Treatment of severe perinatal mood disorders on a specialized perinatal psychiatry inpatient unit

2016 ◽  
Vol 19 (4) ◽  
pp. 645-653 ◽  
Author(s):  
Mary C. Kimmel ◽  
S. Lara-Cinisomo ◽  
K. Melvin ◽  
A. Di Florio ◽  
A. Brandon ◽  
...  
Keyword(s):  
Mood Disorders ◽  
Inpatient Unit ◽  
Perinatal Psychiatry ◽  
Perinatal Psychiatry Inpatient Unit

scholarly journals Evaluating the clinical effectiveness of a specialized perinatal psychiatry inpatient unit

2013 ◽  
Vol 17 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Samantha Meltzer-Brody ◽  
Anna R. Brandon ◽  
Brenda Pearson ◽  
Lynne Burns ◽  
Christena Raines ◽  
...  
Keyword(s):  
Clinical Effectiveness ◽  
Inpatient Unit ◽  
Perinatal Psychiatry ◽  
Perinatal Psychiatry Inpatient Unit

Introducing STEPPS on an Inpatient Unit in Italy

2016 ◽  
pp. 120-139
Author(s):  
Andrea Fossati ◽  
Roberta Alesiani ◽  
Silvia Boccalon ◽  
Laura Giarolli ◽  
Serena Borroni ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Hospital Admission ◽  
Mood Disorder ◽  
Mood Disorders ◽  
Suicide Attempts ◽  
Inpatient Unit ◽  
Inpatient Setting ◽  
History Of ◽  
Destructive Behaviors

This chapter describes how STEPPS has been adapted for inpatients with borderline personality disorder and co-occurring mood disorders at San Raffaele Hospital in Milan, Italy. All of the participants had a history of multiple hospitalizations and suicide attempts before entering STEPPS. The chapter describes how the program was modified for the inpatient setting. The patients begin the program during hospital admission to an inpatient unit and continue twice-weekly following discharge. The admission typically lasts one month, and the STEPPS program begins after remission of the acute mood disorder symptoms. Following discharge, the group program meets twice weekly for 45 minutes; the typical 20 session program is increased to 30 sessions. STEPPS was used as a stand-alone treatment for these patients. Data show that STEPPS has contributed to a reduction in self-destructive behaviors and frequency of hospitalization.

Participant Reactions to Suicide-Focused Research

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 367-374
Author(s):  
Sarah P. Carter ◽  
Brooke A. Ammerman ◽  
Heather M. Gebhardt ◽  
Jonathan Buchholz ◽  
Mark A. Reger
Keyword(s):  
Medical Records ◽  
Research Study ◽  
Small Sample Size ◽  
Psychiatric Inpatient ◽  
Small Sample ◽  
Inpatient Unit ◽  
Online Laboratory ◽  
Psychiatric Inpatient Unit ◽  
Before And After ◽  
Participant Reactions

Abstract. Background: Concerns exist regarding the perceived risks of conducting suicide-focused research among an acutely distressed population. Aims: The current study assessed changes in participant distress before and after participation in a suicide-focused research study conducted on a psychiatric inpatient unit. Method: Participants included 37 veterans who were receiving treatment on a psychiatric inpatient unit and completed a survey-based research study focused on suicide-related behaviors and experiences. Results: Participants reported no significant changes in self-reported distress. The majority of participants reported unchanged or decreased distress. Reviews of electronic medical records revealed no behavioral dysregulation and minimal use of as-needed medications or changes in mood following participation. Limitations: The study's small sample size and veteran population may limit generalizability. Conclusion: Findings add to research conducted across a variety of settings (i.e., outpatient, online, laboratory), indicating that participating in suicide-focused research is not significantly associated with increased distress or suicide risk.

Suicide Attempts During Adolescence: Systematic Hospitalization and Crisis Treatment

Crisis ◽  
1999 ◽  
Vol 20 (1) ◽  
pp. 41-48 ◽  
Author(s):  
Jérôme Ottino
Keyword(s):  
Attempted Suicide ◽  
Suicide Attempts ◽  
Psychiatric Treatment ◽  
Health Workers ◽  
Inpatient Unit ◽  
Theoretical Hypothesis ◽  
Initial Resistance ◽  
Provision Of Care ◽  
Suicidal Crisis

This paper deals with an inpatient unit that recently opened in Geneva, specializing in the treatment of patients aged 16-21 years who had attempted suicide or felt the desire to commit suicide. This particular center was established because of the significant weaknesses found in the provision of care to adolescents who had attempted suicide. Despite the growing interest of health workers in this area of study over recent years, the frequency of suicide among the young has not decreased and there are numerous recurrences of the suicide attempts. Further, all efforts to improve the adolescents' compliance with psychiatric treatment have failed to date. The number of drop-outs from treatment is still very high. Thus, the objectives of our inpatient unit are as follows: (1) to overcome initial resistance to treatment and to improve long-term compliance; (2) to decrease the number of recurrent attempts as a consequence of the above, thus increasing life expectancy; (3) to offer the adolescents who have tried (or have contemplated) committing suicide an improved quality of life, after first helping them overcome the suicidal crisis. To achieve these goals, the therapeutic team of the unit proposes short stays during which the work with the adolescents consists of a very intensive psychoanalytic-oriented crisis intervention. Numerous practical aspects of our therapeutic approach in the inpatient unit are related here in detail, always with reference to our theoretical hypothesis.

Lipophilic Statin Use and Suicidal Ideation in a Sample of Adults With Mood Disorders

Crisis ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 278-282 ◽  
Author(s):  
Karen M. Davison ◽  
Bonnie J. Kaplan
Keyword(s):  
Suicidal Ideation ◽  
Mood Disorders ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Symptom Scores ◽  
Unit Increase ◽  
Predominantly Female ◽  
Lipophilic Statin

Background: Mood disorders are associated with a high risk of suicide. Statin therapy has been implicated in this relationship. Aims: To further clarify reported associations between suicide and cholesterol in mental health conditions, we conducted an analysis of dietary, clinical, and suicidal ideation measures in community-living adults with mood disorders. Method: Data were used from a cross-sectional study of a randomly selected community-based sample (> 18 years; n = 97) with verified mood disorders. Dietary (e.g., fat, iron, vitamin intakes), clinical (e.g., current depression and mania symptoms, medications), and sociodemographic (age, sex, and income) measures were analyzed using bivariate statistics and Poisson regression with robust variance. Results: Participants were predominantly female (71.1%) with bipolar disorder (59.8%); almost one-third (28.9%) were taking lipophilic statins. The prevalence of suicidal ideation was more than 2.5 times in those taking statins, PR = 2.59, 95% CI 1.27–5.31, p < .05. The prevalence ratio for suicidal ideation was 1.10, 95% CI 1.06–1.15, p < .001, for each unit increase in mania symptom scores. No associations between suicidal ideation and dietary intake measures were identified. Conclusion: Individuals with mood disorders may be susceptible to neuropsychiatric effects of cholesterol-lowering drugs, which warrants further research.

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