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2.
Am J Prev Med ; 51(5 Suppl 3): S241-S250, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27745613

RESUMO

INTRODUCTION: Workers in certain occupations may be at an increased risk of a violent-related death such as homicide or suicide. The purpose of this study is to describe rates of violent deaths among Georgia workers by occupation, including cases occurring at work and outside of the workplace, and identify leading circumstances surrounding suicides and homicides for the occupations most at risk. METHODS: Data from the 2006-2009 Georgia Violent Death Reporting System were used. Occupational text fields were recoded into 23 major occupation categories based on the 2010 Standard Occupational Classification system. Crude rates and standardized mortality ratios for violent deaths (suicides and homicides) were calculated by occupation among Georgia workers aged ≥16 years. The leading circumstances precipitating violent deaths among the high-risk occupations were described. Analyses were conducted during 2012-2013 and 2015. RESULTS: A total of 4,616 Georgia resident workers were victims of a violent death during 2006-2009. Of these deaths, 2,888 (62.6%) were suicides and 1,728 (37.4%) were homicides. Farming, fishing, and forestry occupations had the highest rate of violent deaths at 80.5 per 100,000 workers followed by construction and extraction occupations at 65.5 per 100,000. The most common suicide circumstances among workers were having a current depressed mood, a current mental health problem, and an intimate partner problem. CONCLUSIONS: Use of the Violent Death Reporting System provides a unique opportunity to explore violent deaths among workers. This analysis shows the need to ensure that workers have access to workplace and community-based suicide and violence prevention services.


Assuntos
Homicídio/estatística & dados numéricos , Exposição Ocupacional , Ocupações/estatística & dados numéricos , Suicídio/estatística & dados numéricos , Georgia , Humanos
3.
Psychiatr Serv ; 63(12): 1231-3, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23203357

RESUMO

The Affordable Care Act (ACA) includes provisions to shift the U.S. health care system to address achieving wellness rather than just treating illness. In this Open Forum, the Prevention Committee of the Group for the Advancement of Psychiatry describes opportunities created by the ACA for improving prevention of mental illnesses and promotion of mental health. These include improved coverage of preventive services, models to integrate primary and behavioral health care, and establishment of the National Prevention, Health Promotion, and Public Health Council, which has developed a National Prevention Strategy. The authors describe the important role that psychiatrists can play in advancing prevention of mental illnesses, in particular by working to incorporate prevention strategies in integrated care initiatives and by collaborating with primary care providers to screen for risk factors and promote mental and emotional well-being.


Assuntos
Prestação Integrada de Cuidados de Saúde , Reforma dos Serviços de Saúde , Psiquiatria Preventiva , Humanos , Patient Protection and Affordable Care Act , Papel Profissional , Estados Unidos
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