Earlier this year a prospective PhD supervisor blogged for us about recruiting for a PhD scholarship focused on historically marginalised groups and mental health inequalities. That student is Alua Yeskendir, who provides this post on new research summarising the current state of the evidence around the social determinants of mental health.

We used to see mental health problems as primarily a biological phenomenon. But is it true? If we say that your mental health also depends on the distribution of social, economic and political wealth, power, and resources, does it make easier to solve the problem?

UCL’s Head of Workplace Wellbeing, Sally Belcher outlines how dedicated workplace health teams and researchers have come together to support the mental health of members of staff.   

World Mental Health Day is recognised annually on 10^th of October. It is a day that encourages everyone to reflect on their own mental health, and that of those around them. This year’s theme is ‘Mental health is a universal human right’, and in the workplace that means ensuring mental health is treated equitably and with the same respect and dignity as that of a physical injury. Working in Workplace Health, especially around the time of World Mental Health Day is an opportunity to improve knowledge and raise awareness of staff but it also serves as a stark reminder on how far we as a society have to go.

People with serious and persistent mental illness (SPMI) often have poor experiences of health care, including end-of -life care, yet their voices often go unheard, leading to decisions being made on their behalf. Nivedita Ashok describes research from UCL’s Marie Curie Palliative Care Department, which shows that people with SPMI want to make their own choice, just like anyone else.

People with a diagnosis of intellectual disability or a serious mental illness die much earlier from serious physical illnesses than the general population. Lack of support to have healthier lifestyles, only seeking help when very unwell, late presentation to services, delays in diagnosis, and insufficient treatment provision are all problems.

Despite this gap, they are often excluded from palliative care research, and their experience of healthcare services are often poor, e.g. failure to make reasonable adjustments.

Our research team has been studying these issues to identify the gaps and uncertainties in the evidence. The findings have helped us understand what service users, their families, and the professionals who work with them find challenging, and what they suggest can help improve this.

The fourth UCL Institute of Mental Health Conference explored a diverse range of topics including health economics, suicide prevention and cognitive neuroscience. UCL Wellcome PhD student Jennifer Fielder shares some of her highlights of the day.

As a PhD student in Mental Health Science, I was excited to hear some of the latest mental health research showcased by leading experts at the Institute of Mental Health (IoMH) Conference.

The first session on mind and body interactions followed warm welcomes from Professor Anthony David, director of UCL IoMH, and Professor Alan Thompson, Dean of the UCL Faculty of Brain Sciences. UCL’s Professor Sarah Garfinkel focused on how our ability to sense internal contexts and signals, known as interoception, shapes mental health. This covered her work on interoceptive training, where people learn to detect their heartbeats more accurately, which decreased anxiety in autistic adults for up to one year after the training. The talk finished with the exciting prospect that effective psychiatric treatments may work via interoceptive pathways. For example, one dose of the antidepressant Citalopram was found to increase interoceptive accuracy.

UCL Psychiatry MSc student Kangning Zheng’s research focuses on the experiences of loneliness among international students. This blog describes what her work reveals about the impact on students’ mental health.

Studying in another country might be an exciting prospect for many people but some international students can feel lonely during a period of study abroad. Transient loneliness at the start of a move to a new country is common and can be a positive stimulus to meet more people and establish oneself. However, some people can become chronically lonely, and this poses a threat to health and wellbeing. Loneliness is therefore an important consideration for policymakers in relation to the economic and social benefits of international students.

Recent UCL research finds that lesbian, gay, and bisexual adults report higher rates of suicidal thoughts and suicide attempts than their heterosexual peers. In this blog Garrett Kidd describes how the study came about and its significance.

In the 2021 census lesbian, gay and bisexual (LGB) people represented 3.2% of the English and Welsh populations.

However, the UK is a heteronormative society where LGB people have experienced systemic and historical persecution under British law; homosexuality was partially decriminalised only in 2017. Legal recognition and protections have advanced since then, but a legacy of discrimination and lack of legal protection has impacted the lives of generations of LGB individuals.  Minority stress theory suggests that experiences such as discrimination or bullying might account for the poorer mental health of LGB people, as suggested in our previous work at UCL.