Crisi economica e salute mentale: evidenze, quotidianità dei servizi e politiche sanitarie

Titolo Rivista RIVISTA SPERIMENTALE DI FRENIATRIA
Autori/Curatori Pietro Calcagno, Lucio Ghio, Paolo Francesco Peloso, Luigi Ferrannini
Anno di pubblicazione 2016 Fascicolo 2016/1 Lingua Italiano
Numero pagine 29 P. 13-41 Dimensione file 1744 KB
DOI 10.3280/RSF2016-001002
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FrancoAngeli è membro della Publishers International Linking Association, Inc (PILA)associazione indipendente e non profit per facilitare (attraverso i servizi tecnologici implementati da CrossRef.org) l’accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche

gli ultimi anni sono stati caratterizzati da una profonda crisi economica che ha colpito la maggior parte dei paesi industrializzati del mondo. Già l’Organizzazione Mondiale della Sanità (2009) e la Mental Health Commission (2012) avevano espresso forti preoccupazioni per le ripercussioni di questa crisi sulla salute pubblica e in particolar modo sulla salute mentale. L’obiettivo del presente lavoro è di indagare la relazione esistente tra crisi economica e salute mentale sia attraverso una revisione della letteratura, che attraverso alcune considerazioni a partire da un caso clinico emblematico;

Keywords:Salute mentale, crisi economica, organizzazione sanitaria, servizi di salute mentale

  1. [1] Uutela A. Economic crisis and mental health. Current Opinion in Psychiatry 2010; 23: 127-30. DOI: 10.1097/YCO.0b013e328336657d
  2. [2] Edwards R. Who is hurt by pro-cyclical mortality. Social Science & Medicine 2008; 67: 2051–8. DOI: 10.1016/j.socscimed.2008.09.032
  3. [3] Spence AM. The financial and economic crisis and the developing world. Journal Policy Modeling 2009; 31: 502–8. DOI: 10.1016/j.jpolmod.2009.05.002
  4. [4] World Health Organization. The Financial Crisis and Global Health: Background Paper for WHO High Level Consultation. Geneva: World Health Organization; 2009.
  5. [5] Mental Health Commission. The Human Cost: An overview of the Evidence on Economic Adversity and Mental Health and Recommendations for Action. Ireland: Mental Health Commission; 2012.
  6. [6] McInerney M, Mellor JM. Recessions and seniors’ health, health behaviors, and healthcare use: analysis of the Medicare. Current Beneficiary Survey. Journal of Health Economics 2012; 31:744–51. DOI: 10.1016/j.jhealeco.2012.06.002
  7. [7] Ifanti AA, Argyriou AA, Kalofonou FH, Kalofonos HP. Financial crisis and austerity measures in Greece: their impact on health promotion policies and public health care. Health Policy 2013; 113: 8-12. DOI: 10.1016/j
  8. healthpol.2013.05.017. [8] Karanikolos M, Mladovsky P, Cylus J, Thomson S, Basu S, Stuckler D, et al. Financial crisis, austerity, and health in Europe. Lancet 2013; 381: 1323–31. DOI: 10.1016/S0140-6736(13)60102-6
  9. [9] Stuckler D, Basu S. The Body Economic: Why Austerity Kills. New York: Basic Books; 2013.
  10. [10] De Goeij MC, Suhrcke M, Toffolutti V, van de Mheen D, Schoenmakers TM, Kunst AE. How economic crises affect alcohol consumption and alcoholrelated health problems: a realist systematic review. Social Science & Medicine 2015; 131: 131-46. DOI: 10.1016/j.socscimed.2015.02.025
  11. [11] Eurofound. Impact of the Crisis on Working Conditions in Europe. Dublin: European Foundation for the Improvement of Living and Working Conditions; 2013, p. 1–70.
  12. [12] Benach J, Vives A, Amable M, Vanroelen C, Tarafa G, Muntaner C. Precarious employment: understanding an emerging social determinant of health. Annual Review of Public Health 2014; 35: 229–53. DOI: 10.1146/annurevpublhealth-032013-182500
  13. [13] Crepet P, Florenzano F. Suicidio, occupazione e disoccupazione. In: Il rifiuto di vivere. Anatomia del suicidio. Roma: Editori Riuniti; 1989, p. 69-85.
  14. [14] Butterworth P, Rodgers B, Windsor TD. Financial hardship, socioeconomic position and depression: results from the PATH Through the Life survey. Social Science & Medicine 2009; 69:229–37. DOI: 10.1016/j.socscimed.2009.05.008
  15. [15] Economou M, Madianos M, Peppou LE, Patelakis A, Stefanis CN. Major depression in the era of economic crisis: a replication of a cross-sectional study across Greece. Journal of Affective Disorders 2013; 145: 308–14. DOI: 10.1016/j.jad.2012.08.008
  16. [16] Gili M, Roca M, Basu S, McKee M, Stuckler D. The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010. European Journal of Public Health 2013; 23:103-8. DOI: 10.1093/eurpub/cks035
  17. [17] Bartley M. Unemployment and ill health – understanding the relationship. Journal of Epidemiology & Community Health 1994; 48: 333–7. DOI: 10.1136/jech.48.4.333
  18. [18] McKee-Ryan FM, Song ZL, Wanberg CR, Kinicki AJ. Psychological and physical well-being during unemployment: a meta-analytic study. Journal of Applied Psychology 2005; 90: 53–76. DOI: 10.1037/0021-9010.90.1.53
  19. [19] Paul K, Moser K. Unemployment impairs mental health: meta-analyses. Journal of Vocational Behaviour 2009; 74: 264–82. DOI: 10.1371/journal.pone.0051333
  20. [20] Morris J, Cook D, Shaper G. Loss of employment and mortality. British Medical Journal 1994; 308: 1135–39. [21] Schuring M, Burdorf L, Kunst A, Mackenbach J. The effects of ill health on entering and maintaining paid employment: evidence in European countries. Journal of Epidemiology Community Health 2007; 61: 597–604. DOI: 10.1136/jech.2006.047456
  21. [22] Evans-Lacko S, Knapp M, McCrone P, Thornicroft G, Mojtabai R. The mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries. PLoS One 2013; 26: e69792. DOI: 10.1371/journal.pone.0069792
  22. [23] Haw C, Hawton K, Gunnell D, Platt S. Economic recession and suicidal behaviour: Possible mechanisms and ameliorating factors. International Journal of Social Psychiatry 2015; 61:73-81. DOI: 10.1177/0020764014536545
  23. [24] Arrow JO. Estimating the influence of health as a risk factor on unemployment: a survival analysis of employment durations for workers surveyed in the German Socio-Economic Panel (1984-1990). Social Science & Medicine 1996; 42:1651-9. DOI: 10.1016/0277-9536(95)00329-0
  24. [25] Stewart JM. The impact of health status on the duration of unemployment spells and the implications for studies of the impact of unemployment on health status. Journal of Health Economics 2001; 20:781-96. DOI: 10.1016/S0167-6296(01)00087-X
  25. [26] Schmitz H. Why are the unemployed in worse health? The causal effect of unemployment on health. Labour Economics 2011; 18:71–8. DOI: 10.1016/j.labeco.2010.08.005
  26. [27] Schroder M. Jobless now, sick later? Investigating the long-term consequences of involuntary job loss on health. Advances in Life Course Research. 2013; 18: 5–15. DOI: 10.1016/j.alcr.2012.08.001
  27. [28] Janlert U, Hammarström A. Which theory is best? Explanatory models of the relationship between unemployment and health. BMC Public Health 2009; 14: 235. DOI: 10.1186/1471-2458-9-235
  28. [29] Buffel V, Van de Velde S, Bracke P. The mental health consequences of the economic crisis in Europe among the employed, the unemployed, and the non-employed. Social Science Research 2015; 54: 263-88. DOI: 10.1016/j.ssresearch.2015.08.003
  29. [30] Madianos M, Economou M, Alexiou T, Stefanis C. Depression and economic hardship across Greece in 2008 and 2009: two cross-sectional surveys nationwide. Social Psychiatry and Psychiatric Epidemiology 2011; 46: 943-52. DOI: 10.1007/s00127-010-0265-4
  30. [31] De Vogli R, Vieno A, Lenzi M. Mortality due to mental and behavioral disorders associated with the Great Recession (2008-10) in Italy: a time trend analysis. European Journal of Public Health 2014; 24: 419-21. DOI: 10.1093/eurpub/ckt173
  31. [32] Fernández-Rivas A, González-Torres MA. The economic crisis in Spain and its impact on the mental health of children and adolescents. European Child & Adolescent Psychiatry 2013; 22:583-6. DOI: 10.1007/s00787-013-0465-z
  32. [33] Roca M, Gili M, Garcia-Campayo J, García-Toro M. Economic crisis and mental health in Spain. Lancet 2013; 14: 1977-8. DOI: 10.1016/S0140-6736(13)62650-1
  33. [34] Córdoba-Doña JA, San Sebastián M, Escolar-Pujolar A, Martínez-Faure JE, Gustafsson PE. Economic crisis and suicidal behaviour: the role of unemployment, sex and age in Andalusia, southern Spain. International Journal for Equity in Health 2014; 25: 55. DOI: 10.1186/1475-9276-13-55
  34. [35] Barr B, Taylor-Robinson D, Scott-Samuel A, McKee M, Stuckler D. Suicides associated with the 2008–10 economic recession in England: time trend analysis. British Medical Journal 2012; 345: e5142. DOI: 10.1136/bmj.e5142
  35. [36] Katikireddi SV, Niedzwiedz CL, Popham F. Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991-2010 Health Surveys of England. BMJ Open 2012; 17: pii: e001790. DOI: 10.1136/bmjopen-2012-0017910
  36. [37] Drydakis N. The effect of unemployment on self-reported health and mental health in Greece from 2008 to 2013: a longitudinal study before and during the financial crisis. Social Science & Medicine 2015; 128: 43-51. DOI: 10.1016/j.socscimed.2014.12.025
  37. [38] Noelke C, Beckfield J. Recessions, job loss, and mortality among older US adults. American Journal of Public Health 2014; 104: 126-34. DOI: 10.2105/AJPH.2014.302210
  38. [39] Buffel V, van de Straat V, Bracke P. Employment status and mental health care use in times of economic contraction: a repeated cross-sectional study in Europe, using a three-level model. International Journal for Equity in Health 2015; 11: 14-29. DOI: 10.1186/s12939-015-0153-3
  39. [40] Clark AE. Unemployment as a social norm: psychological evidence from panel data. Journal of Labor Economics 2003; 21:323–51. DOI: 10.1002/hec.2831
  40. [41] Holmqvist M. Medicalization of unemployment: individualizing social issues as personal problems in the Swedish welfare state. Work, Employment & Society 2009; 23: 405–21. DOI: 10.1177/0950017009337063
  41. [42] Houle JN. Mental health in the foreclosure crisis. Social Science & Medicine 2014; 118: 1-8. DOI: 10.1016/j.socscimed.2014.07.054
  42. [43] Alley DE, Lloyd J, Pagán JA, Pollack CE, Shardell M, Cannuscio C. Mortgage delinquency and changes in access to health resources and depressive symptoms in a nationally representative cohort of Americans older than 50 years. Am J Public Health 2011; 101: 2293-8. DOI: 10.2105/AJPH.2011.300245.[44]McLaughlinKA,NandiA,KeyesKM,UddinM,AielloAE,GaleaS,KoenenKC.Homeforeclosureandriskofpsychiatricmorbidityduringtherecentfinancialcrisis.PsychologicalMedicine2012;42:1441-8.DOI:10.1017/S0033291711002613
  43. [45] Osypuk TL, Caldwell CH, Platt RW, Misra DP. The consequences of foreclosure for depressive symptomatology. Annals of Epidemiology 2012; 22: 379-87. DOI: 10.1016/j.annepidem.2012.04.012
  44. [46] Libman K, Fields D, Saegert S. Housing and health: a social ecological perspective on the US foreclosure crisis. Housing Theory Society 2012; 29: 1-24. DOI: 10.1080/14036096.2012.624881
  45. [47] Lenton P, Mosley P, ed. Debt and Health. Sheffield Economic Research Paper Series No. 2008004. Sheffield: The University of Sheffield; 2008.
  46. [48] Jessop DC, Herberts C, Solomon L. The impact of financial circumstances on student health. British Journal of Health Psychology 2005; 10: 421–39. DOI: 10.1348/135910705X25480
  47. [49] Selenko E, Batinic B. Beyond debt. A moderator analysis of the relationship between perceived financial strain and mental health. Social Science & Medicine 2011; 73:1725–32. DOI: 10.1016/j.socscimed.2011.09.022
  48. [50] Meltzer H, Bebbington P, Brugha T, Jenkins R, McManus S, Dennis MS. Personal debt and suicidal ideation. Psychological Medicine 2011; 41: 771–8. DOI: 10.1017/S0033291710001261
  49. [51] Drentea P, Reynolds JR. Neither a borrower nor a lender be: the relative importance of debt and SES for mental health among older adults. Journal of Aging and Health 2012; 24: 673–95. DOI: 10.1177/0898264311431304
  50. [52] Doran CM, Digiusto E. Using taxes to curb drinking: a report card on the Australian government’s alcopops tax. Drug and Alcohol Review 2011; 30: 677-80. DOI: 10.1111/j.1465-3362.2011.00309.x
  51. [53] Mattei G, Ferrari S, Pingani L, Rigatelli M. Short-term effects of the 2008 Great Recession on the health of the Italian population: an ecological study. Social Psychiatry and Psychiatric Epidemiology 2014; 49: 851-8. DOI: 10.1007/s00127-014-0818-z
  52. [54] Harhay MO, Bor J, Basu S, McKee M, Mindell JS, Shelton NJ, et al. Differential impact of the economic recession on alcohol use among white British adults, 2004-2010. European Journal of Public Health 2014; 24: 410-5. DOI: 10.1093/eurpub/ckt134
  53. [55] Bor J, Basu S, Coutts A, McKee M, Stuckler D. Alcohol use during the great recession of 2008-2009. Alcohol Alcoholism 2013; 48: 343-8. DOI: 10.1093/alcalc/agt002
  54. [56] Stuckler D, Basu S, Suhrcke M, Coutts A, McKee M. Effects of 2008 recession on health: a first look at European data. Lancet 2011; 378: 124–25.
  55. DOI: 10.1016/S0140-6736(11)61079-9.[57]NandiA,ChartersTJ,StrumpfEC,HeymannJ,HarperS.Economicconditionsandhealthbehavioursduringthe“GreatRecession”.JournalofEpidemiology&CommunityHealth2013;1:1038-46.DOI:10.1136/jech-2012-202260
  56. [58] Toffolutti V, Suhrcke M. Assessing the short term health impact of the Great Recession in the European Union: a cross-country panel analysis. Preventive Medicine 2014; 64: 54-62. DOI: 10.1016/j.ypmed.2014.03.028
  57. [59] Munné MI. Alcohol and the economic crisis in Argentina: recent findings. Addiction 2005; 100: 1790-9. DOI: 10.1111/j.1360-0443.2005.01248.x
  58. [60] Lo CC, Cheng TC. Heavy drinking during periods of high unemployment: 15-year trend study of the role of race/ethnicity. Drug Alcohol Dependence 2013; 133: 383-90. DOI: 10.1016/j.drugalcdep.2013.06.018
  59. [61] Jukkala T, Mäkinen IH, Kislitsyna O, Ferlander S, Vågerö D. Economic strain, social relations, gender, and binge drinking in Moscow. Social Science & Medicine 2008; 66: 663-74. DOI: 10.1016/j.socscimed.2007.10.017
  60. [62] Burazeri G, Kark JD. Prevalence and determinants of binge drinking in middle age in a transitional post-communist country: a population-based study in Tirana, Albania. Alcoholism 2010; 45: 180-7. DOI: 10.1093/alcalc/agp089
  61. [63] Kalousova L, Burgard SA. Unemployment, measured and perceived decline of economic resources: contrasting three measures of recessionary hardships and their implications for adopting negative health behaviors. Social Science & Medicine 2014; 106: 28-34. DOI: 10.1016/j.socscimed.2014.01.007
  62. [64] Dom G, Samochowiec J, Evans-Lacko S, Wahlbeck K, Van Hal G, McDaid D. The Impact of the 2008 Economic Crisis on Substance Use Patterns in the Countries of the European Union. International Journal of Environmental Research and Public Health 2016; 13:pii:E122. DOI: 10.3390/ijerph13010122
  63. [83] Goldman-Mellor SJ, Saxton KB, Catalano RC. Economic contraction and mental health. International Journal of Mental Health 2010; 39: 6–31. DOI: 10.2753/IMH0020-7411390201
  64. [65] Fountoulakis KN, Kawohl W, Theodorakis PN, Kerkhof AJ, Navickas A, Höschl C, et al. Relationship of suicide rates to economic variables in Europe: 2000–2011. British Journal of Psychiatry 2014; 205: 486–96. DOI: 10.1192/bjp.bp.114
  65. [66] Chang SS, Stuckler D, Yip P, Gunnell D. Impact of 2008 global economic crisis on suicide: time trend study in 54 countries. BMJ 2013; 17: f5239. DOI: 10.1136/bmj.f5239
  66. [67] Reeves A, Stuckler D, McKee M, Gunnell D, Chang SS, Basu S. Increase in state suicide rates in the USA during economic recession. Lancet 2012; 24: 1813-4. DOI: 10.1016/S0140-6736(12)61910-2
  67. [68] Chan CH, Caine ED, You S, Fu KW, Chang SS, Yip PS. Suicide rates among working-age adults in South Korea before and after the 2008 economic crisis. Journal of Epidemiology & Community Health 2014; 68: 246-52. DOI: 10.1136/jech-2013-202759
  68. [69] World Health Organization. Preventing Suicide: A Global Imperative. Luxembourg; 2014.
  69. [70] Santana P, Costa C, Cardoso G, Loureiro A, Ferrão J. Suicide in Portugal: Spatial determinants in a context of economic crisis. Health Place 2015; 35: 85-94. DOI: 10.1016/j.healthplace.2015.07.001
  70. [71] Murali V, Oyebode F. Poverty, social inequality and mental health. Advances in Psychiatric Treatment 2004; 10: 216-224. DOI: 10.1192/apt.10.3.216
  71. [72] Ferretti F, Coluccia A. Socio-economic factors and suicide rates in European Union countries. Legal Medicine 2009; 11: S92-4. DOI: 10.1016/j.legalmed.2009.01.014
  72. [73] Rezaeian M, Dunn G, St Leger S, Appleby L. Do hot spots of deprivation predict the rates of suicide within London boroughs? Health Place 2007; 13: 886-93. DOI: 10.1016/j.healthplace.2007.02.004
  73. [74] Kim MH, Jung-Choi K, Jun HJ, Kawachi I. Socioeconomic inequalities in suicidal ideation, parasuicides, and completed suicides in South Korea. Social Science & Medicine 2010; 70: 1254-61. DOI: 10.1016/j.socscimed.2010.01.004
  74. [75] Burrows S, Auger N, Gamache P, St-Laurent D, Hamel D. Influence of social and material individual and area deprivation on suicide mortality among 2.7 million Canadians: a prospective study. BioMed Central Public Health 2011; 577. DOI: 10.1186/1471-2458-11-577
  75. [76] Agerbo E, Sterne JA, Gunnell DJ. Combining individual and ecological data to determine compositional and contextual socio-economic risk factors for suicide. Social Science & Medicine 2007; 64: 451-61. DOI: 10.1016/j.socscimed.2006.08.043
  76. [77] Andrés AR, Halicioglu F. Determinants of suicides in Denmark: evidence from time series data. Health Policy 2010; 98: 263-9. DOI: 10.1016/j.healthpol.2010.06.023
  77. [78] Ceccherini-Nelli A, Priebe S. Economic factors and suicide rates: associations over time in four countries. Social Psychiatry and Psychiatric Epidemiology 2011; 46: 975-82. DOI: 10.1007/s00127-010-0275-2
  78. [79] Stark C, Hopkins P, Gibbs D, Belbin A, Hay A. Population density and suicide in Scotland. Rural and Remote Health 2007; 7: 672.
  79. [80] Jagodic HK, Agius M, Pregelj P. Inter-regional variations in suicide rates. Psychiatria Danubina 2012; 24: S82-5.
  80. [81] Desai RA, Dausey DJ, Rosenheck RA. Mental health service delivery and suicide risk: the role of individual patient and facility factors. The American Journal of Psychiatry 2005; 162: 311-8. DOI: 10.1176/appi.ajp.162.2.311
  81. [82] Rojas Y, Stenberg SÅ. Evictions and suicide: a follow-up study of almost 22000 Swedish households in the wake of the global financial crisis. Journal of Epidemiology and Community Health 2015; 14: pii: jech-2015-206419. DOI: 10.1136/jech-2015-206419.
  82. [84] Crawford MJ, Kuforiji B, Ghosh P. The impact of social context on sociodemographic risk factors for suicide: a synthesis of data from case-control studies. Journal of Epidemiology and Community Health 2010; 64: 530-4. DOI: 10.1136/jech.2008.084145
  83. [85] Yip PS, Caine ED. Employment status and suicide: the complex relationships between changing unemployment rates and death rates. Journal of Epidemiology and Community Health 2011; 65:733-6. DOI: 10.1136/jech.2010.110726
  84. [86] Nordt C, Warnke I, Seifritz E, Kawohl W. Modelling suicide and unemployment: a longitudinal analysis covering 63 countries, 2000-11. Lancet Psychiatry 2015; 2: 239-45. DOI: 10.1016/S2215-0366(14)00118-7
  85. [87] Stuckler D, Basu S, Suhrcke M, Coutts A, McKee M. The public health effect of economic crises and alternative policy responses in Europe: an empirical analysis. Lancet 2009; 25: 315-23. DOI: 10.1016/S0140-6736(09)61124-7
  86. [88] Laanani M, Ghosn W, Jougla E, Rey G. Impact of unemployment variations on suicide mortality in Western European countries (2000-2010). Journal of Epidemiology & Community Health 2014; published online June 18. DOI: 10.1136/jech-2013-203624
  87. [89] Garcy AM, Vågerö D. Unemployment and suicide during and after a deep recession: a longitudinal study of 3.4 million Swedish men and women. American Journal of Public Health 2013; 103: 1031-8. DOI: 10.2105/AJPH.2013.301210
  88. [90] Agerbo E, Mortensen PB, Eriksson T, Qin P, Westergaard-Nielsen N. Risk of suicide in relation to income level in people admitted to hospital with mental illness: nested case-control study. BMJ 2001; 10: 334-5.
  89. [91] Meltzer H, Griffiths C, Brock A, Rooney C, Jenkins R. Patterns of suicide by occupation in England and Wales: 2001-2005. British Journal of Psychiatry 2008; 193: 73-6. DOI: 10.1192/bjp.bp.107.040550
  90. [92] Milner AJ, Niven H, LaMontagne AD. Occupational class differences in suicide: evidence of changes over time and during the global financial crisis in Australia. BMC Psychiatry 2015; 21:223. DOI: 10.1186/s12888-015-0608-5
  91. [93] Roberts SE, Jaremin B, Lloyd K. High-risk occupations for suicide. Psychological Medicine 2013; 43: 1231-40. DOI: 10.1017/S0033291712002024
  92. [94] Milner A, Morrell S, LaMontagne AD. Economically inactive, unemployed and employed suicides in Australia by age and sex over a 10-year period: what was the impact of the 2007 economic recession? International Journal of Epidemiology 2014; 43: 1500-7. DOI: 10.1093/ije/dyu148.[95]HatcherS.Debtanddeliberateself-poisoning.BritishJournalofPsychiatry1994;164:111–114.DOI:10.1192/bjp.164.1.111
  93. [96] Turunen E, Hiilamo H. Health effects of indebtedness: a systematic review. BMC Public Health 2014; 22: 489. DOI: 10.1186/1471-2458-14-489
  94. [97] De Vogli R. Unemployment and suicides during the recession in Italy. BMJ 2013; 347:f4908. DOI: 10.1136/bmj.f4908
  95. [98] Pompili M, Vichi M, Innamorati M, Lester D, Yang B, De Leo D, Girardi P. Suicide in Italy during a time of economic recession: some recent data related to age and gender based on a nationwide register study. Health Soc Care Community 2014; 22: 361-7. DOI: 10.1111/hsc.12086
  96. [99] Simou E, Koutsogeorgou E. Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: a systematic review. Health Policy 2014; 115:111-9. DOI: 10.1016/j.healthpol.2014.02.002
  97. [100] Fountoulakis KN, Savopoulos C, Apostolopoulou M, Dampali R, Zaggelidou E, Karlafti E, Fountoukidis I, Kountis P, Limenopoulos V, Plomaritis E, Theodorakis P, Hatzitolios AI. Rate of suicide and suicide attempts and their relationship to unemployment in Thessaloniki Greece (2000-2012). J Affect Disord. 2015; 174:131-6. DOI: 10.1016/j.jad.2014.11.047
  98. [101] Ghio L, Peloso PF, Ferrannini L. La crisi economica: rischio e opportunità per il Dipartimento di Salute Mentale. Sistema salute. La rivista di educazione sanitaria e promozione della salute 2012; 56: 177-91.
  99. [102] Castel R. Les métamorphoses de la question sociale. Une chronique du salariat. Paris: Gallimard; 1999.
  100. [103] Peloso PF. Crisi sociale e crisi personale: un convegno a Lione, Il Vaso di Pandora. Dialoghi in psichiatria e scienze umane 1997; 5: 81-8.
  101. [104] Ferrannini L, Peloso PF. Crisi economica e salute mentale: psicologia e psicopatologia del fallimento. Fogli d’Informazione 2012; 41: 392-5.
  102. [105] Peloso PF. Amore, morte, morte dell’Io. Il mal d’amore da categoria diagnostica a esperienza psicotraumatica. In: Guerci A, ed. La cura delle malattie: itinerari storici/ Treating illness: historical routes. Genova: Erga; 1998, p. 297-311.
  103. [106] Peloso PF, Puppo V. Osservazioni sulla prevenzione del suicidio in carcere e sul rapporto tra cura e detenzione. Giornale Italiano di Suicidologia 1993; 3 (supp1): s181-6.
  104. [107] Peloso PF. Guerra e psichiatria tra primo e secondo conflitto. Intervento al Convegno “Guerra e disabilità: i mutilati italiani e i conflitti mondiali”. Firenze 2015; 4-5 giugno.
  105. [108] Global Burden of Diseases, Injuries, and Risk Factors Study 2010. Institute for Health Metrics and Evaluation; March 2013.
  106. [109] World Health Organization. Comprehensive mental health action plan 2013–2020, 66th world health assembly. May 2013. [110] WHO. The European Mental Health Action Plan, Regional Committee for Europe; September 2013.
  107. [111] Ferrannini L, Ghio L, Gibertoni D, Lora A, Tibaldi G, Neri G, et al. Thirtyfive years of community psychiatry in Italy. Journal of Nervous and Mental Disease 2012; 2: 432-9. DOI: 10.1097/NMD.0000000000000141
  108. [112] Ministero della Salute. Sistema Informativo Sanitario Nazionale. Report 2012.
  109. [113] Picardi A, Tarolla E, de Girolamo G, gruppo di lavoro PRISM. Valutare l’attività delle strutture ospedaliere e residenziali dei DSM: gli indicatori PRISM. Rivista di Psichiatria 2014; 49: 265-72. DOI 10.1708/1766.19128

Pietro Calcagno, Lucio Ghio, Paolo Francesco Peloso, Luigi Ferrannini, Crisi economica e salute mentale: evidenze, quotidianità dei servizi e politiche sanitarie in "RIVISTA SPERIMENTALE DI FRENIATRIA" 1/2016, pp 13-41, DOI: 10.3280/RSF2016-001002