2. Suicide by Self-Strangulation Whilst under Observation

1995 ◽  
Vol 35 (2) ◽  
pp. 174-177 ◽  
Author(s):  
N M J Kennedy ◽  
R M Whittington ◽  
A C White

Two cases are reported of individuals who committed suicide after they had been identified as being acutely at risk of killing themselves. Self-strangulation by a ligature fashioned from the subjects' clothes was the mechanism of suicide in both cases. One death occurred in a police station and the other on an acute psychiatric ward. These cases highlight the need for those formulating policies concerning the supervision of the suicidal individual to pay attention to the minutiae of detail. In particular, a case is made for those at risk of suicide to be prevented from sleeping with their head covered by blankets.

2021 ◽  
Vol 12 (2) ◽  
pp. 204380872110199
Author(s):  
Si-Sheng Huang ◽  
Cheng-Chen Chang

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.


2017 ◽  
Vol 41 (2) ◽  
pp. 92-96 ◽  
Author(s):  
Ben Beaglehole ◽  
John Beveridge ◽  
Warren Campbell-Trotter ◽  
Chris Frampton

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.


2018 ◽  
Vol 23 (21) ◽  
Author(s):  
Emma Oliosi ◽  
Chantal Serero Corcos ◽  
Paulo Feijo Barroso ◽  
Alexandre Bleibtreu ◽  
Gilda Grard ◽  
...  

We report two yellow fever cases in unvaccinated French travellers in Brazil in January and March 2018, respectively; one exposed during an excursion in Minas Gerais and the other in Ilha Grande. Both presented with fever, hepatitis, thrombocytopenia and leucopenia. Yellow fever diagnosis was based on RT-PCR and serological tests. Both patients recovered within a few days. The increasing occurrence of cases in unvaccinated travellers highlights the need to reinforce vaccination recommendation for travellers at-risk.


Author(s):  
Dioclécio Salomão Carneiro

The research proposal is based on analyzing whether the most different forms of Cooperation between States occur, the sovereignty of one or the other may be at risk, from the point of view of international relations with the independent treatment of immigrants. In this context, we seek to evaluate the assumptions and consequences of this cooperative model among the Constitutional States as a form of articulation and condition of this cooperative, guaranteeing the so-called fundamental rights to this portion of individuals.


2019 ◽  
Vol 53 (6) ◽  
pp. 1251-1260 ◽  
Author(s):  
Rozália Takács ◽  
Márton Asztalos ◽  
Gabor Ungvari ◽  
Anna Antosik-Wójcińska ◽  
Gábor Gazdag

1926 ◽  
Vol 22 (10) ◽  
pp. 1181-1182
Author(s):  
E. Board
Keyword(s):  
At Risk ◽  

The author recommends that workers at risk of inhaling or ingesting lead be given the following solution for this purpose: magn. sulph. 0.95, Na sulph. 1.25, as. sulph. 0.38, as. sulph. arom. 0.003, water in an amount of 100.0 per 13 g of mixture. Half of this solution is used to rinse the mouth, the other half is taken per os.


2019 ◽  
pp. 152-187
Author(s):  
Juliane Hammer

This chapter highlights Muslim service providers of many kinds and the organizations in which they work. Muslim service providers, in different ways from advocates and community leaders, not only are at the front lines of the struggle against domestic violence (DV) in Muslim communities but also most directly and persistently interact with the mainstream DV landscape/movement. Service providers are at risk themselves in more acute ways as their direct contact with victims and survivors can also become contact with perpetrators who are a threat not only to DV victims but also to anyone who supports those victims. The chapter then explores the significance of their religious convictions and identities for the work they perform and for the ways in which they relate to their clients on the one hand and to “the system” on the other. It also sketches the landscape of Muslim DV services and offers some insights into the specific challenges this work entails.


PEDIATRICS ◽  
1985 ◽  
Vol 76 (5) ◽  
pp. 794-800
Author(s):  
Arleen D. Auerbach ◽  
Michal Sagi ◽  
Barbara Adler

We report our experience, since 1978, with prenatal diagnosis in fetuses at risk for Fanconi anemia. Amniotic fluid cells from 30 fetuses from 24 families were monitored for baseline and diepoxybutane-induced chromosomal breakage. Seven of the fetuses at risk were diagnosed as affected; baseline and diepoxybutane-induced breakage ranged from 0.18 to 0.45 and 0.69 to 0.96 breaks per cell, respectively. The range of baseline and diepoxybutane-induced chromosomal breakage in amniocytes from the 23 pregnancies at risk that were diagnosed prenatally as unaffected ranged from 0 to 0.08 and 0 to 0.13 breaks per cell, respectively. Four of these cases were also diagnosed as normal on the basis of chromosomal breakage studies in cells obtained by chorionic villus sampling. The range of baseline and diepoxybutane-induced breakage in cells from five control fetuses was 0 to 0.05 and 0 to 0.10 breaks per cell, respectively. Of the pregnancies diagnosed as affected, two were carried to term, whereas five were terminated. One newborn and two abortuses had congenital malformations including abnormalities of the thumb and radius. The other affected live-born infant, now 5½ years old, has severe growth retardation and pancytopenia. No Fanconi anemia-associated malformations were found in any of the other fetuses or newborns studied. In all cases in which tissue was available for study, diagnoses were confirmed by chromosome breakage studies. This method thus permits reliable detection of Fanconi anemia.


Author(s):  
Rosaria Di Lorenzo ◽  
Vitantonio Formicola ◽  
Elena Carra ◽  
Chiara Piemonte ◽  
Paola Ferri

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