Dissertations / Theses on the topic '200409 Mental health'
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Reis, Leonardo Naves dos. "Perfil epidemiológico de um serviço ambulatorial de saúde mental - uma análise descritiva e analítica." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-05112012-200043/.
Full textThis is a quantitative, descriptive and exploratory study. It was epidemiological type of study of prevalence and correlation performed on an outpatient mental health service (Mental Health Center), located within the state of São Paulo. The study had two objectives: first, to describe the profile of users treated in the Mental Health Center based on the diagnosis, information about psychiatric hospitalization and sociodemographic data; and the second, test the association between the need for psychiatric hospitalization presented by users and their diagnoses, sex and age; based on this association, determine the probability of need for hospitalization of new users entering the health service, based on the associated variables. Data were abstracted from medical records of all patients currently being treated at the Mental Health Center, totaling 1281 files. The data were compiled by Microsoft Excel 2010 for further analysis in Stata 11. The variables used were age, gender, education, diagnosis and hospitalization (if the patient has been subjected to psychiatric hospitalization at least once throughout their lives). In the first stage of data analysis was performed descriptive statistics showing the overall profile of the Mental Health Center and then comparing it with the specific profile of patients affected by each disorder that showed statistical significance (p<0,05) in model employed logistic regression. In the second stage of data analysis tested the association between the need for psychiatric hospitalization and gender, age and each of the diagnostic groups, for so we used logistic regression with multiple variables. Also in the second stage, after regression analysis, based on coefficients extracted from this and referring to each of the variables that are suited to the regression model (p <0.005), developed the equation of the population of Mental Health Center, which presents response variable as the probability of a patient needs psychiatric hospitalization at least once throughout life. The results showed that most patients at the Mental Health Center are female (69%), have a low educational level (almost 67% have at most completed primary education), are 40 to 59 years (more than 50%). The most prevalent disorders were depression, schizophrenia, and anxiety disorders. Those who had a higher probability of psychiatric hospitalization were schizoaffective disorder, bipolar disorder and schizophrenia. It is hoped that the results serve to demonstrate the importance of epidemiological knowledge as a management tool, in this case for mental health services in particular, guiding the direction of the various types of resources and enabling the full and equal service to users, guided by the principles of the health care system and the ideals of psychosocial rehabilitation.
Vaz, Valdeci Degiampietro. "O perfil dos pacientes atendidos nos Centros de Atenção Psicossocial em Porto Alegre, Rio Grande do Sul estudo de tendências de atendimentos de 2004 a 2009." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2012. http://hdl.handle.net/10183/66682.
Full textObjective: This paper aims: (a) to analyze the change in service at Psychosocial Care Centers (CAPS) in Porto Alegre, Rio Grande do Sul, from 2004 to 2009; (b) to describe the profile of patients at the CAPS in Rio Grande do Sul in the same period; and (c) to describe the scope of the CAPS on a population basis. Methods: We conducted a cross-sectional study based on public data from the Outpatient Information System (SIA-SUS) and the National Register of Health Establishments (CNES), available at the Department of the SUS (Unified Health System) - DATASUS-, www.datasus.gov.br from 2004 to 2009. We analyzed the frequencies of production generated from CAPS services by SIA in Porto Alegre and in Rio Grande do Sul from 2004 to 2009, and calculated the Coverage Ratio - CI CAPS / 100,000 inhabitants. Results: it was observed that from 2004 to 2009: (A) there was an increase of 142,5% in the number of CAPS in Brazil (from 605 to 1,467) and in Rio Grande do Sul they also increased from 70 to 144 (more than 100%); (B) there was a reduction of outpatient intensive care services in the capital city, Porto Alegre, in the period (from 10,487 to 5,577) while in the state of Rio Grande do Sul such services doubled (from 209,923 to 424,500) in the same period; C) there was an increase of 76% (0.52 to 0.91 CAPS/100.000 inhabitants) in the Coverage Ratio of Rio Grande do Sul, (d) there was an inequality reduction in health regions in 2009 (37% CI of 19 regions with below 0.90 in 2009 to 10% in 2010). (e) there was a persistent overall deficit (49,04% of the state population still lived in cities with inadequate coverage, with CI below 0.90 CAPS/100.000 inhabitants). Conclusion: Persistent Insufficient coverage (CI below 0,9) was found in 49.04% of the state population in 2009. Ten years after the implementation of Ordinance No. 336/2002, which defined the three service models of CAPS (I, II, III) and their purpose to care for severe mental disorders, we still find health regions with Low Index Coverage in the state and almost half the population living in cities with Insufficient Coverage. Furthermore, we also observed that there was a reduction in service in CAPS in Porto Alegre, showing that the target population is either resorting to other services rather than CAPS or not enjoying the benefits of available services for various reasons. This study shows the need of further investigation to answer some remaining questions about what directions patients have taken, if they are being treated somewhere else in private hospitals or by private medical plans, not funded by the SUS, if they are not being treated at all, or perhaps if they are being cared by their families or communities and only use health services provided by the SUS when the disease strikes back or in health emergencies.
Valdez, Karla. "Taking a closer look at the mental health services act of 2004| A policy analysis." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1590186.
Full textThe purpose of this policy analysis was to analyze the Mental Health Services Act (MHSA) of 2004 using research articles and state and governmental documents. The analysis explored the expansion of mental health services and the challenges of implementation. The programs that were developed to meet the specific needs of the MHSA included early intervention, prevention, curriculum development, education, training, and community services. A thorough examination of the act provided an understanding of how the funds are distributed and how the MHSA will continue to support specialized mental health program services. The information presented in this policy analysis focused on children and youth and in detailing the services they received through the MHSA.
De, Sordi Georgia Soares. "Agentes decisores e a formulação da política de saúde mental do município de Campinas = 2001-2004." [s.n.], 2010. http://repositorio.unicamp.br/jspui/handle/REPOSIP/313810.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: O município de Campinas possui uma rede assistencial densa e complexa na área de saúde mental, fruto de investimentos técnico-assistenciais e políticos, ancorados nas reformas psiquiátrica e sanitária. Desde a década de 1990, o município realiza um movimento de desospitalização e desinstitucionalização, visando a criação de uma rede assistencial articulada aos princípios do SUS e substitutiva ao manicômio. Dentro de um panorama histórico ampliado, no período de 2001 a 2004, foram formuladas novas políticas de saúde mental, havendo um incremento considerável na oferta da rede de cuidado. O objetivo desta pesquisa é analisar a formulação da política de saúde mental no período acima citado, enfocando os principais agentes formuladores, assim como reconstruir o contexto das políticas nacionais de saúde mental como substrato à compreensão da política local. A formulação é uma etapa da política e os agentes, gestores da política local, peças fundamentais, na medida em que decidem qual é o modelo político/assistencial a ser implementado no município. Nesta pesquisa, de cunho qualitativo, os dados foram coletados através de entrevistas semi-estruturadas com os agentes decisores da formulação da política, tendo como fonte secundária documentos arquivados no Cedoc - Centro de Documentação, e alguns documentos cedidos pelos agentes decisores. A análise de formulação contribuirá para a compreensão do modelo técnico-assistencial proposto pelos gestores, reconstruindo aspectos históricos inerentes ao processo de formulação/implementação das políticas e sua importância frente aos resultados alcançados pelo modelo assistencial empregado
Abstract: The city of Campinas has a dense and complex public mental health care network as a result of technical-assistance and political investments, anchored in the psychiatric and sanitary reform. Since the decade of 1990 the city has started a movement for the attention of patients outside hospitals and institutions, aiming to create an assistance network articulated to the principles of SUS and replacing the mental hospitals. In a panoramic history context, in the period from 2001 to 2004, new policies for mental health assistance have been formulated, with a considerable increase in the mental health care network. The scope of this research is to analyze the public mental health care policy formulation during this period, focusing on the main actors, as well as to reconstruct the context of national public mental health care policies as a substrate for the comprehension of local policies. Formulation is one of the phases of policy implementation and the actors and administrators of local policies are fundamental parts of this process, since they are the ones who decide which choice of political/assistance model would be implemented in the city. In this research, with a qualitative scope, data was collected through semi-structured interviews with the deciding agents of policies formulation, having as secondary source the documents from City Health Secretary (Secretaria Municipal de Saúde) archives of CEDOC (Center for Documentation of City Health Secretary), as well as some documents provided by the deciding agents. The analysis of the policy formulation may help the comprehension of the mental health care model proposed by the administrators, reviewing historical aspects inherent to the process of formulation/implementation of policies and their importance to the results attained by the implemented assistance model
Mestrado
Saude Coletiva
Mestre em Saude Coletiva
Groenow, Chanique C. "A Change Is Going to Come| A Policy Analysis of the Mental Health Services Act of 2004." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10785630.
Full textThe purpose of this study was to analyze Proposition 63, which later became the Mental Health Serviced Act (MHSA) of 2004. This legislation imposed a 1% increase in taxes for California residents with adjusted gross annual income over $1 million. MHSA provided funding to expand the mental health programs and services including prevention, early intervention, education and training programs. The analysis intended to explore the benefits and consequences of the tax increase, and how mental health services were impacted under MHSA. This study scrutinized a historical review of mental health services in the United States, in the first years of the 20th Century, Deinstitutionalization, and enactment of policies related to mental health. Using David Gil's 1992 modified policy analysis framework, the analysis concluded that the MHSA legislation has potentially increased mental health services for individuals with mental illness and their families. However, this study also found that the lawmakers failed to provide proper guidance for effective program evaluation.
Ely, Michael. "Deinstitutionalizing difference| Asylums for the severely or profoundly mentally retarded between 1960 - 2000." Thesis, The University of Texas at San Antonio, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1588311.
Full textThis is a history between 1960 and 2000 of asylums operated in the United States for children labeled as “severely or profoundly mentally retarded,” and “emotionally and behaviorally disturbed.” I use one primary case study of the Willowbrook State School in Staten Island, New York. Willowbrook has already received some focus in the works of David and Shelia Rothman as well as Drs. David Goode, Darryl Hill, and William Bronston, and Geraldo Rivera’s newscast in 1972. Primary focus has been given to it because it is both unique and indicative of asylums across the U.S. during the mid 20th Century. It was unique in some of the severity of treatment, which its residents experienced, but overall mirrors national trends in brutal and neglectful living conditions. It also signals larger national trends in the mid to late 70s, which carry over into the 80s and early 90s as part of the deinstitutionalization movement. I find that this movement was largely a response to the conditions for which Willowbrook became a national symbol. Furthermore, even in the wake of the deinstitutionalization movement, there are many problems with federal and state policy that disproportionately disaffect people of color as well as poor people. Finally, I argue that the historical canon must expand somewhat to take into account Deleuze and Guattari’s ideas about Societies of Control. Many scholars, such as the Rothman, Tonya Titchkosky, Kim E. Nielsen, and others base their work on the Foucault’s notion of a ‘disciplinary’ society. But Deleuze (sometimes with Guattari) offers a sympathetic critique of Foucault’s understanding of discipline that adds a great deal of depth to the study of asylums and deinstitutionalization in the mid to late 20th Century.
Newlove-Delgado, Tamsin Victoria. "Service use and unmet mental health need in children and young adults : analysis of three years of follow up from the 2004 British Child and Adolescent Mental Health Survey & description of primary care psychotropic prescribing & transition in young adults with Attention Deficit Hyperactivity Disorder." Thesis, University of Exeter, 2016. http://hdl.handle.net/10871/21211.
Full textHerrrera, Elmer Ivan. "The Mental Health Services Act of 2004 and its impact on transitional age youth served in Los Angeles County| A policy analysis." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10046246.
Full textThe Mental Health Services Act (MHSA) of 2004 was analysed using David Gil’s (1992) analytic framework. The strengths and weaknesses of the Act were assessed and special attention was placed on transitional age youth (TAY) who are consumers of Full Service Parternship (FSP) services in Los Angeles County. This analysis found that there have been some improvements in the provision of services to TAY as a result of the MHSA (2004). However, TAY continue to be a group that remains underserved despite the availability of MHSA (2004) funds. The lack of infrastructure of Department of Mental Health to oversee MHSA (2004) funded projects is likely one of the main reasons why new programs for TAY have not been developed. This analysis did find that TAY, who have been served under MHSA (2004) funded programs, have lower rates of incarceration and hospitalization. The recommendations for social work practice, policy and research are discussed.
Oliveira, Maria Lilian Coelho de. "Caracterização socio-demografica, academica e clinica dos estudantes atendidos no serviço de assistência psicologica e psiquiatrica ao estudante (SAPPE) de 1987 a 2004." [s.n.], 2009. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308732.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
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Resumo: A caracterização dos clientes é um passo importante na avaliação dos serviços oferecidos pelos centros de saúde mental de um campus universitário em seu planejamento e desenvolvimento futuros. Os objetivos do presente estudo foram descrever as características sócio-demográficas, acadêmicas e clínicas dos estudantes graduação e pós-graduação, que influenciam a procura por um serviço de saúde mental (Serviço de Assistência Psicológica e Psiquiátrica ao Estudante - Sappe) de um campus do Brasil (Unicamp) no período de 17 anos (Março/1987 - Março de 2004). Tais características foram também comparadas com as dos estudantes de toda a universidade. Método: Foram utilizadas as informações dos 2.496 prontuários dos estudantes que procuraram o Serviço. As informações foram sócio-demográficas, acadêmicas e clínicas do cliente e, foi estruturado um banco de dados. A base de dados da Unicamp foi consultada para obter informações sobre o corpo discente da universidade como um todo. Resultados: Os dados indicaram um sobre-representação entre os estudantes de graduação, sexo feminino, oriundos de outros estados brasileiros além de São Paulo. Os estudantes vivem na moradia estudantil do campus e possuem como principal fonte de rendimentos bolsas de estudo. Encontramos também um sobre-representação de estudantes de Ciências Humanas e Artes. Os motivos manifestos mais freqüentemente relatados foram: dificuldades em relações interpessoais, conflitos familiares e mau desempenho acadêmico. Conclusão: O nível do curso (graduação ou pós-graduação), área do conhecimento, residir na moradia estudantil da universidade e a dependência da concessão de bolsas de estudo influenciam o padrão de motivos manifestos para a procura pelo Sappe.
Abstract: The characterization of clients is an important step in the evaluation of services offered by campus counseling and mental health centers and in their further planning and development. The objectives of the present study were to describe reported demographics, academic and complaint of students (undergraduate and graduate) who sought counseling/mental health care at a Brazilian campus (Unicamp) mental health service (Serviço de Asssistência Psicológica e Psiquiátrica ao Estudante - Sappe) over 17 years (march/1987 - march/2004). Compare such characteristics to those of the overall university student body. Methods: Participants were all 2.496 students who sought counseling/mental health care at SAPPE. Information was obtained from client's clinical chart. Unicamp's data base was consulted for information about overall university students. Results: Findings indicated an overrepresentation, among clients, of undergraduates, female students, students from Brazilian states other than Sao Paulo, students living in the campus residence hall and those whose main source of income was a scholarship grant. We also found an overrepresentation of Humanities and Arts student-clients. The most frequently reported complaints were: difficulties in interpersonal relationships, family conflicts and poor academic performance. Conclusion: Course level (undergraduate or graduate), study field, living in a university residential facility and reliance on a scholarship grant were found to influence the mental health seeking behavior of Brazilian university students in this study. Course level was found to influence the pattern of complaints reported at first contact with the mental health service.
Mestrado
Saude Mental
Mestre em Ciências Médicas
Quadros, Rodrigo Barbosa da Silva. "Contribuições da psicanálise à clínica em saúde mental no contexto da reforma psiquiátrica brasileira: análise sistemática das produções acadêmicas entre 2000 e 2014." reponame:Repositório Institucional da UFC, 2017. http://www.repositorio.ufc.br/handle/riufc/24668.
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The present study aims to present and discuss the contributions of psychoanalytic theory to national scientific production in the field of mental health, in particular to the clinical practices carried out in the CAPS between the years 2000-2014. The methodology used was the systematic analysis, which allows stipulating the panorama of the subject studied, pointing out issues/ problems that could result in the development of new researches. We used the Iramuteq software to analyze the data. From its main analysis, Descendant Hierarchical Classification, five classes, so called: new assistance model, the madness in question, psychoanalysis in the CAPS - construction of the clinical case, psychoanalytic theory and the place of the subject in the clinic. The results indicated by the software and the complete reading of all articles, dissertations and theses guided the organization and developed this dissertation. In their results, the methodology of the construction of the clinical case is pointed as the central point of the contribution of psychoanalysis to the field of clinical practices developed in the CAPS. This methodology is still considered by the researchers of wide scope in allowing the transmission of psychoanalytic ethics and the institution of new policies and new arrangements of power, especially by their collective practice.
O presente estudo tem por objetivo apresentar e discutir as contribuições da teoria psicanalítica à produção científica nacional no âmbito da saúde mental, em particular às práticas clínicas realizada nos CAPS, entre os anos de 2000-2014. A metodologia utilizada foi a análise sistemática, que permite estipular o panorama da temática estudada, apontando questões/problemas que poderão resultar no desenvolvimento de novas pesquisas. Tivemos como auxílio para análise dos dados o software Iramuteq. De sua principal análise, Classificação Hierárquica Descendente, surgiram cinco classes, assim denominadas: novo modelo de assistência, a loucura em questão, psicanálise no CAPS- construção do caso clínico, teoria psicanalítica e o lugar do sujeito na clínica. Os resultados apontados pelo software e a leitura na íntegra de todos os artigos, dissertações e teses nortearam a organização e desenvolvido desta dissertação. Em seus resultados, a metodologia da construção do caso clínico é apontada como ponto central da contribuição da psicanálise ao campo das práticas clínicas desenvolvidas nos CAPS. Essa metodologia é considerada ainda pelos pesquisadores de grande alcance ao permitir a transmissão da ética psicanalítica e a instituição de novas políticas e novos arranjos de poder, em especial por sua prática coletiva.
Paterson, Brodie. "Events and social policy : an exploration of the influence of two homicides on developments in mental illness social policy in England 1985-2000." Thesis, University of Stirling, 2006. http://hdl.handle.net/1893/248.
Full textOrner, Phyllis. "Gender-aware policy and planning: a feminist analysis of aspects of the Mental Health Care Bill, 2000 and the Skills Development Act, 1998." Thesis, University of the Western Cape, 2000. http://etd.uwc.ac.za/index.php?module=etd&.
Full textBelmonte, Pilar. "História da homossexualidade: ciência e contra-ciência no Rio de Janeiro (1970-2000)." reponame:Repositório Institucional da FIOCRUZ, 2009. https://www.arca.fiocruz.br/handle/icict/6145.
Full textEsta tese analisa as representações em torno da homossexualidade presentes no discurso científico e contra-científico entre os anos de 1970 a 2000, no Rio de Janeiro, em torno das áreas da psiquiatria e da psicologia. As fontes primárias científicas referem-se às teses e dissertações produzidas na Universidade Federal do Rio de Janeiro e na Pontifícia Universidade Católica, bem como artigos do Jornal Brasileiro de Psiquiatria. A produção contra-científica refere-se a textos publicados nas revistas Rádice, Luta & Prazer e Orgón. Para esta análise apresenta-se tanto a discussão científica internacional e nacional sobre a homossexualidade elaborada, principalmente, em fins do século XIX e ao longo do século XX, quanto a influência da contracultura e dos movimentos sociais em nosso país, no período dos anos de 1960 a 1980. O que se pode observar é que a homossexualidade foi representada de forma ambígua tanto na produção científica quanto na produção contra científica, ora associando, ora desvinculado, a homossexualidade à ideia de patologia. Além disso, há uma maior ênfase em explicações psicológicas, calcadas na teoria psicanalítica, em detrimento de justificativas biológicas. Na produção contra-científica foi predominante o discurso em torno do livre arbítrio quanto à opção sexual .
Campos, Cecília Godoi. "Perfil epidemiológico das internações psiquiátricas por álcool e outras drogas em um munícipio da região centro-oeste de Minas Gerais no período de 1998 a 2009." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-18072011-104703/.
Full textThis paper is about an epidemiologic study based on historical data which has an ecologic feature which is related to hospitalization description, time and exploratory over the epidemiologic feature of psychiatric hospitalization due to alcohol and other drugs abuse by the population from Divinópolis city, state of Minas Gerais, Brazil from 1998 to 2009. The aim of this study was to describe the evolution of psychiatric hospitalization due to alcohol and other drugs abuse according to means provided by Informatics Single System of Public Healthcare - DATASUS. It was analyzed the number of hospitalization, hospitalization period and death rate, related to month, year, gender and age. The information collected was inserted into Microsoft Excel software (2003 version) to data treatment and outcome presentations. This study outcomes made possible to show the situation of hospitalization by use and drug abuse were 22,3% (751) from total amount of psychiatric hospitalization from Divinópolis inhabitants, 48% (363) by alcohol abuse and 52% (388) by other drug abuse. The months which demonstrated a higher number of hospitalization were January, April and May, which propably is related exactly with the local parties that occurs during these months; from 2004 to 2007 the were higher rates of hospitalization related to gender were 76,4% (574) male and 23,6%(177) female. It was observed a significant increasing from 2002 in the number of female\'s hospitalization. By analyzing the period of hospitalization during 12 years, it is observed the average of 27,4 days of hospitalization in which female the period in hospital was higher, 30,1 days, ages raging from 15 to 19 years old, from 40 to 49 years old and 50 o 59 years old present higher period of hospitalization, 28 days. From 1998 to 2009 there was not any death due psychiatric hospitalization to alcohol and drug use or abuse. It was concluded in this paper that the alcohol and other drugs abuse matter and has become over and over recurrent in local inhabitants particularly female, teenagers and young adults being advisable further studies in or order to recognize the drug addicted features and kind of drug consumed to help the specific politics, services organization, training and specialized professional enabling.
Ibell, Bernadette Mary. "An analysis of mental health care in Australia from a social justice and human rights perspective, with special reference to the influences of England and the United States of America, 1800-2004." Phd thesis, Australian Catholic University, 2004. https://acuresearchbank.acu.edu.au/download/08cd80266073cee2195a33e254f4a9298144ba8d6f3a2eece63325aee6b2021c/3481468/64925_downloaded_stream_150.pdf.
Full textIbell, Bernadette Mary, and res cand@acu edu au. "An Analysis of Mental Health Care in Australia From a Social Justice and Human Rights Perspective, With Special Reference to the Influences of England and the United States of America: 1800-2004." Australian Catholic University. School of Philosophy, 2004. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp113.25102006.
Full textEyjolfsdottir, Harpa Sif. "Social capital, self-rated health and the importance of sleep : The case of Iceland in 2007 and 2009." Thesis, Stockholms universitet, Centrum för forskning om ojämlikhet i hälsa (CHESS), 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-77285.
Full textBarros, Regis Eric Maia. "Caracterização clínica-demográfica das internações psiquiátricas na região de Ribeirão Preto - SP entre 1998 e 2004." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/17/17148/tde-07102008-173614/.
Full textAt the beginning of the 1990s, psychiatric hospitalization costs were the second-largest source of all hospitalization costs in Brazil. Since 1992, as a result of the Ministry of Heath guidelines, there have been changes in the characteristics of these hospitalizations. Psychiatric hospitals have progressively ceased to be a part of the core health care system, and there has been an increase in the outpatient service network. The 13th Regional Health Authority (DRS XIII), headquartered in Ribeirão Preto, followed these guidelines, which led it to reorganize its mental health care. At the beginning of the 1990s, DRS XIII had 685 beds for the treatment of acute psychiatric patients: their occupancy rate was as high as 96%, the length of stay was high and there was a high number of readmissions. The guidelines, however, resulted in a reduction in the number of beds for acute patients to 114, whilst there was a simultaneous expansion in the mental health care outpatient services. These measures led to a drop in the number of hospital admissions, and the occupancy rate fell to 60 - 70%. Nevertheless, since 2003, it has been more difficult to provide full-time hospitalization due to lack of beds. The aim of this project is to evaluate these changes in the hospitalization policy. A central database was created using the data stored in the databases of each of the hospitals involved in the study. All hospitalizations between 1998 and 2004 were taken into account. The following variables were analyzed: age, gender, marital status, occupation, diagnosis, origin, health district (for patients that live in Ribeirão Preto), length of stay, readmissions, bed turnover rate and occupancy rate. 5,362 patients were hospitalized a total of 11,208 times according to the following breakdown: Psychiatric Hospital (47.8%), General Hospital (14.1%) and Emergency Psychiatric Unit (38.1%). The occupancy rate for full-time hospitalization services has increased over the last few years in spite of the bed turnover rate remaining relatively high. There are no significant differences between services as far as the demographic characteristics of the hospitalized patients are concerned: patients are still predominantly young unemployed males, who are not in stable partnerships, and come from the Ribeirão Preto region. Short-stay hospitalizations are predominant, with a higher proportion of longer hospitalizations in the General Hospital, which was probably due to the serious nature of these cases. The largest proportion of hospitalizations comes from Ribeirão Preto, especially from the district served by the Núcleo de Saúde Mental do Centro de Saúde Escola (Mental Health Unit of the Learning Health Center). The most common diagnoses were disorders brought on by psychoactive substance abuse, mood disorders, psychotic disorders and personality disorders, with there being some differences in the proportions from one service to another. Around 1/4 of the hospitalizations each year are readmissions. The psychiatric hospitalization increasing may be dual to the outpatient service network deficient. The emergency psychiatry unit was answerable for 40% of psychiatric hospitalization reported in this study. The outpatient service development may be improve the health care system.
Quadros, Rodrigo Barbosa da Silva. "ContribuiÃÃes da PsicanÃlise à ClÃnica em SaÃde Mental no contexto da Reforma PsiquiÃtrica Brasileira: anÃlise sistemÃtica das produÃÃes acadÃmicas entre 2000 e 2014." Universidade Federal do CearÃ, 2017. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=19774.
Full textO presente estudo tem por objetivo apresentar e discutir as contribuiÃÃes da teoria psicanalÃtica à produÃÃo cientÃfica nacional no Ãmbito da saÃde mental, em particular Ãs prÃticas clÃnicas realizada nos CAPS, entre os anos de 2000-2014. A metodologia utilizada foi a anÃlise sistemÃtica, que permite estipular o panorama da temÃtica estudada, apontando questÃes/problemas que poderÃo resultar no desenvolvimento de novas pesquisas. Tivemos como auxÃlio para anÃlise dos dados o software Iramuteq. De sua principal anÃlise, ClassificaÃÃo HierÃrquica Descendente, surgiram cinco classes, assim denominadas: novo modelo de assistÃncia, a loucura em questÃo, psicanÃlise no CAPS- construÃÃo do caso clÃnico, teoria psicanalÃtica e o lugar do sujeito na clÃnica. Os resultados apontados pelo software e a leitura na Ãntegra de todos os artigos, dissertaÃÃes e teses nortearam a organizaÃÃo e desenvolvido desta dissertaÃÃo. Em seus resultados, a metodologia da construÃÃo do caso clÃnico à apontada como ponto central da contribuiÃÃo da psicanÃlise ao campo das prÃticas clÃnicas desenvolvidas nos CAPS. Essa metodologia à considerada ainda pelos pesquisadores de grande alcance ao permitir a transmissÃo da Ãtica psicanalÃtica e a instituiÃÃo de novas polÃticas e novos arranjos de poder, em especial por sua prÃtica coletiva.
The present study aims to present and discuss the contributions of psychoanalytic theory to national scientific production in the field of mental health, in particular to the clinical practices carried out in the CAPS between the years 2000-2014. The methodology used was the systematic analysis, which allows stipulating the panorama of the subject studied, pointing out issues/ problems that could result in the development of new researches. We used the Iramuteq software to analyze the data. From its main analysis, Descendant Hierarchical Classification, five classes, so called: new assistance model, the madness in question, psychoanalysis in the CAPS - construction of the clinical case, psychoanalytic theory and the place of the subject in the clinic. The results indicated by the software and the complete reading of all articles, dissertations and theses guided the organization and developed this dissertation. In their results, the methodology of the construction of the clinical case is pointed as the central point of the contribution of psychoanalysis to the field of clinical practices developed in the CAPS. This methodology is still considered by the researchers of wide scope in allowing the transmission of psychoanalytic ethics and the institution of new policies and new arrangements of power, especially by their collective practice.
Pintor, Nelma Alves Marques. "Uma análise do projeto espaço integrado de desenvolvimento e estimulação (EIDE) na rede municipal de ensino de Niterói/Rj período 2008-2009." Instituto Fernandes Figueira, 2011. https://www.arca.fiocruz.br/handle/icict/6449.
Full textMade available in DSpace on 2013-04-16T14:01:07Z (GMT). No. of bitstreams: 1 Tese NELMA ALVES MARQUES PINTOR.pdf: 1627406 bytes, checksum: fdc3b334513919367d9936bda2a27edc (MD5) Previous issue date: 2011
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Ensino. Programa de Pós-Graduação em Saúde da Criança e da Mulher. Rio de Janeiro, RJ, Brasil
Esta pesquisa se constituiu como a primeira experiência de avaliação oficial de um projeto de estimulação pedagógica, exploratório (EIDE – Espaço Integrado de Desenvolvimento e Estimulação), com o objetivo de estudar as condições e forma de educação e escolarização, em classes comuns das escolas municipais, para alunos que apresentam significativas defasagens em suas condições vitais, implicando, principalmente, em deficiência intelectual acentuada, desenvolvido concomitantemente por meio de ação intersetorial entre os profissionais da saúde e da educação. Para avaliar o desenvolvimento e aprendizado dos alunos, tomou como referência a teoria sóciohistórica, com base em quatro categorias estudadas por Vygotsky e seus colaboradores e para avaliar o projeto em sua dimensão social, utilizou a proposta do Manual de Avaliação de Projetos Sociais do Cepal (1997). De índole qualitativa, a pesquisa utilizou, em seu estudo etnográfico, entrevistas semiestruturadas, anamnese, documentos, relatórios de atividades e observação participante para colher informações com os sujeitos. Os resultados mostraram que a consciência social do direito à educação e a cultura por parte dos profissionais da educação e dos profissionais da saúde avançou, da mesma forma que a presença de uma cultura inclusiva em boa parte das escolas públicas da Rede Municipal de Ensino da cidade de Niterói. Em contraste, foi percebida a presença do preconceito e da crença na incapacidade de aprendizado dos alunos com deficiência intelectual e múltipla. Esta foi considerada a principal barreira para a promoção da inclusão escolar e educacional dos alunos severamente comprometidos na Rede Municipal de Ensino de Niterói/RJ. O modelo de escolarização nas escolas é incompatível com uma proposta educativa onde eles estão (ou deveriam estar) incluídos. Contudo, a conclusão principal desta pesquisa é de que esses alunos são capazes de aprender, se colocados em situações que estimulem a interação social, a linguagem, a imitação e o brincar. Em relação às ações de trabalho conjunto entre os profissionais da saúde e da educação foi comprovada a necessidade de fortalecimento da proposta de intersetorialidade entre estes setores, visando à promoção integral da saúde das pessoas com deficiência. Concluindo, a pesquisa mostrou que os resultados alcançados por meio do estudo etnográfico e da meta-avaliação do EIDE podem oferecer subsídios para avaliação de outros Programas e Projetos na área da educação, inclusive de outros sistemas de ensino no Brasil.
This research was developed as the first official evaluation experience of a pedagogical stimulation project, exploratory (EIDE-Espaço Integrado de Desenvolvimento e Estimulação) aiming studying the forms and conditions of education and schooling , in municipal school common classes, for students who have significant gaps in their vital conditions, implying, especially in severe intellectual disability, developed concurrently through intersectoral action between health and education professionals. To evaluate the student learning and development, its reference to socio-historical theory, based in the four categories studied by Vygotsky and his contributors and to evaluate the project’s social, utilized Cepal’s Social Projects Evaluation Handbook proposition (1997). From qualitative nature, the research used semi-structured interviews in its ethnographic study, anamnesis, documents, activities reports and participant observation to gather information with the subjects. The results showed that the social awareness by education and health professional to the right to education and culture has developed, the same way that the presence of an inclusive culture in most of schools in the municipal schools in the city of Niterói. In contrast, were noticed the presence of prejudice and belief in the learning disabilities of students with intellectual and multiple disabilities. This was considered the main barrier to promote of school and educational inclusion of the severely compromised students in the municipal school of Niterói/RJ. The educational model in schools is not compatible with an educational proposal where they are (or should be) included. However, the main conclusion of this research is that these students are able to learn, if placed in situations that encourage social interaction, language, imitation and play. In relation to the actions of joint work between health and education professionals has been proven the need to strengthen the proposed intersectoral between these sectors aimed at promoting integral health of persons with disabilities. In conclusion, this study shows that the results achieved through the ethnographic study and meta-evaluation EIDE may provide the basis for evaluation of other programs and projects in the area of inclusive education from other education systems in Brazil.
Ure, Gale Barbara. "Mental health care in South Africa 1904 to 2004: legislation influencing ethical patient care." Thesis, 2009. http://hdl.handle.net/10539/7285.
Full textMental health in South Africa has undergone many changes since the pioneering work of colonial doctors in the early 1900’s. With the advent of a human rights based constitution in the 1990’s, mental health was forced to review its methods of care and the political motivation behind many long-term hospitalisations. Because of these practices, government mental health structures maintain and fund institutions that warehouse a legacy of institutionalised and disenfranchised patients from the apartheid area. A number of these patients have been hospitalised for over forty years – some without an appropriate psychiatric diagnosis. Many of these patients cannot be discharged back into the community, as their families have been lost over time. Many patients are institutionalised to the extent that they are unable to manage even the most menial of personal tasks and thus cannot leave the safety of the centres in which they are housed. International developments in the field of Eugenics underpinned much of the sweeping social change that was embraced by Europe and the USA. Germany based many of its policies of eradication of the ‘unfit’ on eugenic principles that could comfortably accommodate the rejection of racial differences. The profound effect that eugenics exercised in the medical and social spheres internationally drove the development of many apartheid-based government policies in South Africa. These included reform in the areas of education, mental health, social development, group areas etc. This research report briefly explores some of the social, medical, political and legislative influences active in the field of mental health from 1904 to 2004.
Hao, Yi-Ting, and 郝懿婷. "The Impact of Food Away From Home on Mental Health:Nutrition And Health Survey in Taiwan 2004–2008 ( NASIT 2004–2008 )." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/f5h7p2.
Full text國立臺灣大學
農業經濟學研究所
107
As the proportion of food-away-from-home (FAFH) has increased over years, it has become the main dietary style. According to the “Survey of Family Income and Expenditure”, Taiwan’s household food expenditure consumed in restaurants was up to 43.48% in 2017. Many countries concern the issues about the impact of FAFH on people''s health, and many studies point out that the food energy per unit in the restaurant is far greater than the intake of cooking at home, it will let us consume too much calories, sodium, less vitamin and other nutrients, and be easy to cause the burden on the body, such as obesity, chronic diseases and cardiovascular diseases. In the study of the relationship between food and mental health, mainly based on study of nutrients and emotions, previous studies have confirmed that proper intake of nutrients can improve depression and other emotional problems. Using data from the National Health and Nutrition Survey in 2004-2008 in Taiwan (NAHSIT), we used OLS and Probit model to discuss the effect of FAFH on mental health. We also use inverse probability weighting (IPW) to solve the endogeneity problem. The results show that there is a significant positive correlation between dinner and mental health, a significant increase in the total score of Brief Symptom Rating Scale (BSRS-5) and the probability of depression.
Mitchell, Christina. "Exploration of changes in outpatient clinical presentation and diagnosis in children and adolescents at a South African community service and psychological training centre from 1987 to 2009." Thesis, 2012. http://hdl.handle.net/10413/9168.
Full textThesis (M.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2012.
Tsai, I.-Chun, and 蔡宜純. "An Exploration of Using Mental Health Escort Services for Medical Treatments from 2007 to 2009 in Kaohsiung County." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/84081707957840280162.
Full text輔英科技大學
護理系碩士班
99
For the purpose of protecting psychiatric patients'' health rights, Taiwan implemented the Mental Health Law since December 7, 1990, as the basis to send psychiatric patients for enforced treatment and compulsory evaluation in order to protect the public from possible harm.Providing the first line health care professionals and policy makers with evidence, and educating the public about the appropriateness of using these services are worthy for study.The purpose of this study was to investigate the uses of mental health escort services for medical treatments among Kaohsiung county townships and the influences of psychiatric patients'' demographic and disease characteristics, as well as community mental health care factors on using mental health medical escort. This study utilized a retrospective and descriptive research design by analyzing Suspected Psychiatric Patient Identification and Medical Treatment Database form 2007 to 2009 provided by Health Bureau of Kaohsiung County Government and Mental Care Information Management System. SPSS statistical software package version 17.0 was applied for descriptive and inferential statistical analysis. 1,386 subjects who had used mental health escort services from 2007 to 2009 were included in final data analysis. Among them, 65.9% were male with an average age of 40.7. Most of them lived in Fengshan City (15.1%), Okayama town (10.4%), Daliao Township (12.8%) and Linyuan Township (10.3%). The main reason of using the mental health escort services is suspition of mental disorders (51.8%). The public used these services mostly during office hours (55.9%). About 52.3 % of the people who were sent to the mental health escort were those who were not supervised by community health nurses and 54.6 % of the people who were not officially classified as mental illness. An average of 1.2 escort services was in this study. 15,644 psychiatric patients received supervision by community health nurses from 2007 to 2009. Among them, 53.2% were male with an average age of 45.5. About half of them lived in newly developed counties (45.7%), and were asymptomatic (50.9%) without functional impairments (51.7%) of community living. Half of them were with moderate mental impairment (50.1%) and received stage 4 (44%) supervision by community health nurses. Most of them were stable in terms of their mental health condition (53.6%) and took medication regularly (68.2%). The factors of influencing psychiatric patients to use mental medical escort services included: gender (OR: male 1.92), age (OR: 18-29 5.309, 30-44 5.608), education (OR: junior high school 2.481, college and above 3.334), symptom severity (OR: moderately severe 2.59, severe 2.473, slightly 2.353), level of community function (OR: moderately severe 4.488, severe 5.133), community health nursing care stage (OR: stage 1 5.782, stage 2 6.725, stage 31.634 , stage 51.764), visiting doctors (OR: irregularly visit doctors 4.579, no insight 5.951),and prescriptions (OR: irregularly take medication 8.154). The findings of this study showed certain new amendments to the Mental Health Law to protect the rights of mental patients , public health nurses should be given positive support and appreciation to the management of psychological care for theresults. People in the first line on duty would be beneficial from this study''s findings. The government could use these findings as references for making policy and to develop community mental health promotion-related public lectures, public education, community mental health escorts for medical treatment launched adequacy of communication with the right window, so that mental health resources to a more rational use.
Tsai, Ya-Ping, and 蔡亞萍. "Trends in Outpatient Mental Health Care Provided By Psychiatrists and Non-Psychiatrists in Taiwan from 2000 to 2010." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/42689984017072829705.
Full text國立陽明大學
醫務管理研究所
104
ABSTRACT Objective: In recent years, there was changing of mental health care pattern from institutional inpatient care mode to community based ambulatory care services. Primary care physicians are believed to play an increasingly important role in the care of mentally ill individuals. It may be critical to understand the provision of mental care and assess potential differences in treatment patterns between psychiatrists and non-psychiatrists. In Taiwan, the prevalence of probable common mental disorders doubled from 11.5% in 1990 to 23.8% in 2010. Therefore, in order to understand changes in the provision of mental care, we aim to assess recent trends in outpatient mental health care provided by psychiatrists and non-psychiatrists, 2000-2010. Method: The data for this study were derived from the 2000, 2005 and 2010 cohort of National Health Insurance Research Database. We identified the outpatient visits with three mental health care indicators (including mental disorder diagnoses, psychotropic medications, and psychotherapy) in 2000, 2005, and 2010. We used repeated cross-sectional data to estimate the rates and percentages of outpatient visits with mental disorder diagnoses, psychotropic medications, and psychotherapy by dividing the sampling of one million. Logistic regression analysis and Cochran-Armitage trend test were used to assess time trends in mental health visits provided by psychiatrists and non-psychiatrists. We also stratified our analyses by youths (≤20 years) and adults (>20 years). Results: A significant increase occurred in the rate of per 100 population of psychiatrist visits with mental disorders (10.26 to 23.23) (OR = 1.24, 95%CI 1.22-1.25), psychotropic medications (9.11 to 21.94) (OR = 1.32, 95%CI 1.31-1.34), and psychotherapy (1.07 to 9.89) (OR=1.80, 95%CI 1.79-1.82) between 2000 and 2010. In the meantime, a significant increase occurred in non-psychiatrist visits with mental disorders (10.18 to 17.56) (OR=1.26, 95%CI 1.26-1.27), psychotropic medications (15.93 to 20.52) (OR = 1.09, 95%CI 1.09-1.10), and psychotherapy (0.69 to 2.55) (OR = 1.79, 95%CI 1.77-1.81). By contrast, the rate of per 100 youths of non-psychiatrist visits with mental disorders is higher than the rate of psychiatrist visits (3.16 to 12.87; 2.51 to 7.87). Additionally, non-psychiatrist visits with psychotherapy increased significantly faster than psychiatrist in youths (OR= 2.53 and 1.37, respectively). Conclusions: Overall, the mental health visits to either psychiatrists or non-psychiatrists had increased significantly from 2000 to 2010. Non-psychiatrists play an important role in mental health care provision, particularly among youths. The significant role and treatment patterns of non-psychiatrists in providing mental health services shall not be overlooked. However, the differences in treatment patterns between psychiatrists and non-psychiatrists may need further investigations and more attentions.
Kordes, Doris. "The arts of care in an asylum and a community 1925-2004: Kenmore Hospital, New South Wales and Canberra, the Australian Capital Territory." Phd thesis, 2009. http://hdl.handle.net/1885/155196.
Full textFeo, Paolo. "Policing and planning child and adolescent neuropsychiatry : the reform process in Bologna 2009-2014." Master's thesis, 2014. http://hdl.handle.net/10362/14248.
Full textChang, Tsochen, and 張作貞. "Trend in mental health services utilization and treatment dropout predictors for patients with psychiatric disorder in Taiwan - from 1997 to 2004." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/12511804948713558946.
Full text國立暨南國際大學
社會政策與社會工作學系
100
The study is a longitudinal examination of mental health services utilization and treatment dropout risk factors for patients with schizophrenia and manic-depression psychosis from 1997 to 2004. The claim data of this study comes from the LHID2000 of Bureau of National Health Insurance. Repeated recurrent event survival analyses were used to identify predictors of treatment dropout. Main findings of this study were as follows: (1).Number of patients with serious mental illness had an increased tendency that the average year-growth rate was 17% from 1997 to 2004. The proportion of using mental health services decreased from 96.7% in 1997 to 52.8% in 2004. However, unused proportion of mental illness persons was increased year by year. The newly cases of serious mental illness leaved off treatment in the following year ranged form 44.4% to 59.8%. (2).The average expenditure of mental health services and medicine rose year after year. Using community rehabilitation services was lower than using daycare wards of hospitals. (3).The average length of stay for acute care had a decreased direction from 41.8 days in 1997 to 28.2 days in 2004 in patients with Schizophrenia, and form 17.6 days to 16.1 days in those with manic-depression psychosis. (4).The average admission day of Schizophrenia had a drop course from 54.3 days in 1997 to 36.0 days in 2004 for acute treatment (<=180 days), and from 322.9 days to 314.5 days for non-acute treatment (>180 days). The average admission day of manic-depression psychosis was steadily kept on 26.1 days during 1997-2004 for acute treatment. Otherwise, non-acute treatment had a downside from 291.0 days in 1997 to 265.7 days in 2004. The risk factors of treatment dropout are: (1).the female sex, young age, underinsured status, and schizophrenia were associated with high dropout risk. (2).psychiatric comorbidity was related with a trend toward dropout. (3).patients who used daycare services and psychiatric community rehabilitation services had a higher dropout rate than who did not use these services. (4).patients who had catastrophic illness cards were at higher dropout risk than those without the cards. The results also support the planning process and improvement of mental treatment system.
Ibell, Bernadette Mary. "An analysis of mental health care in Australia from a social justice and human rights perspective, with special reference to the influences of England and the United States of America: 1800-2004 /." 2004. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp113.25102006/index.html.
Full textSubmitted in fulfillment of the requirements for the degree of Doctor of Philosophy. Includes bibliographical references (p. 345-375). Also available in an electronic format via the internet.
"Trends in insurance coverage and out-of-pocket payments for mental health and substance abuse services: An examination of Medical Expenditure Panel Survey data, 1996--2004." THE UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH, 2008. http://pqdtopen.proquest.com/#viewpdf?dispub=3304200.
Full textDaw, Christina Marie Nunez Roberts Robert E. Rosenau Pauline Vaillancourt. "Trends in insurance coverage and out-of-pocket payments for mental health and substance abuse services : an examination of Medical Expenditure Panel Survey data, 1996--2004 /." 2008. http://proquest.umi.com.www5.sph.uth.tmc.edu:2048/pqdweb?did=1503397361&sid=1&Fmt=2&clientId=92&RQT=309&VName=PQD.
Full text"May 2008." Source: Dissertation Abstracts International, Volume: 69-03, Section: B, page: 1561. Adviser: Luisa Franzini. Includes bibliographical references.
Giuntoli, G., S. Hughes, Kate Karban, and J. South. "Towards a middle-range theory of mental health and well-being effects of employment transitions: Findings from a qualitative study on unemployment during the 2009-2010 economic recession." 2014. http://hdl.handle.net/10454/9084.
Full textTaylor, Joanna Jane. "Appeals against assisted and involuntary admission under the Mental Health Care Act no 17 of 2002 in region A, Gauteng Province, South Africa, between December 2004 and December 2011." Thesis, 2015. http://hdl.handle.net/10539/18471.
Full textPinheiro, Vera. "Association between the 2009-2014 economic crisis, suicide and self-harm in Portugal: time series analysis." Master's thesis, 2021. http://hdl.handle.net/10362/135190.
Full textRESUMO - Introdução: Está bem estabelecido na literatura que a saúde das populações é altamente influenciada pelo seu contexto socioeconómico, segurança social, mercado de trabalho, políticas públicas e características demográficas. Como tal, alterações nestes determinantes podem refletir-se na saúde mental e no bem-estar de uma população, através de fatores de risco como desemprego, dificuldades financeiras, dívidas ou problemas laborais, sendo que os indivíduos a eles sujeitos estão geralmente mais suscetíveis para problemas de saúde mental. Após a crise financeira global de 2008, vários estudos encontraram resultados contraditórios no que toca a esta associação, com alguns a mostrar um risco aumentado de comportamento suicidário (suicídios e tentativas de suicídio, muitas das quais requerem hospitalização), no mundo e na Europa, enquanto outros encontraram a associação inversa. Tanto quanto foi possível averiguar, não existem estudos em Portugal sobre o assunto, neste período de tempo. Assim, o objetivo deste estudo foi estimar o impacto da crise económica de 2009- 2014 nas tendências de óbitos e hospitalizações por suicídio e lesões autoinfligidas em Portugal. Métodos: Foi realizado um estudo retrospetivo ecológico, com análise de séries temporais interrompidas de hospitalizações e óbitos por suicídio e lesões autoinfligidas (dados da Base de Dados de Morbilidade Hospitalar) em Portugal Continental, em 2003- 2014. Os dados relativos à população residente em Portugal com 15 anos de idade ou mais foram retirados da base de dados do Instituto Nacional de Estatística. Através de modelos binomiais negativos, foram comparadas as tendências das taxas de mortalidade e hospitalizações por suicídio no período da crise económica (2009-2014) em comparação com o período anterior (2003-2008), em Portugal Continental. Foram calculados os coeficientes da regressão (p < 0.05), bem como os Intervalos de Confiança a 95%. Toda a análise foi estratificada e ajustada para sazonalidade. Resultados: Globalmente, para o total da população, verificou-se uma associação positiva e estatisticamente significativa entre a crise económica de 2009-2014 e as tendências das taxas de mortalidade e de hospitalização por suicídio, com o desemprego a desempenhar um papel de mediador de efeito com resultados opostos. No entanto, e em linha com a literatura, existem grandes diferenças nos resultados da análise estratificada, com homens, indivíduos em idade ativa e residentes nas regiões do Norte e Centro a sofrer o maior impacto. Conclusões: As crises económicas constituem riscos significativos para comportamento suicidário, sendo esta uma área urgente para intervenção prioritária, especialmente no contexto do grande impacto económico da crise provocada pela pandemia de COVID-19, com enorme potencial impacto na saúde mental.