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  1. Article: EPIDEMIOLOGIA DELLA SALUTE MENTALE - L’uso di ampie banche dati correnti per l’analisi dei servizi per la salute mentale.

    Amaddeo, Francesco

    Epidemiologia e prevenzione

    2018  Volume 42, Issue 1, Page(s) 98–99

    Title translation Using large current databases to analyze mental health services.
    MeSH term(s) Big Data ; Data Mining ; Databases, Factual ; Forecasting ; Health Information Systems ; Humans ; Italy ; Mental Health Services/statistics & numerical data ; Social Media
    Language Italian
    Publishing date 2018-03-02
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1038112-0
    ISSN 1120-9763
    ISSN 1120-9763
    DOI 10.19191/EP18.1.P098.028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: EPIDEMIOLOGIA DELLA SALUTE MENTALE. L’approccio geografico in salute mentale.

    Salazzari, Damiano / Amaddeo, Francesco

    Epidemiologia e prevenzione

    2018  Volume 42, Issue 3-4, Page(s) 257–258

    Title translation Geographic approach for mental health.
    MeSH term(s) Geographic Information Systems ; Humans ; Mental Disorders/epidemiology
    Language Italian
    Publishing date 2018-07-31
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1038112-0
    ISSN 1120-9763
    ISSN 1120-9763
    DOI 10.19191/EP18.3-4.P257.076
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Suicide mortality among psychiatric patients in Northeast Italy: a 10-year cohort study.

    Girardi, Paolo / Boldrini, Tommaso / Braggion, Marco / Schievano, Elena / Amaddeo, Francesco / Fedeli, Ugo

    Epidemiology and psychiatric sciences

    2022  Volume 31, Page(s) e17

    Abstract: Aims: The present study investigated the relationship between suicide mortality and contact with a community mental health centre (CMHC) among the adult population in the Veneto Region (northeast Italy, population 4.9 million). Specifically, it ... ...

    Abstract Aims: The present study investigated the relationship between suicide mortality and contact with a community mental health centre (CMHC) among the adult population in the Veneto Region (northeast Italy, population 4.9 million). Specifically, it estimated the effects of age, gender, time elapsed since the first contact with a CMHC, calendar year of diagnosis and diagnostic category on suicide mortality and modality.
    Methods: The regional mortality archive was linked to electronic medical records for all residents aged 18-84 years who had been admitted to a CMHC in the Veneto Region in 2008. In total, 54 350 subjects diagnosed with a mental disorder were included in the cohort and followed up for a period of 10 years, ending in 2018. Years of life lost (YLL) were computed and suicide mortality was estimated as a mortality rate ratio (MRR).
    Results: During the follow-up period, 4.4% of all registered deaths were from suicide, but, given the premature age of death (mean 52.2 years), suicide death accounted for 8.7% of YLL; this percentage was particularly high among patients with borderline personality disorder (27.2%), substance use disorder (12.1%) and bipolar disorder (11.5%) who also presented the highest suicide mortality rates. Suicide mortality rates were halved in female patients (MRR 0.45; 95% CI 0.37-0.55), highest in patients aged 45-54 years (MRR 1.56; 95% CI 1.09-2.23), and particularly elevated in the 2 months following first contact with CMHCs (MRR 10.4; 95% CI 5.30-20.3). A sensitivity analysis restricted to patients first diagnosed in 2008 confirmed the results. The most common modalities of suicide were hanging (47%), jumping (18%), poisoning (13%) and drowning (10%), whereas suicide from firearm was rare (4%). Gender, age at death and time since first contact with CMHCs influenced suicide modality.
    Conclusions: Suicide prevention strategies must be promptly initiated after patients' first contact with CMHCs. Patients diagnosed with borderline personality disorder, substance use disorder and bipolar disorder may be at particularly high risk for suicide.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bipolar Disorder/epidemiology ; Cohort Studies ; Female ; Humans ; Italy/epidemiology ; Middle Aged ; Substance-Related Disorders/epidemiology ; Suicide/psychology ; Young Adult
    Language English
    Publishing date 2022-03-30
    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/S2045796021000792
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. 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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  5. Article ; Online: Risk of death from natural causes increased in people with psychiatric admissions.

    Amaddeo, Francesco

    Evidence-based mental health

    2008  Volume 11, Issue 4, Page(s) 106

    Language English
    Publishing date 2008-11
    Publishing country England
    Document type Comment ; Journal Article
    ZDB-ID 2009065-1
    ISSN 1468-960X ; 1362-0347
    ISSN (online) 1468-960X
    ISSN 1362-0347
    DOI 10.1136/ebmh.11.4.106
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak-A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy.

    Lasalvia, Antonio / Bodini, Luca / Amaddeo, Francesco / Porru, Stefano / Carta, Angela / Poli, Ranieri / Bonetto, Chiara

    International journal of environmental research and public health

    2021  Volume 18, Issue 24

    Abstract: This study aimed to evaluate the mental health outcomes of health care workers (HCWs) of the Verona academic hospital trust (Italy) one year after the outbreak of COVID-19 and to identify predicted risk factors. A web-based survey was conducted from mid- ... ...

    Abstract This study aimed to evaluate the mental health outcomes of health care workers (HCWs) of the Verona academic hospital trust (Italy) one year after the outbreak of COVID-19 and to identify predicted risk factors. A web-based survey was conducted from mid-April to mid-May 2021 on hospital workers one year after the first evaluation performed during the lock-down phase of the COVID-19 pandemic. Post-traumatic stress, general anxiety, depression, and burnout were assessed by using, respectively, the impact of event scale (IES-R), the self-rating anxiety scale (SAS), the patient health questionnaire (PHQ-9) and the Maslach burnout inventory-general survey (MBI-GS). Multivariate logistic regression analysis was performed to identify factors associated with each of the four mental health outcomes one year after the COVID-19 outbreak. A total of 1033 HCWs participated. The percentage of HCWs scoring above the cut-off increased from 2020 to 2021 in all of the outcome domains (anxiety, 50.1% vs. 55.7,
    MeSH term(s) Anxiety/epidemiology ; Burnout, Professional/epidemiology ; COVID-19 ; Communicable Disease Control ; Cross-Sectional Studies ; Depression/epidemiology ; Disease Outbreaks ; Health Personnel ; Humans ; Pandemics ; SARS-CoV-2 ; Tertiary Care Centers
    Language English
    Publishing date 2021-12-19
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph182413374
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  7. Article ; Online: Causes of mortality in a large population-based cohort of psychiatric patients in Southern Europe.

    Girardi, Paolo / Schievano, Elena / Fedeli, Ugo / Braggion, Marco / Nuti, Marco / Amaddeo, Francesco

    Journal of psychiatric research

    2021  Volume 136, Page(s) 167–172

    Abstract: The World Health Organization considers excess morbidity and mortality among people with mental disorders as a high public health priority. This study aims to estimate the mortality risk and causes of death among a large population-based cohort of ... ...

    Abstract The World Health Organization considers excess morbidity and mortality among people with mental disorders as a high public health priority. This study aims to estimate the mortality risk and causes of death among a large population-based cohort of psychiatric patients. All residents in Veneto (Northeastern Italy) aged between 18 and 84 years with a contact with Community Mental Health Centers in 2008 and a psychiatric diagnosis (n = 54,350) were followed-up for 10 years. Standardized Mortality Ratios (SMR) and excess mortality were computed, with the general regional population as a reference. Mortality was more than doubled (males SMR = 2.4; females SMR = 2.2) and the relative increase in mortality was much larger in young and middle-aged adults (18-44 and 45-64 years) across all diagnostic groups. The most frequent causes were circulatory diseases (27%) and neoplasms (26%). Although the risk was increased by about tenfold, deaths from suicide were limited to 6% and 4% of all decedents in males and females, respectively. Patients with schizophrenia showed a very high risk for mortality for diabetes and cardiovascular disorders. A large excess was found also for respiratory diseases and a two-fold increase for lung cancer in males and breast cancer in females. Although chronic physical disorders are known to be the main causes of mortality in such patients, they receive far less attention than suicide or accidents. Our results suggest that there is still a need to plan actions to prevent excess mortality and to improve the quality of life of patients with mental disorders.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cause of Death ; Cohort Studies ; Europe ; Female ; Humans ; Italy/epidemiology ; Male ; Middle Aged ; Mortality ; Quality of Life ; Young Adult
    Language English
    Publishing date 2021-02-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 3148-3
    ISSN 1879-1379 ; 0022-3956
    ISSN (online) 1879-1379
    ISSN 0022-3956
    DOI 10.1016/j.jpsychires.2021.01.050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Mental health for LGBTQI people: a policies' review.

    Ventriglio, Antonio / Mirandola, Massimo / Galeazzi, Gian Maria / Amaddeo, Francesco / Pinna, Federica / Converti, Manlio / Fiorillo, Andrea

    International review of psychiatry (Abingdon, England)

    2022  Volume 34, Issue 3-4, Page(s) 200–214

    Abstract: The mental health of lesbian, gay, bisexual, transgender, queer, intersexual (LGBTQI) individuals is significantly influenced by many factors such as difficulties in coming-out, poor acceptance, isolation and discrimination as well as minority-related ... ...

    Abstract The mental health of lesbian, gay, bisexual, transgender, queer, intersexual (LGBTQI) individuals is significantly influenced by many factors such as difficulties in coming-out, poor acceptance, isolation and discrimination as well as minority-related stress. LGBTQI individuals, in fact, show a significant higher risk of mental health conditions, substance- use disorders and suicide. In addition, mental health services access may be difficult for personal and social barriers as well as a lack of adequate and specific mental health support. This review aims to assess and describe international policies, guidelines, position statements and recommendations regarding the promotion and protection of mental health rights for LGBTQI people. The search has been focussed on peer-reviewed papers, Governmental and Mental Health Association- Guidelines and Position Statements, Health Agencies - Guidelines and Position Statements (with a specific focus on mental health), LGBTQI Alliances and Foundations Publishing (with a specific focus on mental health). In addition, relevant international initiatives, and projects in the field of LGBTQI mental health will be described.
    MeSH term(s) Female ; Health Services Accessibility ; Human Rights ; Humans ; Mental Health ; Policy ; Sexual and Gender Minorities ; Substance-Related Disorders
    Language English
    Publishing date 2022-03-27
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1018090-4
    ISSN 1369-1627 ; 0954-0261
    ISSN (online) 1369-1627
    ISSN 0954-0261
    DOI 10.1080/09540261.2022.2052266
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  9. Article ; Online: Task-sharing psychosocial interventions for the prevention of common mental disorders in the perinatal period in low- and middle-income countries: A systematic review and meta-analysis.

    Prina, Eleonora / Ceccarelli, Caterina / Abdulmalik, Jibril O / Amaddeo, Francesco / Cadorin, Camilla / Papola, Davide / Tol, Wietse A / Lund, Crick / Barbui, Corrado / Purgato, Marianna

    The International journal of social psychiatry

    2023  Volume 69, Issue 7, Page(s) 1578–1591

    Abstract: Aim: to assess the efficacy of psychosocial interventions delivered through task-sharing approaches for preventing perinatal common mental disorders among women in low- and middle-income countries.: Methods: We conducted a systematic review of ... ...

    Abstract Aim: to assess the efficacy of psychosocial interventions delivered through task-sharing approaches for preventing perinatal common mental disorders among women in low- and middle-income countries.
    Methods: We conducted a systematic review of randomized controlled trials following a prespecified protocol registered in the Open Science Framework (osf.io/qt4y3). We searched MEDLINE, Web of Science, PsycINFO, and Cochrane Central Register of Controlled Trials (CENTRAL) through June 2022. Two reviewers independently extracted the data and evaluated the risk of bias of included studies using the Cochrane risk of bias tool. We performed random-effects meta-analyses and rated the certainty of evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.
    Results: We included 23 studies with 24,442 participants. At post-intervention, task-shared psychosocial interventions, were effective in preventing the development of mental disorders in general (RR 0.57, 95% CI [0.35, 0.91]), and specifically depression (RR 0.51, 95% CI [0.35, 0.75]), but not anxiety disorders (RR 0.46, 95% CI [0.06, 3.33]). Similarly, psychosocial interventions reduced psychological distress (SMD -1.32, 95% CI [-2.28, -0.35]), and depressive symptoms (SMD -0.50, 95% CI [-0.80, -0.16]), and increased parenting self-efficacy (SMD -0.76, 95% CI [-1.13, -0.38]) and social support (SMD -0.72, 95% CI [-1.22, -0.22]). No effect was detected for anxiety symptoms at post-intervention. At follow-up the beneficial effects of interventions progressively decreased.
    Conclusions: Psychosocial interventions delivered through the task-sharing modality are effective in preventing perinatal common mental disorders and fostering positive mental health among women in low- and middle-income countries. However, our findings are tentative, due to the low number of preventative intervention strategies considering outcomes as the incidence of mental disorders, especially in the long-term. This evidence supports calls to implement and scale up psychosocial prevention interventions for perinatal common mental disorders in low- and middle-income countries.
    MeSH term(s) Pregnancy ; Humans ; Female ; Psychosocial Intervention ; Developing Countries ; Mental Disorders/prevention & control ; Anxiety/diagnosis ; Anxiety Disorders
    Language English
    Publishing date 2023-05-15
    Publishing country England
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 3062-4
    ISSN 1741-2854 ; 0020-7640
    ISSN (online) 1741-2854
    ISSN 0020-7640
    DOI 10.1177/00207640231174451
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  10. Article ; Online: Community mental health in Italy today.

    Fioritti, Angelo / Amaddeo, Francesco

    The Journal of nervous and mental disease

    2014  Volume 202, Issue 6, Page(s) 425–427

    MeSH term(s) Community Mental Health Services/legislation & jurisprudence ; Community Mental Health Services/organization & administration ; Community Mental Health Services/standards ; Humans ; Italy
    Language English
    Publishing date 2014-06
    Publishing country United States
    Document type Editorial
    ZDB-ID 3020-x
    ISSN 1539-736X ; 0022-3018
    ISSN (online) 1539-736X
    ISSN 0022-3018
    DOI 10.1097/NMD.0000000000000139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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