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Biomedical subjects

G Høyer

Publications and source records attributed to G Høyer.

18 recordsLinked to original sources
PubMed2000

On the justification for civil commitment.

This paper explores some of the controversies in the debate regarding the justification of civil commitment. The sometimes conflicting values reflected in the mental health legislation, human rights principles, moral philosophy and psychiatric professional standards are discussed. In spite of the often substantial use of civil commitment in many countries, there are almost no scientifically sound studies addressing the outcome of coercive treatment. The paper establishes that the traditional arguments in favour of civil commitment, like lack of insight and competence as well as the effectiveness of civil commitment, are poorly founded. The paper concludes that there seems to be a general agreement that civil commitment of patients who are dangerous to themselves or others should be the responsibility of the mental health care system, while civil commitment for treatment purposes is more controversial and hard to justify.

Commitment of Persons with Psychiatric Disorders↗
PubMed1999

Self-reported seasonal variation in depression at 78 degree north. The Svalbard Study.

STUDY OBJECTIVES: To explore and compare the one year prevalence of self-reported depression in two ethnically different populations. DESIGN: A cross-sectional study of each population (1988-89 and 1993). SETTING: Norwegians living in Longyearbyen, Svalbard, and Russians living in Barentsburg and Pyramiden, Svalbard, both representing the world's two northern most regularly inhabited settlements. PARTICIPANTS: 506 Norwegians (327 men and 179 women) and 446 Russians (314 men and 132 women), all 18 years or older, living on Svalbard. MAIN RESULTS: Among Russians, the one year prevalence of self-reported depression lasting for at least 2 weeks was 26.8% for men and 44.7% for women. Corresponding figures for the Norwegians were 10.7 and 15.6%. For the period with polar night the figures were 5.5 and 6.7% for Norwegians, and 21.7 and 37.1% for Russian men and women, respectively. Depression was most common in the youngest age-group among Russians and in the oldest age-group among the Norwegians. CONCLUSION: The one year prevalence of depression was 2-3 times higher among Russians compared to Norwegians living on Svalbard. For the period with polar night, the figures were 4-5 times higher for Russians. As both populations are exposed to the same amount of daylight, seasonal depression may therefor not solely be a matter of lack of daylight. Because the Russian population came from lower latitudes than the Norwegians, we hypothesize that insufficient acclimatization after migration to the north is essential for the understanding of seasonal variation in depression.

Adolescent↗
PubMed1995

The General Health Questionnaire: how many items are really necessary in population surveys?

This paper seeks to investigate whether only a few questions selected from the General Health Questionnaire (GHQ) may be used to measure the degree of mental distress in population surveys. Data from 2112 men and women, 18 to 70 years old from two cross-sectional studies conducted in northern Norway and the island Spitzbergen in the Arctic, were used. Correlation analysis of Likert scores from a 20-item version of GHQ (GHQ-20) with Likert scores based on four and six items selected by multiple regression analysis or by competent physicians was performed. The correlation coefficients between the scores from the subsets of four items and the full GHQ-20 questionnaire were high (greater than 0.80) in all examined subgroups of the populations. Increasing the number of questions from four to six only marginally increased the correlation coefficients. Thus, a simple linear sum of Likert scores based on a few GHQ items can be used to measure the degree of mental distress in populations surveys.

Adult↗
PubMed1995

The Svalbard study 1988-89: a unique setting for validation of self-reported alcohol consumption.

The Norwegian island of Spitzbergen, Svalbard offers a unique setting for validation studies on self-reported alcohol consumption. No counterfeit production or illegal import exists, thus making complete registration of all sources of alcohol possible. In this study we recorded sales from all agencies selling alcohol on Svalbard over a 2-month period in 1988. During the same period all adults living permanently on Svalbard were invited to take part in a health screening. As part of the screening a self-administered questionnaire on alcohol consumption was introduced to the participants. We found that the self-reported volume accounted for approximately 40 percent of the sales volume. Because of the unique situation applying to Svalbard, the estimate made in this study is believed to be more reliable compared to other studies using sales volume to validate self-reports.

Adolescent↗
PubMed1994

[Changes in the use of compulsory measures in Norwegian psychiatric institutions].

This paper presents the second screening concerning the use of coercive measures in Norwegian mental health institutions. The use of mechanical restraint, seclusion and forced medication was recorded during the first six months of 1989 and of 1990. We found no change in the use of coercive measures from 1989 to 1990, nor did we find any differences when the results of this screening was compared with those of the first screening carried out in 1986-88. Mechanical restraint was the most commonly used coercive measure, and a total of 9402 hours of such constraint was recorded the first six months of 1990. In many cases, a substantial part of the total amount of mechanical restraint in the different institutions at different times referred to a single patient, which created large variations in the use of coercion. No correlation was found between the use of coercion on one hand and size of ward and staff ratio on the other; factors that otherwise are believed to be of importance for use of coercion.

Drug Utilization↗
PubMed1993

Suicide among women related to number of children in marriage.

The hypothesis of a negative association between rates of suicide and number of children in marriage was investigated in a prospective study of 989,949 women followed up for 15 years (1970 through 1985) with 1190 deaths from suicide. Women who had never married exhibited higher relative risks for suicide than married parous and married nonparous women for all age groups younger than 65 years at the start of follow-up. Among the married, the parous women had lower relative risks than nonparous women for all ages. For both premenopausal and postmenopausal women, a strong linear decrease in relative risk for suicide with increasing number of children in marriage was found. The effect of number of children was independent of social class measured as years of completed schooling. The findings provide the first empirical support for theories of parenthood and suicide advanced by Durkheim almost 100 years ago.

Adult↗
PubMed1992

New alcohol markers--how useful are they in population studies: the Svalbard Study 1988-89.

Regular high consumption of alcohol in selected populations have, with high precision, been identified by two new alcohol markers; carbohydrate-deficient transferrin and mitochondrial aspartate aminotransferase. To test these markers in an unselected population, gamma-glutamyltransferase (GGT), carbohydrate-deficient transferrin (CDT), and mitochondrial aspartate aminotransferase (mAST) were measured in the Norwegian population, 310 males and 171 females, aged 18 to 60 years, living at Svalbard. Using self-reported alcohol intake as gold standard, sensitivity, specificity, positive predictive value, and likelihood-ratio were estimated according to different cutoff-points for alcohol intake and for the tests. In contrast to earlier studies, the sensitivity was in general low. With a specificity of 90% or higher, the sensitivity did not exceed 26% for any of the tests. Whereas CDT showed its best discriminatory power at lower intake of alcohol, GGT discriminated best at higher levels. Parallel and serial analysis of CDT and GGT indicated a conditional independence between the tests, as well as at higher and at lower levels of alcohol consumption. mAST was judged as not suitable in population studies.

Adolescent↗
PubMed1991

[Use of coercive measures in Norwegian psychiatric institutions].

This paper addresses the use of coercive measures in Norwegian mental health care in recent years. The use of mechanical restraint and seclusion was recorded for the first six months of 1986 and 1988. During the first six months of 1988, 203 patients had been restrained mechanically for a total of 10,767 hours, while 73 patients required seclusion for a total of 3,914 hours during the same period. The results showed that there had been no increase in the total number of hours when coercion had been applied over the actual period, but a significant increase was found in the number of patients who had been subjected to coercive measures. These results are discussed in relation to the number of available beds, staff ratio and patient turnover in Norwegian mental health institutions.

Coercion↗