- Suicide and Self-Harm Studies
- Mental Health Treatment and Access
- Dementia and Cognitive Impairment Research
- Health disparities and outcomes
- Psychosomatic Disorders and Their Treatments
- Homicide, Infanticide, and Child Abuse
- Health, psychology, and well-being
- Spondyloarthritis Studies and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Poisoning and overdose treatments
- Pharmaceutical Practices and Patient Outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Cerebrovascular and Carotid Artery Diseases
- Gun Ownership and Violence Research
- Child and Adolescent Psychosocial and Emotional Development
- Schizophrenia research and treatment
- Autoimmune and Inflammatory Disorders Research
- Alzheimer's disease research and treatments
- Employment and Welfare Studies
- Stroke Rehabilitation and Recovery
- Parkinson's Disease Mechanisms and Treatments
- Cerebrovascular and genetic disorders
- Geriatric Care and Nursing Homes
- Frailty in Older Adults
- Neurological and metabolic disorders
Children's Hospital of Orange County
2025
Swansea University
2012-2024
Health Data Research UK
2020
Farr Institute
2015-2018
Institute of Life Sciences
2012
Thomas Jefferson University
2011
University of Wales
2009
University of Leicester
1998-2008
University of California, Berkeley
2007
Leicester General Hospital
1994-2007
Background Personal debt is one of many factors associated with anxiety, depression and suicidality. The aim this study was to examine the relationship between personal suicidal ideation in context sociodemographic factors, employment income, lifestyle behaviours, recently experienced traumatic events. Method Interviews were conducted a random probability sample comprising 7461 respondents for third national survey psychiatric morbidity adults England. Fieldwork carried out throughout 2007....
The purpose of this study was to utilize data from the 2000 British National Survey Psychiatric Morbidity, a randomized cross-sectional survey population that included questions relating phenomena suicidality and sexual abuse, test hypothesis suicide attempts in women are significantly associated with history abuse.Participants were male female volunteers, ages 16 74 years old (N=8,580), interviewed Morbidity.Sexual abuse strongly as well suicidal intent more common women. attributable risk...
To examine whether self-reported exposure to bullying during childhood is associated with suicide attempts over the life course, and if so, what mechanisms could account for this relationship.A random probability sample comprising 7461 respondents was interviewed 2007 survey of psychiatric morbidity adults in Great Britain. Survey were asked about suicidal they bullied childhood.Recall being decreased age from 25% 16-24-year-olds 4% among those 75 or few differences proportions between men...
Background Suicide reduction is government strategy in many countries. We need to quantify the connection between non-fatal self-poisoning and eventual suicide. Aims To determine mortality after an episode of identify predictors death by any cause or Method A retrospective single-group cohort study was undertaken with 976 consecutive patients attending a large accident emergency unit 1985–1986 self-poisoning. Information about deaths determined from Office for National Statistics. Results Of...
To examine relationships between suicidal ideation, self-harm, and suicide attempts, including the timing of phenomena.The British National Psychiatric Morbidity Survey (NPMS) 2000, a randomised cross-sectional survey population (n=8,580), included detailed questions about phenomena.Suicidal phenomena were common in population: fifth had experienced tedium vitae, nearly one six death wishes or considered suicide. 4.4% study attempted at some time. The individual elements suicidality, though...
Background Longitudinal studies of patterns healthcare contacts in those who die by suicide to identify at risk are scarce. Aims To examine type and timing suicide. Method A population-based electronic case–control study all died Wales, 2001–2017, linking individuals’ records from general practices, emergency departments hospitals. We used conditional logistic regression calculate odds ratios, adjusted for deprivation. performed a retrospective continuous longitudinal analysis comparing...
Background Concerns relating to increased use of psychotropic medication contrast with those under-treatment and under-recognition common mental disorders in children young people (CYP) across developed countries. Little is known about the indications recorded for antidepressant prescribing primary care CYP. Method This was an electronic cohort study routinely collected primary-care data from a population 1.9 million, Wales, UK. Poisson regression undertaken model adjusted counts depression...
Exercise is reported to improve function for people with ankylosing spondylitis (AS) but it not clear if this effect causal or patients milder disease find easier exercise. This study examines the of exercise and motivation on function, while controlling severity. Participants who were members an existing AS cohort asked about physical activity, exercise, Path analysis STATA was used examine correlation between factors associated at time after 3 months follow-up. The response rate...
Background People with dementia are susceptible to adverse drug reactions (ADRs). However, they not always closely monitored for potential problems relating their medicines: structured nurse-led ADR Profiles have the address this care gap. We aimed assess number and nature of clinical identified addressed changes in prescribing following introduction medicines' monitoring. Design Pragmatic cohort stepped-wedge cluster Randomised Controlled Trial (RCT) monitoring versus usual care. Setting...
Over recent years there has been growing evidence of increased risk mortality associated with antipsychotic use in older people dementia. Although this concern combined limited efficacy informed guidelines restricting prescription population, the antipsycotics remains common. Many published studies only report short-term outcomes, are restricted to examining and stroke or have other limitations. The aim study was assess adverse outcomes antipsychotics living dementia Wales (UK).This a...
Abstract Background The association between late life depression and cerebro‐vascular risk disease is well established. Do similar links exist with onset bipolar disorder? Aims Objectives Patients early (less than 60 years of age) disorder were compared those (aged above) in relation to cognitive function, physical health vascular factors. Method Cross‐sectional survey elderly patients (above 65 years) involved secondary care mental services. Thirty 20 a disorder. Diagnosis was according...
Background. Previous studies have examined suicidal ideation in older populations and emphasized the strong association with presence of psychiatric disorder. However, associations disorder across age range are unclear. Representative epidemiological estimates needed. Method. In a national survey morbidity Great Britain, 8580 randomly selected adults were interviewed. Three questions asked to assess ideation, was identified using revised Clinical Interview Schedule (CIS-R). Results. Suicidal...
Little is known regarding the recognition of anxiety in children and young people (CYP) primary care. This study examined trends presentation, recording anxiolytic hypnotic prescriptions for CYP A population-based retrospective electronic cohort individuals aged 6–18 years between 2003 2011 within Secure Anonymised Information Linkage (SAIL) Databank care database was created. Incidence rates were calculated using person at risk (PYAR) as a denominator accounting deprivation, age gender. We...
Background Up to 2% of suicides in young people may occur clusters i.e., close together time and space. In early 2008 unprecedented attention was given by national international news media a suspected suicide cluster among living Bridgend, Wales. This paper investigates the strength statistical evidence for this apparent cluster, its size, temporal geographical limits. Methods findings The analysis is based on official mortality statistics Wales 2000–2009 provided UK's Office National...
Background One of the most important outcomes following an episode non-fatal deliberate self-poisoning is its repetition. Method In a prospective follow-up study subjects were 992 people responsible for 1096 consecutive episodes recorded at teaching hospital accident and emergency department. Risk factors examined socio–demographic variables, psychiatric self-harm history, aspects episode, appearance behaviour emergency; frequency each was compared between those patients who repeated within...
Summary Studying non-fatal self-harm in older adults may provide insight into suicidal behaviour this age group. The objectives of the study were to determine clinical factors that might help differentiate those with depression who are most at risk and suicide. We examined social factors, life events, hopelessness other symptoms a group 48 people referred following an episode compared 50 similarly aged had no history self-harm. groups similar many respects, although more likely have poorly...
The majority of residents in care homes the United Kingdom are living with dementia or significant memory problems. Caring this setting can be difficult and stressful for staff who work long hours, have little opportunity training, poorly paid yet subject to high expectation. This may affect their mental physical wellbeing, cause rates turnover absenteeism, quality they provide. main objective survey was explore nature, characteristics associations stress home staff.Staff working a...