Deaths of Despair: Conceptual and Clinical Implications.
mortality rate
overdose
rural
substance use
suicide
Journal
Cognitive and behavioral practice
ISSN: 1077-7229
Titre abrégé: Cogn Behav Pract
Pays: United States
ID NLM: 9440144
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
entrez:
25
6
2021
pubmed:
26
6
2021
medline:
26
6
2021
Statut:
ppublish
Résumé
Since the late 1990s, mortality rates for middle-aged (45-55), White non-Hispanic (WNH) Americans began to rise while rates declined for all other demographic and age groups. Coinciding with the rise in mortality, rates of death due to suicide, drug- and alcohol-related overdoses, and alcohol-related liver diseases increased as well for this demographic. Research suggests these causes of death (i.e., suicide, poisoning, alcohol-related liver disease) are driving the overall mortality rate for middle-aged WNHs and have been described as "deaths of despair" in the literature. In the current paper, we describe the social and clinical features of "deaths of despair," explore theoretical models of psychopathology (e.g., depression, posttraumatic stress disorder) that may inform our understanding of mechanisms of risk for negative mental health outcomes, and propose an initial conceptual model of "deaths of despair" to identify intervention targets. We then review an applied case example demonstrating how this model could be used for clinical application. We conclude our paper by describing how current cognitive-behavioral interventions may address these mechanisms of "despair."
Identifiants
pubmed: 34168422
doi: 10.1016/j.cbpra.2019.10.002
pmc: PMC8221228
mid: NIHMS1591845
doi:
Types de publication
Journal Article
Langues
eng
Pagination
40-52Subventions
Organisme : HSRD VA
ID : IK2 HX002787
Pays : United States
Organisme : NHLBI NIH HHS
ID : K12 HL133115
Pays : United States
Déclaration de conflit d'intérêts
The authors declare that there are no conflicts of interest.
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