Clinical Severity Alone Does Not Determine Disposition Decisions for Patients in the Emergency Department with Suicide Risk
Boarding of patients with suicide risk in emergency departments (EDs) negatively affects both patients and society. Factors other than clinical severity may frequently preclude safe outpatient dispositions among suicidal patients boarding for psychiatric admission in the ED. (Source: Psychosomatics)
Source: Psychosomatics - December 7, 2017 Category: Psychiatry & Psychology Authors: David S. Kroll, Jennifer Karno, Brian Mullen, Sejal B. Shah, Daniel J. Pallin, David F. Gitlin Tags: Original Research Report Source Type: research
Clinical Severity Alone Does Not Determine Disposition Decisions for Patients in the Emergency Department with Suicide Risk
Boarding of patients with suicide risk in emergency departments (EDs) negatively impacts both patients and society. Factors other than clinical severity may frequently preclude safe outpatient dispositions among suicidal patients boarding for psychiatric admission in the ED. (Source: Psychosomatics)
Source: Psychosomatics - December 7, 2017 Category: Psychiatry & Psychology Authors: David S. Kroll, Jennifer Karno, Brian Mullen, Sejal B. Shah, Daniel J. Pallin, David F. Gitlin Source Type: research
Individual Significance of Olfaction: A Comparison Between Normosmic and Dysosmic People
Olfactory dysfunction is common in older individuals. The importance of such dysfunction to individuals is highly variable: many people do not seem to care about their olfactory dysfunction, others suffer and complain about problems in daily life, a reduced quality of life, or symptoms of depression. (Source: Psychosomatics)
Source: Psychosomatics - December 4, 2017 Category: Psychiatry & Psychology Authors: Julia Murr, Thomas Hummel, Gerhard Ritschel, Ilona Croy Tags: Original Research Report Source Type: research
Individual Significance of Olfaction: A Comparison between Normosmic and Dysosmic People
Olfactory dysfunctions are common in older age. The individual importance of such dysfunction is highly variable: many people do not seem to care about their olfactory dysfunction at all, others suffer and complain about problems in daily life, a reduced quality of life, or symptoms of depression. Understanding the importance of olfaction for different age groups in normosmic as well as in smell-disordered subjects may help to find reasons for insufficient coping with olfactory dysfunction. (Source: Psychosomatics)
Source: Psychosomatics - December 4, 2017 Category: Psychiatry & Psychology Authors: Julia Murr, Thomas Hummel, Gerhard Ritschel, Ilona Croy Source Type: research
Fetal Outcomes in Intentional Over-the-Counter Medication Overdoses in Pregnancy
Suicidal ideation, a symptom of depression and other psychiatric illnesses, occurs in an estimated 13 –33% of pregnant women.1 Risk factors for attempting suicide during pregnancy include past psychiatric history, age under 20 years, unmarried status, substance use, exposure to intimate partner violence, limited social support, and unplanned pregnancy.2 Intentional overdose is a common method of a ttempting suicide, though few reports have described fetal and maternal outcomes of intentional overdose during pregnancy. (Source: Psychosomatics)
Source: Psychosomatics - November 24, 2017 Category: Psychiatry & Psychology Authors: Neeta Shenai, Joshua Shulman, Priya Gopalan, Edith Cheng, Joseph M. Cerimele Tags: Case Report Source Type: research
A Possible Role of Takotsubo Cardiomyopathy in Ventricular Fibrillation During Delirium Tremens: A Case Report and Literature Review
Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy, is characterized by acute and transient apical ventricular dysfunction in the absence of significant obstructive coronary artery disease.1 “Takotsubo” means “octopus trap” in Japanese, which has a similar appearance to the form of the left ventricle with hypokinetic motion at the mid-apical segment and hyperkinetic motion at the base of the heart.2 Although the pathophysiology of this condition is not fully elucidated, it is po stulated that an intense release of catecholamines disrupts myocardial equilibrium. (Source: Psychosomatics)
Source: Psychosomatics - November 24, 2017 Category: Psychiatry & Psychology Authors: Takuto Ishida, Hiroyuki Uchida, Kazuki Miyazaki, Takahiro Yukawa, Kazuhiro Sugiyama, Yuuichi Hamabe, Masaru Mimura, Takefumi Suzuki Tags: Case Report Source Type: research
Fetal Outcomes in Intentional Over-the-Counter Medication Overdoses in Pregnancy
We present three cases of patients attempting suicide by ingesting over-the-counter (OTC) medications diphenhydramine, salicylate, and acetaminophen. We then provide clinical guidelines for management of toxicity in pregnancy. Two cases resulted in fetal demise. Preventive strategies through an interdisciplinary team approach to screen for and treat patients with psychiatric illnesses resulting in suicidal thoughts are also discussed. (Source: Psychosomatics)
Source: Psychosomatics - November 24, 2017 Category: Psychiatry & Psychology Authors: Neeta Shenai, Joshua Shulman, Priya Gopalan, Edith Cheng, Joseph Cerimele Tags: Case Report Source Type: research
A possible role of Takotsubo cardiomyopathy in ventricular fibrillation during delirium tremens: A case report and literature review
We report on a 57-year-old male who presented with Takotsubo cardiomyopathy during delirium tremens that resulted from alcoholism. Laboratory examination revealed hypokalemia and hypomagnesemia. ECG revealed marked QT prolongation and he developed ventricular fibrillation (Vf) after torsade de pointes (TdP), which was successfully treated with immediate defibrillation. (Source: Psychosomatics)
Source: Psychosomatics - November 24, 2017 Category: Psychiatry & Psychology Authors: Takuto Ishida, Hiroyuki Uchida, Kazuki Miyazaki, Takahiro Yukawa, Kazuhiro Sugiyama, Yuuichi Hamabe, Masaru Mimura, Takefumi Suzuki Source Type: research
Postpartum Depression Screening Tools: A Review
The purpose of this study was to analyze the accuracy of screening tools in detecting postpartum depression (PPD). (Source: Psychosomatics)
Source: Psychosomatics - November 23, 2017 Category: Psychiatry & Psychology Authors: Nneamaka Ukatu, Camille A. Clare, Mary Brulja Tags: Review Article Source Type: research
Postpartum Depression Screening Tools: A Review
The purpose of this study is to analyze the accuracy of screening tools in detecting postpartum depression (PPD). (Source: Psychosomatics)
Source: Psychosomatics - November 23, 2017 Category: Psychiatry & Psychology Authors: Nneamaka Ukatu, Camille A. Clare, Maria Brulja Source Type: research
Consultation-Liaison Psychiatry vs Psychosomatic Medicine: What ’s in a name?
Background: In November of 2017, The Academy of the Psychosomatic Medicine voted to change its name to the Academy of Consultation-Liaison Psychiatry. It followed a similar change in which the American Board of Medical Specialties voted to change the name of the field to Consultation-Liaison Psychiatry. Objective: The authors, all instrumental in bringing about this change, discuss the history and rationale for this name change. (Source: Psychosomatics)
Source: Psychosomatics - November 22, 2017 Category: Psychiatry & Psychology Authors: Robert J. Boland, James Rundell, Steven Epstein, David Gitlin Tags: Perspective Source Type: research
Consultation-Liaison Psychiatry versus Psychosomatic Medicine: What ′s in a name?
In November of 2017, The Academy of the Psychosomatic Medicine voted to change its name to the Academy of Consultation-Liaison Psychiatry. The followed a similar change in which the American Board of Medical Specialties voted to change the name of the field to Consultation-Liaison Psychiatry. The authors, all instrumental in bringing about this change, discuss the history and rationale for this name change. (Source: Psychosomatics)
Source: Psychosomatics - November 22, 2017 Category: Psychiatry & Psychology Authors: Robert Boland, James Rundell, Steven Epstein, David Gitlin Source Type: research
The Electroencephalogram Speaks for the Patient: Identification and Treatment of Akinetic Mutism With Comorbid Delirium
Akinetic mutism is a constellation of psychoneurological symptoms characterized by profound apathy and a lack of verbal and motor output for action, despite preserved alertness and the intention or wish to speak. The syndrome has been observed in a wide variety of clinical scenarios. It can occur concomitantly with neuropsychiatric illnesses and in patients without global cerebral dysfunction.1 The frontal regions of the brain appear to be most commonly implicated with additional emphasis on the mesocortical dopamine pathway. (Source: Psychosomatics)
Source: Psychosomatics - November 15, 2017 Category: Psychiatry & Psychology Authors: Moein Foroughi, Robert J. Morgan Tags: Case Report Source Type: research
