Review
Public, Environmental & Occupational Health
Sharna Mathieu, Alice Treloar, Jacinta Hawgood, Victoria Ross, Kairi Kolves
Summary: Understanding the role of economic factors in suicidal behaviors and the effectiveness of relevant interventions is crucial for developing suicide prevention strategies. This review examines recent literature and finds that economic recession, unemployment, and personal financial problems are associated with an increased risk of suicidal behavior and ideation. Interventions such as unemployment benefits, employment protection legislation, higher minimum wage, and active labor market programs may reduce suicides at the population level, but their impact on individuals and other aspects of suicide are unclear. There is also a lack of evidence on the effectiveness of financially focused suicide prevention interventions. The study recommends future research on the economic impact of COVID-19, co-designing and evaluating tailored interventions, and enhancing financial literacy education.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Geriatrics & Gerontology
Gillian L. Marshall, Eva Kahana, William T. Gallo, Kim L. Stansbury, Stephen Thielke
Summary: This study found that experiencing difficulty paying bills and medical debt among older adults is significantly associated with depressive symptoms and anxiety, while the influence of credit card debt is weaker.
AGING & MENTAL HEALTH
(2021)
Article
Public, Environmental & Occupational Health
Irina B. Grafova, Patrick R. Clifford, Shawna V. Hudson, Michael B. Steinberg, Denalee M. O'Malley, Jennifer Elliott, Adana A. M. Llanos, Biren Saraiya, Paul R. Duberstein
Summary: Medical debt has grown dramatically and is not only associated with cancer and diabetes, but also with other medical conditions and health behaviors. A survey found that heart disease, anxiety disorders, and smoking are associated with medical debt in lower-income households, while chronic lung disease and mood disorders are associated with medical debt in middle-income households. Higher-income households with a current smoker also have a higher risk of medical debt.
PREVENTIVE MEDICINE
(2022)
Article
Clinical Neurology
Minjae Choi, Jiseun Lim, Shu-Sen Chang, Minji Hwang, Cheong-Seok Kim, Myung Ki
Summary: Financial hardship influences suicide ideation, with a more significant cumulative effect observed in late-middle-aged and elderly men, while the pattern is less clear among women.
JOURNAL OF AFFECTIVE DISORDERS
(2021)
Article
Clinical Neurology
Qianting Yu, Shuxian Wu, Mireille Twayigira, Xuerong Luo, Xueping Gao, Yidong Shen, Yicheng Long, Chunxiang Huang, Yanmei Shen
Summary: The study investigated the prevalence of school bullying and associated factors among Chinese college students, finding that gender, depression, anxiety, family income, and other factors are independently correlated with school bullying.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Article
Psychiatry
Oscar Jimenez-Solomon, Ryan Primrose, Ingyu Moon, Melanie Wall, Hanga Galfalvy, Pablo Mendez-Bustos, Amanda G. Cruz, Margaret Swarbrick, Taina Laing, Laurie Vite, Maura Kelley, Elizabeth Jennings, Roberto Lewis-Fernandez
Summary: This study examines the relationship between economic hardship, hope, and life satisfaction among individuals with psychiatric diagnoses seeking employment. The findings suggest that subjective financial hardship mediates the relationship between objective financial hardship and life satisfaction, and hope further mediates the effect of subjective financial hardship on life satisfaction. Additionally, the study found that ethno-racial identification may buffer the effect of financial hardship on hope and life satisfaction.
FRONTIERS IN PSYCHIATRY
(2022)
Article
Education & Educational Research
Sarah D. Tait, Sachiko M. Oshima, Harold J. Leeras, Alexander Gunn, Melissa Sarver, Funda Gunes, Rachel A. Greenup
Summary: In the context of rising healthcare costs, many medical schools lack formal education on treatment-related financial hardship, leaving future physicians undereducated and unprepared for high-value care.
BMC MEDICAL EDUCATION
(2023)
Article
Oncology
Salene M. W. Jones, Mimi Ton, Jaimee L. Heffner, Rachel C. Malen, Stacey A. Cohen, Polly A. Newcomb
Summary: Financial worry among cancer survivors is associated with anxiety, depression, and worse quality of life. Only current tobacco use is associated with financial worry, while misuse of cannabis, alcohol, and prescription drugs is not. Addressing financial worry and material hardship is important for cancer survivors' mental health and quality of life.
JOURNAL OF CANCER SURVIVORSHIP
(2023)
Article
Psychology, Clinical
R. Cunningham, A. Milner, S. Gibb, V Rijnberg, G. Disney, A. M. Kavanagh
Summary: Through a longitudinal study, it was found that unemployment is significantly associated with suicide and self-harm, even among individuals without prior mental health issues.
PSYCHOLOGICAL MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Agnieszka Konieczna, Sarah Grube Jakobsen, Christina Petrea Larsen, Erik Christiansen
Summary: The study found that the Danish social welfare model and suicide prevention programs may have played a role in preventing suicide among the unemployed during the financial crisis. There were significant gender-specific differences in the impact of the financial crisis on suicide rates, suggesting that specific prevention programs should be targeted towards men during economic downturns.
SCANDINAVIAN JOURNAL OF PUBLIC HEALTH
(2022)
Article
Public, Environmental & Occupational Health
Elizabeth Sweet
Summary: Recent research has shown that personal financial debt is a significant socioeconomic determinant of health. Changes in spending and behavior resulting from debt can have negative health consequences. Debt-related behavior changes, such as skipping medical care, housing payments, or consumer purchases, are associated with worse health outcomes.
HEALTH EDUCATION & BEHAVIOR
(2021)
Article
Public, Environmental & Occupational Health
Margareta Dackehag, Lina Maria Ellegard, Ulf-G Gerdtham, Therese Nilsson
Summary: This study examines the relationship between local macroeconomic conditions and individual use of psychotropic medication. The findings show that when the local labor market conditions deteriorate, there is a decrease in the use of psychotropic medication among young men and older women, particularly in the use of antidepressants. Additionally, these age-gender groups also face a higher risk of mortality during economic downturns.
EUROPEAN JOURNAL OF PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Anthony Pisani, Kenneth Connor, Kimberly Van Orden, Neil Jordan, Sara Landes, Geoffrey Curran, Michael McDermott, Ashkan Ertefaie, Caroline Kelberman, Seethalakshmi Ramanathan, Jay Carruthers, Kristina Mossgraber, David Goldston
Summary: This study aims to examine the effectiveness of the Attempted Suicide Short Intervention Program (ASSIP) in preventing suicide reattempts in the United States healthcare system. It also investigates the psychological mechanisms of ASSIP based on the Interpersonal Theory of Suicide and explores the potential implementation costs and barriers. The study is a hybrid type 1 effectiveness-implementation randomized controlled trial (RCT) involving 400 adults who have recently attempted suicide.
Article
Multidisciplinary Sciences
Amanda Godoy-Bermudez, Araceli Rojo-Gallego-Burin, Luisa Delgado-Marquez, Jose J. Martin-Martin, M. Teresa Sanchez-Martinez, M. Puerto Lopez del Amo-Gonzalez
Summary: A gender perspective was used to analyze the association between education, unemployment, per capita public health expenditure, and perceived health among the Spanish population from 2014 to 2017. Multilevel methodologies and longitudinal microdata files were used to conduct the analysis. The results indicate that women with lower education levels reported worse health compared to their more educated counterparts. Unemployment was associated with men's bad health, but not women's. Regional per capita public health expenditure was not associated with perceived health for both men and women.
Article
Public, Environmental & Occupational Health
Thomas Richardson, Angel Enrique, Caroline Earley, Adedeji Adegoke, Douglas Hiscock, Derek Richards
Summary: Previous research has found a strong link between financial difficulties and mental health problems, with hope and worry about finances playing a crucial role. This study developed an online psychological intervention called "Space from Money Worries" to target the psychological mechanisms underlying the relationship between poor mental health and financial difficulties. The initial evaluation showed that the intervention was well-received and led to improvements in mental health, perceived financial wellbeing, and the relationship between financial difficulties and poor mental health. However, further research with a larger sample size and control group is needed to confirm these findings.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Psychology, Clinical
Galit Geulayov, Deborah Casey, Elizabeth Bale, Fiona Brand, Caroline Clements, Bushra Farooq, Nav Kapur, Jennifer Ness, Keith Waters, Anita Patel, Keith Hawton
Summary: The risk of suicide following hospital presentation for self-harm varies depending on the site of self-cut/stab, with a greater risk associated with cutting/stabbing parts of the body other than the wrist or arm, especially the neck.
PSYCHOLOGICAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Katherine Sawyer, Kim Fredman Stein, Pamela Jacobsen, Tom P. Freeman, Anna K. M. Blackwell, Chris Metcalfe, David Kessler, Marcus R. Munafo, Paul Aveyard, Gemma M. J. Taylor
Summary: This study aimed to understand participants' views and experiences of receiving a novel smoking cessation intervention. The results showed that the majority of people accepted the integrated smoking cessation and mental health treatment, but there were also some implementation barriers.
HEALTH EXPECTATIONS
(2023)
Article
Medicine, General & Internal
Ella Flemyng, Theresa Helen Moore, Isabelle Boutron, Julian P. T. Higgins, Asbjorn Hrobjartsson, Camilla Hansen Nejstgaard, Kerry Dwan
Summary: A systematic review evaluates and combines all the empirical evidence from studies that meet specific criteria to answer a research question, assessing the risk of bias in the included studies to enhance confidence in the conclusions. Cochrane Reviews have used a risk of bias tool since 2008, and a new version, RoB 2, was introduced in 2019 to improve usability and reflect current understanding of bias. This paper discusses lessons learned from the phased implementation of RoB 2 and provides tips for systematic reviewers.
BMJ EVIDENCE-BASED MEDICINE
(2023)
Article
Medicine, General & Internal
F. C. C. Hamdy, J. L. L. Donovan, J. A. Lane, C. Metcalfe, M. Davis, E. L. L. Turner, R. M. M. Martin, G. J. J. Young, E. I. I. Walsh, R. J. J. Bryant, P. Bollina, A. Doble, A. Doherty, D. Gillatt, V Gnanapragasam, O. Hughes, R. Kockelbergh, H. Kynaston, A. Paul, E. Paez, P. Powell, D. J. J. Rosario, E. Rowe, M. Mason, J. W. F. Catto, T. J. J. Peters, J. Oxley, N. J. J. Williams, J. Staffurth, D. E. E. Neal
Summary: A study in the UK showed that after 15 years of follow-up, the mortality rate of prostate cancer was low regardless of the treatment assigned. Therefore, the choice of therapy for localized prostate cancer involves considering the trade-offs between benefits and harms.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Review
Medicine, Research & Experimental
Daisy M. Gaunt, Cat Papastavrou Brooks, Hugo Pedder, Esther Crawley, Jeremy Horwood, Chris Metcalfe
Summary: This systematic review and meta-analysis investigated the factors that may affect participant retention in paediatric trials. It found that conducting multiple follow-up assessments before the primary outcome, collecting the primary outcome within 6 months after randomization, using an inactive data collection method, involving children aged 11 and above, not involving other participants, and using an active or placebo control treatment could increase participant retention.
Article
Medicine, Research & Experimental
Fiona E. E. Lithander, Emma Tenison, Jan Ypinga, Angelika Halteren, Matthew D. D. Smith, Katherine Lloyd, Edward W. W. Richfield, Danielle E. E. Brazier, Micheal O. Breasail, Agnes J. J. Smink, Chris Metcalfe, William Hollingworth, Bas Bloem, Marten Munneke, Yoav Ben-Shlomo, Sirwan K. L. Darweesh, Emily J. J. Henderson
Summary: This study aims to evaluate whether a complex and innovative model of integrated care can improve patients' ability to achieve personal goals, have a positive impact on health and symptom burden, and be more cost-effective compared to usual care.
Article
Psychiatry
Leah Quinlivan, Louise Gorman, Stephen Marks, Elizabeth Monaghan, Sadika Asmal, Roger T. Webb, Nav Kapur
Summary: This study aimed to explore the barriers and facilitators to accessing aftercare and psychological therapies for patients presenting to hospital following self-harm, from the perspective of liaison psychiatry practitioners. The results showed that barriers to accessing services may increase the risk of further self-harm for patients and burnout for staff. Strategies to increase access to aftercare included improving assessments and care plans, supporting staff to focus on assessments as therapeutic intervention, probing boundaries and involving senior staff, and building relationships and integration across services. These findings are essential for optimizing patient safety and experience and staff well-being.
Article
Psychiatry
Leah Quinlivan, Louise Gorman, Elizabeth Monaghan, Sadika Asmal, Roger T. Webb, Nav Kapur
Summary: This study explores patients' experience of accessing psychological therapies after self-harm and their recommendations for improvement. The findings highlight long waiting times, inadequate service provision, poor communication, and lack of tailored interventions as barriers to effective aftercare. Recommendations for improvement include compassionate and informed staff, timely access to aftercare, improved communication and support during waiting times, and greater information and choice of psychological interventions.
Article
Psychiatry
Guilherme Borges, Ricardo Orozco, David Gunnell, Raul A. Gutierrez-Garcia, Yesica Albor, Guillermo E. Quevedo E. Chavez, Praxedis Cristina Hernandez Uribe, Sergio Cruz Hernandez, Maria Anabell Covarrubias Diaz Couder, Jordi Alonso, Maria-Elena Medina-Mora, Corina Benjet
Summary: The COVID-19 pandemic has had a negative impact on the mental health of populations worldwide, particularly in low- and middle-income countries. This study examined the longitudinal effects of the pandemic on suicidal thoughts and behaviors among first-year university students in Mexico. The findings suggest that there was an increase in the incidence of suicidal ideation during the COVID-19 period, especially among students with risk conditions and positive coping strategies.
ARCHIVES OF SUICIDE RESEARCH
(2023)
Article
Public, Environmental & Occupational Health
Ruth Kipping, Miranda Pallan, Kim Hannam, Kate Willis, Alex Dobell, Chris Metcalfe, Russell Jago, Laura Johnson, Rebecca Langford, Corby K. Martin, William Hollingworth, Madeleine Cochrane, James White, Pete Blair, Zoi Toumpakari, Jodi Taylor, Dianne Ward, Laurence Moore, Tom Reid, Megan Pardoe, Liping Wen, Marie Murphy, Anne Martin, Stephanie Chambers, Sharon Anne Simpson
Summary: This study aims to evaluate the effectiveness and cost-effectiveness of the NAP SACC UK intervention to increase physical activity, reduce sedentary time and improve nutritional intake. The study will be conducted through a multi-centre cluster RCT with process and economic evaluation. Nursery managers and staff will receive training and support to assess and improve physical activity and nutrition policies and practices. The control group will receive usual practice.
Review
Endocrinology & Metabolism
Theresa H. Moore, Sarah Dawson, Jessica Wheeler, Julian Hamilton-Shield, Timothy G. Barrett, Sabi Redwood, Ian Litchfield, Sheila M. Greenfield, Aidan Searle, Divers Diabet DID Consortium Members
Summary: This qualitative evidence synthesis aimed to explore the experiences and views of clinical encounters in diabetes care from the perspectives of children and young people with diabetes (CYPD) from underserved communities and their family/carers, as well as healthcare professionals. The study found that CYPD feel alienated in their social interactions and this impacts their experience in diabetes self-management and family/carer management. Additionally, the study highlights the importance of empowering CYPD and family/carers and integrating diabetes self-management into their daily lives.
Article
Medicine, General & Internal
Daisy Gaunt, Amberly Brigden, Chris Metcalfe, Maria Loades, Esther Crawley
Summary: 40% and 54% of young patients with ME/CFS reached the MCID of SF-36-PFS at 6 and 12 months, respectively. Factors associated with reaching the MCID included SF-36-PFS at 6 months, and pain and SF-36-PFS at 12 months, while no other factors at baseline assessment were found to be related to MCID attainment at either timepoint. Further research is needed to determine the most appropriate outcome measure for evaluating clinical meaningful improvement in young patients with ME/CFS.
Article
Psychiatry
Sze Chim Lee, Olivier Y. Rouquette, Keith Hawton, Louise Cleobury, Sarah Spencer, Keith Lloyd, David Gunnell, Jonathan Scourfield, Ann John
Summary: This study compares individuals who self-harmed during a suicide cluster with those who self-harmed prior to the cluster. The findings suggest that individuals who self-harmed during the cluster were less likely to be hospitalized or have a mental health history. There were no significant differences in 10-year self-harm outcomes, but males had a higher all-cause mortality rate.
CRISIS-THE JOURNAL OF CRISIS INTERVENTION AND SUICIDE PREVENTION
(2023)
Article
Psychiatry
Duleeka Knipe, Emma Vallis, Luke Kendall, Martha Snow, Kyla Kirkpatrick, Rosie Jarvis, Chris Metcalfe, Nathan Eisenstadt, Viv Bickham
Summary: The suicide rate in high-risk high-harm perpetrators of domestic abuse is significantly higher than many other high-risk groups. Improving their mental health and outcomes is essential to reduce the impact of suicides on the victims of abuse.
CRISIS-THE JOURNAL OF CRISIS INTERVENTION AND SUICIDE PREVENTION
(2023)
Article
Psychiatry
Fang-Wen Lu, Erica Conway, Ya-Lun Liang, Ying-Yeh Chen, David Gunnell, Shu-Sen Chang
Summary: This study used emergency department data from Taipei City and New Taipei City to identify clusters of self-harm and suicide using space-time permutation scan statistics. It found that cluster-related episodes of self-harm and suicide were more likely to be male and young people aged 10-29 years.
EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES
(2023)