GPs' role in the detection of psychological problems of young people: a population-based study.

BACKGROUND: Among young people, about one in three females and one in five males report experiencing emotional distress but 65-95% of them do not receive help from health professionals. AIM: To assess the differences among young people who seek help and those who do not seek help for their psychological problems, considering the frequency of consultations to their GP and their social resources. DESIGN OF STUDY: School survey. SETTING: Post-mandatory school. METHOD: Among a Swiss national representative sample of 7429 students and apprentices (45.6% females) aged 16-20 years, 1931 young people reported needing help for a problem of depression/sadness (26%) and were included in the study. They were divided into those who sought help (n = 256) and those who did not (n = 1675), and differences between them were assessed. RESULTS: Only 13% of young people needing help for psychological problems consulted for that reason and this rate was positively associated with the frequency of consultations to the GP. However, 80% of young people who did not consult for psychological problems visited their GP at least once during the previous year. Being older or a student, having a higher depression score, or a history of suicide attempt were linked with a higher rate of help seeking. Moreover, confiding in adults positively influenced the rate of help seeking. CONCLUSION: The large majority of young people reporting psychological problems do not seek help, although they regularly consult their GP. While young people have difficulties in tackling issues about mental health, GPs could improve the situation by systematically inquiring about this issue.

Taxa de reincidència penitenciària 2008

La investigació actualitza les dades de dues recerques anteriors, la publicada l’any 1993 i la publicada el 2004/2005. Aquesta sèrie, que ja suma 3 recerques, permet comparar les taxes de reincidència penitenciària de 1992, 2002 i 2008 i totes les variables que es deriven dels estudis. En aquesta nova recerca la població objecte d’estudi són les 2.579 persones que van sortir excarcerades l’any 2002, d’alguna de les presons catalanes, per algun dels motius previstos a la llei o per haver protagonitzat un trencament de condemna (un no reingrés de permís, no haver tornat d’una sortida laboral o haver protagonitzat una evasió). La grandària de la mostra és de 1.403 persones. L’estudi ha consistit a recollir informació sobre diferents variables descriptives del perfil personal, penal i penitenciari dels components de la mostra i a comprovar si, un cop excarcerats l’any 2002, tornaven al sistema penitenciari, com a preventius o penats, per haver comés un nou delicte posteriorment a la data d’excarceració (reincidència penitenciària). El període de seguiment ha estat fins al 31 de desembre de 2007. Diverses anàlisis ens han permet descriure relacions significatives entre les variables estudiades i la reincidència. La font de les dades ha estat, com en els altres dos estudis, el SIPC (sistema informàtic penitenciari català).

Tasa de reincidencia penitenciaria 2008

El estudio actualiza los datos de dos investigaciones anteriores realizadas sobre la misma temática. En esta se estudian las personas excarceladas el año 2002, a las que se les hace un seguimiento hasta el 31 de diciembre de 2007 para saber si han vuelto al sistema penitenciario, por un nuevo delito cometido en fecha posterior a la de su excarcelación. En la investigación se realizan diversos análisis que han permitido describir las relaciones significativas entre las variables estudiadas y la reincidencia.

Indigenous people's mobilization and their struggle for rights in Colombia

This text aims at showing the history of indigenous peoples’ mobilization in Colombia, the effects that it has brought about on Colombian democracy and political system, and the state’s reactions to their claims and actions. It will show how they have moved from class-based claims to a politics where identity claims have been central in their agenda and part of their strategies to negotiate with the state. It will also show the existing constitutional and legal framework that recognizes the rights of indigenous peoples, despite the context of persecution, murder, and forced displacement.

Subjective Memory Deficits in People with and without Dementia: Findings from the 10/66 Dementia Research Group Pilot Studies in Low- and Middle-Income Countries

OBJECTIVES To compare subjective memory deficit (SMD) in older adults with and without dementia or depression across multiple centers in low- and middle-income countries (LAMICs). DESIGN Secondary analysis of data from 23 case control studies. SETTING Twenty-three centers in India, Southeast Asia (including China), Latin America and the Caribbean, Nigeria, and Russia. PARTICIPANTS Two thousand six hundred ninety-two community-dwelling people aged 60 and older in one of three groups: people with dementia, people with depression, and controls free of dementia and depression. MEASUREMENTS SMD was derived from the Geriatric Mental State examination. RESULTS Median SMD frequency was lowest in participants without dementia (26.2%) and higher in those with depression (50.0%) and dementia (66.7%). Frequency of SMD varied between centers. Depression and dementia were consistently associated with SMD. Older age and hypochondriasis were associated with SMD only in subjects without dementia. In those with dementia, SMD was associated with better cognitive function, whereas the reverse was the case in controls. CONCLUSION Associations with SMD may differ between subjects with and without dementia living in LAMICs.

Learning charisma: Transform yourself into someone people want to follow

Jana stands at the podium, palms sweaty, looking out at hundreds of colleagues who are waiting to hear about her new initiative. Bill walks into a meeting after a failed product launch to greet an exhausted and demotivated team that desperately needs his direction. Robin gets ready to confront a brilliant but underperforming subordinate who needs to be put back on track. We've all been in situations like these. What they require is charisma-the ability to communicate a clear, visionary, and inspirational message that captivates and motivates an audience. In this article, we discuss how one learns to be more charismatic

IPH response to a Draft Policy Framework for supporting people in Northern Ireland living with long term (or chronic) conditions

The Department of Health, Social Services and Public Safety recently consulted on a draft Policy Framework for supporting people in Northern Ireland living with long term (or chronic) conditions

Patient Education/Self Management Programmes for People with Long Term Conditions

Regional Summary Report 2012/13

Service Framework for Older People (PDF 1MB)

Easy Access Version

Service Framework for Older People

Easy Access Version