No abstract

Purpose: To assess prevalence of suicidality, depression, post-traumatic stress disorder (PTSD) and anxiety among female sex workers (FSW). Methods: A systematic review and meta-analysis was performed. Search strategy was performed in MEDLINE, Scopus, Web of Science, EMBASE, Ovid and Cochrane Central Database from inception until March 2020. Considered for inclusion were cross-sectional studies performed on FSW that assessed prevalence of any of the following: suicide attempt or suicidal ideation, depression, PTSD, or anxiety. Five reviewers independently and in duplicate to select all eligible articles in an abstract and full-text screening phase and to moreover extract information from each study. A binomial-normal generalized linear mixed model was employed to estimate prevalence of the conditions.Results: From 8,035 studies yielded in the search strategy, 55 were included for analysis. The overall prevalence of suicidal ideation and attempt was 27% (95% C.I. 18-39%) and 20% (95% C.I. 13-28%), respectively. Furthermore, overall prevalence of depression and PTSD was 44% (95% C.I. 35-54%) and 29% (95% C.I. 18-44%), respectively. Eleven studies were classi ed as high quality. Conclusion:Findings indicate there is an overall high prevalence of suicidality, depression, and PTSD among FSW. Development of accessible large-scale interventions that assess mental health among this population remains critical.

Background Length of stay (LOS) for inpatient psychiatric services is an important factor with serious drawbacks when it is extended more than needed. Impacts on economy, social functioning, and stigma can hamper improvement and affect the patients’ experiences on future mental healthcare. Predictions of which patients have a higher chance for prolonged LOS have been extensively researched. Previous systematic reviews found consistent predictors of both longer and shorter LOS. However, they do not provide an estimate from the pooled effect sizes. Furthermore, to our knowledge, there is no meta-analysis on the influence of these factors. The primary objective of this study will be to provide point estimates on the effect sizes of all studied predictors of the LOS of psychiatric inpatients. Methods We will conduct a systematic search in PubMed, MEDLINE, EMBASE, and PsycINFO for observational studies evaluating the effect size of independent factors on the length of stay of psychiatric inpatients. Prospective and retrospective cohorts that assess the influence of predictors through the reporting of standardized regression coefficients will be included. We will provide a qualitative synthesis of the findings from each study and perform a meta-analysis from pooled regression coefficients that were adjusted for other variables or confounders in order to obtain a point estimate and confidence interval for all factors extracted from the included studies. Discussion The results from this study may provide more accurate predictions for mental health institutions, psychiatrists, mental health service providers, patients, and families on the prognosis regarding the length of stay for needed inpatient care. This information may be used to anticipate individuals with a higher chance for prolonged hospitalization to plan the necessary interventions for these specific situations. Considering both the benefits and disadvantages of longer and shorter stays, the pooled estimates for independent factors may be used by mental healthcare providers and patients for informed decision-making. The results from this study will also update results presented in previous studies and identify the strengths and limitations from the current available evidence. Systematic review registration PROSPERO ID CRD42020172840

Objective: Caregiver burden (CB) can be understood as the load borne or strained by a person who takes care of a chronically ill, disabled, or elderly relative. The purpose of this study was to determine the degree of caregiver burden among caregivers of patients with severe mental illnesses. Materials and methods: This longitudinal study was conducted at the Psychiatry Department of the "Dr. José Eleuterio Gonzalez" University Hospital from November 2018 to October 2019. The Zarit Caregiver Burden Interview was used to measure the burden on the main caregiver, which realized at admission and discharge. Results: The final sample consisted of 96 caregivers. At admission, 35.2% of caregivers of patients with major depressive disorder presented burden, 50% in the case of borderline personality disorder, 56% in the case of bipolar disorder, and 66.7% in the case of schizophrenia. The scores compared to admission with discharge showed a statistically significant decrease among caregivers of patients with depression (p = 0.047) and schizophrenia (p = 0.005). In contrast, the mean score increased without significance at discharge among caregivers of bipolar and borderline personality disorder patients. Conclusion: Significant reductions in the degree of CB throughout hospitalization were observed only in caregivers of patients with schizophrenia and depression. Hospitalization could improve CB by facilitating better treatment and patient vigilance, giving caregivers more time to invest in social and personal activities, and in the care of their physical and mental health.

Purpose: To assess prevalence of suicidality, depression, post-traumatic stress disorder (PTSD) and anxiety among female sex workers (FSW).Methods: A systematic review and meta-analysis was performed. Search strategy was performed in MEDLINE, Scopus, Web of Science, EMBASE, Ovid and Cochrane Central Database from inception until March 2020. Considered for inclusion were cross-sectional studies performed on FSW that assessed prevalence of any of the following: suicide attempt or suicidal ideation, depression, PTSD, or anxiety. Five reviewers independently and in duplicate to select all eligible articles in an abstract and full-text screening phase and to moreover extract information from each study. A binomial-normal generalized linear mixed model was employed to estimate prevalence of the conditions.Results: From 8,035 studies yielded in the search strategy, 55 were included for analysis. The overall prevalence of suicidal ideation and attempt was 27% (95% C.I. 18-39%) and 20% (95% C.I. 13-28%), respectively. Furthermore, overall prevalence of depression and PTSD was 44% (95% C.I. 35-54%) and 29% (95% C.I. 18-44%), respectively. Eleven studies were classified as high quality.Conclusion: Findings indicate there is an overall high prevalence of suicidality, depression, and PTSD among FSW. Development of accessible large-scale interventions that assess mental health among this population remains critical.PROSPERO Registration CRD42020196164