caroline Sanders

Health service settings are increasingly installing digital devices to enable people to engage digitally with multiple processes, including automated ‘check-in’, as well as collecting feedback on experiences of care. In addition, policy is increasingly driving digital agendas to promote patient engagement with online services, management of health records and routine monitoring. While this tendency towards widespread digital diffusion has been viewed as a means of enabling greater empowerment of patients and improved responsiveness of services to ‘patient voice’, social scientists have provided critical insights on the use of digital technologies in practice. However, there remains limited understanding of the mechanisms and contexts for digital engagement. In particular, there is a need for further research on the sensory and spatial aspects of engagement that are integral to everyday use (or non-use) of technology in practice. This article reports new insights from detailed qualitative case studies utilising in-depth interviews with patients, carers and staff, in addition to ethnographic observations of different digital modalities and their usage in specific health care contexts. A sociomaterial approach and concepts of affective atmosphere and technogeography are drawn upon to analyse the role of touch and place in the collection of digital feedback in multiple waiting room settings for people with physical and mental health long-term conditions. The findings highlight how barriers to engagement varied by context such as particular concerns about privacy for those with mental health problems and physical and sensory barriers for those with physical impairments. The findings demonstrate how digital inequalities can play out in practice and have implications for the design and development of digital innovations and tackling inequalities that may be associated with implementation of new digital technologies in healthcare.


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