Feasibility of the Psychiatric Research Interview for Substance and Mental Disorders (PRISM) in an acute psychiatric ward

Background. We examined correlates of past year suicidal thoughts and behavior (STB) and described past year treatment experiences among young people who inject drugs (PWID). Methods. Participants were 570 adults (18-25 years) who injected primarily heroin. Interviews were conducted at field stations operated by Community Outreach Intervention Projects in Chicago, Illinois (USA). Interviewers administered the Psychiatric Research Instrument for Substance and Mental Disorders. Substance use and mental disorders were based on DSM-IV diagnostic criteria. Past year STB was based on multiple questions. Results. Sixteen percent of men and 25% of women reported STB in the past year. In multivariable analysis, STB was associated with non-heterosexual orientation, foster care, and being raised by two parents. Primary major depression, post-traumatic stress disorder, other anxiety disorders, and borderline personality disorder had independent effects on suicidality. Among those reporting past year STB (n=111), 83% ever received mental health treatment, while 44% did so in the past year. While 24% of respondents indicated that at least one treatment matched their needs very well, 30% reported treatment that did not match their needs at all. The most common reason for ending treatment was program completion (about 50%) while getting better was endorsed by about 25%. Nearly half reported ending treatment due to a bad experience, logistical issues, or expense. Conclusions. Young PWID are at high risk for suicidal behavior and their mental health treatment experiences often do not meet their needs. There is a pressing need for more integrated substance use and mental health treatment.

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The relationship of insight with psychopathological dimensions in patients with schizophrenia

Journal of Experimental Psychopathology ◽

10.1177/20438087211019932 ◽

2021 ◽

Vol 12 (2) ◽

pp. 204380872110199

Author(s):

Si-Sheng Huang ◽

Cheng-Chen Chang

Keyword(s):

Medical Center ◽

Self Report ◽

Psychiatric Ward ◽

Neurocognitive Functions ◽

Bivariate Correlation ◽

Syndrome Scale ◽

Acute Psychiatric Ward ◽

Negative Syndrome ◽

Relationship Of ◽

The Relationship

Impaired insight in patients with schizophrenia results in less satisfactory clinical outcomes. This study was conducted to investigate the relationship between insight and individual psychopathological dimensions in inpatients with schizophrenia using a self-report questionnaire. In this study, 90 patients with schizophrenia aged 18–75 years admitted in the acute psychiatric ward of a medical center in Taiwan were enrolled. Patient insight was measured using the Self-Appraisal of Illness Questionnaire (SAIQ), and psychopathological dimensions were measured using the Positive and Negative Syndrome Scale (PANSS) and its five-factor structure model. A higher SAIQ score indicates greater insight. In bivariate correlation analyses, statistically significant correlations were observed between age, single marital status, educational level, and positive, excited, and depressed symptom factor of the PANSS and SAIQ score. In regression analyses, age and excited and depressed symptom factors were significantly associated with SAIQ score. No significant association was observed between insight and neurocognitive functions. Considering demographic characteristics, psychopathology, and neurocognition, in the acute phase of schizophrenia, younger patients with less severe excited symptoms and more severe depressive symptoms had greater insight.

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Unlocking an acute psychiatric ward: The impact on unauthorised absences, assaults and seclusions

BJPsych Bulletin ◽

10.1192/pb.bp.115.052944 ◽

2017 ◽

Vol 41 (2) ◽

pp. 92-96 ◽

Cited By ~ 4

Author(s):

Ben Beaglehole ◽

John Beveridge ◽

Warren Campbell-Trotter ◽

Chris Frampton

Keyword(s):

Psychiatric Inpatient ◽

Psychiatric Ward ◽

Inpatient Service ◽

Positive Effects ◽

Adverse Event Data ◽

Before And After ◽

Acute Psychiatric Ward ◽

Restrictive Environment ◽

Open Wards ◽

The Impact

Aims and methodThe acute psychiatric inpatient service in Christchurch, New Zealand, recently changed from two locked and two unlocked wards to four open wards. This provided the opportunity to evaluate whether shifting to an unlocked environment was associated with higher rates of adverse events, including unauthorised absences, violent incidents and seclusion. We compared long-term adverse event data before and after ward configuration change.ResultsRates of unauthorised absences increased by 58% after the change in ward configuration (P = 0.005), but seclusion hours dropped by 53% (P = 0.001). A small increase in violent incidents was recorded but this was not statistically significant.Clinical implicationsAlthough unauthorised absences increased, the absence of statistically significant changes for violent incidents and a reduction in seclusion hours suggest that the change to a less restrictive environment may have some positive effects.

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