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General Hospital Psychiatry

Richard Barteček, Jana Hořínková, Pavla Linhartová, Tomáš Kašpárek
No abstract text is available yet for this article.
November 28, 2018: General Hospital Psychiatry
Marjan Ghahramanlou-Holloway, Jessica M LaCroix, Kanchana U Perera, Laura Neely, Geoffrey Grammer, Jennifer Weaver, Laura A Novak, Victoria Colborn, Su Yeon Lee-Tauler
OBJECTIVE: Individuals with a recent suicidal crisis are typically admitted for inpatient psychiatric care. However, targeted inpatient interventions for suicide prevention remain sparse. Thus, this pilot randomized controlled trial evaluated a brief inpatient cognitive behavioral protocol, Post-Admission Cognitive Therapy (PACT) for the prevention of suicide. METHODS: United States service members and beneficiaries (N = 24) psychiatrically hospitalized at a military medical center due to a recent suicidal crisis were randomized to receive either PACT plus Enhanced Usual Care (PACT + EUC) or EUC alone...
November 27, 2018: General Hospital Psychiatry
Susan Wnuk, Neha Parvez, Raed Hawa, Sanjeev Sockalingam
OBJECTIVE: Previous studies have shown higher rates of death by suicide, suicide attempts, suicidal ideation and non-suicidal self-directed violence (NS-SDV) in bariatric surgery patients. METHODS: Data came from the Toronto Bari-Psych Cohort study of adult patients who underwent bariatric surgery between 2010 and 2016. The MINI International Neuropsychiatric Interview was used to obtain lifetime psychodiagnostic data. Information about lifetime suicidal ideation, suicide attempts, NS-SDV and hospitalizations related to any of these phenomena was collected during clinical interview...
November 26, 2018: General Hospital Psychiatry
Lauren G Staples, Blake F Dear, Milena Gandy, Vincent Fogliati, Rhiannon Fogliati, Eyal Karin, Olav Nielssen, Nickolai Titov
OBJECTIVE: The nine-item Patient Health Questionnaire (PHQ-9), seven-item Generalized Anxiety Disorder scale (GAD-7), and ten-item Kessler Psychological Distress Scale (K-10) are valid and reliable measures of depression, anxiety and general distress. However, the time required in their administration may limit their use in routine care. This study examines the utility of shorter versions (PHQ-2, GAD-2, and K-6) as screening instruments and measures of treatment response. METHOD: Data from research trial participants (n = 993) receiving internet-delivered cognitive behaviour therapy (iCBT) were analysed to establish discriminant validity of the short versions...
November 22, 2018: General Hospital Psychiatry
Ji Hyun Baek, Hyewon Lee, Woojae Myung, Ho Kim, Yoon-Ho Choi, Doh Kwan Kim, Kyung Sue Hong, Hong Choi
OBJECTIVE: This study explored the association between low-grade inflammation measured using multiple common inflammatory markers and general psychological distress symptoms. METHOD: A total of 68,463 Korean adults were included. White blood cell counts with differential count, fibrinogen, C-reactive protein (CRP), ferritin and rheumatoid factor were measured. General psychological distress symptoms were assessed using 18 questions of psychosocial well-being index short form (PWI-SF)...
November 16, 2018: General Hospital Psychiatry
Gioia Mura, Luchino Chessa, Annaraffaela Manca, Antonio Preti, Cinzia Balestrieri, Simona Onali, Mauro Giovanni Carta
No abstract text is available yet for this article.
November 14, 2018: General Hospital Psychiatry
Ellen Goldstein, James Topitzes, Jen Birstler, Richard L Brown
OBJECTIVE: This pilot study tests the feasibility of implementing a two-session intervention that addresses adverse childhood experiences (ACEs), post-traumatic stress symptoms, and health risk behaviors (HRBs) among Black primary care patients. African Americans are disproportionately exposed to stressful and traumatic events and are at greater risk for PTSD than the general population. METHOD: A prospective cohort, experimental (pre-post) design with 2 post-intervention assessments were used to evaluate the feasibility of a motivation-based intervention for Black primary care patients with one or more ACEs...
November 14, 2018: General Hospital Psychiatry
Warut Aunjitsakul, Teerapat Teetharatkul, Arnont Vitayanont, Tippawan Liabsuetrakul
No abstract text is available yet for this article.
November 9, 2018: General Hospital Psychiatry
Emily Brignone, Anneliese E Sorrentino, Christopher B Roberts, Melissa E Dichter
OBJECTIVE: Women veterans have disproportionately high risk for both suicide and intimate partner violence compared to women non-veterans. The objective of this study was to assess the relationship between intimate partner violence (IPV) and suicidal ideation and suicidal or self-harm behaviors among women veterans. METHOD: Veterans Health Administration (VHA) electronic medical records were extracted for 8427 women veterans who completed screening for past-year IPV between April 2014 and 2016...
October 23, 2018: General Hospital Psychiatry
Wanjie Tang, Dun Xu, Bin Li, Yi Lu, Jiuping Xu
OBJECTIVE: This study aimed to examine the frequency of suicidal ideation (SI) and identify exposure variables, mental health, and sleep-related risk factors of SI among adolescents following the 2013 Ya'an earthquake. METHODS: Participants consisted of 5563 adolescent students selected through random sampling from 11 primary and high schools in the counties most severely affected by the earthquake. They were asked to complete the Pittsburgh Sleep Quality Index, Children's Revised Impact of Event Scale-13, Short Mood and Feelings Questionnaire, and Screen for Child Anxiety-Related Emotional Disorders...
October 2, 2018: 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
Roelof Ettema, Noor Heim, Marije Hamaker, Mariëlle Emmelot-Vonk, Roos van der Mast, Marieke Schuurmans
OBJECTIVE: Delirium is an impactful, frequently occurring complication in older hospital patients. Consequently, risk stratification of delirium was included in a set of mandatory safety measures in general hospitals in the Netherlands. This risk stratification contains three consensus-based questions that have not been validated. Therefore, we evaluated their predictive performance and examined whether other routinely collected patient data can improve the prediction of delirium. METHOD: Using data from a continuous data registry from a general hospital, the prediction of the three questions was compared with the occurrence of delirium in 3786 older patients...
September 13, 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
Faith O Nomamiukor, Lia J Smith, Anka A Vujanovic
No abstract text is available yet for this article.
November 2018: General Hospital Psychiatry
M Valenstein, H Walters, P N Pfeiffer, D Ganoczy, M Miller, M Fiorillo, R M Bossarte
OBJECTIVE: Veterans in mental health care have high rates of firearm-related suicide; reducing firearm access during high-risk periods could save lives. We assessed veteran patients' attitudes towards voluntary interventions to reduce access. METHODS: Descriptive data came from surveys mailed to random samples of veterans receiving mental health care in five geographically diverse VA facilities. Survey items inquired about the acceptability of seven voluntary health system interventions to address firearm access, ranging from lower-intensity interventions that addressed safety but might not reduce access (i...
November 2018: General Hospital Psychiatry
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