Deaths of Despair: Conceptual and Clinical Implications

Rehder, Kristoffer; Lusk, Jaimie; Chen, Jason I.

doi:10.1016/j.cbpra.2019.10.002

Cited by 12 publications

(13 citation statements)

References 75 publications

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“…These differences in the suicidal attempts can be partially explained by differences in perception, natural coping mechanism, and social expectations among males and females [27]. Females tend to have safety seeking behaviors and are less likely to resort to self-destructive behaviors, such as suicidal attempts [27,28]. Age was also a significant predictor of DoD, with 18-35 years old being at the highest risk [21,25,26].…”

Section: Sociodemographic Determinants Of Dodmentioning

confidence: 99%

“…People with public insurance and Affordable Care Act (ACA) were significantly more likely to exhibit any diseases of despair diagnoses compared to those with commercial insurance plans [26]. These disparate effects highlight the need of deciphering potential mechanisms of risk based on theoretical frameworks [28].…”

Section: Sociodemographic Determinants Of Dodmentioning

confidence: 99%

“…DoD can be investigated through a theoretical lens and there are several theories, including cognitive behavior models, Precarious Manhood Theory, and the Interpersonal-Psychological Theory of Suicide, which paints a comprehensive layout to conceptualize psychopathology associated with DoD [28]. The Beck's cognitive model [29] states that the engagement in the self-destructive behaviors occur subsequent to the distortion of the beliefs following trauma.…”

Section: Dod Through a Theoretical Lensmentioning

confidence: 99%

“…The Beck's cognitive model [29] states that the engagement in the self-destructive behaviors occur subsequent to the distortion of the beliefs following trauma. There are two maladaptive cognitions, namely assimilated and overaccommodated cognitions [28,29], which can easily be described in the context of COVID-19. Assimilated cognitions are related to the feeling of self-blame, for instance self-doubt or regret for not getting the employment.…”

Section: Dod Through a Theoretical Lensmentioning

confidence: 99%

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“Deaths of Despair” among College Students Amidst COVID-19 Pandemic: A Call for Action

Batra¹,

Batra²

2023

Psychosocial, Educational, and Economic Impacts of COVID-19

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As COVID-19 pandemic gains foothold worldwide, all spheres of life, including daily activities, education, economic, social sectors experienced significant downturns. While COVID-19 affects all population subgroups, college students are particularly vulnerable given their transition to the emerging adulthood surrounded by a broad possibility of future. According to a mounting evidence, college students bear a disproportionate burden of psychosocial morbidities, which can be explained by the uncertainties surrounding the course of the pandemic and the sudden transition to online education. Moreover, many businesses scaled down their recruitment efforts leaving limited employment for students and more competition in the graduate labor market. COVID-19 pandemic has set up a “perfect storm” for students to initiate or relapse of maladaptive behaviors to alleviate their negative feelings. This is where “Deaths of Despair” comes into play. This chapter aims to reflect on the factors contributing to “Deaths of Despair” among college students in the wake of COVID-19 pandemic. Author of this chapter would like to advocate for developing tailored interventions to promote the post-traumatic growth among college students.

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Section: Sociodemographic Determinants Of Dodmentioning

confidence: 99%

Section: Sociodemographic Determinants Of Dodmentioning

confidence: 99%

Section: Dod Through a Theoretical Lensmentioning

confidence: 99%

Section: Dod Through a Theoretical Lensmentioning

confidence: 99%

See 2 more Smart Citations

“Deaths of Despair” among College Students Amidst COVID-19 Pandemic: A Call for Action

Batra¹,

Batra²

2023

Psychosocial, Educational, and Economic Impacts of COVID-19

View full text Add to dashboard Cite

show abstract

“…Thus, despair, broadly, can lead to thoughts of hopelessness and learned helplessness, feelings of sadness and irritability, risky and reckless behavior and biological dysregulation. Based on these conceptual foundations, we would expect areas with higher levels of economic distress to experience higher levels of risk factors for deaths of despair, such as mental health conditions, poor physical health and poor social support (George et al , 2021; Rehder and Lusk, 2021).…”

mentioning

confidence: 99%

Drugs or despair? Unraveling the rise in deaths of despair in Illinois

Cataldo

2022

JPMH

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Purpose Increases in deaths of despair in the USA have been associated with economic conditions and drug availability. In the state of Illinois, deaths of despair represent a significant public health issue. This study aims to examine the relationship between county-level economic distress, drug availability and mortality from deaths of despair collectively and for each contributing cause of death individually in the state of Illinois to better understand drivers of mortality locally. Design/methodology/approach Two cross-sectional analyses were conducted for 2010–2014 and 2015–2019. Correlations, regression analyses and relative weight analyses were applied to assess the relationship between deaths of despair mortality rate and the individual variables. Findings Deaths of despair mortality collectively and for each cause of death individually increased significantly from 2010–2014 to 2015–2019 in Illinois. Suicide mortality was higher in rural counties and was related to economic distress, while drug poisoning and alcohol-related deaths were higher in urban counties and were related to drug availability indicators. Originality/value While all three causes of death increased in the state, suicide mortality was inversely related to deaths of despair mortality. This may be because of different individual risk factors in rural versus urban areas or issues with coding cause of death. The findings of this study point to a rising public health challenge of deaths of despair mortality, particularly from substance use, in urban counties and from suicide in rural counties.

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Eating disorder risk in rural US adolescents: What do we know and where do we go?

Hahn

Burnette

Borton

et al. 2022

Intl J Eating Disorders

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Adolescence is a vulnerable period for the development of eating disorders, but there are disparities in eating disorder risk among adolescents. One population that may be at increased risk but is vastly understudied, is adolescents residing in rural regions within the United States. Rural communities face many mental and physical health disparities; however, the literature on rural adolescent eating disorder risk is nearly nonexistent. In this paper we summarize the scant literature on disordered eating and eating disorder risk and prevalence among rural US adolescents. We also detail eating disorder risk factors that may have unique influence in this population, including socioeconomic status, food insecurity, healthcare access, body image, and weight stigma. Given the presence of numerous eating disorder risk factors, we speculate that rural adolescents may be a particularly vulnerable population for eating disorders and we propose critical next steps in research for understanding eating disorder risk among the understudied population of rural adolescents. Public Significance Rural adolescents may be at increased risk for eating disorders due to disproportionate burden of known risk factors, though this relationship remains understudied. We present a summary of the literature on prevalence and unique risk factors, proposing that this may be a high‐risk population. We detail next steps for research to understand eating disorder risk in this population to inform future prevention, identification, and treatment efforts needed in this community.

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Deaths of Despair: Conceptual and Clinical Implications

Cited by 12 publications

References 75 publications

“Deaths of Despair” among College Students Amidst COVID-19 Pandemic: A Call for Action

“Deaths of Despair” among College Students Amidst COVID-19 Pandemic: A Call for Action

Drugs or despair? Unraveling the rise in deaths of despair in Illinois

Eating disorder risk in rural US adolescents: What do we know and where do we go?

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