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Emergency psychiatry

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https://www.readbyqxmd.com/read/29920749/predicting-future-suicide-clinician-opinion-versus-a-standardized-assessment-tool
#1
Jason R Randall, Jitender Sareen, Dan Chateau, James M Bolton
OBJECTIVE: To compare the effectiveness of clinician prediction of risk to a standardized assessment of presentation status. METHODS: All adult psychiatry emergency department consults in the two main hospitals in Winnipeg, Canada, were assessed using a standardized form (n = 5,376). This form includes two risk scales for a gestalt physician assessment of risk (Suicide Likelihood scale, suicide Attempt Likelihood scale) and the Columbia Classification Algorithm of Suicide Assessment (C-CASA)...
June 19, 2018: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/29916595/psychopathological-characteristics-of-adjustment-disorder-among-outpatients-with-and-without-work-related-stress
#2
Paolo Roma, Edoardo Monaco, Claudio Prestigiacomo, Marco Innamorati, Martina De Mattia, Stefano Ferracuti
OBJECTIVES: Study's objective is to assess psychopathological profiles in outpatients with a diagnosis of Adjustment Disorder (AD) who had positive evaluations of work related stress (AD-W) versus those exposed to other stressful life events (AD-O). METHODS: The participants were 70 outpatients with AD-W, compared to 71 outpatients with AD-O, admitted at the Unit of Psychiatry and Occupational Medicine, Sant'Andrea Hospital, Rome. Patients completed the Hamilton Rating Scale for Depression (HRSD), the Hamilton Anxiety Rating Scale (HAM-A), the Minnesota Multiphasic Personality Inventory - 2 (MMPI-2), and the Rorschach test...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29916338/emergency-organization-of-child-psychiatric-care-following-the-terrorist-attack-on-july-14-2016-in-nice-france
#3
Lucie Chauvelin, Morgane Gindt, Bertrand Olliac, Philippe Robert, Susanne Thümmler, Florence Askenazy
In the actual context of terrorism targeting children and families, it seems essential to describe different experiences of pediatric psychological emergency devices after such unexpected mass trauma. Here we testify our experience of the psychological emergency care setup dedicated to children and families during the first 48 hours after the terrorist attack of Nice, France, on July 14, 2016. Activated within the hour following the attack, the device included two child psychiatry teams turning over each day, receiving at least 163 individuals (99 children and 64 adults) within the first 2 days...
June 19, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29912093/texting-as-a-means-of-reducing-pediatric-adolescent-psychiatric-emergency-encounters-wait-times
#4
Carissa van den Berk-Clark, Rachel Hughes, Sally Haywood, Bart Andrews, Peggy Gordin
RATIONALE: There is no universal system to facilitate communication between emergency rooms (ERs) and pediatric mental health providers, which leads to long wait times. This project tested the concept that a group texting application (GroupMe) could improve communication between providers and could reduce wait times by allowing frontline workers to contact multiple providers simultaneously. METHODS: We compared total wait times or overall length of service of 906 ER encounters before and 921 encounters after the GroupMe texting application was implemented...
June 14, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29886522/aripiprazole-once-monthly-as-maintenance-treatment-for-bipolar-i-disorder-a-52-week-multicenter-open-label-study
#5
Joseph R Calabrese, Na Jin, Brian Johnson, Pedro Such, Ross A Baker, Jessica Madera, Peter Hertel, Jocelyn Ottinger, Joan Amatniek, Hiroaki Kawasaki
BACKGROUND: The long-acting injectable antipsychotic aripiprazole once-monthly 400 mg (AOM 400) was recently approved for maintenance treatment of bipolar I disorder (BP-I). The purpose of this study was to evaluate the safety, tolerability, and efficacy of AOM 400 as long-term maintenance treatment for BP-I. METHODS: This open-label multicenter study evaluated the effectiveness of AOM 400 as maintenance treatment for BP-I by assessing safety and tolerability (primary objective) and efficacy (secondary objective)...
June 10, 2018: International Journal of Bipolar Disorders
https://www.readbyqxmd.com/read/29884282/interoception-and-inflammation-in-psychiatric-disorders
#6
REVIEW
Jonathan Savitz, Neil A Harrison
Despite a historical focus on neurally mediated interoceptive signaling mechanisms, humoral (and even cellular) signals also play an important role in communicating bodily physiological state to the brain. These signaling pathways can perturb neuronal structure, chemistry, and function, leading to discrete changes in behavior. They are also increasingly implicated in the pathophysiology of psychiatric disorders. The importance of these humoral signaling pathways is perhaps most powerfully illustrated in the context of infection and inflammation...
June 2018: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
https://www.readbyqxmd.com/read/29882463/joint-bap-napicu-evidence-based-consensus-guidelines-for-the-clinical-management-of-acute-disturbance-de-escalation-and-rapid-tranquillisation
#7
Maxine X Patel, Faisil N Sethi, Thomas Re Barnes, Roland Dix, Luiz Dratcu, Bernard Fox, Marina Garriga, Julie C Haste, Kai G Kahl, Anne Lingford-Hughes, Hamish McAllister-Williams, Aileen O'Brien, Caroline Parker, Brodie Paterson, Carol Paton, Sotiris Posporelis, David M Taylor, Eduard Vieta, Birgit Völlm, Charlotte Wilson-Jones, Laura Woods
The British Association for Psychopharmacology and the National Association of Psychiatric Intensive Care and Low Secure Units developed this joint evidence-based consensus guideline for the clinical management of acute disturbance. It includes recommendations for clinical practice and an algorithm to guide treatment by healthcare professionals with various options outlined according to their route of administration and category of evidence. Fundamental overarching principles are included and highlight the importance of treating the underlying disorder...
May 1, 2018: Journal of Psychopharmacology
https://www.readbyqxmd.com/read/29871613/understanding-geographic-variations-in-psychiatric-inpatient-admission-rates-width-of-the-variations-and-associations-with-the-supply-of-health-and-social-care-in-france
#8
Coralie Gandré, Jeanne Gervaix, Julien Thillard, Jean-Marc Macé, Jean-Luc Roelandt, Karine Chevreul
BACKGROUND: Inpatient care accounts for the majority of mental health care costs and is not always beneficial. It can indeed have detrimental consequences if not used appropriately, and is unpopular among patients. As a consequence, its reduction is supported by international recommendations. Varying rates of psychiatric inpatient admissions therefore deserve to draw attention of researchers, clinicians and policy makers alike as such variations can challenge quality, equity and efficiency of care...
June 5, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29864761/approach-to-emergencies-in-schizophrenia-in-university-hospital-vrap%C3%A4-e
#9
Ante Silić, Aleksandar Savić, Ilaria Čulo, Suzana Kos, Jakša Vukojević, Daška Brumen, DraŽenka Ostojić
BACKGROUND: An emergency in psychiatric setting is any disorder in thought process, feelings and/or behavior of the patient that requires urgent therapeutic intervention. In general, we can observe an increase in numbers of psychiatric emergencies throughout the world and in Croatia as well. Agitation and aggression are one of the most common causes of emergency in psychiatry. Agitation is common and frequent in patients suffering from schizophrenia. Patient can be agitated in various levels such as: mild, moderate or severe and can alternate between these levels in the same presentation...
June 2018: Psychiatria Danubina
https://www.readbyqxmd.com/read/29860874/henri-collomb-and-the-emergence-of-a-psychiatry-open-to-otherness-through-interdisciplinary-dialogue-in-post-independence-dakar
#10
René Collignon
During decolonization, Henri Collomb was appointed to the first Chair of Psychiatry at the University of Dakar. Using a neuropsychiatric approach, he quickly made significant advances in the field, despite the colonial era's poor legacy of assistance facilities for mentally ill people. Through alliances with professors and researchers from the university Departments of Psychology and Sociology, an original interdisciplinary dialogue was set up to build up a research team which would develop rich and varied activities in the fields of transcultural psychiatry, medical anthropology and psychoanalytic anthropology...
June 1, 2018: History of Psychiatry
https://www.readbyqxmd.com/read/29860647/-may-all-be-shattered-into-god-mary-barnes-and-her-journey-through-madness-in-kingsley-hall
#11
Adrian Chapman
Contributing to renewed scholarly interest in R. D. Laing and his circle, and in the radical therapeutic community of Kingsley Hall, London (1965-1970), this article offers the first article-length reading of Mary Barnes' and Joseph Berke's Mary Barnes: Two Accounts of a Journey through Madness. This text offers views of anti-psychiatry 'on the ground' that critique the 1960s utopianism of Laing's championing of madness as a metanoic, quasi-psychedelic voyage. Barnes' story, too, reveals tensions within the anti-psychiatric movement...
June 2, 2018: Journal of Medical Humanities
https://www.readbyqxmd.com/read/29806885/evolution-of-clinical-characteristics-and-outcomes-of-synthetic-cannabinoid-receptor-agonist-exposure-in-the-u-s-analysis-of-national-poison-data-system-data-from-2010-to-2015
#12
S K Cordeiro, R C Daro, H Seung, W Klein-Schwartz, H K Kim
BACKGROUND AND AIMS: New synthetic cannabinoid receptor agonists (SCRAs) are synthesized each year to evade U.S. governmental regulation and sold for recreational use. Our aim was to estimate the changes in the clinical effects and patient disposition associated with SCRA exposure from 2010 to 2015. DESIGN: A retrospective observational cohort study SETTING: National Poison Data System that collects data on reports of poisonings from 55 U.S. poison centers. PARTICIPANTS: 19,388 isolated SCRA cases between January 1, 2010 and December 31, 2015 were identified...
May 28, 2018: Addiction
https://www.readbyqxmd.com/read/29796143/assessment-of-toxicology-knowledge-in-the-fourth-year-medical-students-three-years-of-data
#13
Jennie Buchanan, Daniel Windels, Jeffrey Druck, Kennon Heard
BACKGROUND: Pharmacology and toxicology are core content knowledge for physicians. Medical students should demonstrate understanding of general pharmacology and basic treatment of poisoning. The objective of this study was to measure the knowledge of the 4th-year medical students (MS4) on these topics over 3 years. METHODS: A multiple-choice exam (15 questions) was administered to MS4 students in spring of 2010, 2011, and 2012. Questions were developed by medical toxicologists to evaluate basic knowledge in three areas: pharmacologic effects (PE), treatment of poisoning (TOP), and pharmacokinetics (PK)...
2018: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29791466/understanding-health-advocacy-in-family-medicine-and-psychiatry-curricula-and-practice-a-qualitative-study
#14
Sophie Soklaridis, Carrie Bernard, Genevieve Ferguson, Lisa Andermann, Mark Fefergrad, Kenneth Fung, Karl Iglar, Andrew Johnson, Morag Paton, Cynthia Whitehead
BACKGROUND: We explored understanding and experiences of health advocacy among psychiatry and family medicine residents and faculty and the implications for clinical care and teaching through the lens of relationship-centred care. METHODS: This qualitative study was conducted in the psychiatry and family medicine departments at a large urban university. We interviewed 19 faculty members and conducted two focus groups with 18 residents. Semi-structured questions explored the relational meaning of health advocacy, how residents and faculty learned about the role and ethical considerations involved in incorporating advocacy work into clinical practice within a relationship-centred care framework...
2018: PloS One
https://www.readbyqxmd.com/read/29778776/identification-and-medical-utilization-of-incident-cases-of-alcohol-dependence-a-population-based-case-control-study
#15
Chun-Hung Pan, Min-Shan Li, Tien-Wey Yang, Ming-Chyi Huang, Sheng-Shiang Su, Yen-Ni Hung, Chiao-Chicy Chen, Chian-Jue Kuo
BACKGROUND: Patients with alcohol dependence (AD) often seek help from medical professionals due to alcohol-related diseases, but the overall distribution of medical specialties identifying new AD cases is unclear. We investigated how such cases were identified and how medical resources were utilized before the identification of AD in a nationwide cohort. METHODS: We enrolled a population-based cohort (N = 1,000,000) using the National Health Insurance Research Database of Taiwan; 8181 cases with incident AD were retrieved between January 1, 2000, and December 31, 2010...
May 5, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29761286/a-qualitative-analysis-of-stress-and-relaxation-themes-contributing-to-burnout-in-first-year-psychiatry-and-medicine-residents
#16
Nicole M Benson, Deanna Chaukos, Heather Vestal, Emma F Chad-Friedman, John W Denninger, Christina P C Borba
OBJECTIVE: Qualitative research on trainee well-being can add nuance to the understanding of propagators of burnout, and the role for interventions aimed at supporting well-being. This qualitative study was conducted to identify (i) situations and environments that cause stress for trainees, (ii) stress-reducing activities that trainees utilize, and (iii) whether trainees who report distress (high burnout and depression scores) describe different stressors and relaxation factors than those who do not...
May 14, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29754706/ethics-committees-and-mental-health
#17
Carlos Enrique Yepes Delgado, Andrea Ocampo Montoya
Although research processes are covered by the objectivity of science, they are still influenced by the interests of those who conduct them. This is why high level committees have been tasked with defining the scope of the studies and performing a thorough assessment of them, since these imply great dilemmas. This premise leads to the emergence of Ethics Committees, where liaison psychiatry has an important place due to its communication abilities and knowledge of the human behavior. This paper attempts to provide some observations to take into account when discussing the link between ethics and mental health...
April 2018: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/29741616/a-systematic-review-of-genome-wide-research-on-psychotic-experiences-and-negative-symptom-traits-new-revelations-and-implications-for-psychiatry
#18
Angelica Ronald, Oliver Pain
We present a systematic review of genome-wide research on psychotic experience and negative symptom traits (PENS) in the community. We integrate these new findings, most of which have emerged over the last four years, with more established behaviour genetic and epidemiological research. The review includes the first genome-wide association studies of PENS, including a recent meta-analysis, and the first SNP heritability estimates. Sample sizes of < 10,000 participants mean that no genome-wide significant variants have yet been replicated...
May 8, 2018: Human Molecular Genetics
https://www.readbyqxmd.com/read/29739523/psychodynamic-psychiatry-the-biopsychosocial-model-and-the-difficult-patient
#19
REVIEW
Eric M Plakun
This article defines psychodynamic psychiatry as the intersection between general psychiatry and psychoanalysis as a theory of mind. Psychodynamic psychiatry is built on a biopsychosocial model for understanding and treating mental disorders. Currently, a narrower biomedical model is in ascendancy, but it has not lived up to its promise and is not supported by emerging science as robustly as is the biopsychosocial model. The "difficult patient" emerges in part from the limits of our treatment models and treatment methods...
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29739518/on-the-birth-of-psychodynamic-psychiatry
#20
REVIEW
Richard C Friedman, Jennifer I Downey, César A Alfonso
Psychodynamic psychiatry emerged from psychoanalytic theory, but the influence of the latter has been only partial. Equally important are other disciplines outlined within is article. Modern psychodynamic publications and presentations should honor all of the foundational pillars of the field. In this way, the new area lends itself to bio-psycho-social integrations that remain a challenge for all researchers and clinicians who seek to understand and treat patients with mental disorders.
June 2018: Psychiatric Clinics of North America
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