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General Hospital Psychiatry

Kenneth R Conner, Timothy J Wiegand, David B Goldston
OBJECTIVE: Problematic alcohol use (PAU) is a potent risk factor for suicidal behavior yet individuals with PAU presenting to hospital with suicidal risk may receive less intensive hospital-based treatment than suicidal patients without PAU. Developing efficacious interventions for at-risk patients with PAU that may be delivered in hospital is critical, particularly for those hospitalized following a suicide attempt, a group at marked risk. METHOD: The authors identified the Attempted Suicide Short Intervention Program (ASSIP) for adaption for hospitalized suicide attempt patients with PAU because of its flexibility, brevity, and evidence of efficacy to reduce risk for suicide reattempt...
February 5, 2019: General Hospital Psychiatry
Xavier F Jimenez, Ngozi Nkanginieme, Niyati Dhand, Matt Karafa, Karen Salerno
BACKGROUND: Consultation psychiatrists are often asked to assess factitious disorder (FD), yet this is challenging as confirmation depends on rarely achieved direct evidence of illness-inducing behaviors. Diagnosis is thus based on other variables, such as atypical features of the medical presentation and certain patient behaviors. This study sought to assess a cohort of patients with FD for demographic and clinical variables, but also psychological and behavioral ones unexamined in previous studies...
January 31, 2019: General Hospital Psychiatry
David Marcovitz, Mladen Nisavic, Benjamin Bearnot
No abstract text is available yet for this article.
January 30, 2019: General Hospital Psychiatry
Jakob Hornung, Stella Linnea Kuhlmann, Maria Radzimanowski, Silke Jörgens, Wilhelm Haverkamp, Peter Martus, Andreas Ströhle, Johannes Waltenberger, Volker Arolt, Jacqueline Müller-Nordhorn, Nina Rieckmann
No abstract text is available yet for this article.
January 24, 2019: General Hospital Psychiatry
Sarah Colbert-Kaip, Kevin Z Wang, Ali Bani-Fatemi, Jermeen Baddour, Oluwagbenga Dada, Sauliha Alli, Clement Zai, Ariel Graff, Nathan Kolla, Vincenzo De Luca
No abstract text is available yet for this article.
January 17, 2019: General Hospital Psychiatry
Mozhdeh Zabihiyeganeh, Sedigheh Vafaee Afshar, Azade Amini Kadijani, Davod Jafari, Abolfazl Bagherifard, Masoud Janbozorgi, Abolfazl Akbari, Alireza Mirzaei
OBJECTIVES: There is no consensus over the effect size of cognitive behavioral therapy (CBT) in the treatment of fibromyalgia (FM). This study aims to evaluate the effect of CBT on FM patients, through assessing circulating proinflammatory cytokines. METHODS: A controlled, single-blind, parallel clinical trial was performed with 21 FM patients in each group. Sixteen FM patients in the intervention group (CBT) and 17 FM patients in the control group (waiting-list) completed the study...
January 15, 2019: General Hospital Psychiatry
David S Kroll, Escel Stanghellini, Stephanie L DesRoches, Charles Lydon, Allison Webster, Molly O'Reilly, Shelley Hurwitz, Patricia M Aylward, Jennifer A Cartright, Elizabeth J McGrath, Linda Delaporta, Anna T Meyer, Michael S Kristan, Laurie J Falaro, Colin Murphy, Jennifer Karno, Daniel J Pallin, Adam Schaffer, Sejal B Shah, Barbara E Lakatos, Monique T Mitchell, Christine A Murphy, Janet M Gorman, David F Gitlin, Deborah F Mulloy
OBJECTIVE: To determine whether continuous virtual monitoring, an intervention that facilitates patient observation through video technology, can be used to monitor suicide risk in the general hospital and emergency department (ED). METHOD: This was a retrospective analysis of a protocol in which select patients on suicide precautions in the general hospital and ED received virtual monitoring between June 2017 and March 2018. The primary outcome was the number of adverse events among patients who received virtual monitoring for suicide risk...
January 14, 2019: General Hospital Psychiatry
Joseph H Obegi
No abstract text is available yet for this article.
December 31, 2018: General Hospital Psychiatry
Federico M Daray, Emily Goldmann, Laura Gutierrez, Jaqueline Ponzo, Fernando Lanas, Nora Mores, Matías Calandrelli, Rosana Poggio, Beverly-Xaviera Watkins, Vilma Irazola
INTRODUCTION: To examine the relationship between suicidal ideation (SI) and cardiovascular disease (CVD) in the general adult population of four cities in the Southern Cone of Latin America (Argentina, Uruguay, Chile) and the role that depression, stressful life events (SLEs) and physical functional impairment may play in this association. METHODS: A population-based cross-sectional study was conducted among 7524 adults between 35 and 74 years old, randomly selected...
December 18, 2018: General Hospital Psychiatry
Chi-Hung Au, Corine Sau-Man Wong, Chi-Wing Law, Ming-Cheuk Wong, Ka-Fai Chung
OBJECTIVE: Stigma has a deleterious effect on functioning in individuals with bipolar disorder (BD). However, there has been no research investigating how stigma coping predicts self-stigma and functioning in BD. Furthermore, how different stages of self-stigma might affect functioning is unclear. The following hypotheses were examined: (1) Stigma coping by withdrawal and secrecy was associated with more self-stigma; (2) Stigma coping by withdrawal and secrecy was associated with worse social functioning; and (3) Later stages of self-stigma were associated with worse social functioning...
December 18, 2018: General Hospital Psychiatry
Rakesh Kumar Chadda, Koushik Sinha Deb, Ananya Mahapatra, Rishi Gupta
No abstract text is available yet for this article.
December 15, 2018: General Hospital Psychiatry
Priya Gopalan, Eydie Moses-Kolko, Robin Valpey, Neeta Shenai, Erin Smith
BACKGROUND: As more patients are admitted for medical complications related to opioid use disorders, physicians are called upon to manage withdrawal from co-occurring substance use disorders. We present an observational study of pregnant women with comorbid opioid and sedative-hypnotic use disorders hospitalized for benzodiazepine withdrawal. OBJECTIVES: Our primary aims were to assess current practices in withdrawal management in the perinatal period in patients admitted to an antepartum unit at a tertiary care setting with comorbid opioid and sedative-hypnotic use disorders; specifically, to identify patterns of withdrawal management, including the type of withdrawal protocol utilized, the total dosage of benzodiazepine used during that protocol, to assess patient variables associated with higher dosing, and to analyze neonatal outcomes...
December 11, 2018: General Hospital Psychiatry
Kartik Singhai, Pooja Patnaik Kuppili, Naresh Nebhinani
No abstract text is available yet for this article.
December 8, 2018: General Hospital Psychiatry
Sidra Goldman-Mellor, Kevin Kwan, Jonathan Boyajian, Paul Gruenewald, Paul Brown, Deborah Wiebe, Magdalena Cerdá
OBJECTIVE: This study investigated patient- and area-level characteristics associated with adolescent emergency department (ED) patients' risk of subsequent ED visits for self-harm. METHOD: Retrospective analysis of adolescent patients presenting to a California ED in 2010 (n = 480,706) was conducted using statewide, all-payer, individually linkable administrative data. We examined associations between multiple predictors of interest (patient sociodemographic factors, prior ED utilization, and residential mobility; and area-level characteristics) and odds of a self-harm ED visit in 2010...
December 8, 2018: General Hospital Psychiatry
F Sancassiani, A Preti, E Cacace, V Ruggiero, G Testa, F Romano, M G Carta
No abstract text is available yet for this article.
December 6, 2018: General Hospital Psychiatry
Valerie Murphy, Gautam Gulati, Henry P O'Connell, Brenda Wright, Brendan D Kelly, Deirdre Smithwick, Noreen Moloney, Sinead Costello, Joanne Maher, Muhammad Javed, Ayesha Nazir, Khalid Azmi, Gabriela Sorin, John R Kelly, Denis Long, Brian Hallahan
No abstract text is available yet for this article.
December 4, 2018: General Hospital Psychiatry
Lisa M Horowitz, Kimberly Roaten, Maryland Pao, Jeffrey A Bridge
No abstract text is available yet for this article.
December 1, 2018: General Hospital Psychiatry
Richard Barteček, Jana Hořínková, Pavla Linhartová, Tomáš Kašpárek
No abstract text is available yet for this article.
November 28, 2018: General Hospital Psychiatry
Marjan Ghahramanlou-Holloway, Jessica M LaCroix, Kanchana U Perera, Laura Neely, Geoffrey Grammer, Jennifer Weaver, Laura A Novak, Victoria Colborn, Su Yeon Lee-Tauler
OBJECTIVE: Individuals with a recent suicidal crisis are typically admitted for inpatient psychiatric care. However, targeted inpatient interventions for suicide prevention remain sparse. Thus, this pilot randomized controlled trial evaluated a brief inpatient cognitive behavioral protocol, Post-Admission Cognitive Therapy (PACT) for the prevention of suicide. METHODS: United States service members and beneficiaries (N = 24) psychiatrically hospitalized at a military medical center due to a recent suicidal crisis were randomized to receive either PACT plus Enhanced Usual Care (PACT + EUC) or EUC alone...
November 27, 2018: General Hospital Psychiatry
Susan Wnuk, Neha Parvez, Raed Hawa, Sanjeev Sockalingam
OBJECTIVE: Previous studies have shown higher rates of death by suicide, suicide attempts, suicidal ideation and non-suicidal self-directed violence (NS-SDV) in bariatric surgery patients. METHODS: Data came from the Toronto Bari-Psych Cohort study of adult patients who underwent bariatric surgery between 2010 and 2016. The MINI International Neuropsychiatric Interview was used to obtain lifetime psychodiagnostic data. Information about lifetime suicidal ideation, suicide attempts, NS-SDV and hospitalizations related to any of these phenomena was collected during clinical interview...
November 26, 2018: General Hospital Psychiatry
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