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General Hospital Psychiatry

Kate H Bentley, Shannon Sauer-Zavala, Kimberly T Stevens, Jason J Washburn
OBJECTIVE: Barriers to implementing evidence-based psychological treatments for suicidal thoughts and behaviors in busy hospital settings exist. Transdiagnostic interventions may serve to facilitate training in evidence-based treatment and more efficiently treat individuals with multiple psychiatric comorbidities. We describe the rationale for, process of, and initial data from implementing the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) on an inpatient unit for adults with suicidal thoughts and behaviors and affective disorders...
September 27, 2018: General Hospital Psychiatry
Jaclyn C Kearns, Daniel D L Coppersmith, Angela C Santee, Catherine Insel, Wilfred R Pigeon, Catherine R Glenn
OBJECTIVE: Sleep problems are transdiagnostic symptoms that confer significant risk for suicidal thoughts and behaviors (STBs) in adults. However, less is known about the sleep-STB association in adolescence-a developmental period when rates of STBs increase drastically, and sleep problems may be particularly pernicious. This article provides a systematic review of research on the sleep-STB association in youth, an overview of changes in sleep regulation during adolescence that may make sleep problems particularly detrimental for youth, and a discussion of the clinical implications of the sleep-STB association for hospitalized youth...
September 26, 2018: General Hospital Psychiatry
Maarten A van Schijndel, Petra J Caarls, Jeroen D H van Wijngaarden, André I Wierdsma, Jeroen G Lijmer, Annette D Boenink, Witte J G Hoogendijk, Jeroen A van Waarde, Jan J V Busschbach
OBJECTIVE: To define generic quality indicators for general hospital psychiatry from the perspectives of patients, professionals (physicians, nurses, and managers), and payers (health insurance companies). METHODS: Quality variables were identified by reviewing the relevant literature. A working. group consisting of patients', professionals' and payers' representatives was mandated by their respective umbrella organizations. The working group prioritized the quality variables that were identified...
September 25, 2018: General Hospital Psychiatry
Chantel Urban, Sarah A Arias, Daniel L Segal, Carlos A Camargo, Edwin D Boudreaux, Ivan Miller, Marian E Betz
OBJECTIVE: To compare Emergency Department (ED) care of suicidal patients with and without documented acute alcohol use. METHODS: Retrospective chart review of randomly sampled patient visits (n = 800; January 2014 to December 2015) at an urban ED with universal screening for suicide risk. Eligible visits were by adults (18+ years) who screened positive for suicide risk at the ED visit (i.e., suicidal ideation in past two weeks or suicide attempt in past six months)...
September 25, 2018: General Hospital Psychiatry
Michael F Armey, Leslie Brick, Heather T Schatten, Nicole R Nugent, Ivan W Miller
No abstract text is available yet for this article.
September 23, 2018: General Hospital Psychiatry
Amanda K Ceniti, Nicole Heinecke, Shane J McInerney
OBJECTIVE: Although the Emergency Department (ED) is a frequent point of contact for individuals with suicide-related behaviour (SRB) or ideation, there is limited literature specifically examining presentations to the ED for SRB. This review examines the international literature published in North America, the United Kingdom and Australia relating to presentations to the ED for SRB, with focus on high-risk groups, screening tools used in the ED, and difficulties in classifying ED presentations of SRB...
September 18, 2018: General Hospital Psychiatry
Ashley A Wiedemann, Valentina Ivezaj, Rachel D Barnes
OBJECTIVE: Emotional overeating and loss-of-control eating are associated with poorer weight-related and psychiatric outcomes, yet our understanding of the relationship between these variables is limited, particularly among individuals in primary care. This study examined the frequency of emotional overeating and relationship with loss-of-control eating among patients with and without binge-eating disorder (BED) seeking weight loss treatment in primary care. METHOD: Participants were 131 adults (n = 105 female) with overweight/obesity seeking weight loss treatment in primary care...
September 12, 2018: General Hospital Psychiatry
Erin F Ward-Ciesielski, Olivia Peros, Alyssa Conigliaro, Amanda K Gilmore
No abstract text is available yet for this article.
September 8, 2018: General Hospital Psychiatry
Donna E Stewart, Gary Rodin, Madeline Li
OBJECTIVE: Consultation-liaison (C-L) psychiatrists are involved in physician-assisted death (PAD) teams in many permitting jurisdictions. This paper will describe our Canadian PAD experience over 2 years, highlighting the role of C-L psychiatrists, at a large hospital network that provides medical assistance in dying (MAID, as this is called in Canada). METHODS: We will describe the Canadian criteria for MAID, our multispecialty MAID team experience and the roles, issues and concerns experienced by C-L psychiatrists...
August 31, 2018: General Hospital Psychiatry
Matej Markota, Alastair J McKean, Magdalena Romanowicz, Kathryn M Schak, Paul E Croarkin, Jennifer L Vande Voort
OBJECTIVE: Psychiatric rehospitalizations results in a significant burden to patients, families, and health care systems. Understanding psychiatric rehospitalizations offers an opportunity to identify weaknesses in current systems of care. The objective of this study was to test the hypothesis that a history of trauma or ongoing bullying increases the risk of psychiatric rehospitalization. METHOD: Retrospective cohort study of 366 individual patients (71% female) admitted to a pediatric psychiatry unit between 1/1/2015 and 12/31/2015...
August 30, 2018: General Hospital Psychiatry
Anna Sophie Quaade, Annette Sofie Davidsen, Volkert Siersma, Gunhild Waldemar, Frans Boch Waldorff
OBJECTIVE: To investigate the predictive value of subjective memory complaints (SMCs) for having a hospital-based diagnosis of a single depressive episode over a four-year follow-up period. METHODS: A prospective register-based cohort study in general practice. All 17 practices in Inner city Copenhagen participated in the study. They had 40,865 registered patients, 2934 aged 65 years or older. Information on SMCs and socio-demographics was collected during two months at enrolment in primary care...
August 22, 2018: General Hospital Psychiatry
Joseph Chilcot, Michael K Almond, Ayman Guirguis, Karin Friedli, Clara Day, Andrew Davenport, David Wellsted, Ken Farrington
OBJECTIVE: To validate the factor structure of two common self-report depression tools in a large sample of haemodialysis (HD) patients and to examine their demographic and clinical correlates, including urine output, history of depression and transplantation. METHODS: Factor structures of the Beck Depression Inventory (BDI-II) and Patient Health Questionnaire (PHQ-9) were evaluated using confirmatory factor analysis (CFA). Data was utilised from the screening phase (n = 709) of a placebo-controlled feasibility randomised control trial (RCT) of sertraline in HD patients with mild to moderate Major Depressive Disorder...
August 17, 2018: General Hospital Psychiatry
Alison Heru
Donating a kidney to a stranger is known as a Good Samaritan, altruistic, or non-directed donation. Living donation is the only instance in medicine where the "do-no-harm" dictum is intentionally violated. Healthcare professionals 'doing the harm' are ethically responsible to ensure the lowest risk for both the physical and psychological health of the potential donor. To this end, experts in the transplant community published Guidelines for the Psychosocial Evaluation of Living Unrelated Kidney Donors in the United States [1]...
August 14, 2018: General Hospital Psychiatry
Paul Hüsing, Markus Bassler, Bernd Löwe, Stella Koch, Anne Toussaint
OBJECTIVE: The SSD-12 is a brief self-report questionnaire to measure the psychological criteria of DSM-5 Somatic Symptom Disorder. This study examines its psychometric properties in a German inpatient sample from a psychosomatic rehabilitation setting, and provides evidence to its sensitivity to change. METHOD: Patients completed the SSD-12 and the Health49-subscale on somatoform complaints before and after receiving inpatient treatment. Therapists evaluated the psychological improvement of their patients at the end of treatment...
August 10, 2018: General Hospital Psychiatry
Roberto Sánchez-González, Amanda Rodríguez-Urrutia, Eila Monteagudo-Gimeno, Eduard Vieta, Víctor Pérez-Solá, Sandra Herranz-Villanueva, Luis Pintor-Pérez
No abstract text is available yet for this article.
August 10, 2018: General Hospital Psychiatry
Laurel O'Connor, Celine Larkin, Ameer A Ibrahim, Michael Allen, Bo Wang, Edwin D Boudreaux
BACKGROUND: Many patients treated in the emergency department (ED) for non-psychiatric complaints have elevated suicide risk. Universal screening can detect occult suicide risk, but gold standard risk measurement tools, such as the Beck Scale for Suicidal Ideation (BSS), are too long and cumbersome for ED use. OBJECTIVE: To test the performance of seven novel 0- to 10-point suicide risk "rulers" against the BSS. METHOD: 399 patients from three EDs completed seven novel risk rulers, traditional binary screening items, and the BSS...
August 9, 2018: General Hospital Psychiatry
Alexander J Millner, Michael D Lee, Kelly Hoyt, Joshua W Buckholtz, Randy P Auerbach, Matthew K Nock
OBJECTIVE: For over 100 years impulsiveness has been cited as a key factor in why some people that think about killing themselves go on to attempt suicide. Yet prior studies are limited by not using experimental groups that can test this hypothesis and by treating impulsiveness as a unidimensional construct. To overcome these limitations, we compared suicide ideators and suicide attempters on several dimensions of impulsiveness. METHOD: In Study 1 we compared inpatient suicide attempters who made an attempt within the prior two weeks (n = 30), current inpatient suicide ideators (n = 31), and community controls (n = 34) on several dimensions of impulsiveness using self-report and behavioral measures...
August 4, 2018: General Hospital Psychiatry
Eleonora M Guzmán, Katherine M Tezanos, Bernard P Chang, Christine B Cha
OBJECTIVE: The emergency department (ED) offers a critical and unique opportunity to assess and intervene on suicide risk. Despite its potential benefits, the ED setting presents several potential sources of stress. The present paper calls attention to how suicidal patients may be especially vulnerable to stressful ED experiences. METHOD: This research synthesis cites the growing literature on ED-related stressors, as they have been shown to affect both psychiatric and nonpsychiatric patient populations...
July 22, 2018: General Hospital Psychiatry
Valentina Ivezaj, Rachel D Barnes, Zafra Cooper, Carlos M Grilo
OBJECTIVE: To characterize loss-of-control eating following sleeve gastrectomy surgery by comparing relevant patient groups. METHOD: Participants were 431 adults seeking treatment for eating/weight concerns categorized into one of four groups: 1) overweight/obesity (OW/OB), 2) binge-eating disorder (BED), 3) "Bariatric Binge-Eating Disorder" (Bar-BED) defined as meeting all criteria for DSM-5 binge-eating disorder, except for the requirement of an unusually large amount of food, following sleeve gastrectomy surgery, and 4) "Bariatric Loss-of-Control Eating" (Bar-LOC Only), defined as experiencing at least once weekly loss-of-control eating episodes during the past month without the other associated clinical features and distress that characterize Bar-BED, following sleeve gastrectomy surgery...
July 17, 2018: General Hospital Psychiatry
Rebecca K Sripada, Paul N Pfeiffer, Sheila A M Rauch, Dara Ganoczy, Kipling M Bohnert
OBJECTIVES: The VA has mandated that evidence-based psychotherapies (EBPs) be offered to patients with PTSD, but only a small minority of the psychotherapy delivered to VA patients with PTSD is a documented EBP. It is unknown what factors are associated with receiving a documented EBP. METHOD: Patients who received an EBP in FY2015 that was documented using a templated progress note (N = 21,808) were compared with patients who received psychotherapy for PTSD that was not documented using a template (N = 251,886)...
July 11, 2018: General Hospital Psychiatry
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