Social psychiatry and psychiatric epidemiology
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Soc Psychiatry Psychiatr Epidemiol · May 2016
Examining the need profiles of patients with multiple emergency department visits for mental health reasons: a cross-sectional study.
Study objectives were to: (1) provide an estimate of the prevalence of repeat emergency department (ED) use for mental health reasons among individuals enrolled in intensive case management programs; and (2) to identify socio-demographic, diagnostic, and service need characteristics associated with repeat ED visits among this service population. ⋯ The repeat ED user group within case management may have distinct need profiles that require different treatment responses. Moreover, clinical needs rather than psychosocial needs have the greatest relationship with repeat psychiatric ED utilization. These unmet needs suggest areas for future interventions aimed at reducing the use of ED services for mental health reasons and improving care for patients who repeatedly present at the ED.
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Soc Psychiatry Psychiatr Epidemiol · Feb 2016
Multicenter StudySelf-harm and life problems: findings from the Multicentre Study of Self-harm in England.
Self-harm is a major clinical problem and is strongly linked to suicide. It is important to understand the problems faced by those who self-harm to design effective clinical services and suicide prevention strategies. We investigated the life problems experienced by patients presenting to general hospitals for self-harm. ⋯ Self-harm usually occurs in the context of multiple life problems. Clinical services for self-harm patients should have access to appropriate care for provision of help for relationship difficulties and problems concerning alcohol and mental health issues. Individualised clinical support (e.g. psychological therapy, interventions for alcohol problems and relationship counselling) for self-harm patients facing these life problems may play a crucial role in suicide prevention.
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Soc Psychiatry Psychiatr Epidemiol · Nov 2015
Mental health and alcohol problems among Estonian cleanup workers 24 years after the Chernobyl accident.
To study the long-term mental health consequences of the 1986 Chernobyl nuclear accident among cleanup workers from Estonia. ⋯ The toll of cleanup work was evident 24 years after the Chernobyl accident among Estonian cleanup workers indicating the need for focused mental health interventions.
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Soc Psychiatry Psychiatr Epidemiol · Sep 2015
ReviewPsychosocial sequelae of cannabis use and implications for policy: findings from the Christchurch Health and Development Study.
The Christchurch Health and Development Study is a longitudinal study of a birth cohort of 1265 children who were born in Christchurch, New Zealand, in 1977. This cohort has now been studied from birth to the age of 35. ⋯ Collectively, these findings suggest that cannabis policy needs to be further developed and evaluated in order to find the best way to regulate a widely-used, and increasingly legal substance.