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“They're not mentally ill, their lives are just shit”: Stakeholders' understanding of deaths of despair in a deindustrialised community in North East England

Lookup NU author(s): Tim Price, Dr Vic McGowanORCiD, Dr Shelina VisramORCiD, Professor John WildmanORCiD, Professor Clare BambraORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

The rise in mortality in high-income countries from drug, suicide, and alcohol specific causes, referred to collectively as ‘deaths of despair’, has received growing interest from researchers. In both the US and UK, mortality rates from deaths of despair are higher in deprived, deindustrialised communities. In this qualitative study, we sought to learn how stakeholders working with vulnerable populations in Middlesbrough, a deindustrialised town in North East England with above average mortality from deaths of despair, understand and explain the prevalence of deaths from these causes in their area. Participants identified a number of structural and socio-cultural determinants that they believe drive deaths of despair in their community, including the effects of austerity, deindustrialisation, communal identity, and collective trauma; we argue that these determinants are themselves a product of structural violence.


Publication metadata

Author(s): Price T, McGowan V, Visram S, Wildman J, Bambra C

Publication type: Article

Publication status: Published

Journal: Health and Place

Year: 2024

Volume: 90

Print publication date: 01/11/2024

Online publication date: 08/09/2024

Acceptance date: 05/09/2024

Date deposited: 12/09/2024

ISSN (print): 1353-8292

ISSN (electronic): 1873-2054

Publisher: Elsevier Ltd

URL: https://doi.org/10.1016/j.healthplace.2024.103346

DOI: 10.1016/j.healthplace.2024.103346

Data Access Statement: The data that has been used is confidential. Supplementary data to this article can be found online at https://doi. org/10.1016/j.healthplace.2024.103346.


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Funding

Funder referenceFunder name
Newcastle University Faculty of Medical Sciences
The Wellcome Trust [221266/Z/20/Z]

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