Elderly suicide in primary care

2007 ◽  
Vol 22 (8) ◽  
pp. 750-756 ◽  
Author(s):  
George Tadros ◽  
Emad Salib
Keyword(s):  
Primary Care ◽  
Elderly Suicide

Preventing Elderly Suicide Through Primary Care by Community-Based Screening for Depression in Rural Japan

Crisis ◽  
2006 ◽  
Vol 27 (2) ◽  
pp. 58-65 ◽  
Author(s):  
Hirofumi Oyama ◽  
Masahiro Goto ◽  
Motoi Fujita ◽  
Hiroshi Shibuya ◽  
Tomoe Sakashita
Keyword(s):  
Primary Care ◽  
Suicide Rate ◽  
Suicide Risk ◽  
Community Intervention ◽  
Reference Group ◽  
The Elderly ◽  
Community Based Interventions ◽  
Community Based ◽  
Intervention Area ◽  
Elderly Suicide

Depression is a major cause of suicide among the elderly. Few previous community-based interventions against depression have reduced the suicide rate. This study aims to evaluate outcomes of a community-based program to prevent suicide among the elderly using a quasi-experimental design with a neighboring reference group. The program, including depression screening with follow-up and health education through primary care and public health nursing, was implemented for 10 years in Matsudai town, a rural area of Japan (population 6,015; suicide rate per 105 [≥65-year-olds] for males 290.6, and for females 361.3). Changes in the suicide risk were estimated by the incidence rate ratio (IRR). The female risk of completing suicide in the intervention area was reduced by 70% (age-adjusted IRR: 0.30; 95% CI: 0.14-0.67), while there was no change in the risk for males in the intervention area nor for males or females in the reference area (Kawanishi town: population 9,425; elderly suicide rate for males 212.2, females 151.9). A ratio of the female IRR in the intervention area to that in its prefecture was also estimated at 0.45 (95% CI: 0.19-0.97), showing that the reduction of suicide risk in the intervention area was greater than the historical trend. A community intervention against suicide using management of depression with nonpsychiatric, primary health care would be effective for elderly females, but not males.

Fool’s Gold: Psychologists Using Disingenuous Reasoning to Mislead Legislatures into Granting Psychologists Prescriptive Authority

2003 ◽  
Vol 29 (4) ◽  
pp. 489-524
Author(s):  
Brent Pollitt
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Nurse Practitioners ◽  
Primary Care Physicians ◽  
American Psychological Association ◽  
The United States ◽  
Psychotropic Medications ◽  
American Psychological ◽  
Training Requirements ◽  
Prescriptive Authority

Mental illness is a serious problem in the United States. Based on “current epidemiological estimates, at least one in five people has a diagnosable mental disorder during the course of a year.” Fortunately, many of these disorders respond positively to psychotropic medications. While psychiatrists write some of the prescriptions for psychotropic medications, primary care physicians write more of them. State legislatures, seeking to expand patient access to pharmacological treatment, granted physician assistants and nurse practitioners prescriptive authority for psychotropic medications. Over the past decade other groups have gained some form of prescriptive authority. Currently, psychologists comprise the primary group seeking prescriptive authority for psychotropic medications.The American Society for the Advancement of Pharmacotherapy (“ASAP”), a division of the American Psychological Association (“APA”), spearheads the drive for psychologists to gain prescriptive authority. The American Psychological Association offers five main reasons why legislatures should grant psychologists this privilege: 1) psychologists’ education and clinical training better qualify them to diagnose and treat mental illness in comparison with primary care physicians; 2) the Department of Defense Psychopharmacology Demonstration Project (“PDP”) demonstrated non-physician psychologists can prescribe psychotropic medications safely; 3) the recommended post-doctoral training requirements adequately prepare psychologists to prescribe safely psychotropic medications; 4) this privilege will increase availability of mental healthcare services, especially in rural areas; and 5) this privilege will result in an overall reduction in medical expenses, because patients will visit only one healthcare provider instead of two–one for psychotherapy and one for medication.

How Do We Incorporate Hearing Screening Into Primary Care?

ASHA Leader ◽  
2016 ◽  
Vol 21 (6) ◽  
pp. 18-19
Author(s):  
Barbara E. Weinstein
Keyword(s):  
Primary Care ◽  
Hearing Screening

An evaluation of two primary care interventions for alcohol abuse among Mexican-American patients

Addiction ◽  
1997 ◽  
Vol 92 (12) ◽  
pp. 1705-1716 ◽  
Author(s):  
Sandra K. Burge ◽  
Nancy Amodei ◽  
Bernice Elkin ◽  
Selina Catala ◽  
Sylvia Rodriguez Andrew ◽  
...  
Keyword(s):  
Primary Care ◽  
Alcohol Abuse ◽  
Mexican American

Assessment of Helicobacter pylori infection in primary care: Which test to use?

2001 ◽  
Vol 120 (5) ◽  
pp. A580-A580
Author(s):  
C WEIJNEN ◽  
N DEWIT ◽  
M NUMANS ◽  
E KUIPERS ◽  
A HOES ◽  
...  
Keyword(s):  
Primary Care ◽  
Helicobacter Pylori ◽  
Helicobacter Pylori Infection
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