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Inpatient Psychiatric

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https://www.readbyqxmd.com/read/28431270/clinicians-conflicting-emotional-responses-to-high-suicide-risk-patients-association-with-short-term-suicide-behaviors-a-prospective-pilot-study
#1
Zimri S Yaseen, Igor I Galynker, Lisa J Cohen, Jessica Briggs
BACKGROUND: Clinician's emotional responses to patients have been recognized as potentially relating to treatment outcome, however they have received little attention in the literature on suicide risk. We examine the relationship between a novel targeted measure of clinicians' emotional responses to high-risk psychiatric inpatients and their short-term post-discharge suicide behavior. METHODS: First-year psychiatry residents' emotional responses to their patients were assessed anonymously with the novel self-report 'Therapist Response Questionnaire-Suicide Form' (TRQ-SF)...
April 6, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28425726/comparisons-between-the-minnesota-multiphasic-personality-inventory-adolescent-restructured-form-mmpi-a-rf-and-mmpi-a-in-adolescent-psychiatric-inpatients
#2
John M Stokes, David L Pogge, Robert P Archer
This study explored the association between the Minnesota Multiphasic Personality Inventory (MMPI)-Adolescent-Restructured Form (MMPI-A-RF) and the MMPI-Adolescent (MMPI-A) form in a sample of 3,516 adolescents receiving inpatient psychiatric treatment, including 2,798 adolescents meeting validity inclusion cutoffs for both measures. There was 92.5% agreement rate with respect to global identification of cases as valid or invalid and some empirical support for lowering interpretive cutoffs for validity scales on the MMPI-A-RF...
April 20, 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28421661/safety-in-psychiatric-inpatient-care-the-impact-of-risk-management-culture-on-mental-health-nursing-practice
#3
Allie Slemon, Emily Jenkins, Vicky Bungay
The discourse of safety has informed the care of individuals with mental illness through institutionalization and into modern psychiatric nursing practices. Confinement arose from safety: out of both societal stigma and fear for public safety, as well as benevolently paternalistic aims to protect individuals from self-harm. In this paper, we argue that within current psychiatric inpatient environments, safety is maintained as the predominant value, and risk management is the cornerstone of nursing care. Practices that accord with this value are legitimized and perpetuated through the safety discourse, despite evidence refuting their efficacy, and patient perspectives demonstrating harm...
April 18, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28421644/the-clinical-application-of-suicide-risk-assessment-a-theory-driven-approach
#4
Sean M Mitchell, Sarah L Brown, Jared F Roush, Angelea D Bolaños, Andrew K Littlefield, Andrew J Marshall, Danielle R Jahn, Robert D Morgan, Kelly C Cukrowicz
The interpersonal theory of suicide posits that thwarted belongingness (TB) and perceived burdensomeness (PB) increase suicide ideation; however, studies have found mixed results regarding this hypothesis among psychiatric inpatients. This study aimed to (a) demonstrate how assessing TB and PB using the Interpersonal Needs Questionnaire (INQ) can provide clinically useful information and (b) investigate how statistical methodology may impact the clinical application of the INQ. Participants were 139 (Sample 1) and 104 (Sample 2) psychiatric inpatients...
April 18, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28417648/danish-translation-and-validation-of-kessler-s-10-item-psychological-distress-scale-k10
#5
Camilla Thelin, Benjamin Mikkelsen, Gunnar Laier, Louise Turgut, Bente Henriksen, Lis Raabaek Olsen, Jens Knud Larsen, Sidse Arnfred
BACKGROUND: Psychological distress is a trans-diagnostic feature of mental suffering closely associated with mental disorders. Kessler's 10-item Psychological Distress Scale (K10), a scale with sound psychometric properties, is widely used in epidemiological studies. AIM: To translate and investigate whether K10 is a reliable and valid rating scale for the measurement of psychological distress in a Danish population. METHODS: The translation was carried out according to official WHO translation guidelines...
April 18, 2017: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/28416966/an-overview-of-mental-health-care-system-in-kilifi-kenya-results-from-an-initial-assessment-using-the-world-health-organization-s-assessment-instrument-for-mental-health-systems
#6
Mary A Bitta, Symon M Kariuki, Eddie Chengo, Charles R J C Newton
BACKGROUND: Little is known about the state of mental health systems in Kenya. In 2010, Kenya promulgated a new constitution, which devolved national government and the national health system to 47 counties including Kilifi County. There is need to provide evidence from mental health systems research to identify priority areas in Kilifi's mental health system for informing county health sector decision making. We conducted an initial assessment of state of mental health systems in Kilifi County and documented resources, policy and legislation and spectrum of mental, neurological and substance use disorders...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28414487/how-much-is-enough-examining-frequency-criteria-for-nssi-disorder-in-adolescent-inpatients
#7
Jennifer J Muehlenkamp, Amy M Brausch, Jason J Washburn
OBJECTIVE: To empirically evaluate the diagnostic relevance of the proposed Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; APA, 2013) Criterion-A frequency threshold for nonsuicidal self-injury (NSSI) disorder. METHOD: Archival, de-identified, self-reported clinical assessment data from 746 adolescent psychiatric patients (Mage = 14.97; 88% female; 76% White) were used. The sample was randomly split into 2 unique samples for data analyses...
April 17, 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28413442/specific-coping-strategies-moderate-the-link-between-emotion-expression-deficits-and-nonsuicidal-self-injury-in-an-inpatient-sample-of-adolescents
#8
Kristel Thomassin, Camille Guérin Marion, Myriam Venasse, Anne Shaffer
BACKGROUND: Non-suicidal self-injury (NSSI) is a behavior of increasing prevalence in adolescents with links to various negative mental health and adjustment outcomes. Poor emotion expression has been linked with NSSI use, whereas the use of adaptive coping strategies has been identified as a protective factor against NSSI. The current study examined whether specific coping strategies moderate the relation between poor emotion expression and NSSI, and whether moderation is conditional on adolescent gender...
2017: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/28413369/evaluation-of-quality-indicators-of-integrated-care-in-a-regional-psychiatry-budget-a-pre-post-comparison-by-secondary-data-analysis
#9
Anne Berghöfer, Svenja Hubmann, Thomas Birker, Torsten Hejnal, Felix Fischer
The Regional Psychiatry Budget (RPB), as a special arrangement within the German Federal Hospital Refund Regulation, is based on the capitation principle. A lump sum is allocated to a major inpatient care provider in a large region on a yearly basis. Under this model, the provider is free to offer all forms of treatment and to construct individual models of integrated care that specifically suit the region and the needs of community members. The present study aimed to evaluate selected aspects that represent a change in the psychiatric health status of patients in the covered region under the conditions of the RPB...
December 31, 2016: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28412601/a-systematic-review-of-factors-associated-with-service-user-satisfaction-with-psychiatric-inpatient-services
#10
REVIEW
Sarah Woodward, Katherine Berry, Sandra Bucci
BACKGROUND: Satisfaction is seen as an indicator of the quality of mental health services and has been related to outcomes and compliance with treatment. The current review seeks to examine the factors relating to satisfaction with inpatient services. METHOD: A search was conducted of PsycInfo, Web of Science, Cinahl, Embase and Medline databases. Screening resulted in 32 papers being included in the review. Papers were subject to quality assessment using the Mixed Methods Appraisal Tool (MMAT)...
April 11, 2017: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/28412132/pre-existing-psychiatric-disorder-in-the-burn-patient-is-associated-with-worse-outcomes
#11
Alexandra Hudson, Sarah Al Youha, Osama A Samargandi, Justin Paletz
OBJECTIVE: To compare patient and burn characteristics between patients who had a pre-existing psychiatric diagnosis and patients who did not in a Burn Unit at an academic hospital. BACKGROUND: Psychosocial issues are common in patients recovering from a burn; however, little is known regarding hospital course and discharge outcomes in patients with a pre-existing psychiatric diagnosis presenting with a burn. Baseline medical comorbidities of burn patients have been shown to be a significant risk for in-hospital mortality...
April 12, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28410113/watch-dog-detecting-self-harming-activities-from-wrist-worn-accelerometers
#12
Pratool Bharti, Anurag Panwar, Ganesh Gopalakrishna, Sriram Chellappan
In a 2012 survey, in the United States alone, there were more than 35; 000 reported suicides with approximately 1; 800 of being psychiatric inpatients. Recent CDC (Centers for Disease Control and Prevention) reports indicate an upward trend in these numbers. In psychiatric facilities, staff perform intermittent or continuous observation of patients manually in order to prevent such tragedies, but studies show that they are insufficient, and also consume staff time and resources. In this paper, we present the Watch-Dog system, to address the problem of detecting self-harming activities when attempted by in-patients in clinical settings...
April 7, 2017: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/28409714/psychotic-depression-and-suicidal-behavior
#13
Kristin J Fredriksen, Helle K Schoeyen, Jan O Johannessen, Fredrik A Walby, Larry Davidson, Margrethe A Schaufel
OBJECTIVE: This study investigated how severely depressed individuals experienced the relationship between psychotic symptoms and suicidal ideation and behavior. METHOD: Semi-structured qualitative interviews were conducted with a purposive sample of nine inpatients from a psychiatric university hospital between September 2012 and May 2013 fulfilling diagnostic criteria for a psychotic depressive episode as part of a unipolar or bipolar disorder. Analysis was conducted using systematic text condensation...
2017: Psychiatry
https://www.readbyqxmd.com/read/28407460/depressive-symptoms-and-their-interactions-with-emotions-and-personality-traits-over-time-interaction-networks-in-a-psychiatric-clinic
#14
Laura N Semino, Josef Marksteiner, Gernot Brauchle, Erik Danay
Objective: Associations between depression, personality traits, and emotions are complex and reciprocal. The aim of this study is to explore these interactions in dynamical networks and in a linear way over time depending on the severity of depression. Methods: Participants included 110 patients with depressive symptoms (DSM-5 criteria) who were recruited between October 2015 and February 2016 during their inpatient stay in a general psychiatric hospital in Hall in Tyrol, Austria...
April 13, 2017: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/28406368/prn-medication-administration-in-a-geriatric-psychiatric-hospital-chart-review-and-nursing-perspective
#15
Lori Harper, John R Reddon, Courtney J Hunt, Heather Royan
OBJECTIVE: To improve patient care/outcome, an evaluation was conducted of nursing procedures and protocols for pro re nata (PRN) medications. METHODS: A 14-day chart review was conducted for 27 patients with mood and thought disorders (MTD) and for 24 patients with organic disorders (OD) at a geriatric psychiatric hospital, and a questionnaire was completed by 20 nurses. RESULTS: 377 PRNs were administered to patients in the MTD and OD units (240 and 137, respectively)...
March 24, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/28403473/maternal-smoking-during-pregnancy-and-the-risk-of-psychiatric-morbidity-in-singleton-sibling-pairs
#16
Mikael Ekblad, Liisa Lehtonen, Jyrki Korkeila, Mika Gissler
Introduction: Maternal smoking during pregnancy has been associated with an increased risk for psychiatric morbidity. We further studied this with Finnish siblings to control for genetic/familial factors. Methods: From the Finnish Medical Birth Register, sibling pairs were selected as the first two children born 1987-1995 to the same mother (n = 150 168 pairs), along with information on maternal smoking (no smoking/smoking). Information on the children's psychiatric diagnoses related to outpatient care visits (1998-2013) and inpatient care (1987-2013), and the mothers' psychiatric morbidity (1969-2013) was derived from the Finnish Hospital Discharge Register...
May 1, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/28402068/eating-related-psychopathology-and-food-addiction-in-adolescent-psychiatric-inpatients
#17
Özgür Albayrak, Manuel Föcker, Josephine Kliewer, Simon Esber, Triinu Peters, Martina de Zwaan, Johannes Hebebrand
OBJECTIVE: Our aims were to investigate the relationship between food addiction and mental disorders including eating disorders (ED), eating-related psychopathology and body mass index-standard deviation score in a sample of adolescent psychiatric inpatients. METHODS: Food addiction was assessed with the Yale Food Addiction Scale (YFAS). Eating-related psychopathology was measured with the Three-Factor Eating Questionnaire (TFEQ). Psychiatric diagnoses were assessed according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition...
May 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28401273/suicide-mortality-among-male-veterans-discharged-from-veterans-health-administration-acute-psychiatric-units-from-2005-to-2010
#18
Peter C Britton, Kipling M Bohnert, Mark A Ilgen, Cathleen Kane, Brady Stephens, Wilfred R Pigeon
PURPOSE: The purpose of this study was to calculate suicide rates and identify correlates of risk in the year following discharge from acute Veterans Health Administration psychiatric inpatient units among male veterans discharged from 2005 to 2010 (fiscal years). METHODS: Suicide rates and standardized mortality ratios were calculated. Descriptive analyses were used to describe suicides and non-suicides and provide base rates for interpretation, and unadjusted and adjusted proportional hazard models were used to identify correlates of suicide...
April 11, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28396652/using-routine-hemoglobin-a1c-testing-to-determine-the-glycemic-status-in-psychiatric-inpatients
#19
Pratyusha Naidu, Leonid Churilov, Alvin Kong, Richard Kanaan, Henry Wong, Arielle Van Mourik, Anthony Yao, Elizabeth Cornish, Mariam Hachem, Graeme K Hart, Elizabeth Owen-Jones, Raymond Robbins, Que Lam, Katherine Samaras, Jeffrey D Zajac, Elif I Ekinci
AIM: Using routine hemoglobin A1c (HbA1c) testing to describe the prevalence, characteristics, and length of stay (LOS) of psychiatry inpatients with type 2 diabetes compared to those with pre-diabetes and those without diabetes. METHODS: In this prospective observational study, all inpatients aged greater than 30 years admitted to the Austin Health Psychiatry Unit, a major tertiary hospital, affiliated with the University of Melbourne, between February 2014 and April 2015 had routine HbA1c testing as part of the Diabetes Discovery Initiative...
2017: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/28394959/-psychosocial-functioning-in-non-psychiatric-acute-and-chronic-inpatients-depression-alexithymia-and-lack-of-assertiveness
#20
Marcelo Arancibia, Rosa Behar, Sofía Marín, Nicolás Inzunza, Eva Madrid
BACKGROUND: Depression, alexithymia, and lack of assertiveness interfere with individual psychosocial functioning and may result in longer hospitalization stay and poorer therapeutic results. AIM: To analyze the psychosocial functioning in acute and chronic patients and its association with psychological, clinical and sociodemographic variables. MATERIAL AND METHODS: We performed a cross-sectional study that included 80 inpatients of both sexes with organic pathology, aged between 18 to 70 years old, without any current psychiatric disorder...
November 2016: Revista Médica de Chile
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