Suicide mortality follow-up of the Swiss National Cohort (1990 –2014): sex-specific risk estimates by occupational socio-economic group in working-age population
ConclusionsThe findings suggest the detrimental effect of low socioeconomic positions, including unemployment, with respect to suicide mortality and a relationship between suicide and poor psychosocial working conditions in elementary occupations. Sex-specific results need further investigation. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 24, 2019 Category: Psychiatry Source Type: research

Is loneliness a feasible treatment target in psychosis?
AbstractPurposeLoneliness is a challenge for individuals with psychosis; however, interventions rarely target loneliness in this group.MethodWe developed a pilot positive psychology group intervention designed to reduce loneliness in psychosis and examined its feasibility and acceptability.ResultsSixteen participants attended 5.38 (SD  = 0.70) out of six sessions, with a dropout rate of 10%. Participants were significantly less lonely at post-treatment (p 
Source: Social Psychiatry and Psychiatric Epidemiology - May 24, 2019 Category: Psychiatry Source Type: research

The role of neuroticism in self-harm and suicidal ideation: results from two UK population-based cohorts
ConclusionsNeuroticism is an independent predictor of hospital-treated self-harm risk. Neuroticism and emotion-orientated coping styles are also predictive of suicidal ideation. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 23, 2019 Category: Psychiatry Source Type: research

Adult mood problems in children with neurodevelopmental problems: evidence from a prospective birth cohort followed to age 50
ConclusionsOur results suggest that, in a population-based cohort, a general, childhood neurodevelopmental difficulty factor is stably associated with mood problems in adult life. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 22, 2019 Category: Psychiatry Source Type: research

The economic costs of loneliness: a review of cost-of-illness and economic evaluation studies
ConclusionsThe paucity of evidence that is available primarily evaluating the economic costs of loneliness indicates that more research is needed to assess the economic burden and identify cost-effective interventions to prevent or address loneliness and social isolation. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 22, 2019 Category: Psychiatry Source Type: research

Gender differences in the influence of social isolation and loneliness on depressive symptoms in college students: a longitudinal study
This study examined the simultaneous associations of social isolation and loneliness with depressive symptoms in a longitudinal study of male and female college students.MethodsData were analyzed from 741 college students (28.3% males, 71.7% females; mean age  = 18.47, SD = 0.87) at Tianjin Medical University. Multiple linear regression models were conducted to test the independent, relative, and synergistic effects of baseline isolation and loneliness on depressive symptoms at follow-up for female and male college students separately. All analys es were adjusted for baseline depressive symptoms...
Source: Social Psychiatry and Psychiatric Epidemiology - May 21, 2019 Category: Psychiatry Source Type: research

Association between perinatal depressive symptoms and suicidal risk among low-income South African women: a longitudinal study
AbstractPurposeThe aim of this study was to assess the association between depressive symptoms and suicidal risk over time among perinatal women at risk for depression antenatally, and assess modifying effects of age, perinatal stage and depressive symptom trajectory.MethodsA total of 384 adult pregnant women were recruited from two antenatal clinics in an informal settlement near Cape Town, South Africa, and followed up at eight months gestation, and at 3- and 12-month postpartum. The MINI 6.0 Suicidality module and the Hamilton Depression Rating Scale (HDRS) were used to measure suicidal risk and depression, respectively...
Source: Social Psychiatry and Psychiatric Epidemiology - May 20, 2019 Category: Psychiatry Source Type: research

Mental health problems from direct vs indirect exposure to violent events among children born and growing up in a conflict zone of southern Thailand
ConclusionsChildren living in armed conflict areas of southern Thailand, although without any direct exposure to traumatic events, also suffered from mental health problems. Research on appropriate interventions for these children should be further conducted. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 18, 2019 Category: Psychiatry Source Type: research

Predictive factors for changes in quality of life among children and adolescents in youth welfare institutions
ConclusionsThe finding that a reduction in severity of psychopathology may result in an improvement in QoL underlines the importance of providing professional support for mentally ill residents of youth welfare institutions. Further research is needed to determine the causality of this association. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 17, 2019 Category: Psychiatry Source Type: research

Sick leave due to mental disorders, morbidity and mortality: a prospective study of discordant twin pairs
ConclusionsSick leave due to mental disorders was a risk factor for mortality for men only, and increased the risk of inpatient and specialized outpatient care among both women and men, but the risks were higher for men when stratifying for sex. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 10, 2019 Category: Psychiatry Source Type: research

Barriers and predictors of medication use for childhood ADHD: findings from a UK population-representative cohort
ConclusionsOur study is the first to assess predictors of medication whist adjusting for ADHD symptom severity. Girls with ADHD were less likely to be prescribed medication, even when they displayed similar ADHD symptom levels to boys. Conduct problems also predicted medication independently of ADHD symptoms. ADHD may be more often medicated in boys because clinicians may think a prototypical ADHD child is male, and perhaps conduct problems make boys more disruptive in the classroom, leading to boys being more often treated. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 9, 2019 Category: Psychiatry Source Type: research

The iHOPE-20 study: mortality in first episode psychosis —a 20-year follow-up of the Dublin first episode cohort
ConclusionFindings suggest that the mortality gap in people with schizophrenia and other psychoses remains high, especially in young males. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 9, 2019 Category: Psychiatry Source Type: research

Gambling involvement and problem gambling correlates among European adolescents: results from the European Network for Addictive Behavior study
ConclusionsOur findings underline the need for better gambling legislation and suggest the importance of developing social responsibility tools that may help diminish adolescent gambling involvement, with special attention to males. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 6, 2019 Category: Psychiatry Source Type: research

Prevalence of psychological distress, depression and suicidal ideation in an indigenous population in Panam á
ConclusionHigh levels of depression, SPD, and suicidal ideation were present in an Indigenous Kuna community in Panam á. Women and individuals with low income were more likely to report depression, and SPD was more common in older individuals and those with low levels of education. Suicidal ideation was high across all demographic factors, suggesting that a community-wide program to address suicide may be warrante d. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 4, 2019 Category: Psychiatry Source Type: research

Mental health supported accommodation services in England and in Italy: a comparison
AbstractPurposeEngland and Italy are considered pioneers in the development of community mental health services. Both have implemented supported accommodation services for those with more complex needs, which can be broadly categorized into three main types with similar specification. The aim of this study was to compare the characteristics of these services and their users in England and Italy.MethodsData from two cross-sectional surveys of supported accommodation services undertaken across England and in Verona, Italy (England —619 service users from 87 services; Verona—167 service users from 25 services) wer...
Source: Social Psychiatry and Psychiatric Epidemiology - May 4, 2019 Category: Psychiatry Source Type: research

Small area deprivation and stigmatising attitudes towards mental illness: a multilevel analysis of Health Survey for England (2014) data
AbstractPurposeThe aim of this study was to explore how small area deprivation is associated with attitudes towards mental illness in a large sample of individuals living in private households in England.MethodCross-sectional data from Health Survey for England (2014) were analysed using multilevel models. The exposure of interest was the deprivation level of the small area in which an individual resides as measured by Index of Multiple Deprivation (IMD) score. The primary outcome was an individual ’s overall attitude towards mental illness, measured using a 12 item version of the Community Attitudes toward the Menta...
Source: Social Psychiatry and Psychiatric Epidemiology - May 4, 2019 Category: Psychiatry Source Type: research

Evaluating same-source bias in the association between neighbourhood characteristics and depression in a community sample from Toronto, Canada
AbstractBackground and purposeIt is common in prior studies of the influence of neighbourhood characteristics on mental health to use participant-assessed neighbourhood exposures, which can lead to same-source bias since an individual ’s mental health status may influence their judgement of their neighbourhood. To avoid this potential bias, we evaluated the use of individually assessed neighbourhood exposures to understand how they compare to collectively assessed measures (by aggregating multiple responses within the same neig hbourhood). This would increase the validity of the measure by decoupling the neighbourhoo...
Source: Social Psychiatry and Psychiatric Epidemiology - May 3, 2019 Category: Psychiatry Source Type: research

Identifying patterns in psychiatric hospital stays with statistical methods: towards a typology of post-deinstitutionalization hospitalization trajectories
ConclusionsMost patients went through a unique or low number of brief hospital admissions over the 3  years of the study. While the shift of previously institutionalized individuals towards high users of psychiatric hospital seems limited, this phenomenon should not be neglected since 4.9% of patients use about a third of hospital beds. Early identification of problematic profiles could allow the implementation of relapse prevention strategies and facilitate the development of alternatives to hospitalization such as assertive community treatment or housing first programs. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - April 30, 2019 Category: Psychiatry Source Type: research

Data-informed targets for suicide prevention: a small-area analysis of high-risk suicide regions in Australia
AbstractPurposeTo investigate small-area variation in risks associated with suicide deaths across four regional communities in New South Wales, Australia, and to determine whether these areas have unique demographic and socioeconomic risk profiles that could inform targeted means restriction suicide prevention efforts.MethodsArchival data on suicide mortality for all deaths in New South Wales, Australia, over the period 2006 –2015 were geospatially attributed to four high-risk priority regions. Deaths in the four regions were compared to each other, and to NSW, on demographic factors, indicators of economic deprivati...
Source: Social Psychiatry and Psychiatric Epidemiology - April 30, 2019 Category: Psychiatry Source Type: research

Geographic distribution and determinants of mental health stigma in central Mozambique
ConclusionStigmatizing attitudes towards MI are common in central Mozambique and concentrated amongst specific socio-demographic groups. However, geographic analyses suggest that structural factors within communities and across regions may bear a greater influence on MI stigma than individual-level factors alone. Further implementation science should consider focusing on identifying the most significant modifiable structural factors associated with MI stigma in LMICs to inform the development, testing, and optimization of  multi-level stigma prevention interventions. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - April 30, 2019 Category: Psychiatry Source Type: research

Concurrent use of benzodiazepines, antidepressants, and opioid analgesics with zolpidem and risk for suicide: a case –control and case–crossover study
ConclusionsThe results of the traditional case –control study confirmed that the concurrent use of benzodiazepines and antidepressants with zolpidem was associated with an increased risk of suicide compared with the use of zolpidem alone. However, there was no significant difference in the magnitude of risk in the within-person comparison desi gn. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - April 29, 2019 Category: Psychiatry Source Type: research

Food insecurity and work impairment in people with severe mental disorders in a rural district of Ethiopia: a cross-sectional survey
ConclusionWork impairment and food insecurity were associated with distinct explanatory factors: predominantly social factors associated with food insecurity and clinical factors associated with work productivity. Longitudinal and intervention studies are needed to evaluate the extent to which clinical interventions need to be augmented by social interventions to alleviate food insecurity in people with SMD. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - April 19, 2019 Category: Psychiatry Source Type: research

Changes in income-related inequalities of depression prevalence in China: a longitudinal, population study
ConclusionsThe prevalence of depression among the middle-aged and elderly in China is declining, but the issue of income-related inequality has been exacerbated. The fairness of mental health deserves more attention. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - April 19, 2019 Category: Psychiatry Source Type: research

Pre-marital predictors of marital violence in the WHO World Mental Health (WMH) Surveys
ConclusionsResults from this study advance understanding of pre-marital predictors of IPV within current marriages, including the importance of considering differences in the experiences of partners prior to marriage and may provide a foundation for more targeted primary prevention efforts. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - April 16, 2019 Category: Psychiatry Source Type: research

Assessing needs for psychiatric treatment in prisoners: 3. Comparison of care received by black and minority ethnic prisoners and by white prisoners
AbstractPurposeTo investigate to what extent mental health treatment needs are met in white and black and minority ethnic (BME) prisoners.MethodsTreatment needs of a random sample of male (n = 197) and female (n = 171) prisoners were assessed with standardised instruments. Interventions provided were confirmed through face-to-face interviews and case note review.ResultsBME prisoners comprised 44% of participants. Treatment for depression, personality disorder and alcohol abuse was more often needed by White than BME prisoners. Needs were more frequently met in White than BME prisoners (48.5% vs 38.2%;p 
Source: Social Psychiatry and Psychiatric Epidemiology - April 16, 2019 Category: Psychiatry Source Type: research

Development of the Australian neighborhood social fragmentation index and its association with spatial variation in depression across communities
ConclusionsDeveloping a social fragmentation index for the first time in Australia at a small area level generates a new line of knowledge on the impact of community structures on health risks. Findings may extend our understanding of the mechanisms that drive geographical variation in the incidence of common mental disorders and mental health care. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - April 15, 2019 Category: Psychiatry Source Type: research

Testing a somatization hypothesis to explain the Black –White depression paradox
ConclusionsWe find minimal evidence that Blacks express depression more somatically than Whites. Furthermore, this small difference does not appear to inhibit endorsement of diagnostic depression screening symptoms among Blacks, and therefore does not resolve the Black –White depression paradox. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - April 13, 2019 Category: Psychiatry Source Type: research

A randomized-controlled trial of treatment for self-stigma among persons diagnosed with schizophrenia-spectrum disorders
ConclusionsFindings suggest that NECT primarily impacts self-stigma and related outcomes, and that the degree of its effects is partially dependent on the treatment context in which it is offered. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - April 1, 2019 Category: Psychiatry Source Type: research

A systematic review of interventions aimed at improving the cardiovascular health of people diagnosed with personality disorders
ConclusionsThis systematic review did not identify any randomised controlled trials testing interventions aimed at improving the cardiovascular health of people with personality disorders. Research in this area could have important public health implications, spanning the fields of psychiatry and general medicine. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 30, 2019 Category: Psychiatry Source Type: research

Recent increases in depressive symptoms among US adolescents: trends from 1991 to 2018
AbstractBackgroundMental health problems and mental health related mortality have increased among adolescents, particularly girls. These trends have implications for etiology and prevention and suggest new and emerging risk factors in need of attention. The present study estimated age, period, and cohort effects in depressive symptoms among US nationally representative samples of school attending adolescents from 1991 to 2018.MethodsData are drawn from 1991 to 2018 Monitoring the Future yearly cross-sectional surveys of 8th, 10th, and 12th grade students (N = 1,260,159). Depressive symptoms measured with four...
Source: Social Psychiatry and Psychiatric Epidemiology - March 30, 2019 Category: Psychiatry Source Type: research

Costs and outcomes for individuals with psychosis prior to hospital admission and following discharge in Bulgaria
ConclusionsPsychotic disorders and psychotic exacerbations have high societal costs. The underfunding of mental healthcare in Bulgaria is at the expense of high caregivers ’ and societal cost. The treatment of psychotic exacerbation is effective and investment in mental healthcare for the improvement of the psychopathology, social functioning, quality of life and the burden of informal care should be viewed as a sustainable investment. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 30, 2019 Category: Psychiatry Source Type: research

The rates and determinants of disengagement and subsequent re-engagement in young people with first-episode psychosis
ConclusionIn this study, the rate of disengagement in young people with first-episode psychosis was higher than found previously. Encouragingly, rates of re-engagement were also high. The concept of disengagement from services might be more complex than previously thought with individuals disengaging and re-engaging a number of times during their episode of care. What prompts individuals to re-engage with services needs to be better understood. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 28, 2019 Category: Psychiatry Source Type: research

Psychiatric problems among returned migrants in Mexico: updated findings from the Mexican Migration Project
ConclusionsUndocumented return migrants in Mexico are at-risk of developing psychiatric problems, despite evidence that suggests migrants tend to be healthier than non-migrants before they travel to the United States. Mental health services should encompass strategies for migrants on both sides of the border. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 27, 2019 Category: Psychiatry Source Type: research

Depression and alcohol misuse among older adults: exploring mechanisms and policy impacts using agent-based modelling
ConclusionsInterventions that improve social connectedness may reduce the prevalence of depression among older adults. Targeting considerations could play an important role in determining the success of such efforts. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 27, 2019 Category: Psychiatry Source Type: research

The cumulative effect of living with disability on mental health in working-age adults: an analysis using marginal structural models
ConclusionsThis study provides evidence that each additional year lived with non-psychological disability is associated with a decline in mental health among working-age Australians. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 22, 2019 Category: Psychiatry Source Type: research

Inequality within a community at the neighborhood level and the incidence of mood disorders in Japan: a multilevel analysis
This study analyzes whether income inequality within a community at the neighborhood level is associated with incidence of mood disorder in Japan.MethodsA retrospective cohort study was performed using the data of 116,658 National Health Insurance beneficiaries aged between 20 and 69 in Chiba City, Japan. To evaluate income inequality within a community, the Gini coefficient within a 30-min walking distance from an individual ’s residence was calculated using income distribution estimated by the National Census and the Housing and Land Survey 2013. Incidence of mood disorder was determined through insurance claims su...
Source: Social Psychiatry and Psychiatric Epidemiology - March 22, 2019 Category: Psychiatry Source Type: research

Early intervention in psychiatry: scotomas, representativeness, and the lens of clinical populations
AbstractEvidence supporting early intervention in mental health has gained prominence in recent years, with services for first episode psychosis having led the way. Despite this momentum, however, the extent to which rapidly accumulating data has been collected in samples resembling real-world clinical populations remains unclear. In this issue, Kline et al. compare and contrast two groups experiencing a first episode of psychosis: research participants, and a clinical sample receiving early intervention services at the same health centre. They find key differences —including the underrepresentation of vulnerable gro...
Source: Social Psychiatry and Psychiatric Epidemiology - March 22, 2019 Category: Psychiatry Source Type: research

Impact of personality disorders on leaving hospital against medical advice among people living with HIV in British Columbia, Canada
ConclusionsThese findings underscore the importance of identifying and addressing specific PD-related behaviour which negatively impact inpatient treatment completion among this subpopulation of PLHIV. Furthermore, these findings suggest a need to develop novel health system interventions to minimize AMA discharge among this population. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 22, 2019 Category: Psychiatry Source Type: research

Demographic and diagnostic profiles of older people with intellectual disability and prescription of antipsychotics
ConclusionsThe associations between prescription of antipsychotics and demographic factors and non-psychotic diagnoses, respectively, suggest that older people with ID may be prescribed antipsychotic medication without thorough psychiatric diagnosing. If so, there is a need for improving the abilities of health care professionals to properly diagnose and manage psychiatric illness in this population. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 22, 2019 Category: Psychiatry Source Type: research

An updated picture of the mental health needs of male and female prisoners in the UK: prevalence, comorbidity, and gender differences
ConclusionsRates of pre-existing and current mental illness continue to be high amongst prisoners. Women report significantly higher levels of mental health need compared to men. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 22, 2019 Category: Psychiatry Source Type: research

The development, validity, and reliability of the auditory vocal hallucination rating scale questionnaire (AVHRS-Q)
This study investigated the internal reliability, convergent validity, and divergent validity of the AVHRS-Q using two clinical samples.MethodsIn sample I, 32 psychiatric patients with AVH were recruited from an academic hospital service and assessed with the AVHRS and the AVHRS-Q. Data for sample II were retrospectively retrieved from a pseudonymised Routine Outcome Monitoring (ROM) database collected in the context of mental healthcare at the same academic hospital service. Data from 82 psychiatric patients with AVH were retrieved, who completed the AVHRS-Q, and measures of psychological distress (the Outcome Questionnai...
Source: Social Psychiatry and Psychiatric Epidemiology - March 22, 2019 Category: Psychiatry Source Type: research

Associations between sexual orientation discrimination and substance use disorders: differences by age in US adults
ConclusionsSexual orientation discrimination is significantly associated with SUDs and risk varies across age. Thus, age should be considered in the development of prevention and treatment of AUD, TUD, and DUD, particularly for sexual minorities. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 22, 2019 Category: Psychiatry Source Type: research

Evidence of concurrent and prospective associations between early maltreatment and ADHD through childhood and adolescence
ConclusionsAssociations between early maltreatment and ADHD were robust. Different categories of maltreatment increase the likelihood of ADHD for girls and boys. Increased exposure to maltreatment may predict symptom persistence. Interventions addressing ADHD must consider the effects of both sex and family environment. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 22, 2019 Category: Psychiatry Source Type: research

The longitudinal relationship of alcohol problems and depressive symptoms and the impact of externalising symptoms: findings from the Belfast Youth Developmental Study
ConclusionsThe present study provides further evidence of a significant relationship of alcohol problems and depression in adolescents and further supports a small literature indicating that depression may have protective effects of alcohol problems. Finally, the study shows the importance of accounting for externalising symptoms. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 22, 2019 Category: Psychiatry Source Type: research

Compulsory admission at first presentation to services for psychosis: does ethnicity still matter? Findings from two population-based studies of first episode psychosis
ConclusionEthnicity is strongly associated with compulsory admissions at first presentation for psychosis with evidence of heterogeneity across groups, which deserves further research. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 20, 2019 Category: Psychiatry Source Type: research

Acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States
ConclusionsAcculturative stress may be an important yet overlooked correlate of disability among immigrants in the United States. Non-health care services may provide an effective pathway for intervening for these individuals. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 20, 2019 Category: Psychiatry Source Type: research

Age and sex trends for suicide in Brazil between 2000 and 2016
ConclusionsSuicide rates continue to rise in Brazil, especially among young men and middle-aged women. Older men remain exposed to the highest absolute risk. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 20, 2019 Category: Psychiatry Source Type: research

Factors associated with discontinuation of antidepressant treatment after a single prescription among patients aged 55 or over: evidence from English primary care
ConclusionsEarly discontinuation of antidepressants increases in the post-retirement years and is higher in those with no formal diagnosis of depression, those without dementia and those with diagnosed depression living in urban areas. Alternative treatment strategies, such as non-drug therapies, or more active patient follow-up should be further considered in these circumstances. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 19, 2019 Category: Psychiatry Source Type: research

The association of time since spousal loss and depression in widowhood: a systematic review and meta-analysis
ConclusionWidowhood is associated with a high prevalence of depression and the study identifies a population group needing special attention in daily clinical practice. The prevalence is highest in the first month of widowhood, however, continues to be high at least 5  years into widowhood. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 18, 2019 Category: Psychiatry Source Type: research

A pilot digital intervention targeting loneliness in young people with psychosis
DiscussionWhile preliminary findings indicated that +Connect yielded high levels of acceptability and feasibility, it is important to consider that we recruited a small and selected sample of lonely young people. Further iterations of this proof of concept app, which can incorporate participant feedback such preferences for increased personalisation, in-app feedback, and gamification, may allow an opportunity to test an improved version in the future. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - March 14, 2019 Category: Psychiatry Source Type: research