Social psychiatry and psychiatric epidemiology
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Soc Psychiatry Psychiatr Epidemiol · May 2010
Predictors of suicidality in depressive spectrum disorders in the general population: results of the Netherlands Mental Health Survey and Incidence Study.
The aim was to assess determinants of suicidality (suicidal ideation and suicide attempts) in a general population cohort with depressive spectrum disorders, and to compare determinants for suicidal ideation and determinants for suicide attempts in this cohort. ⋯ Features of depression were the most important determinants of suicidality in a depressive spectrum cohort. Determinants for suicidal ideation differed from suicide attempts. These findings could be helpful in identifying those who need more intense treatment strategies in order to prevent suicidality and eventually suicide.
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Soc Psychiatry Psychiatr Epidemiol · Apr 2010
Mental and neurological health research priorities setting in developing countries.
A multi-region consultation process designed to generate locally produced regional and global research priorities on mental and neurological health in low- and middle-income countries. ⋯ The combined matrix approach enabled the development of regional and global MNH research agendas, derived from bottom up consultations within and between low- and middle-income countries. Collaboration between regions with similar priorities was instituted. Such research agendas are designed to assist policy-makers and donors in the allocation of scarce resources, but they require regular review to reflect changing needs.
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Soc Psychiatry Psychiatr Epidemiol · Apr 2010
Comparative StudySuicide and unemployment rate in Taiwan, a population-based study, 1978-2006.
Both the suicide rate and unemployment rate have showed an upward trend in Taiwan since 1994. This study aimed to explore the association between the suicide rate and the unemployment rate. This information is useful in developing specific suicide prevention strategies related to unemployment. ⋯ Suicide prevention strategy for the unemployed should be more focused especially on males aged from 45 to 64 years in Taiwan.
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Soc Psychiatry Psychiatr Epidemiol · Mar 2010
Job strain and other work conditions: relationships with psychological distress among civil servants in Rio de Janeiro, Brazil.
In developing countries, traditional sources of employment and work practices have changed rapidly and work environment has appeared as an important factor associated with an increased prevalence of mental disorders in these countries. ⋯ Job strain and poor support at work seem important psychological stressors in the workplace in Brazil. Our findings are comparable to those found in more developed countries, providing additional evidence of an association between an adverse psychosocial work environment and psychological distress, being thus useful for policymakers in planning and promoting healthier and happier working force necessary for economic development.
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Soc Psychiatry Psychiatr Epidemiol · Mar 2010
Narrating uncertainties about treatment of mental health conditions.
Integration of patient views in mental health service planning is in its infancy despite service provision being clearly dominated by narratives from professional consultations and medical records. We wished to clarify perceptions of uncertainty about mental health conditions from a range of provider and user perspectives (patients, carers, parents, mental health service providers) and understand the role of narratives in mental health research. ⋯ Narrative content analysis can help distil large amounts of free text data and enable their successful interpretation. Listening to patients' voices should become an integral part of routine service evaluation and may help bring patient expectation more in line with service organisation and delivery towards an optimal delivery of care.