Dainius Puras’s research while affiliated with Vilnius University and other places

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Publications (16)


Under threat: the International AIDS Society-Lancet Commission on Health and Human Rights
  • Literature Review
  • Full-text available

March 2024

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395 Reads

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6 Citations

The Lancet

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Adeeba Kamarulzaman

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Michael Isbell

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[...]

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Leonard Rubenstein
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Male and female life expectancy in Estonia, Latvia, and Lithuania from 1959 to 2018. Three curves at the top of the chart represent female life expectancy changes, three curves at the bottom of the chart represent male life expectancy changes. Two vertical grey dotted lines show the start of the period in 2007 and the end of the period in 2018. Data source: the Human Mortality Database [9]
Change in age-standardized years of life lost from mental health-related causes of death groups, in Estonia, Latvia, and Lithuania in 2007-2018. Standard life expectancy for the year 2050 provided by WHO Global Health Estimates [29] and Standard European population of 2013 [30] was applied in calculations
Composition of age-standardized years of life lost from mental health-related causes of death groups by age group, in Estonia, Latvia, and Lithuania in 2007 and 2018. Standard life expectancy for the year 2050 provided by WHO Global Health Estimates [29] and Standard European population of 2013 [30] was applied in calculations
The burden of mental health-related mortality in the Baltic States in 2007-2018

September 2022

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147 Reads

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14 Citations

BMC Public Health

Background The problem of underestimating the burden of mental health-related mortality is widely discussed in the public health literature. Relevant scientific evidence from societies experiencing the largest burden of mental health mortality is important for better understanding global and national mental health challenges and improving policies. Three Baltic States - Estonia, Lithuania, and Latvia - are countries in the Central and Eastern European region that experienced post-soviet transition trauma and showed among the highest suicide and alcohol-related mortality rates in Europe. This study aimed to examine the change in the burden of mental health-related mortality in three Baltic States in the context of consistent growth in life expectancy in 2007-2018. Methods We calculated age-standardized years of life lost due to specific mental health-related causes of death in three Baltic countries from 2007 to 2018. Four mental health-related causes of death groups were analyzed: (i) all mental and behavioural disorders; (ii) intentional self-harm; (iii) main substance use-related causes of death; and (iv) external causes of death. The number of deaths came from the WHO Mortality Database; population exposures were extracted from the Human Mortality Database. Results We found that the proportion of age-standardized years of life lost due to mental disorders was relatively low in all three countries. It varied from 0.2% for females in Lithuania in 2009 to 2.4% for males in Estonia in 2007. However, the proportion of age-standardized years of life lost from self-harm and substance use remained high. In 2018, the proportion of age-standardized years of life lost due to self-harm was highest among males in Lithuania (4.1%) while the highest proportion due to substance use-related causes of death was among males in Estonia (7.3%). Conclusions Our findings indicate that the burden of mental health-related mortality remained high and showed divergent temporal changes across the three countries. In the context of the Baltic States and other post-soviet countries, fractions of various external causes of death and alcohol-related causes of death should be considered in assessing the total burden of mental health-related mortality.


Demographic Losses due to Women’s Suicide in Lithuania 2007–2020: Social Disparities and Challenges for Mental Health Policy

July 2022

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52 Reads

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1 Citation

Socialinė Teorija Empirija Politika ir Praktika

In many countries of the world, including Lithuania, suicide rates for men are several times higher than for women. Therefore, the phenomenon of men’s suicide is receiving a lot of attention in public, scientific, and political discourses. In contrast, much less attention is paid to tackling women’s suicides and women’s mental health problems. Lithuania has been among the countries with the highest suicide rates for both men and women in the world for several decades, but research on the social and demographic aspects of women’s suicide in Lithuania is lacking. This paper aims to examine the demographic losses that Lithuania suffers from women suicides and assess the socio-demographic differentiation of these losses. The empirical part of the study was based on the calculation of years of life lost methodology. The years of life lost method is acknowledged as an accurate measure for assessing the impact of specific causes of death on premature mortality. Data sources for this study were the World Health Organization, Institute of Hygiene, and Human Mortality Database. The results of our study show that the number of years of lives lost due to women’s suicide decreased statistically significantly from 376 [321; 431] in 2007 to 287 [238; 335] in 2020. In Lithuania, the total number of women suicide was the highest among the 80+ year age group, however, the number of years of life lost due to suicide was the highest among the 30-39 year age group. The change in women’s suicide rates was inconsistent and for women, the decline in demographic loss due to suicide was twice as slow as for men. Nevertheless, the number of years of lives lost due to women’s suicide was about 5 times smaller than that of men in 2020. In Lithuania, high rates of women’s suicide reflect the poor state of women’s mental health, which poses challenges to the country’s mental health policy and sustainable demographic development.





Editorial: The WHO QualityRights initiative: building partnerships among psychiatrists, people with lived experience and other key stakeholders to improve the quality of mental healthcare

September 2021

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483 Reads

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33 Citations

The British journal of psychiatry: the journal of mental science

Psychiatrists have an essential role to play in promoting human rights in mental healthcare. The World Health Organization's QualityRights initiative, in partnership with different stake-holders, is improving the quality of psychiatric care in different countries.


Citations (12)


... As the landmark Global Commission on HIV and the Law (2012) concluded, 'punitive laws, discriminatory and brutal policing and denial of access to justice … promote risky behaviour, hinder people from accessing prevention tools and treatment, and exacerbate the stigma and social inequalities that make people more vulnerable to HIV infection and illness' (p. 7). Despite consistent calls to centre human rights in the global HIV response, however, developing consistent approaches and forms of measurement to track progress towards addressing the social factors that contribute to the HIV epidemic have remained challenging (Beyrer et al., 2024). ...

Reference:

Stakeholder views on the relationship between human rights and the law in addressing the HIV epidemic in Papua New Guinea
Under threat: the International AIDS Society-Lancet Commission on Health and Human Rights

The Lancet

... [3][4][5] Beyond the Russian Federation, concerning patterns are transpiring elsewhere, like Iran, where psychiatry is being misused to reform "anti-social behaviours" contravening state-sponsored ideologies, notably against women. 7 Separately, albeit under different circumstances, judicial rulings in Switzerland have potentially allowed for court-mandated therapeutic measures without a validated psychiatric diagnosis. 1 These troubling developments warrant extensive scrutiny. ...

Political abuse of Iranian psychiatry and psychiatric services
  • Citing Article
  • November 2022

The Lancet

... Examples of MHDs include depression, anxiety disorders, post-traumatic stress disorder (PTSD), bipolar disorder, schizophrenia, and eating disorders. These conditions can significantly impair an individual's ability to function, negatively impacting their quality of life, relationships, and overall productivity [6][7][8]. Furthermore, certain MHD such as major depressive disorder and anxiety are often associated with specific affective temperaments, hopelessness, and suicidal behavior and grasping such connections can help in crafting customized interventions to reduce suicide risk [9]. In addition, a systematic review of 18 studies found that demoralization with somatic or psychiatric disorders is a significant independent risk factor for suicide and negative clinical outcomes across various populations [10]. ...

The burden of mental health-related mortality in the Baltic States in 2007-2018

BMC Public Health

... "Eurostat" duomenimis (2022), Lietuvos moterų savižudybių rodikliai 2017 m. buvo didžiausi Europos Sąjungoje (Higienos institutas, 2022). Nors vyrų savižudybių rodikliai Lietuvoje kelis kartus viršija moterų savižudybių rodiklius, tačiau pastaraisiais metais vyrų savižudybių rodikliai mažėjo sparčiau negu moterų (Stumbrys, Pūras, 2022). Atlikta Lietuvos moterų savižudybės rizikos duomenų analizė rodo, kad Lietuvos moterų savižudybės rizika yra "labai aukšta" (Navickas ir kt., 2009). ...

Demographic Losses due to Women’s Suicide in Lithuania 2007–2020: Social Disparities and Challenges for Mental Health Policy

Socialinė Teorija Empirija Politika ir Praktika

... These further emphasise the need to balance public health goals with individuals' rights to autonomy and informed consent. As a result, the World Health Organization and allied United Nations agencies have called for the closure of compulsory drug detention and rehabilitation centres in the Asia-Pacific region and their replacement with voluntary, evidence-and rights-based alternatives (Stoicescu et al., 2022). ...

End compulsory drug treatment in the Asia-Pacific region

The Lancet

... 8 The WWRR was inspired by the Convention on the Rights of Persons with Disabilities (CRPD) and the WHO QualityRights project. [13][14][15] The WWRR measures, in the first five items, the perception of respect for human rights, the organizational climate at work, well-being, and satisfaction with care/work. The answers are coded on a Likert-type scale, with a value from 1 (not at all satisfied) to 6 (completely satisfied). ...

Editorial: The WHO QualityRights initiative: building partnerships among psychiatrists, people with lived experience and other key stakeholders to improve the quality of mental healthcare

The British journal of psychiatry: the journal of mental science

... These human rights obligations, made accountable through independent who review procedures, must be included in a pandemic treaty to limit nationalism, promote equality, and ensure solidarity in global health. 123 The expected development of a pandemic treaty provides a unique opportunity to strengthen who leadership under global health law, structuring international cooperation as a global obligation across the global governance landscape. ...

An international pandemic treaty must centre on human rights

The BMJ

... Our findings underscore the need to support students living amidst chronic warfare and political violence, emphasizing the importance of enhancing Social networks and bolstering Self-esteem during and beyond the pandemic outbreak. Policymakers and human rights advocates are urged to prioritize improving students' quality of life and opportunities in contexts where violations of fundamental human rights pose significant dangers amidst global restrictions on freedoms, movement, and opportunities (Beyrer et al., 2021;Devi, 2021;Zarocostas, 2021). ...

Human rights and fair access to COVID-19 vaccines: the International AIDS Society–Lancet Commission on Health and Human Rights
  • Citing Article
  • March 2021

The Lancet

... CSO leadership teams often have long-standing histories within the communities where they work, and their members usually reside in these communities, all of which create an organic incentive mechanism to help (Wiarda, 2018). While the 'third sector' is often an additional appendage to support public services in democracies, especially when the arm of the government may be weakened, it should not bear the full weight of service delivery or advocacy (Brass, 2022;Brass et al., 2018;Natil, 2020aNatil, , 2020b, particularly in the health sector (Friedman et al., 2020;Kleinman et al., 2013). ...

Global Health in the Age of COVID-19: Responsive Health Systems Through a Right to Health Fund

Health and Human Rights

... This includes ensuring the availability of healthcare facilities, medical professionals, essential medicines, and treatment options to address a wide range of health needs. By investing in healthcare infrastructure and resources, the government can improve healthcare access and quality, thereby safeguarding the health of its citizens (Pūras et al., 2020). ...

The right to health must guide responses to COVID-19

The Lancet