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  1. Book: Multidimensional outcomes in "real world" mental health services

    Lasalvia, Antonio

    follow-up findings from the South Verona outcome project

    (Acta psychiatrica Scandinavica : Supplementum ; 437)

    2007  

    Author's details guest ed.: Antonio Lasalvia
    Series title Acta psychiatrica Scandinavica : Supplementum ; 437
    Acta psychiatrica Scandinavica
    Acta psychiatrica Scandinavica ; Supplementum
    Collection Acta psychiatrica Scandinavica
    Acta psychiatrica Scandinavica ; Supplementum
    Language English
    Size 77 S.
    Publisher Blackwell Munksgaard
    Publishing place Oxford
    Publishing country Great Britain
    Document type Book
    HBZ-ID HT015366318
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    Ui I Zs 141 -Suppl.437- verfügbar in Königswinter Königswinter

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  2. Article ; Online: Emergenze epidemiche e stigma sociale. Quali insegnamenti trarre dalle precedenti epidemie di SARS ed Ebola da applicare nell’attuale pandemia CoViD-19?

    Lasalvia, Antonio

    Rivista di psichiatria

    2020  Volume 55, Issue 4, Page(s) 250–253

    Abstract: Scientific literature produced during the most recent international epidemic emergencies, such as SARS and Ebola, highlights that infected persons are often labeled, rejected, discriminated and subjected to loss of status due to their perceived link with ...

    Title translation Epidemic emergencies and social stigma. Which lessons should we learn from SARS and Ebola epidemics for the current CoViD-19 pandemics?
    Abstract Scientific literature produced during the most recent international epidemic emergencies, such as SARS and Ebola, highlights that infected persons are often labeled, rejected, discriminated and subjected to loss of status due to their perceived link with the disease. Such experiences of discrimination may have detrimental effects on both patients, their family members, friends and communities. It is also possible that those who have been infected with COVD-19 may experience shame, guilt and sense of isolation arising from social stigma. It is therefore important to take full advantage of experiences gained during past epidemic crises, in order to implement timely measures to tackle this further negative consequence of the pandemic.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Communication ; Coronavirus Infections/epidemiology ; Coronavirus Infections/psychology ; Emergencies ; Epidemics ; Family/psychology ; Hemorrhagic Fever, Ebola/epidemiology ; Hemorrhagic Fever, Ebola/psychology ; Humans ; Language ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/psychology ; SARS-CoV-2 ; Severe Acute Respiratory Syndrome/epidemiology ; Severe Acute Respiratory Syndrome/psychology ; Social Isolation/psychology ; Social Stigma
    Keywords covid19
    Language Italian
    Publishing date 2020-07-22
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 205570-3
    ISSN 2038-2502 ; 0035-6484
    ISSN (online) 2038-2502
    ISSN 0035-6484
    DOI 10.1708/3417.34003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Emergenze epidemiche e stigma sociale. Quali insegnamenti trarre dalle precedenti epidemie di SARS ed Ebola da applicare nell'attuale pandemia CoViD-19?/ [Epidemic emergencies and social stigma. Which lessons should we learn from SARS and Ebola epidemics for the current CoViD-19 pandemics?]

    Lasalvia, Antonio

    Riv Psichiatr

    Abstract: Scientific literature produced during the most recent international epidemic emergencies, such as SARS and Ebola, highlights that infected persons are often labeled, rejected, discriminated and subjected to loss of status due to their perceived link with ...

    Abstract Scientific literature produced during the most recent international epidemic emergencies, such as SARS and Ebola, highlights that infected persons are often labeled, rejected, discriminated and subjected to loss of status due to their perceived link with the disease. Such experiences of discrimination may have detrimental effects on both patients, their family members, friends and communities. It is also possible that those who have been infected with COVD-19 may experience shame, guilt and sense of isolation arising from social stigma. It is therefore important to take full advantage of experiences gained during past epidemic crises, in order to implement timely measures to tackle this further negative consequence of the pandemic.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #690715
    Database COVID19

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  4. Article ; Online: Advance statements in mental healthcare: time to close the evidence to practice gap.

    Lasalvia, Antonio / Patuzzo, Sara / Braun, Esther / Henderson, Claire

    Epidemiology and psychiatric sciences

    2023  Volume 32, Page(s) e68

    Abstract: This article discusses advance statements in mental health care, which allow individuals with mental disorders to express their preferences for treatment during mental health crises. Despite the evidence supporting their effectiveness, their ... ...

    Abstract This article discusses advance statements in mental health care, which allow individuals with mental disorders to express their preferences for treatment during mental health crises. Despite the evidence supporting their effectiveness, their implementation in clinical practice remains limited. This article explores variations among advance statements, such as psychiatric advance directives (PADs), joint crisis plans (JCPs) and self-binding directives (SBDs), highlighting their content, development process and legal status. We outline the benefits of advance statements, including empowerment, early intervention, improved therapeutic relationships and reduced compulsory admissions. We then draw attention to the challenges that may contribute to their lack of implementation, including legal complexities, communication issues, cultural factors, potential inequities, healthcare provider knowledge, changing preferences, resource constraints, crisis responses, data privacy, family involvement, and long-term evaluation. In conclusion, advance statements offer significant benefits but require addressing these critical aspects to ensure ethical and effective use. Bridging the evidence-to-practice gap is essential, with a focus on implementation science. Integrating these tools into routine clinical practice can significantly benefit individuals with severe mental disorders and mental health systems.
    MeSH term(s) Humans ; Professional Practice Gaps ; Mental Disorders/therapy ; Mental Disorders/psychology ; Advance Directives/psychology ; Mental Health Services ; Mental Health
    Language English
    Publishing date 2023-12-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2607964-1
    ISSN 2045-7979 ; 2045-7960
    ISSN (online) 2045-7979
    ISSN 2045-7960
    DOI 10.1017/S2045796023000835
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Advance statements in mental healthcare

    Antonio Lasalvia / Sara Patuzzo / Esther Braun / Claire Henderson

    Epidemiology and Psychiatric Sciences, Vol

    time to close the evidence to practice gap

    2023  Volume 32

    Abstract: This article discusses advance statements in mental health care, which allow individuals with mental disorders to express their preferences for treatment during mental health crises. Despite the evidence supporting their effectiveness, their ... ...

    Abstract This article discusses advance statements in mental health care, which allow individuals with mental disorders to express their preferences for treatment during mental health crises. Despite the evidence supporting their effectiveness, their implementation in clinical practice remains limited. This article explores variations among advance statements, such as psychiatric advance directives (PADs), joint crisis plans (JCPs) and self-binding directives (SBDs), highlighting their content, development process and legal status. We outline the benefits of advance statements, including empowerment, early intervention, improved therapeutic relationships and reduced compulsory admissions. We then draw attention to the challenges that may contribute to their lack of implementation, including legal complexities, communication issues, cultural factors, potential inequities, healthcare provider knowledge, changing preferences, resource constraints, crisis responses, data privacy, family involvement, and long-term evaluation. In conclusion, advance statements offer significant benefits but require addressing these critical aspects to ensure ethical and effective use. Bridging the evidence-to-practice gap is essential, with a focus on implementation science. Integrating these tools into routine clinical practice can significantly benefit individuals with severe mental disorders and mental health systems.
    Keywords community mental health ; discrimination ; ethics ; rights of persons with disabilities ; social and political issues ; Neurosciences. Biological psychiatry. Neuropsychiatry ; RC321-571 ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Cambridge University Press
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  6. Article ; Online: Changes in emergency psychiatric consultations in time of COVID-19: a retrospective observational study in the Verona Academic Hospital over the two pandemic years 2020-2021.

    Bodini, Luca / Bonetto, Chiara / Maccagnani, Antonio / Bonora, Antonio / Polati, Enrico / Ricci, Giorgio / Paolillo, Ciro / Amaddeo, Francesco / Lasalvia, Antonio

    BMC emergency medicine

    2023  Volume 23, Issue 1, Page(s) 18

    Abstract: Background: During the first months of the COVID-19 pandemic, local health authorities in most Italian regions prescribed a reduction of ordinary outpatient and community mental health care. The aim of this study was to assess the impact of the COVID-19 ...

    Abstract Background: During the first months of the COVID-19 pandemic, local health authorities in most Italian regions prescribed a reduction of ordinary outpatient and community mental health care. The aim of this study was to assess the impact of the COVID-19 pandemic on access to the emergency departments (ED) for psychiatric consultation in the pandemic years 2020 and 2021 compared to 2019.
    Methods: This is a retrospective study conducted by using routinely collected administrative data of the two EDs of the Verona Academic Hospital Trust (Verona, Italy). All ED psychiatry consultations registered from 01.01.2020 to 31.12.2021 were compared with those registered in the pre-pandemic year (01.01.2019 to 31.12.2019). The association between each recorded characteristic and the year considered was estimated by chi-square or Fisher's exact test.
    Results: A significant reduction was observed between 2020 and 2019 (-23.3%) and between 2021 and 2019 (-16.3%). This reduction was most evident in the lockdown period of 2020 (-40.3%) and in the phase corresponding to the second and third pandemic waves (-36.1%). In 2021, young adults and people with diagnosis of psychosis showed an increase in requests for psychiatric consultation.
    Conclusions: Fear of contagion may have been an important factor in the overall reduction in psychiatric consultations. However, psychiatric consultations for people with psychosis and for young adults increased. This finding underlines the need for mental health services to implement alternative outreach strategies aimed to support, in times of crisis, these vulnerable segments of the population.
    MeSH term(s) Young Adult ; Humans ; COVID-19/epidemiology ; Pandemics ; Retrospective Studies ; Communicable Disease Control ; Hospitals ; Emergency Service, Hospital ; Referral and Consultation
    Language English
    Publishing date 2023-02-15
    Publishing country England
    Document type Observational Study ; Journal Article
    ZDB-ID 2050431-7
    ISSN 1471-227X ; 1471-227X
    ISSN (online) 1471-227X
    ISSN 1471-227X
    DOI 10.1186/s12873-023-00788-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Behind the screen of voluntary psychiatric hospital admissions: A qualitative exploration of treatment pressures and informal coercion in experiences of patients in Italy, Poland and the United Kingdom.

    Klingemann, Justyna / Świtaj, Piotr / Lasalvia, Antonio / Priebe, Stefan

    The International journal of social psychiatry

    2021  Volume 68, Issue 2, Page(s) 457–464

    Abstract: Background: Despite the extensive research and intense debate on coercion in psychiatry we have seen in recent years, little is still known about formally voluntarily admitted patients, who experience high levels of perceived coercion during their ... ...

    Abstract Background: Despite the extensive research and intense debate on coercion in psychiatry we have seen in recent years, little is still known about formally voluntarily admitted patients, who experience high levels of perceived coercion during their admission to a psychiatric hospital.
    Aims: The purpose of the present research was to explore forms of treatment pressure put on patients, not only by clinicians, but also by patients' relatives, during admission to psychiatric hospitals in Italy, Poland and the United Kingdom.
    Methods: Data were obtained via in-depth, semi-structured interviews with patients (
    Results: The results of the analysis confirm that the legal classifications of involuntary and voluntary hospitalisation do not capture the fundamental distinctions between patients who are and are not coerced into treatment. Our findings show that the level of perceived coercion in voluntary patients ranges from 'persuasion' and 'interpersonal leverage' (categorised as treatment pressures) to 'threat', 'someone else's decisions' and 'violence' (categorised as informal coercion).
    Conclusion: We suggest that the term 'treatment pressures' be applied to techniques for convincing patients to follow a suggested course of treatment by offering advice and support in getting professional help, as well as using emotional arguments based on the personal relationship with the patient. In turn, we propose to reserve the term 'informal coercion' to describe practices for pressuring patients into treatment by threatening them, by making them believe that they have no choice, and by taking away their power to make autonomous decisions.
    MeSH term(s) Coercion ; Hospitalization ; Hospitals, Psychiatric ; Humans ; Mental Disorders/psychology ; Mental Disorders/therapy ; Poland ; United Kingdom
    Language English
    Publishing date 2021-04-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 3062-4
    ISSN 1741-2854 ; 0020-7640
    ISSN (online) 1741-2854
    ISSN 0020-7640
    DOI 10.1177/00207640211003942
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  8. Article ; Online: Renaming schizophrenia: benefits, challenges and barriers.

    Lasalvia, Antonio / Ruggeri, Mirella

    Epidemiology and psychiatric sciences

    2018  Volume 28, Issue 3, Page(s) 251–253

    MeSH term(s) Humans ; Psychotic Disorders/diagnosis ; Psychotic Disorders/psychology ; Schizophrenia/diagnosis ; Schizophrenic Psychology ; Social Stigma
    Language English
    Publishing date 2018-11-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 2607964-1
    ISSN 2045-7979 ; 2045-7960
    ISSN (online) 2045-7979
    ISSN 2045-7960
    DOI 10.1017/S2045796018000677
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  9. Article ; Online: Association between persistent dyspnea and psychological distress in COVID-19 survivors. A cross-sectional evaluation at 11 months after hospitalization.

    Bodini, Luca / Sartori, Giulia / Bonetto, Chiara / Ranzolin, Michele / Bertuetti, Anna / Miscetti, Francesca / Lasalvia, Antonio / Crisafulli, Ernesto

    Respiratory medicine and research

    2023  Volume 84, Page(s) 101067

    MeSH term(s) Humans ; COVID-19/complications ; COVID-19/epidemiology ; Cross-Sectional Studies ; Survivors/psychology ; Dyspnea/epidemiology ; Dyspnea/etiology ; Psychological Distress ; Hospitalization
    Language English
    Publishing date 2023-11-12
    Publishing country France
    Document type Letter
    ISSN 2590-0412
    ISSN (online) 2590-0412
    DOI 10.1016/j.resmer.2023.101067
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  10. Article ; Online: Should we be concerned about stigma and discrimination in people at risk for psychosis? A systematic review.

    Colizzi, Marco / Ruggeri, Mirella / Lasalvia, Antonio

    Psychological medicine

    2020  Volume 50, Issue 5, Page(s) 705–726

    Abstract: Background: Previous studies have provided initial evidence that people at risk for psychosis (PR) suffer from stigma and discrimination related to their condition. However, no study has systematically reviewed stigma and discrimination associated with ... ...

    Abstract Background: Previous studies have provided initial evidence that people at risk for psychosis (PR) suffer from stigma and discrimination related to their condition. However, no study has systematically reviewed stigma and discrimination associated with being at PR and the potential underlying mechanisms.
    Methods: This work aimed to systematically review all studies addressing stigma and discrimination in PR people in order to assess: (1) the occurrence of this phenomenon and its different components (public, internalized, perceived, and labeling-related), (2) whether stigma affects outcomes of the PR state, and (3) whether other factors modulate stigma among PR individuals.
    Results: The reviewed studies (n = 38) widely differ in their design, methodological quality, and populations under investigation, thus limiting direct comparison of findings. However, converging evidence suggests that the general public endorses stigmatizing attitudes towards PR individuals, and that this is more frequent in people with a low educational level or with no direct experience of the PR state. PR individuals experience more internalized stigma and perceive more discrimination than healthy subjects or patients with non-psychotic disorders. Further, PR labeling is equally associated with both positive (e.g. validation and relief) and negative effects (e.g. status loss and discrimination). Moreover, stigma increases the likelihood of poor outcome, transition to full-psychosis, disengagement from services, and family stigma among PR individuals. Finally, very limited evidence awaiting replication supports the efficacy of cognitive therapies in mitigating the negative effects of stigma.
    Conclusions: Evidence confirms previous concerns about stigma and its negative consequences for PR individuals, thus having important public health implications.
    MeSH term(s) Adolescent ; Adult ; Aged ; Child ; Female ; Humans ; Male ; Middle Aged ; Psychotic Disorders/psychology ; Social Stigma ; Stereotyping ; Young Adult
    Language English
    Publishing date 2020-02-17
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 217420-0
    ISSN 1469-8978 ; 0033-2917
    ISSN (online) 1469-8978
    ISSN 0033-2917
    DOI 10.1017/S0033291720000148
    Database MEDical Literature Analysis and Retrieval System OnLINE

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