Suicidal ideation and organic diseases in acute female psychiatric patients

2016 ◽  
Vol 33 (S1) ◽  
pp. s275-s275
Author(s):  
P. Solano ◽  
M. Ustulin ◽  
R. Vecchio ◽  
A. Rreshketa ◽  
E. Pizzorno ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Risk ◽  
Psychiatric Patients ◽  
Demographic Data ◽  
The Elderly ◽  
Physical Illness ◽  
Psychiatric Clinic ◽  
Medical Illness ◽  
Chi Squared ◽  
Competing Interest

IntroductionPhysical illness has been recognized as a major risk factor for suicidal behaviours, especially among females. A higher number of physical comorbidities has been associated with higher suicide- risk, thus having a greater burden among the elderly.Objectivesinvestigate this evidence to be able to estimate the load of physical illness on suicidality among psychiatric females of different age.AimsEvaluate the association between suicidal ideation, age, depression and physical comorbidities in a sample of acute females psychiatric in-patients.Methods81 psychiatric female in-patients were evaluated during their first day of hospitalization through MADRS, SSI and the presence of organic comorbidity has been collected together with demographic data. All the evaluations were carried out at the Psychiatric Clinic, University of Genova, Italy.ResultsMean age 48 (age–range value: 74, high variability). Pearson's Chi-squared test showed: significant association between SSI and MADRS (P = 0,027; α = 0,05); no association between SSI and age (P = 0,194; α=0,05); no association between SSI and presence medical illness (P = 0,132; α = 0,05); no association between SSI and number of medical illness (P = 0,186; α = 0,05).ConclusionsOur results show that the levels of suicidal ideation in psychiatric females are independent from age, presence and number of physical comorbidities. Suicidal ideation appears to be associated only with levels of depression. Our results challenge evidence from a large number of current studies and, if confirmed by further research, would lead to reconsider major suicide risk factors. Further research to investigate these associations on larger samples is needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Evaluation of suicide risk in psychiatric patients after discharge. A follow-up study

2016 ◽  
Vol 33 (S1) ◽  
pp. s282-s282
Author(s):  
G. Giordano ◽  
R. Federica ◽  
E. Denise ◽  
M. Monica ◽  
I. Marco ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Risk ◽  
Attempted Suicide ◽  
Psychiatric Patients ◽  
Psychiatric Inpatients ◽  
Type I ◽  
Follow Up Study ◽  
Significant Difference ◽  
Competing Interest

RésuméIntroductionSeveral studies show that the first period after discharge has an higher suicide risk.ObjectivesFollowing up psychiatric inpatients after discharge may be important in order to better understand the risk and the protective factors of suicide.AimThe aim of our follow-up study is to evaluate the predictive factors of suicide in a sample of psychiatric inpatients after discharge.MethodsWe analyzed the temperament and the levels of hopelessness, depression, suicide risk in a sample of 87 (54% males) inpatients at time T0 (during the hospitalization), T1 (12 months after discharge) and T2 (8 months after T1). We administered the following scales: BHS, MINI, TEMPS, GMDS, CGI.ResultsA statistically significant difference on the risk of suicide with substance abuse was found among patients who were followed up and who refused to participate, respectively at T1 (χ24 = 2.61; P < 0.05) and T2 (χ24 = 1.57; P = 0.05). At T1, 4 patients attempted suicide and 18 showed suicidal ideation. In the second follow-up, 1 patient successful committed suicide, 1 subject attempted suicide and 10 patients showed suicidal ideation. Patients with suicidal ideation at T1 showed higher levels of hopelessness and a diagnosis of bipolar disorder type I (χ24 = 10.28; P = 0.05). Sixty-seven percent of subjects with suicidal ideation showed higher scores in the BHS at T1. Significant differences were found on the anxious temperament at T2 between two groups.ConclusionsThe follow-up could represent a significant strategy to prevent suicide in psychiatric patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Psychiatric comorbidity and suicide risk in patients with psoriasis

2016 ◽  
Vol 33 (S1) ◽  
pp. S395-S396 ◽  
Author(s):  
M. Pompili ◽  
M. Innamorati ◽  
D. Erbuto ◽  
A. Costanzo
Keyword(s):  
Suicidal Ideation ◽  
Suicide Risk ◽  
Psychiatric Comorbidity ◽  
Rating Scale ◽  
Suicide Attempts ◽  
The Other ◽  
Depression And Anxiety ◽  
Melanoma Patients ◽  
Competing Interest ◽  
Hamilton Rating Scale

IntroductionPsoriasis has a significant impact on the mental and emotional functioning.ObjectiveIt has been reported that the risk of psychiatric comorbidity increases with the severity of the disorder, and the most frequent associations appear to be those with depression and anxiety.AimsTo analyze the association between psoriasis, mental disorders and suicidal ideation in a sample of patients affected by psoriasis. To investigate the differences between psoriasis patients and patients with other dermatologic diseases.MethodsParticipants were 242 consecutive patients (142 women and 100 men), 112 patients with psoriasis (46.3%), 77 with melanoma (31.8%) and 53 with allergy (21.0%). All patients were administered a structured sociodemographic interview and the following measures: the Hamilton Rating Scale for Depression (HAM-D) and the Hamilton Rating Scale for Anxiety (HAM-A). We also assessed current and previous suicidal ideation and previous suicide attempts.ResultsPatients with psoriasis (compared to other groups of patients) more frequently had a comorbid mood disorder (16.1% vs 3.9% and 0.0%, respectively for patients with melanoma and patients with allergy; χ22 = 14.98; P < 0.001), past suicidal ideation (33.9% vs 15.6% and 18.9%, respectively for patients with melanoma and patients with allergy; χ22 = 2.05; P < 0.01) and attempts (6.3% vs 0.0% and 0.0%, for the other groups of patients; χ22 = 8.37; P < 0.05). Patients with psoriasis reported higher HAM-D scores than melanoma patients.ConclusionsThe clinical evaluation of patients with psoriasis should include the assessment of psychiatric comorbidities and the routinely assessment of suicide risk.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Late-onset Bipolar Disorder: A Comparative Study

2017 ◽  
Vol 41 (S1) ◽  
pp. S113-S114
Author(s):  
C. Derbel ◽  
R. Feki ◽  
S. Ben Nasr ◽  
S. Bouhlel ◽  
B. Ben Hadj Ali
Keyword(s):  
Comparative Study ◽  
Late Onset ◽  
Demographic Data ◽  
Bipolar Disorders ◽  
The Elderly ◽  
University Hospital ◽  
Professional Activity ◽  
Competing Interest ◽  
Secondary Mania ◽  
Depressive Episodes

IntroductionBipolar disorders (BP) with late onset are underestimated by their frequency, their misleading presentations and therapeutic difficulties due to the high prevalence of somatic comorbidities.AimTo identify sociodemographic, clinical and therapeutic characteristics in subjects with a late-onset BP.Patients and methodsRetrospective and comparative study of 101 patients followed for a BP (12 patients with BP started after 50 years and 89 patients with BP started earlier) from 2009 to 2015, in the department of psychiatry of the University Hospital Farhat Hached, Sousse, Tunisia.ResultsThe mean age of subjects with late-onset TBP was 46.11 ± 12.85 years. Women were in the majority (65.3%). Ten patients had a novo mania, four patients had a late-onset mania and one patient had a secondary mania. Regarding the socio-demographic data, only the regular professional activity was more reported in the elderly (P = 0.017). Regarding clinical data, BP type 1 and secondary mania were more reported in elderly with (P = 0.050 and P = 0.000 respectively). Elderly had significantly fewer depressive episodes (P = 0.026), fewer hypomanic episodes (P = 0.000). The durations of the latest episodes and the last intervals were shorter in elderly (P = 0.045 and P = 0.000). Concerning therapeutic data, elderly had fewer hospitalizations (P = 0.045), required lower mean doses of lithium (P = 0.04) and greater mean doses of tricyclic antidepressants (P = 0.047).ConclusionIt is always necessary to look for an organic cause in manic syndrome in late-onset BP. Doses of lithium should be lower. However, doses of TAD should be higher.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Sociodemographic and clinical profile in elderly suicide victims: 34 autopsy case studies

2017 ◽  
Vol 41 (S1) ◽  
pp. s887-s887
Author(s):  
S. Ellouze ◽  
I. Baati ◽  
W. Ben Amar ◽  
D. Trigui ◽  
W. Abbes ◽  
...  
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Suicide Risk ◽  
Public Health Problem ◽  
The Elderly ◽  
University Hospital ◽  
Major Public Health Problem ◽  
Treatment Of Depression ◽  
Competing Interest ◽  
Elderly Suicide

IntroductionThe elderly suicide is a major public health problem that is gaining more and more ground, given the aging population problem. This has rarely been the subject of forensic studies in Tunisia.ObjectivesTo identify the sociodemographic and clinical characteristics of elderly suicide victims over 60 years and to determine what factors might increase suicide risk in this population.MethodsWe conducted a retrospective study on suicide victims aged 60 and over, autopsied in forensic medicine department of the Habib Bourguiba university hospital in Sfax (Tunisia), on a 10-year period (January 2006–December 2015).ResultsWe identified 34 cases with an average age of 66 years. The sex ratio was 2.77. Suicide victims were alone in 38.2% of cases. They were inactive professionally in 32.4% of cases. Almost half of them (44.1%) had a psychiatric history, 40% of depressed pace, 26.7% of bipolar disorder and 13.3% of schizophrenia.Three main factors were identified as precipitating the passage to suicidal act: family conflicts (26.5%), financial difficulties (11.8%) and loss of autonomy (5.9%).Suicide methods were hanging (50%), immolation and drug intoxication (11.8%), hit by train and poisoning (8.8%), jumping from height (5.9%) and drowning (2.9%). In 55.8% of cases, suicide took place at home.ConclusionElderly suicide seems to be a huge but largely preventable public health problem. Its prevention is essentially based on the identification of risk situations and the detection and treatment of depression: major suicide risk factor in this population.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Suicide Risk in Cancer Patients – Are We Prepared?

2017 ◽  
Vol 41 (S1) ◽  
pp. S667-S667
Author(s):  
M. Alves ◽  
A. Tavares
Keyword(s):  
Suicidal Ideation ◽  
General Population ◽  
Cancer Patients ◽  
Suicide Risk ◽  
Active Listening ◽  
Suicidal Thoughts ◽  
Increased Risk ◽  
Wish To Die ◽  
Physical Risk Factors ◽  
Competing Interest

IntroductionIndividuals with cancer are at increased risk for suicidal ideation and behaviour when compared to the general population. Suicidal thoughts are sometimes minimized and considered by clinicians as a normal reaction to diagnosis of oncological disease. Less severe forms of suicidal ideation, such a fleeting wish to die may happen in all stages of the disease.ObjectivesWe aim to highlight the cases of cancer patients that present an imminent suicide risk and its related psychopathological aspects, psychosocial and physical risk factors that may increase the probability of suicidal attempt.MethodsNon systematic literature review through the Medline and Clinical Key databases, with time constraints.ResultsIndividuals with cancer have twice the risk of suicide compared to the general population. It was found that suicidal thoughts are more common in patients with advanced disease, in hospital or in palliative care settings or in those who are experiencing severe pain, depression, cognitive impairment or delirium. The first months following the diagnosis are the period of greatest risk and the highest suicide risk occurs in men with respiratory cancers. Death by suicide occurs more often in cancer patients in the advanced stages of disease.ConclusionsAn appropriate therapeutic response should include empathy, active listening, management of realistic expectations and permission to discuss psychological distress. The first intervention should focus on determining imminent risk of suicidal behaviour and act for patient safety.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Az alacsony szérumkoleszterin-szint mint lehetséges öngyilkossági rizikótényező

2021 ◽  
Vol 162 (43) ◽  
pp. 1732-1739
Author(s):  
Edina Dimény ◽  
Erika Bán ◽  
László Gyula Fekete ◽  
Attila Brassai
Keyword(s):  
Suicidal Ideation ◽  
Total Cholesterol ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Psychiatric Patients ◽  
Total Cholesterol Level ◽  
Risk Category ◽  
Moderate Risk ◽  
Cholesterol Levels ◽  
Hospital Referral

Összefoglaló. Bevezetés: A koleszterinszint a köztudatban elsősorban mint cardiovascularis rizikófaktor van jelen. Nem mellékes azonban, hogy akár a magas, akár az alacsony koleszterinszint direkt összefüggésbe hozható számos pszichiátriai kórképpel. Célkitűzés: A jelen tanulmány célja felhívni a figyelmet a holisztikus nézőpont kialakítására, hisz a hypercholesterinaemia korai cardiovascularis elhalálozáshoz vezethet, viszont alacsony koleszterinszint esetén megnövekedhet a hangulatzavarra és főleg az öngyilkosságra való hajlam. Módszer: Kutatásunkban 200 olyan pszichiátriai beteg összkoleszterinszintjét vizsgáltuk meg, akik öngyilkossági gondolatokkal küszködtek. Az öngyilkossági veszélyt a Modified Scale for Suicide Ideation (Miller és mtsai) segítségével mértük. Eredmények: Az elért pontszámok alapján 3 kategóriába soroltuk a betegeket: 52 minimális suicid késztetésű, 49 középsúlyos és 99 súlyos rizikójú beteg. A legsúlyosabb kategóriába tartozó betegek nagy többségének (83 páciens, 84%) összkoleszterinje 4,5 mmol/l alatti volt. A másik két kategóriában ezen arány jelentősen kisebbnek bizonyult: a minimális suicid késztetésű kategóriában ez az érték csak 3 betegre (6%) volt vonatkoztatható, és a középsúlyosak esetén is csak 13 betegre (29%). Megbeszélés: Ezen tanulmányunk hátrányát képezheti a relatíve kis betegszám és a longitudinális utánkövetés megvalósításának hiánya. Következtetés: Jelen eredményeink alapján jogosan vetődhet fel a koleszterinszint mérésének rutinszerű bevezetése mint hatásos, szűrésre alkalmas öngyilkossági rizikófaktor biomarker. Orv Hetil. 2021; 162(43): 1732–1739. Summary. Introduction: High cholesterol levels are widely recognized as cardiovascular risk factors. However, lower or higher cholesterol levels can be in a solid relationship with several mental disorders, too. Objective: Our study aims to raise awareness about the fact that hypocholesterolemia is involved in various mood disorders and even suicidal behavior looks to be much more frequent. Method: Our current study implicates 200 psychiatric patients. These subjects had suicidal ideation upon hospital referral. In the first 24 hours, their total cholesterol levels were measured and the severity of self-harm intentions was evaluated with the Modified Scale for Suicide Ideation by Miller et al. Results: By the obtained evaluation score we differentiated 3 groups: 52 patients with low suicide risk, 49 with moderate risk and 99 with high suicide risk. In this last group, 83 patients had their serum total cholesterol level under 4,5 mmol/L (84%). By comparison, in the low-risk category only 3 patients (6%) and in the moderate-risk 13 patients (29%) were with such levels. Discussion: Clear conclusion cannot be drawn due to the reduced number of our patients, due to the absence of long-term consequent monitorization, and due to the heterogeneity of the studied population. Conclusion: Considering these data, a possible usefulness of total cholesterol levels in psychiatric patients may be suggested as a screening tool for the severity of suicidal ideation. Orv Hetil. 2021; 162(43): 1732–1739.

Perceptual symptoms in the latino psychiatric patients attending inner city outpatient clinic

2016 ◽  
Vol 33 (S1) ◽  
pp. S401-S401
Author(s):  
L. Gonzalez ◽  
A. Khadivi ◽  
W. Gu ◽  
P. Korenis
Keyword(s):  
Psychiatric Patients ◽  
Cultural Beliefs ◽  
Significant Proportion ◽  
Psychotic Symptoms ◽  
Psychiatric Clinic ◽  
Latino Population ◽  
Psychotic Illness ◽  
Cultural Backgrounds ◽  
Retrospective Case ◽  
Competing Interest

IntroductionPsychotic symptoms occur in a variety of psychiatric disorders and medical conditions. In addition, a significant proportion of the general population reports history of psychotic symptoms in the apparent absence of a psychiatric disorder. Reviewed literature suggests that Latino patients report certain forms of visual and auditory hallucinations without other indications of psychotic illness. In addition, it is common that some individuals with diverse religious or cultural backgrounds may present with psychotic transient experiences, which can be culturally normative.ObjectiveTo determine the prevalence of hallucinations and describe the nature of hallucinatory experiences in relation to cultural belief in Latino and non-Latino psychiatric outpatients.MethodsWe conducted a retrospective case control study of 146 patients who were admitted to the outpatient psychiatric clinic for a period of ten months. We assessed clinical characteristics of these patients and reviewed the extended mental status examination, which contained questions about various form of hallucinations and spiritual experiences. This poster will explore the prevalence of hallucinations in the Latino population and determine the percentage of patients with a diagnosis of psychotic illness. A discussion of the phenomenological hallucinatory experiences and its relationship to cultural beliefs in the Latino psychiatric patients will also be presented.ConclusionsPsychotic symptoms present differently across cultures. The Latino population is most likely to have psychotic like symptoms related to their cultural beliefs. Clinicians must understand the diverse cultural experiences and beliefs of the patients they work with to prevent misdiagnosis of culturally normative experiences.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Most frequent clinic comorbibities in hospitalized patients in a psychiatric clinic

2016 ◽  
Vol 33 (S1) ◽  
pp. S379-S379
Author(s):  
J. Jaber ◽  
J. Veríssimo ◽  
T.T. Raposo ◽  
B. Reys
Keyword(s):  
Psychiatric Patients ◽  
Time Frame ◽  
Health Condition ◽  
Physical Activities ◽  
Hospitalized Patients ◽  
Psychiatric Clinic ◽  
Minimum Period ◽  
Global Improvement ◽  
Patient Health ◽  
Competing Interest

IntroductionBeing hospitalized in a psychiatric clinic, patients present, in addition to the diseases that determine the hospitalization, clinic comorbidities, generally decompensated.ObjectivesTo present the most frequent clinic pathologies in a population of hospitalized patients having diverse mental disorders and establish a protocol for investigation and their early treatment.AimsTo know the most frequent pathologies in a population of hospitalized psychiatric patients and establish a protocol for their assesment, in a way that contributes to the global improvement of the patient health condition.MethodsFor its mission realization, the clinic counts on a multidisciplinary team. The participants were 762 patients, seen in the referred clinic, which presented a minimum period of hospitalization of 10 days and that were submitted to thorough clinic exam and complementary routine exams. The time frame referred to the period of March of 2012 to February of 2014, totalizing 24 months.ResultsIn the patients that had medical release after periods of hospitalization of, 90-day average, were obtained, in the totality of the cases, excellent evolution, evidenced by the improvement of the laboratory parameters.ConclusionsThe results were achieved in the hospitalization system with careful medicament administration, differentiated diets established in agreement with the patients, supervised physical activities and psychological and psychiatric support.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Suicidal ideation and subsequent completed suicide in both psychiatric and non-psychiatric populations: a meta-analysis

2016 ◽  
Vol 27 (2) ◽  
pp. 186-198 ◽  
Author(s):  
A. A. M. Hubers ◽  
S. Moaddine ◽  
S. H. M. Peersmann ◽  
T. Stijnen ◽  
E. van Duijn ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Risk ◽  
Psychiatric Patients ◽  
Meta Analysis ◽  
First Year ◽  
Completed Suicide ◽  
Increased Risk ◽  
Different Populations ◽  
Risk Ratios

Aims.Several authors claimed that expression of suicidal ideation is one of the most important predictors of completed suicide. However, the strength of the association between suicidal ideation and subsequent completed suicide has not been firmly established in different populations. Furthermore, the absolute suicide risk after expression of suicidal ideation is unknown. In this meta-analysis, we examined whether the expression of suicidal ideation predicted subsequent completed suicide in various populations, including both psychiatric and non-psychiatric populations.Methods.A meta-analysis of cohort and case–control studies that assessed suicidal ideation as determinant for completed suicide in adults. Two independent reviewers screened 5726 articles for eligibility and extracted data of the 81 included studies. Pooled risk ratios were estimated in a random effects model stratified for different populations. Meta-regression analysis was used to determine suicide risk during the first year of follow-up.Results.The risk for completed suicide was clearly higher in people who had expressed suicidal ideation compared with people who had not, with substantial variation between the different populations: risk ratio ranging from 2.35 (95% confidence interval (CI) 1.43–3.87) in affective disorder populations to 8.00 (95% CI 5.46–11.7) in non-psychiatric populations. In contrast, the suicide risk after expression of suicidal ideation in the first year of follow-up was higher in psychiatric patients (risk 1.40%, 95% CI 0.74–2.64) than in non-psychiatric participants (risk 0.23%, 95% CI 0.10–0.54). Past suicide attempt-adjusted risk ratios were not pooled due to large underreporting.Conclusions.Assessment of suicidal ideation is of priority in psychiatric patients. Expression of suicidal ideation in psychiatric patients should prompt secondary prevention strategies to reduce their substantial increased risk of suicide.

scholarly journals Prevalence and factors associated with alterations of the temporomandibular joint in institutionalized elderly

2019 ◽  
Vol 24 (1) ◽  
pp. 159-168 ◽  
Author(s):  
Annie Karoline Bezerra de Medeiros ◽  
Fernanda Pinheiro Barbosa ◽  
Grasiela Piuvezam ◽  
Adriana da Fonte Porto Carreiro ◽  
Kenio Costa Lima
Keyword(s):  
Oral Health ◽  
Demographic Data ◽  
Health Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Cross Sectional ◽  
Assessment Index ◽  
Chi Squared ◽  
Level Of Significance

Abstract This article aims to analyze the prevalence and associated factors of TMJ alterations in elderly institutionalized. An cross-sectional study of 1192 elderly institutionalized in Brazil was undertaken. Intra and extra-oral exams were performed and the TMJ was evaluated based on the Oral Health Assessment Form of the WHO (1997). Demographic data and elderly dependence were also collected. The self-perception of the elderly regarding oral health was measured using the Geriatric Oral Health Assessment Index - GOHAI. Data analysis was performed using the Chi-squared test and robust Poisson regression (level of significance of 5%). The prevalence of TMJ alteration was low compared to adults and was only associated with the state of dependence of the elderly individual (independent had 45.4% more alterations than dependent individuals), gender (women had 47.4% more alterations), self-perception of oral health (who evaluated negatively had 65.6% more alterations) and the need of upper dentures (who needed some kind of upper dentures had 45.8% more alterations than those who did not). Despite being low, the presence of alterations in the TMJ was more frequent in elderly independent, women, who evaluated negatively oral health and need some kind of upper dentures.

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