Trends in UK mortality reflect a public health failure

BMJ, Journal Year: 2025, Volume and Issue: unknown, P. r525 - r525

Published: March 18, 2025

Language: Английский

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‘If I Wasn’t on Drugs or I Didn’t Take Anything, I Wouldn’t Be Here’: Mental Health ‘Problems’ as an Unfolding Dimension of Social Harm Generated by Stigma

Critical criminological perspectives, Journal Year: 2025, Volume and Issue: unknown, P. 285 - 311

Published: Jan. 1, 2025

Language: Английский

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Widening Disparities in All-Cause and Despair-Related Mortality Among Swedish Youths: Disentangling Selection and Causation

Social Science & Medicine, Journal Year: 2025, Volume and Issue: 377, P. 118130 - 118130

Published: April 26, 2025

Language: Английский

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“They’re Lacking Purpose. It’s a Recipe for Suicide.”: Masculinity and Gender-Based Inequalities in Deaths of Despair in England

American Journal of Men s Health, Journal Year: 2025, Volume and Issue: 19(2)

Published: March 1, 2025

This qualitative study explores the factors contributing to gender-based inequalities in "deaths of despair" (DoD) - those deaths from suicide, drug overdoses, and alcohol-specific causes among men two deindustrialised towns North East England. Understanding disparities these death sheds important light on how social economic intersect with certain facets masculinity, such as stoicism self-reliance, drive vulnerability. Data were collected through semi-structured interviews one focus group 54 stakeholders people whose work is related DoD, mental health treatment public practice community members Middlesbrough South Tyneside, above average rates DoD. Participants included both women, predominantly middle-age or older, most participants unemployed retired. analysed using Iterative Categorisation, findings interpreted thematic analysis. The generated three key themes: industrial history masculinity class, a barrier help-seeking. demonstrate that decline following deindustrialisation resulted distress created unique risk for substance use self-harm men. These results suggest effective interventions reduce DoD post-industrial settings must avoid pathologising itself. Instead, strategies should broader structural forces undermine men's access stable, fulfilling employment offering forms support are compatible masculine identity. By addressing determinants, can more effectively close rate areas.

Language: Английский

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Adapting the Baseline Resilience Indicators for Communities (BRIC) Framework for England: Development of a Community Resilience Index

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(8), P. 1012 - 1012

Published: Aug. 1, 2024

Community resilience results from complex interactions between people, places, and environments. Measuring community aligns with policy objectives to enhance adverse events address spatial disparities. The Baseline Resilience Indicators for Communities (BRIC) is a composite index used measure resilience. This study adapts the BRIC approach develop Index (CRI) England. A systematic review informed indicator selection, principal components analysis was define sub-indices allocate weightings. resulting CRI comprised 44 indicators across five domains, quantifying of English local authorities. Geographical comparisons were made using t-tests ANOVA, validated against Multiple Deprivation (IMD). mean score authorities in England 83.1, ranging 53.3 108.9. scores showed patterning, London South East scoring highest. North had lower than Midlands (p = 0.022). Coastal rural areas also < 0.001). IMD inversely correlated (r −0.564, p 0.0001). contributes literature by providing first detailed assessment an adapted framework. provides framework measuring could be explore associations health outcomes guide funding allocation.

Language: Английский

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Suicide Variations between English Neighbourhoods over 2017-21: The Role of Spatial Scale.

Social Science & Medicine, Journal Year: 2024, Volume and Issue: 362, P. 117414 - 117414

Published: Oct. 16, 2024

Geographic studies of suicide variation typically focus on predictors at the same level as event rates, and possible interplay between different spatial scales does not generally figure. In this paper we variations 6856 small area census units in England, but against a background provided by nine regions, broad urban-rural categories, 155 local labour markets. Suicide death totals vary considerably areas, with more areas than expected having no deaths, so apply zero inflated regression. With framework, consider relative contribution factors higher lower explaining contrasts, why some have unduly elevated or low rates. We find significantly levels English metropolitan after allowing for neighbourhood influences, considerable heterogeneity risks within broader units. Varying incidence general is associated all observed risk (social fragmentation, socioeconomic status, mental ill-health, ethnic mix), fragmentation psychiatric morbidity are only significant influences incidence.

Language: Английский

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“They pulled that funding away and we’re not recovering. it’s getting worse”: deaths of despair in post-austerity north east England

International Journal for Equity in Health, Journal Year: 2024, Volume and Issue: 23(1)

Published: Nov. 19, 2024

Abstract Background Deaths related to suicide, drug misuse, and alcohol-specific causes, known collectively as “deaths of despair” are growing interest researchers in England. Rates death from these causes highest deprived northern communities closely tied the social determinants health policy decisions that have shaped them. The aim this paper is explore how stakeholders community members living Middlesbrough South Tyneside, two Northern towns with above average rates deaths despair, understood relationship between austerity policies their areas. Methods I conducted interviews one focus group a total 54 Tyneside. Data were analysed using iterative categorisation technique findings interpreted through thematic analysis. Results highlight four primary ways which exacerbated despair Tyneside: reduced access mental services, diminished substance abuse treatment capacity, loss youth closure institutions. Participants linked cuts rising isolation, declining health, increased deepened geographic inequalities despair. Conclusions This study underscores urgent need for reinvestment local services reduce prevent further unnecessary due drug, causes. Prioritising restoration enhancement lost critical. Such will not only help alleviate some most immediate but also form foundation addressing wider structural perpetuate

Language: Английский

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Longitudinal Study of Deaths of Despair in England from 2014 to 2022: Trends by Sex and Deprivation Before, During, and after the COVID-19 Pandemic

Published: Jan. 1, 2024

Language: Английский

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Opioid overdose and naloxone

Journal of Prescribing Practice, Journal Year: 2024, Volume and Issue: 6(12), P. 500 - 502

Published: Dec. 2, 2024

Language: Английский

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