The therapeutic discharge: An approach to dealing with deceptive patients
Patients with factitious disorder or malingering behaviors pose particular problems in acute care settings. We sought to describe a manner to effectively discharge these patients and keep further harm, iatrogenic or otherwise, from being inflicted. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - March 29, 2017 Category: Psychiatry Authors: John B. Taylor, Scott R. Beach, Nicholas Kontos Source Type: research
Systematic and organizational issues implicated in post-hospitalization suicides of medically hospitalized patients: A study of root-cause analysis reports
Medical hospitalization is a high risk period for suicide. It is important to understand system-level factors that may be associated with suicide after a medical hospitalization. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - March 28, 2017 Category: Psychiatry Authors: Natalie Riblet, Brian Shiner, Peter Mills, Brett Rusch, Robin Hemphill, Bradley V. Watts Source Type: research
Prevalence and risk factors for postoperative delirium in total joint arthroplasty patients: A prospective study
The aim of this prospective study was to investigate the incidence and clinical features of delirium after total joint arthroplasty, and to establish the potential risk factors for postoperative delirium. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - March 19, 2017 Category: Psychiatry Authors: Wenliang Chen, Xiurong Ke, Xiaoqing Wang, Xiaoliang Sun, Juncheng Wang, Guojing Yang, Haijie Xia, Lei Zhang Source Type: research
Use of a smartphone application to screen for depression and suicide in South Korea
This is a cross-sectional study using a free depression and suicide screening smartphone application, which contains the data from the Center for Epidemiological Studies-Depression (CES-D) and a Suicide Behaviors Questionnaire-Revised (SBQ-R). (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - March 17, 2017 Category: Psychiatry Authors: Seung-Ho Jang, Young-Sup Woo, Jeong-Wan Hong, Bo-Hyun Yoon, Tae-Yeon Hwang, Moon-Doo Kim, Sang-Yeol Lee, Won-Myong Bahk Source Type: research
Does behavioral health integration improve primary care providers' perceptions of health-care system functioning and their own knowledge?
To examine the impact of behavioral health integration (BHI) on primary care providers' (PCPs') (1) perceptions of behavioral health (BH)-primary care (PC) system functioning and (2) perceptions of their own knowledge regarding how to manage, triage, and access help in caring for patients with mental health conditions and substance use disorders. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - March 15, 2017 Category: Psychiatry Authors: Leah Zallman, Robert Joseph, Colleen O'Brien, Emily Benedetto, Ellie Grossman, Lisa Arsenault, Assaad Sayah Tags: Research paper Source Type: research
Effects of a brief ED-based alcohol and violence intervention on depressive symptoms
Depressive symptoms frequently co-exist in adolescents with alcohol use and peer violence. This paper's purpose was to examine the secondary effects of a brief alcohol-and-violence-focused ED intervention on depressive symptoms. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - March 8, 2017 Category: Psychiatry Authors: Megan L. Ranney, Jason Goldstick, Andria Eisman, Patrick M. Carter, Maureen Walton, Rebecca M. Cunningham Tags: Research paper Source Type: research
The association between posttraumatic stress symptoms, depression, and length of hospital stay following traumatic injury
The present study examined the relationship between posttraumatic stress symptoms (PTSS) and depression symptoms with hospital outcome measures to explore how psychiatric factors relate to hospital length of stay (LOS). (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - March 8, 2017 Category: Psychiatry Authors: Erin Sullivan, Jordin Shelley, Evan Rainey, Monica Bennett, Purvi Prajapati, Mark B. Powers, Michael Foreman, Ann Marie Warren Tags: Research paper Source Type: research
Implementation of a violence risk assessment tool on a safety-net inpatient psychiatry unit
The objective of this study was to develop a decision support tool for patients with violence risk factors. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - March 8, 2017 Category: Psychiatry Authors: Jeffrey Seal, Bernard Lee, Mark Leary, Nicholas Riano, Christina Mangurian Tags: Letter to the editor Source Type: research
Can primary care serve as a mental health home for people with schizophrenia?
The objective of this paper is to examine whether persons with schizophrenia and comorbid chronic conditions engage in primary care regularly, making primary care settings a viable mental health home. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - March 6, 2017 Category: Psychiatry Authors: Lexie R. Grove, William J. Olesiuk, Alan R. Ellis, Jesse C. Lichstein, Annette DuBard, Joel F. Farley, Carlos Jackson, Christopher A. Beadles, Joseph P. Morrissey, Marisa Elena Domino Tags: Research paper Source Type: research
Classification of suicide attempters in schizophrenia using sociocultural and clinical features: A machine learning approach
Suicide is a major concern for those afflicted by schizophrenia. Identifying patients at the highest risk for future suicide attempts remains a complex problem for psychiatric interventions. Machine learning models allow for the integration of many risk factors in order to build an algorithm that predicts which patients are likely to attempt suicide. Currently it is unclear how to integrate previously identified risk factors into a clinically relevant predictive tool to estimate the probability of a patient with schizophrenia for attempting suicide. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - March 3, 2017 Category: Psychiatry Authors: Nuwan C. Hettige, Thai Binh Nguyen, Chen Yuan, Thanara Rajakulendran, Jermeen Baddour, Nikhil Bhagwat, Ali Bani Fatemi, Aristotle Voineskos, M. Mallar Chakravarty, Vincenzo De Luca Tags: Research paper Source Type: research
Clozapine induced gastrointestinal hypomotility: A potentially life threatening adverse event. A review of the literature
The haematological and cardiac complications of clozapine have been well documented. Recent evidence from pharmacovigilance databases suggests that gastrointestinal (GI) complications are the leading cause of clozapine related deaths. This review aims to describe clinical features along with preventative and treatment options. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - February 27, 2017 Category: Psychiatry Authors: Stephen West, David Rowbotham, Glen Xiong, Chris Kenedi Tags: Review article Source Type: research
Evaluation of drug use and medication compliance in adolescents admitted to a psychiatric facility from the pediatric emergency department
The objective was to evaluate drug use and medication compliance in a pediatric emergency department (PED) psychiatric population by comparing medical history, standard urine drug screen (EIA), and expanded urine drug screen (HPLC-MS/MS). (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - February 27, 2017 Category: Psychiatry Authors: George Sam Wang, Genie Roosevelt, Amy Becker, Lina Brou, Jeffrey L. Galinkin Tags: Short communication Source Type: research
Identifying, treating, and advocating for human trafficking victims: A key role for psychiatric inpatient units
The United Nations defines human trafficking as the “recruitment, transfer, harbouring or receipt of persons, by means of the threat or use of force or other forms of coercion, of abduction, of fraud, of deception, of the abuse of power or of a position of vulnerability … for the purposes of exploitation” [1]. There is an estimated 45.8 million women, men, and children around the world that are victims of human trafficking. In the United States alone there are an estimated 58,000 individuals who have been coerced or forced into servitude [2]. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - February 27, 2017 Category: Psychiatry Authors: Phuong T. Nguyen, John H. Coverdale, Mollie R. Gordon Tags: Editorial Source Type: research
Response to “Impact of a national collaborative care initiative for patients with depression and diabetes or cardiovascular disease”
In the recent publication by Rossom et al., the authors demonstrated that collaborative care programs for depression and chronic disease can be established outside of clinical trials in a diverse set of health care systems and depression remission can be achieved [1]. However, their population was primarily white (69%) patients on Medicare (48%) or commercial insurance (28%). The literature suggests the prevalence of depression is higher among Medicaid recipients (20%) than the general public (13%) [2,3], while minority populations are less likely to receive necessary mental health care [4,5]. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - February 17, 2017 Category: Psychiatry Authors: Kathleen S. Tatem, Remle Newton-Dame, Jessica Black, Jesse Singer Tags: Letter to the Editor Source Type: research
TEMPORARY REMOVAL: Diabetes quality of care and outcomes: Comparison of individuals with and without schizophrenia
The publisher regrets that this article has been temporarily removed.A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - February 9, 2017 Category: Psychiatry Authors: Paul Kurdyak, Simone Vigod, Raquel Duchen, Binu Jacob, Th érèse Stukel, Tara Kiran Source Type: research
