Skip to main content

Main menu

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
    • CFP AI policy
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums

User menu

  • My alerts

Search

  • Advanced search
The College of Family Physicians of Canada
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums
  • My alerts
The College of Family Physicians of Canada

Advanced Search

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
    • CFP AI policy
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • RSS feeds
  • Follow cfp Template on Twitter
  • LinkedIn
  • Instagram
Research ArticleWeb exclusive

Social determinants of health and depression in adults presenting to the emergency department

Implications for family medicine

Lilian Shyman, Roman Sukhorukov, David Barbic, Steve Mathias, Shannon Chau, Adelena Leon and Skye Barbic
Canadian Family Physician December 2021; 67 (12) e337-e347; DOI: https://doi.org/10.46747/cfp.6712e337
Lilian Shyman
Family physician in Kelowna, BC.
MD CCFP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Roman Sukhorukov
Family physician in Kamloops, BC.
MD CCFP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David Barbic
Emergency physician at St Paul’s Hospital in Vancouver, BC.
MD FRCPC
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Steve Mathias
Psychiatrist at St Paul’s Hospital and Executive Director of Foundry.
MD FRCP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Shannon Chau
Graduate student in the Dietetics Program at the University of British Columbia (UBC) in Vancouver and was a co-op student for this study.
BSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Adelena Leon
Research coordinator at UBC.
BSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Skye Barbic
Health systems researcher, Research Lead at Foundry, and Assistant Professor in the Department of Occupational Science and Occupational Therapy at UBC.
PhD MSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: skye.barbic{at}ubc.ca
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Social determinants of health model used to guide this study

  • Figure 2.
    • Download figure
    • Open in new tab
    Figure 2.

    Participants’ self-reported social determinants of health: N = 156.

  • Figure 3.
    • Download figure
    • Open in new tab
    Figure 3.

    Self-reported engagement in meaningful activity and social connection per week: N = 156.

Tables

  • Figures
    • View popup
    Table 1.

    Participant demographic characteristics: N = 156.

    CHARACTERISTICSVALUES*
    Age, y
      • Mean (SD)39.1 (13.8)
      • Median38
      • Range19-84
    Gender, n (%)
      • Women57 (37)
      • Men93 (60)
      • Other6 (4)
    Education, n (%)
      • Less than high school40 (26)
      • High school18(12)
      • Some college33 (21)
      • Some university13 (8)
      • College or technical degree12 (8)
      • Bachelor’s degree23 (15)
      • Master’s degree8 (5)
      • PhD, MD, or other professional degree2 (1)
      • Other or missing7 (4)
    Ethnicity, n (%)
      • White102 (65)
      • African4 (3)
      • African-Caribbean1 (1)
      • Asian10 (6)
      • Indigenous28 (18)
      • Other or missing11 (7)
    Self-reported primary diagnosis, n (%)
      • Schizophrenia or schizoaffective disorder16 (10)
      • Depression87 (56)
      • Bipolar disorder16 (10)
      • Other37 (24)
    Employed, n (%)
      • No118 (72)
      • Yes38 (24)
    Cigarette smoking, n (%)
      • No64 (41)
      • Yes91 (58)
      • Missing1 (1)
    Cannabis use, n (%)
      • No86 (55)
      • Yes68 (44)
      • Missing2 (1)
    • ↵*Percentages might not add to 100% owing to rounding.

    • View popup
    Table 2.

    Severity of depression (based on PHQ-9 score) by gender among patients (N = 156) presenting to the emergency department with acute mental health concerns

    PHQ-9 SCORINGTOTAL (N = 156), N (%)MALE (N = 93), N (%)*FEMALE (N = 57), N (%)*OTHER (N = 6), N (%)
    Level of depression (PHQ-9 score)
      • No depression (1-4)16 (10)  9 (10)   7 (12)  0 (0)
      • Mild (5-10)28 (18)20 (22)   9 (16)  0 (0)
      • Moderate (11-14)20 (13)15 (16)   3 (5)1 (20)
      • Moderately severe (15-20)44 (28)24 (26)19 (33)1 (20)
      • Severe (21-27)48 (31)25 (27)19 (33)3 (60)
    • PHQ-9—Patient Health Questionnaire–9.

    • ↵*Percentages do not add to 100% owing to rounding.

    • View popup
    Table 3.

    Predictors of severity of depression assessed by stepwise multiple regression model: R2 = 0.393, adjusted R2 = 0.344, F = 8.078; P < .001.

    DEPENDENT VARIABLE: PHQ-9 SCOREβSEtP VALUE*
    Block 1 included
      • Gender (man, woman)†2.1130.9972.119.036
    Block 2 included
      • Safety (no, yes)-1.7880.390-4.578< .001
      • Food security (no, yes)-1.5970.5602.850.005
      • Access to clean drinking water (no, yes)-3.3272.3571.411.100‡
      • Housing satisfaction (no, yes)-2.0651.220-1.693.093‡
      • Structured time (< 2 h/wk, > 2 h/wk)-2.5300.560-4.52< .001
      • Participation in usual activities (no, yes)-1.2160.4472.720.007
      • Part of the community (no, yes)-1.7160.526-3.331.001
    Block 1 variables excluded
      • Age (< 40 y vs ≥ 40 y)-0.5441.496-0.364.171
      • Ethnicity (Indigenous vs other)0.3701.5540.238.812
      • Employment status (no, yes)0.4971.5081.387.742
    • PHQ-9—Patient Health Questionnaire–9, SE—standard error.

    • *Threshold for significance is P < .05.

    • ↵†Gender was treated as a binary variable because the study was insufficiently powered to include the category of other.

    • ↵‡Although these values are not statistically significant, we determined the variables were clinically significant.

PreviousNext
Back to top

In this issue

Canadian Family Physician: 67 (12)
Canadian Family Physician
Vol. 67, Issue 12
1 Dec 2021
  • Table of Contents
  • About the Cover
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on The College of Family Physicians of Canada.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Social determinants of health and depression in adults presenting to the emergency department
(Your Name) has sent you a message from The College of Family Physicians of Canada
(Your Name) thought you would like to see the The College of Family Physicians of Canada web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Social determinants of health and depression in adults presenting to the emergency department
Lilian Shyman, Roman Sukhorukov, David Barbic, Steve Mathias, Shannon Chau, Adelena Leon, Skye Barbic
Canadian Family Physician Dec 2021, 67 (12) e337-e347; DOI: 10.46747/cfp.6712e337

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Respond to this article
Share
Social determinants of health and depression in adults presenting to the emergency department
Lilian Shyman, Roman Sukhorukov, David Barbic, Steve Mathias, Shannon Chau, Adelena Leon, Skye Barbic
Canadian Family Physician Dec 2021, 67 (12) e337-e347; DOI: 10.46747/cfp.6712e337
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • METHODS
    • RESULTS
    • DISCUSSION
    • Acknowledgment
    • Notes
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

Web exclusive

  • Author ordering and citation-based measures of scholarly impact
  • Retaining family physicians in comprehensive primary care
  • Characterizing mental health diagnosis within Canadian primary care settings
Show more Web exclusive

Research

  • Author ordering and citation-based measures of scholarly impact
  • Social and health determinants of wait times for primary care in Canada
  • Retaining family physicians in comprehensive primary care
Show more Research

Similar Articles

Subjects

  • Collection française
    • Résumés de recherche

Navigate

  • Home
  • Current Issue
  • Archive
  • Collections - English
  • Collections - Française

For Authors

  • Authors and Reviewers
  • Submit a Manuscript
  • Permissions
  • Terms of Use

General Information

  • About CFP
  • About the CFPC
  • Advertisers
  • Careers & Locums
  • Editorial Advisory Board
  • Subscribers

Journal Services

  • Email Alerts
  • Twitter
  • LinkedIn
  • Instagram
  • RSS Feeds

Copyright © 2025 by The College of Family Physicians of Canada

Powered by HighWire