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Spinal cord injury suicide

G Savic, M J DeVivo, H L Frankel, M A Jamous, B M Soni, S Charlifue
DESIGN: Retrospective and prospective observational. OBJECTIVE: Analyse causes of death after traumatic spinal cord injury (tSCI) in persons surviving the first year post injury, and establish any trend over time. SETTING: Two spinal centres in Great Britain. METHODS: The sample consisted of 5483 patients with tSCI admitted to Stoke Mandeville and Southport spinal centres who were injured between 1943 and 2010, survived first year post injury, had residual neurological deficit on discharge and were British residents...
June 20, 2017: Spinal Cord
Xiulu Ruan, Jin Jun Luo
No abstract text is available yet for this article.
May 2017: Journal of Spinal Cord Medicine
Julia M P Poritz, Joseph Mignogna, Aimee J Christie, Sally A Holmes, Herb Ames
CONTEXT: Although depression is not inevitable following spinal cord injury/dysfunction (SCI/D), it can have a negative impact on rehabilitation. Evidence-based assessment of depression utilizing self-report instruments, such as the Patient Health Questionnaire-9 (PHQ-9), is considered good clinical practice. Although the PHQ-9 has been studied in individuals with SCI/D, little is known about the clinical utility of the Patient Health Questionnaire-2 (PHQ-2). Traditional cutoff scores for the PHQ-2 were examined to explore their operating characteristics as related to PHQ-9 results...
March 29, 2017: Journal of Spinal Cord Medicine
Jose M Palacios, Angel Pazos, Daniel Hoyer
This paper is a personal account on the discovery and characterization of the 5-HT2C receptor (first known as the 5-HT1C receptor) over 30 years ago and how it translated into a number of unsuspected features for a G protein-coupled receptor (GPCR) and a diversity of clinical applications. The 5-HT2C receptor is one of the most intriguing members of the GPCR superfamily. Initially referred to as 5-HT1CR, the 5-HT2CR was discovered while studying the pharmacological features and the distribution of [(3)H]mesulergine-labelled sites, primarily in the brain using radioligand binding and slice autoradiography...
May 2017: Psychopharmacology
P Kennedy, L Garmon-Jones
STUDY DESIGN: This is a systematic literature review. OBJECTIVES: The objectives of this study were to investigate, first, the proportion of spinal cord injury (SCI) caused by suicidal behaviour; second, the proportion of deaths in the SCI population caused by suicide; and third, the risk factors associated with suicidal behaviour. SETTING: This study was conducted in the UK. METHODS: AMED, EMBASE, HMIC, BNI, Medline, PsycInfo, CINAHL and HEALTH BUSINESS ELITE were searched between January and February 2016, identifying a total of 404 articles published between 1990 and 2016...
January 2017: Spinal Cord
R Osterthun, F W A van Asbeck, J H B Nijendijk, M W M Post
STUDY DESIGN: Explorative retrospective files study. OBJECTIVES: To document end-of-life decisions (ELDs) in in-hospital deaths after new traumatic spinal cord injury (TSCI). SETTING: The Netherlands. METHODS: Discharge letters concerning patients with TSCI discharged from Dutch acute hospitals in 2010 were analysed. Data were extracted on survival, personal and lesion characteristics, comorbidities, other injuries, preexisting spinal stenosis, stabilising surgery, length of hospital stay and the presence and types of ELDs...
November 2016: Spinal Cord
Zahra Khazaeipour, Seyedeh-Mohadeseh Taheri-Otaghsara, Maryam Naghdi
BACKGROUND: Depression is a common psychological problem that decreases life satisfaction and quality of life in people with spinal cord injury (SCI). OBJECTIVE: The aim of this study was to investigate the prevalence of depression after SCI and its association with pathophysiological, demographic, and socioeconomic factors, including sex, age, level of injury, financial status, and suicidal thoughts. METHODS: This was a cross-sectional study of 134 adults (≥ 18 years old) with SCI who were referred to the Brain and Spinal Cord Injury Research Center (BASIR) clinic, Tehran University of Medical Sciences, for outpatient rehabilitation...
2015: Topics in Spinal Cord Injury Rehabilitation
Brett Smith, Nick Caddick
In the UK, 20% of people with spinal cord injury (SCI) are discharged from rehabilitation into an elderly care home. Despite this, and knowledge that the home is central to health and wellbeing, little research has examined the impact of being in care homes on the health and wellbeing of people with SCI. The purpose of this study was to address this gap. Twenty adults who lived in care homes or had done so recently for over two years were interviewed in-depth. Qualitative data were analyzed using inductive thematic analysis...
April 15, 2015: International Journal of Environmental Research and Public Health
Cheryl B McCullumsmith, Claire Z Kalpakjian, J Scott Richards, Martin Forchheimer, Allen W Heinemann, Elizabeth J Richardson, Catherine S Wilson, Jason Barber, Nancy Temkin, Charles H Bombardier, Jesse R Fann
OBJECTIVE: To determine unique associations of suicidal ideation (SI) and lifetime suicide attempts (SAs) in individuals with spinal cord injury (SCI). DESIGN: Cross-sectional analysis. SETTING: Outpatient. PARTICIPANTS: Individuals with SCI (N=2533) who were 18 years or older with a history of traumatic SCI. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Any SI in the past 2 weeks (9-item Patient Health Questionnaire) and any lifetime SA...
May 2015: Archives of Physical Medicine and Rehabilitation
Shayne N Hassler, Kathia M Johnson, Claire E Hulsebosch
Chronic neuropathic pain is a common consequence of spinal cord injury (SCI), develops over time and negatively impacts quality of life, often leading to substance abuse and suicide. Recent evidence has demonstrated that reactive oxygen species (ROS) play a role in contributing to neuropathic pain in SCI animal models. This investigation examines four compounds that reduce ROS and the downstream lipid peroxidation products, apocynin, 4-oxo-tempo, U-83836E, and tirilazad, and tests if these compounds can reduce nocioceptive behaviors in chronic SCI animals...
November 2014: Journal of Neurochemistry
Zahra Khazaeipour, Abbas Norouzi-Javidan, Mahboobeh Kaveh, Fatemeh Khanzadeh Mehrabani, Elham Kazazi, Seyed-Hasan Emami-Razavi
Objective/background In patients with spinal cord injury (SCI), SCI causes psychosocial complications that vary based on culture, conditions, and the amenities of each community. Health planners and social services should have full knowledge of these issues in order to plan schedules that address them. In this study, we aimed to understand the psychosocial problems of persons with SCI in Iran and to explore the requirements for minimizing these difficulties. Design This was a descriptive cross-sectional study...
May 2014: Journal of Spinal Cord Medicine
Sara J Klaas, Erin H Kelly, Caroline J Anderson, Lawrence C Vogel
BACKGROUND: Little is known about depression and anxiety in adolescents with spinal cord injury (SCI). OBJECTIVE: To examine how depression, anxiety, suicidal ideation, and usage of treatment differ by age and sex among adolescents with SCI. METHOD: Youth 12 to 18 years old who had acquired SCI at least 1 year prior were recruited from 3 specialty hospitals. They completed the Children's Depression Inventory (ages 12-17 years) or Beck Depression Inventory-II (18 years), and Revised Children's Manifest Anxiety Scale (12-18 years)...
2014: Topics in Spinal Cord Injury Rehabilitation
Yue Cao, James F Massaro, James S Krause, Yuying Chen, Michael J Devivo
OBJECTIVES: To compare 12-year suicide-specific mortalities of 3 different injury cohorts, identify the risk factors for suicide mortality after spinal cord injury (SCI), and investigate whether suicide mortality is higher among those with SCI than in the general population. DESIGN: Retrospective cohort study. SETTING: United States hospitals (n=28) designated as SCI Model Systems. PARTICIPANTS: Participants (N=31,339) injured between January 1, 1973, and December 31, 1999...
February 2014: Archives of Physical Medicine and Rehabilitation
Halina Piatkowska
The study presents the image of psychopathological complications in subjects after traumatic spinal cord injuries.Part I Methods: clinical investigation/orthopedic, neurological, psychiatric/laboratory tests, X-Ray exam. CFS exam. EEG exam. EMG exam. Psychological diagnosis.Part II A. Acute period: posttraumatic state, disorders of consciousness, disorders of perception, psychotic reactionsB. Subacute period: state of physical dependence, problems of self identification, alterations of body image, disorders of behavior and of emotional functions, hipodepressive and epressive states, suicidal thoughts...
December 1994: Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology
Liis Sabre, Tiina Rekand, Toomas Asser, Janika Kõrv
STUDY DESIGN: Retrospective population-based study with mortality follow-up. OBJECTIVE: To study mortality, causes and risk factors for death in Estonian patients with traumatic spinal cord injury (TSCI). SETTING: All Estonian hospitals. METHODS: Medical records of patients with TSCI from all regional, central, general, and rehabilitation hospitals in Estonia from 1997 to 2007, were retrospectively reviewed. Mortality status was ascertained as of 31 December 2011...
November 2013: Journal of Spinal Cord Medicine
H S Nam, H R Kim, T H Ha, H I Shin
STUDY DESIGN: Cross-sectional survey. OBJECTIVES: To investigate the prevalence of suicidal ideation and attempt in Korean persons with spinal cord injury (SCI) and the factors related with suicidal ideation in comparison with a control group (CG). SETTINGS: Community-dwelling persons with chronic SCI in Korea. METHODS: A total of 382 persons with chronic SCI and 1104 able-bodied persons randomly selected from the general population and matched for age, sex and education level were compared...
October 2013: Spinal Cord
Bora Ozdemir, Osman Celbis, Atılhan Kaya
Throat cuts could be of homicidal, suicidal or accidental origin. In the cases of death from cut throat, suicide can be distinguished from homicide based on the type and location of the wound and crime scene investigation. The purpose of the current study is to attract attention to the instructive findings for origin determination in deaths by cut throat according to the number and characteristics of the wounds and crime scene investigation. We have reviewed the files of autopsies performed between the years of 2000 and 2010, and compared with previously published case reports; all results were summarized in the current study...
May 2013: Journal of Forensic and Legal Medicine
I Stojanović, M Milić, A Antović, S Todorović, I Jovanović
A 39-year-old male, with a history of multiple suicidal attempts and psychiatric pathology, a professional lumberjack, was found dead at the meadow with his throat cut and a chainsaw beside him. Autopsy revealed that all physical injuries were confined to the head, neck and left shoulder. Two major (long and wide) wounds were found and documented on both sides of the neck and head. A wound on the posterior and right lateral side of his neck and head was noted. Medical examiner noted an irregular rupture on the posterior-right side of the atlanto-occipital joint with impaired bone, but without any damage on the spinal cord...
May 10, 2013: Forensic Science International
K Kai, M Kono, S Karakida, T Sasaki, K Nasu, H Narahara
PURPOSE OF INVESTIGATION: To report a case of a pregnant woman with traumatic spinal cord injury complicated with a psychiatric disorder. CASE REPORT: A 24-year-old woman at 18 weeks of gestation was transferred to our hospital with a history of having jumped from a third-floor apartment patio. RESULT: A trauma survey showed no life-threatening hemorrhage, and fetal wellbeing was confirmed. Neurological examination showed complete loss of motor and sensory function in her lower extremities...
2012: Clinical and Experimental Obstetrics & Gynecology
Ellen Merete Hagen, Tiina Rekand, Nils Erik Gilhus, Marit Grønning
BACKGROUND: The primary purpose of this article is to provide an overview of demography, neurological level of injury, extent of lesion, incidence, prevalence, injury mechanisms as well as lethality and causes of death associated with traumatic spinal cord injuries. MATERIAL AND METHOD: A literature search was carried out in PubMed, with the search words "traumatic spinal cord injury"/"traumatic spinal cord injuries" together with "epidemiology", and "spinal cord injury"/"spinal cord injuries" together with "epidemiology"...
April 17, 2012: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
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