Risk of psychiatric disorders in offspring of parents with a history of homelessness during childhood and adolescence in Denmark: a nationwide, register-based, cohort study

Nilsson, Sandra Feodor; Laursen, Thomas Munk; Hjorthøj, Carsten; Thorup, Anne; Nordentoft, Merete

doi:10.1016/s2468-2667(17)30210-4

Cited by 22 publications

(21 citation statements)

References 24 publications

(47 reference statements)

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“…Common mental disorders affect a third of the general population at different ages, and are responsible for 12% diseases (4) . Living conditions on the streets (violence, prejudices, discrimination, lack of privacy, lack of education and infrastructure for body care) contribute to the emergence of common mental disorders (mood, anxiety, somatization) that, in turn, may be one of the factors that contribute to the homelessness condition of a person (5) .…”

Section: Introductionmentioning

confidence: 99%

“…In order to support and justify the development of the study, there was search for scientific production in the last five years on the subject in question on databases/virtual library, namely: Latin American and Caribbean Literature (Lilacs), PubMed, SCO-PUS, CINAHL, Web of Science, Embase and Cochrane, using the descriptors in health sciences (DeCS)/Medical Subject Headings (MeSH): Resiliência Psicológica/Resilience, Psychological; Transtornos Mentais/Mental Disorders and Pessoas em Situação de Rua/ Homeless Persons. Deficit of studies addressing common mental disorders and resilience in homeless persons was verified (5) .…”

Section: Introductionmentioning

confidence: 99%

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Common mental disorders and resilience in homeless persons

et al. 2019

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Objective: To identify common mental disorders and resilience in homeless persons. Method: Cross-sectional study with 49 homeless persons, assisted in the Casa da Acolhida Adulta and the Specialized Reference Center in a municipality in the Northeast of Brazil. Data collection performed between February and March 2018, using SRQ20 scales for common mental disorders and another for Resilience. Kruskal Wallis test, Student's T-test and Chi-Square test were used. Results: In the study, 61.2% (30) participants have poor sleep; 69.4% (34) feel nervous, tense or worried; 71.4% (35) feel unhappy; 63.3% are unable to play a useful role in their lives; 71.4% (35) have common mental disorders, and 44.9% (22) presented low resilience. Resilience influences common mental disorders, which, in turn, are influenced by gender and age. Conclusion: Professionals who assist homeless persons need to have a look directed at common mental disorders and resilience. RESUMO Objetivo: Rastrear transtornos mentais comuns e a resiliência de pessoas em situação de rua. Método: Estudo transversal com 49 pessoas em situação de rua, assistidas na Casa de Acolhida e Centro de Referência Especializado em município do Nordeste do Brasil. Coleta realizada entre fevereiro e março de 2018, utilizando escalas SRQ20 para transtornos mentais comuns e outra de Resiliência. Utilizaram-se os testes de Kruskal Wallis, t e Qui Quadrado. Resultados: 61,2% (30) dormem mal, 69,4% (34) sentem-se nervosos, tensos ou preocupados, 71,4% (35) tristes, 63,3% são incapazes de desempenhar um papel útil na sua vida, em 71,4% (35) rastreou-se transtornos mentais comuns e em 44,9% (22) baixa resiliência. A resiliência influencia os transtornos mentais comuns, os quais são influenciados pelo gênero e a idade. Conclusão: Os profissionais que assistem pessoas em situação de rua necessitam ter um olhar direcionado aos transtornos mentais comuns e resiliência. Descritores: Transtornos Mentais; Resiliência Psicológica; Pessoas em Situação de Rua; Saúde Mental; Enfermagem. RESUMENObjetivo: Identificar los trastornos mentales comunes y la resiliencia en personas en situación de calle. Método: Estudio transversal realizado con 49 personas en situación de calle, que recibían asistencia en la Casa de Acogida y Centro de Referencia Especializado, en un municipio del Nordeste de Brasil. La recolección de datos ocurrió entre febrero y marzo de 2018, siendo utilizado el SRQ-20 para los trastornos mentales comunes, y otro cuestionario para la resiliencia. Se utilizaron las pruebas de Kruskal-Wallis, t y de Qui-cuadrado. Resultados: El 61,2% (30) de los participantes duermen mal, el 69,4% (34) se sienten nerviosos, tensos o preocupados, el 71,4% (35) tristes, el 63,3% son incapaces de desempeñar un papel útil en la vida, el 71,4% (35) presentan trastornos mentales comunes y el 44,9% (22) tienen baja resiliencia. La resiliencia influye en los trastornos mentales comunes, que son influenciados por el género y la edad. Conclusión: Los profesionales que asisten a personas en situación de call...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Common mental disorders and resilience in homeless persons

et al. 2019

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“…Our exposure of interest-the proportion of live births with maternal history of adversity-related hospital admission (ARA)-was defined as any hospital admission related to substance misuse, exposure to violence or mental health problems during the look-back period using mutually non-exclusive ICD-10 code lists (for ARA ICD-10 codes, see online supplementary appendix page 6). [27][28][29][30] We also derived four further explanatory measures:…”

Section: Explanatory Measuresmentioning

confidence: 99%

Association between health indicators of maternal adversity and the rate of infant entry to local authority care in England: a longitudinal ecological study

et al. 2020

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ObjectiveInfants enter care at varying rates across local authorities (LAs) in England, but evidence is lacking on what is driving these differences. With this ecological study, we aimed to explore the extent to which adversity indicated within women’s hospitalisation histories, predelivery, explained the rate of infant entry into care.MethodsWe used two longitudinal person-level data sets on hospitalisations and entries to care to create annual measures for 131 English LAs, between 2006/2007 and 2013/2014 (April–March). We combined these measures by LA and financial year, along with other publicly available data on LA characteristics. We used linear mixed-effects models to analyse the relationship between the outcome—LA-specific rate of infant entry into care (per 10 000 infants in the LA population) — and LA-specific percentage of live births with maternal history of adversity-related hospital admissions (ie, substance misuse, mental health problems or violence-related admissions in the 3 years before delivery), adjusted for other predictors of entry into care.ResultsRate of infant entry into care (mean: 85.16 per 10 000, SD: 41.07) and percentage of live births with maternal history of adversity-related hospital admissions (4.62%, 2.44%) varied greatly by LA. The prevalence of maternal adversity accounted for 24% of the variation in rate of entry (95% CI 14% to 35%). After adjustment, a percentage point increase in prevalence of maternal adversity—both within and between LAs—was associated with an estimated 2.56 (per 10 000) more infants entering care (1.31–3.82).ConclusionsThe prevalence of maternal adversity before birth helped to explain the variation in LA rates of infant entry into care. Preventive interventions are needed to improve maternal well-being before and during pregnancy, and potentially reduce risk of child maltreatment and therefore entries to care. Evidence on who to target and data to evaluate change require linkage between parent–child healthcare data and administrative data from children’s social care.

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“…Homelessness remains a societal problem across high‐income countries and is closely related to severe psychiatric disorder . Among the many public health problems being associated with homeless experiences is excess mortality . Homelessness has been suggested to be at the most extreme end of the scale of health inequality in high‐income societies .…”

Section: Introductionmentioning

confidence: 99%

Risk of homelessness after discharge from psychiatric wards in Denmark: a nationwide register‐based cohort study

Nilsson

Laursen

Hjorthøj

et al. 2019

Acta Psychiatr Scand

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of homelessness after discharge from psychiatric wards in Denmark: a nationwide register-based cohort study.Objective: To examine the absolute and relative risk of homelessness following discharge from psychiatric wards in Denmark. Methods: A nationwide, register-based, cohort study including people aged 18+ years discharged from psychiatric wards in Denmark between 1 January 2001 and 31 December 2015. We analysed associations between psychiatric diagnoses and risk of homelessness using survival analysis.Results: A total of 126 848 psychiatric in-patients were included accounting for 94 835 person-years. The incidence of homelessness one year following discharge was 28.18 (95% CI 26.69À29.75) and 9.27 (95% CI 8.45À10.16) per 1000 person-years at risk in men and women respectively. The one-year cumulative probability of first homelessness after discharge from psychiatric wards was 1.58% (95% CI 1.48À1.68) in males and 0.55% (95% CI 0.50À0.61) in females. Substance use disorders increased the risk of homelessness after discharge with adjusted incidence rate ratios of 6.60 (95% CI 5.19À8.40) (men) and 13.06 (95% CI 9.31À18.33) (women), compared with depressive disorders. Prior history of homelessness was an important predictor for homelessness following discharge. Conclusions: The first year following discharge from psychiatric wards is a high-risk period of homelessness, especially when having a substance use disorder or a prior history of homeless shelter contact. Improved efforts to prevent homelessness are needed. Significant outcomes• The one-year incidence of first homelessness per 1000 years at risk after discharge was 28.18 for men and 9.27 for women. Substance use disorders were the strongest predictors of first homelessness and led to a 6.6 to 13.1 times statistically significant increase among men and women, respectively, compared with depressive disorders. Prior history of homeless shelter contact was a very strong predictor of repeating contact after discharge from first psychiatric contact. Limitations• We were only able to include information on homelessness from registered sheltered use, thus excluding people sleeping on other people's sofas, rough on the streets, etc.

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Risk of psychiatric disorders in offspring of parents with a history of homelessness during childhood and adolescence in Denmark: a nationwide, register-based, cohort study

Abstract: University of Copenhagen, The Lundbeck Foundation Initiative for Integrated Psychiatric Research (iPSYCH).

Cited by 22 publications

References 24 publications

Common mental disorders and resilience in homeless persons

Common mental disorders and resilience in homeless persons

Association between health indicators of maternal adversity and the rate of infant entry to local authority care in England: a longitudinal ecological study

Risk of homelessness after discharge from psychiatric wards in Denmark: a nationwide register‐based cohort study

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