Psychiatric disorders in cases of completed suicide in a hospital area in Spain between 2007 and 2010

Gómez‐Durán, Esperanza L.; Forti-Buratti, M. Azul; Gutiérrez-López, Beatriz; Belmonte-Ibáñez, Anna; Martín-Fumadó, Carles

doi:10.1016/j.rpsmen.2016.01.004

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…An increased suicide risk (Gomez-Duran et al, 2014), unhealthy lifestyle (Brown et al, 1999), low access to medical care or poor health care (Folsom et al, 2005) contribute to the excess risk. However the leading cause of morbidity and subsequent mortality is medical related pathologies (Nordentoft et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Abnormal glycemic homeostasis at the onset of serious mental illnesses: A common pathway

García-Rizo

Kirkpatrick

Fernández-Egea

et al. 2016

Psychoneuroendocrinology

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OBJECTIVE Patients with serious mental illnesses exhibit a reduced lifespan compared with the general population, a finding that can not solely rely on high suicide risk, low access to medical care and unhealthy lifestyle. The main causes of death are medical related pathologies such as type 2 diabetes mellitus and cardiovascular disease; however pharmacological treatment might play a role. MATERIAL AND METHODS We compared a two hour glucose load in naïve patients at the onset of a serious mental illness (N=102) (84 patients with a first episode of schizophrenia and related disorders, 6 with a first episode of bipolar I disorder and 12 with a first episode of major depression disorder) with another psychiatric diagnose, adjustment disorder (N=17) and matched controls (N=98). RESULTS Young patients with serious mental illness showed an increased two hour glucose load compared with adjustment disorder and the control group. Mean two hour glucose values [±Standard Deviation] were: for schizophrenia and related disorders 106.51 mg/dL [±32.0], for bipolar disorder 118.33 mg/dL [±34.3], for major depressive disorder 107.42 mg/dL [±34.5], for adjustment disorder 79.06 mg/dL[±24.4] and for the control group 82.11 mg/dL [±23.3] (p<0.001). CONCLUSIONS Our results reflect an abnormal metabolic pathway at the onset of the disease before any pharmacological treatment or other confounding factors might have taken place. Our results suggest a similar glycemic pathway in serious mental illnesses and the subsequent need of primary and secondary prevention strategies.

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Section: Introductionmentioning

confidence: 99%

Abnormal glycemic homeostasis at the onset of serious mental illnesses: A common pathway

García-Rizo

Kirkpatrick

Fernández-Egea

et al. 2016

Psychoneuroendocrinology

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“…To account for these unclear results, two causes can be suggested. First, it is possible that there are statistically significant differences between provinces in terms of the prevalence of mental illnesses related to completed suicide, such as depression ( 19–21 ). Second, these differences could be related to different styles and interpretation of the procedures in each province when determining cases of suicide deaths, especially in more complex cases.…”

Section: Discussionmentioning

confidence: 99%

Suicide deaths and substance use in the Galician provinces between 2006 and 2020

et al. 2023

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BackgroundSuicide is a serious public health problem that affects our entire country, including the Galician provinces. The aim of this research was to study the variation in completed suicide rates, between 2006 and 2020, in the different Galician provinces and their relationship with the consumption of addictive substances.MethodsCompleted suicide data from the Spanish Office for National Statistics and the Institute of Legal Medicine of Galicia were analyzed with a Joinpoint regression model to determine time trends. The relationship between the variation in completed suicide rates with sociodemographic variables obtained from the Spanish Office for National Statistics and variables related to the consumption of substances obtained from the survey on alcohol and other drugs in Spain (EDADES) of the Government Delegation for the National Plan on Drugs was also analyzed.ResultsThe Joinpoint regression model did not reveal any point of significant change in the period studied for any Galician province. The following variables correlated positively with the variation in completed suicide rates in the Galician provinces: masculinity ratio, average age, daily alcohol consumption and daily illegal substance consumption.ConclusionApplying preventive strategies on the daily consumption of alcohol and illegal substances would help reduce the rates of completed suicide in the Galician provinces.

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“…Bipolar disorder, depression, and schizophrenia have a high likelihood of comorbidity with alcohol and other drug use disorders [ 79 – 81 ] and suicidality [ 82 ]. Co-occurrence of these mental, neurological, and substance use conditions does not necessarily mean that each condition requires a separate dedicated treatment model.…”

Section: Appendix Amentioning

confidence: 99%

Workforce estimate to treat mental disorders in the Kingdom of Saudi Arabia

Lee,

Bruckner,

Alluhidan

et al. 2024

Hum Resour Health

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Background Mental, neurological, and substance abuse (MNS) disorders describe a range of conditions that affect the brain and cause distress or functional impairment. In the Middle East and North Africa (MENA), MNS disorders make up 10.88 percent of the burden of disease as measured in disability-adjusted life years. The Kingdom of Saudi Arabia (KSA) is one of the main providers of mental health services and one of the largest contributors to mental health research in the region. Within the past decade, mental health resources and services has increased. Methods We employ a needs-based workforce estimate as a planning exercise to arrive at the total number of psychiatrists, nurses, and psychosocial care providers needed to meet the epidemiological need of mental health conditions of the population of KSA. Estimates for a potential mental health workforce gap were calculated using five steps: Step 1—Quantify target population for priority mental health conditions. Step 2—Identify number of expected cases per year. Step 3—Set target service coverage for each condition. Step 4—Estimate cost-effective health care service resource utilization for each condition. Step 5—Estimate service resources needed for each condition. Results The planning exercise indicates an epidemiologic need for a total of 17,100 full-time-equivalent (FTE) health care providers to treat priority MNS disorders. KSA appears to have a need-based shortage of 10,400 health workers to treat mental disorders. A total of 100 psychiatrists, 5700 nurses, and 4500 psychosocial care providers would be additionally needed (that is, above and beyond current levels) to address the priority mental health conditions. The shortfall is particularly severe for nurses and psychosocial workers who make up 98.9 percent of the shortfall. This shortage is substantial when compared to other high-income countries. Overall, the workforce needed to treat MNS conditions translates to 49.2 health workers per 100,000 population. Conclusion Challenges to addressing the shortfall are Saudi specific which includes awareness of cultural customs and norms in the medical setting. These challenges are compounded by the lack of Saudi nationals in the mental health workforce. Saudi nationals make up 29.5 percent of the physician workforce and 38.8 percent of the nursing workforce. Policymakers and planners supplement this shortfall with non-Saudi providers, who must be mindful of Saudi-specific cultural considerations. Potential solutions to reducing the shortfall of mental health care workers includes nurse task shifting and training of general practitioners to screen for, and treat, a subset of MNS disorders.

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Psychiatric disorders in cases of completed suicide in a hospital area in Spain between 2007 and 2010

Cited by 6 publications

References 24 publications

Abnormal glycemic homeostasis at the onset of serious mental illnesses: A common pathway

Abnormal glycemic homeostasis at the onset of serious mental illnesses: A common pathway

Suicide deaths and substance use in the Galician provinces between 2006 and 2020

Workforce estimate to treat mental disorders in the Kingdom of Saudi Arabia

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