Mental health in Portugal in times of austerity

Augusto, Gonçalo Figueiredo

doi:10.1016/s2215-0366(14)70251-2

Cited by 15 publications

(14 citation statements)

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“…Last but not least, more and stronger studies are needed for a better understanding of suicidality in our country, especially in these times of austerity we are living on. 28,29…”

Section: Resultsmentioning

confidence: 99%

Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon,

2015

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Introduction: Some studies alerted for the burden of suicidal attempters at emergency rooms. In this study we characterized the suicidal patients admitted to a Portuguese emergency room. Material and Methods: For three years, all patients assessed by the first author after suicidal behaviour were included. Suicidal intentionality was evaluated with the Pierce Suicide Intent Scale. Clinical records were searched for follow-up status and satisfaction level was assessed through telephone call. Results: From 120 included patients 70.8% were female, with mean age of 42.35 years. Pierce Suicide Intent Scale suicidal intentionality was low in 30.1%, medium in 59.3%, and high in 10.6% of the sample. The most important predictors of Pierce Suicide Intent Scale intentionality were male gender (p < 0.001), family history of suicide (p < 0.01), divorced or widowed marital status (p < 0.013), and severe mental illness (p < 0.015). In 41.6% of the patients the follow-up status was unknown. Regarding satisfaction, only 19.5% gave a valid answer: 2.7% ‘mildly satisfied’, 4.4% ‘moderately satisfied’, and 12.5% ‘very satisfied’. Discussion: The Pierce Suicide Intent Scale is useful on suicidal behavior assessment at emergency rooms. Highly intentional suicidal behaviour is related to male sex, social problems and personal and familial psychiatric history. Conclusion: The quality of administrative records on this psychiatric emergency room setting are still unacceptable. The most important variables correlated with higher suicidal intentionality are the same described in other countries. Of the reachable patients, one fifth was satisfied with provided follow-up. We still need studies for better understanding of suicidal behaviour observed on this Portuguese emergency room.

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“…Last but not least, more and stronger studies are needed for a better understanding of suicidality in our country, especially in these times of austerity we are living on. 28,29…”

Section: Resultsmentioning

confidence: 99%

Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon,

2015

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“…No entanto, analisando o indicador, verifica-se que em Portugal os anos de vida potencialmente perdidos são cal- [37][38][39][40][41] . No período em análise, a taxa de mortalidade por suicí-dio cresceu, atingindo um valor máximo em 2014 (11,7 em 100.000 habitantes).…”

Section: Anos De Vida Potencialmente Perdidos Por Suicídiounclassified

Suicídio em Portugal: um retrato do país

Nunes¹

2018

J. bras. psiquiatr.

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Palavras-chaveÓbitos por suicídio, taxas de suicídio, região, gênero, idade. Palavras-chaveDeaths by suicide, suicide rates, region, gender, age. Suicídio em Portugal: um retrato do país ABSTRACTObjective: To identify patterns of suicide trends registered in Portugal, taking into account a set of socio-economic and demographic variables between the years 2007 and 2014 in order to obtain an overview of this scourge in Portugal. Methods: Using data from the National Institute of Statistics (INE) and the Death Certificate Information System (SICO), suicide was analyzed according to the category of ICD10 (International Classification of Diseases), the incidence by gender, age group and region. Results: The most affected to suicide are men (54,8%), over 75 years old (30.9%) and occurs in the more rural areas of the interior of the country that are more deprived of materials. The highest suicide mortality is found in the Alentejo region (12,8%). Conclusion: Mortality due to suicide continues to grow in Portugal and varies according to gender, age is highest in the Central and South regions. A strategy of follow-up and prevention in the field of social action and health care is required, with important regional variations and greater vigilance on the illegal trade in firearms and pesticides.

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“…The reported incidence of depression also increased in Portugal from 2004 to 2012, partially due to improved identification of cases [32]. A number of studies suggest that mental health-related illness is more prevalent in Portugal than in other European countries [33][34][35]. Per capita consumption of anti-depressants was highest among 18 EU member states [9].…”

Section: Effects Of the Recession On Healthmentioning

confidence: 99%

“…Per capita consumption of anti-depressants was highest among 18 EU member states [9]. However, commentators have noted that while recession has probably worsened the situation, including a 30% rise in new consultations among children between 2011 and 2013, and a 41% increase in the number of calls to a suicide helpline between 2011 and 2012, studies of this topic are lacking [33].…”

Section: Effects Of the Recession On Healthmentioning

confidence: 99%

Effects of the financial crisis and Troika austerity measures on health and health care access in Portugal

Legido‐Quigley

Karanikolos²,

Hernández-Plaza

et al. 2016

Health Policy

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a b s t r a c tAlthough Portugal has been deeply affected by the global financial crisis, the impact of the recession and subsequent austerity on health and to health care has attracted relatively little attention. We used several sources of data including the European Union Statistics for Income and Living Conditions (EU-SILC) which tracks unmet medical need during the recession and before and after the Troika's austerity package. Our results show that the odds of respondents reporting having an unmet medical need more than doubled between 2010 and 2012 (OR = 2.41, 95% CI 2.01-2.89), with the greatest impact on those in employment, followed by the unemployed, retired, and other economically inactive groups. The reasons for not seeking care involved a combination of factors, with a 68% higher odds of citing financial barriers (OR = 1.68, 95% CI 1.32-2.12), more than twice the odds of citing waiting times and inability to take time off work or family responsibilities (OR 2.18, 95% CI 1.20-3.98), and a large increase of reporting delaying care in the hope that the problem would resolve on its own (OR = 13.98, 95% CI 6.51-30.02). Individual-level studies from Portugal also suggest that co-payments at primary and hospital level are having a negative effect on the most vulnerable living in disadvantaged areas, and that health care professionals have concerns about the impact of recession and subsequent austerity measures on the quality of care provided. The Portuguese government no longer needs external assistance, but these findings suggest that measures are now needed to mitigate the damage incurred by the crisis and austerity.

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Mental health in Portugal in times of austerity

Cited by 15 publications

References 0 publications

Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon,

Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon,

Suicídio em Portugal: um retrato do país

Effects of the financial crisis and Troika austerity measures on health and health care access in Portugal

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