Violence, Health and Society

暴力、健康与社会

基本信息

批准号：
MR/T045302/1
负责人：
Sylvia Walby
金额：
$ 6.42万
依托单位：
City, University of London
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2020
资助国家：
英国
起止时间：
2020 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=MR%2FT045302%2F1
关键词：
Violence Health Society

项目摘要

Violence causes harms to health, especially long-lasting harms to mental health. Mental health is significantly impacted by violence. These harms to mental health can be more long-lasting than the immediate harms to physical health. They have consequences that reverberate through a person's life impacting on their functioning in society, with still further consequences. Reducing such 'upstream' determinants of poor mental health would significantly improve the health of the population. Investigating the effectiveness of potential interventions to reduce exposure to violence is central to the proposal.Within the field of violence, we have special interest in domestic and sexual violence because these are significant causes of inequalities in mental health. We address how to mainstream these issues across multiple sectors rather than seeing them as only of specialised concern. Our Consortium aims to mainstream violence prevention at higher and earlier stages than before.Multiple institutions are relevant to preventing violence. They include not only health services, but also law enforcement (most violence is a crime), social services (especially important for child protection), specialised services (Third Sector organisations that help victim/survivors of violence), and governmental bodies concerned with law, policy and data quality. The connections between violence and mental ill health are complicated since they are mediated by many social systems (institutions). Identifying these connections (causal pathways) would aid the development of more effective interventions.The data needed to assess the effectiveness of interventions is currently weak. This is partly because each specialised academic discipline and profession has a different way of measuring violence, which makes cooperation across these differences difficult. Not only do we need harmonised core metrics for cross-sector cost-benefit comparisons, we also need to adapt and extend our metrics to capture the new forms of technology-facilitated abuse. The Consortium aims to improve the measurement framework and data availability to aid the cross-sector evaluation of interventions. It seeks to develop cooperation between academics and professionals as to how this is best done. After reaching agreement on how to proceed, we would develop the data needed to assess interventions. This involves developing cooperation between data providers, agreements on common categories, and making data more available. This involves care and attention to issues of data protection and the development of bespoke agreements on data sharing that respect the communities that generate data.We would unlock the potential in multiple data sources with increased cooperation over a shared measurement framework. These data sets include major national surveys such as the Adult Psychiatric Morbidity Survey (national survey of mental health that includes information on experience of violence), and the Crime Survey for England and Wales (national survey that includes changes over time in violence and their consequences). They include administrative data sets from professions and practices, including the police, health and social services, specialised services and technology companies. We would locate data analysts of multiple data sets in the same space to facilitate technical cooperation between usually separate disciplines.With the newly improved data, we would use academic, statistical, and practitioner knowledge and the resources of the Consortium to assess key interventions. These are interventions at the level of institutions and systems. We leave to others the issue of addressing the treatment of trauma in individuals already affected by violence. Our focus is the 'prevention' of violence in the population.The aim is to reduce the harm to health, especially mental health, by identifying the most effective interventions to reduce violence in the population.

暴力会对健康造成损害，尤其是对心理健康造成长期损害。心理健康受到暴力的严重影响。这些对心理健康的伤害可能比对身体健康的直接伤害更持久。它们所产生的后果会影响一个人的一生，影响他们在社会中的运作，甚至产生更进一步的后果。减少心理健康状况不佳的“上游”决定因素将显着改善人口的健康。调查减少暴力侵害的潜在干预措施的有效性是该提案的核心。在暴力领域，我们对家庭暴力和性暴力特别感兴趣，因为这些是心理健康不平等的重要原因。我们解决如何将这些问题纳入多个部门的主流，而不是仅仅将它们视为专门关注的问题。我们联盟的目标是在比以前更高、更早的阶段将暴力预防纳入主流。多个机构与预防暴力相关。它们不仅包括卫生服务，还包括执法（大多数暴力都是犯罪）、社会服务（对于儿童保护尤其重要）、专门服务（帮助暴力受害者/幸存者的第三部门组织）以及与法律有关的政府机构、政策和数据质量。暴力与精神疾病之间的联系很复杂，因为它们是由许多社会系统（机构）调节的。识别这些联系（因果路径）将有助于制定更有效的干预措施。目前评估干预措施有效性所需的数据还很薄弱。部分原因是每个专业学科和专业都有不同的衡量暴力的方式，这使得跨越这些差异的合作变得困难。我们不仅需要统一的核心指标来进行跨部门成本效益比较，还需要调整和扩展我们的指标，以捕捉技术助长的滥用行为的新形式。该联盟旨在改进衡量框架和数据可用性，以帮助对干预措施进行跨部门评估。它寻求发展学术界和专业人士之间的合作，探讨如何最好地做到这一点。在就如何进行达成一致后，我们将开发评估干预措施所需的数据。这包括发展数据提供者之间的合作、就共同类别达成协议以及使数据更容易获得。这涉及到对数据保护问题的关心和关注，以及制定尊重数据生成社区的定制数据共享协议。我们将通过在共享测量框架上加强合作来释放多个数据源的潜力。这些数据集包括主要的全国性调查，例如成人精神病发病率调查（全国心理健康调查，包括暴力经历信息）和英格兰和威尔士犯罪调查（全国调查，包括暴力及其后果随时间的变化））。它们包括来自专业和实践的行政数据集，包括警察、卫生和社会服务、专业服务和技术公司。我们将在同一空间放置多个数据集的数据分析师，以促进通常不同学科之间的技术合作。利用新改进的数据，我们将利用学术、统计和从业人员知识以及联盟的资源来评估关键干预措施。这些是机构和系统层面的干预措施。我们将解决已受暴力影响的个人创伤治疗的问题留给其他人。我们的重点是“预防”人口暴力。目的是通过确定减少人口暴力的最有效干预措施来减少对健康，特别是心理健康的危害。

项目成果

期刊论文数量（10）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Predictors of physical activity recording in routine mental healthcare

常规心理保健中体力活动记录的预测因素

DOI：
10.1016/j.mhpa.2020.100329
发表时间：
2020
期刊：
Mental Health and Physical Activity
影响因子：
4.7
作者：
Ashdown-Franks G
通讯作者：
Ashdown-Franks G

Community mental health through a complex systems lens.

通过复杂系统的视角观察社区心理健康。

DOI：
10.1016/s2468-2667(23)00080-4
发表时间：
2023
期刊：
The Lancet. Public health
影响因子：
0
作者：
Adisa O
通讯作者：
Adisa O

Mental health consequences of urban air pollution: prospective population-based longitudinal survey.

DOI：
10.1007/s00127-020-01966-x
发表时间：
2021-09
期刊：
Social psychiatry and psychiatric epidemiology
影响因子：
4.4
作者：
Bakolis I;Hammoud R;Stewart R;Beevers S;Dajnak D;MacCrimmon S;Broadbent M;Pritchard M;Shiode N;Fecht D;Gulliver J;Hotopf M;Hatch SL;Mudway IS
通讯作者：
Mudway IS

Adverse clinical outcomes in people at clinical high-risk for psychosis related to altered interactions between hippocampal activity and glutamatergic function.

DOI：
10.1038/s41398-021-01705-z
发表时间：
2021-11-10
期刊：
Translational psychiatry
影响因子：
6.8
作者：
Allen P;Hird EJ;Orlov N;Modinos G;Bossong M;Antoniades M;Sampson C;Azis M;Howes O;Stone J;Perez J;Broome M;Grace AA;McGuire P
通讯作者：
McGuire P

"Triggered by the sound of other runners": An exploration of parkrun mentions in mental health hospital records in the UK

“由其他跑步者的声音触发”：对英国心理健康医院记录中提及的 Parkrun 的探索