scholarly journals The effect of therapeutic phlebotomy for hemochromatosis on non-suicidal self-injury: A case report

2018 ◽  
Vol 54 (1) ◽  
pp. 74-79
Author(s):  
Benjamin JC Newham ◽  
Rahul Khanna
Keyword(s):  
Risk Assessment ◽  
Case Report ◽  
Adverse Outcomes ◽  
Case Presentation ◽  
First Report ◽  
Self Injury ◽  
Assessment And Monitoring ◽  
Self Harm ◽  
The Relationship

Background Self-phlebotomy has been described as a form of non-suicidal self-injury. However, a relationship between non-suicidal self-injury and therapeutic phlebotomy for hemochromatosis has not previously been described. Case presentation: We present a case of a 52-year-old man in whom the frequency of his therapeutic phlebotomy and non-suicidal self-injury were inversely linked, leading to adverse outcomes when his phlebotomy was suspended. Conclusions This is the first report describing the relationship between non-suicidal self-injury and therapeutic phlebotomy. This case highlights the need for risk assessment and monitoring of self-harm in patients who are undergoing therapeutic phlebotomy in order to prevent adverse outcomes.

scholarly journals Needle Stick Injury by Aqueous Humor of a 31 Year Old PCR-Positive HIV Patient, a Case Report

2021 ◽  
Author(s):  
Bahram Bohrani Sefidan ◽  
Amin Dehghani Sanij
Keyword(s):  
Case Report ◽  
Health Worker ◽  
Aqueous Humor ◽  
Hiv Transmission ◽  
Body Fluids ◽  
Needle Stick Injury ◽  
Case Presentation ◽  
Needle Stick ◽  
First Report ◽  
Internal Body

Abstract Background Health worker Needle-stick injury (NSI) by internal body fluids can transmit serious pathogens like HIV. Considering Principles of personal and occupational care, plays an important role in prevention of such events. Case presentation A health worker suffered needle stick injury by aqueous humor of a PCR-positive HIV patient while he was recapping needle despite necessary preparations. Conclusions NSI by Aqueous humor which is secreted from blood, can theoretically transmit blood borne pathogens like HIV. Nevertheless, there is neither any report of aqueous humor NSI nor HIV transmission in this way. Based on our best knowledge this case is the first report represents HIV+ aqueous humor NSI and further evidence is required. Considering literature, we can not conclude whether there was a need for PEP in our case.

Non-suicidal self-injury in adolescents: A diagnostic and psychopathological approach. A case presentation

2017 ◽  
Vol 41 (S1) ◽  
pp. S450-S450
Author(s):  
M.D. Ortega Garcia ◽  
V. Marti Garnica ◽  
S. Garcia Marin ◽  
C. Martinez Martinez ◽  
R. Gomez Martinez ◽  
...  
Keyword(s):  
Mental Health Center ◽  
Public Health Problem ◽  
Personal Characteristic ◽  
Family Characteristics ◽  
Major Public Health Problem ◽  
Case Presentation ◽  
Self Injury ◽  
Self Harm ◽  
Competing Interest ◽  
First Time

Self-injurious behavior is a major public health problem. An increase in the number of self-injuring adolescents has been observed since the mid-1960s.Description of clinical caseC. is a 14 teenager who comes to a mental health center for the first time a year ago for having numerous self-injuries in the forearm. She says that she cannot avoid doing so in moments of anxiety and that, in addition, when she is hurt she calms down. Throughout the interviews, C. relates that after the death of her best friend in a traffic accident she is alone and with episodes of anxiety.Exploration and complementary testsIt is important to analyze the risk factors of self-injurious behaviors in adolescence such as:– personal characteristic;– psychiatric disorders;– family characteristics;– mass media.DiagnosisDepressive episode (F32).Differential diagnosisIn general, self-injury is considered as a symptom or characteristic of a specific psychiatric disorder. Stereotyped self-injury is characteristic of processes of cognitive deficit of the level of severe and profound mental retardation. Compulsive self-harm involves symptomatic habits such as severe scratching of the skin or already differentiated psychiatric entities, such as trichotillomania, onicofagia or delusional parasitosis… Important psychotic disorder.ConclusionsFollowing the Task Force's criteria, in relation to probably effective therapies, it can be concluded that the therapy based on mentation for adolescents (MBT-A) is the first effective treatment for the treatment of self-harm in adolescents.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Non-suicidal self-injury in patients with eating disorders: nuclear aspects

2020 ◽  
Author(s):  
Alvaro Rodríguez-López ◽  
Erika Rodríguez-Ortíz ◽  
Borja Romero-Gonzalez
Keyword(s):  
Eating Disorders ◽  
Body Satisfaction ◽  
Self Esteem ◽  
Key Factors ◽  
Treatment Target ◽  
Body Attitude ◽  
Self Injury ◽  
Body Attitudes ◽  
Self Harm ◽  
The Relationship

Background: Through the culture of thinness, increasingly promoted in our society as a beauty canon, it is not surprising that the number of people affected by eating disorders is increasing. Objective: This research aims to study the relationship between non-suicidal self-injuries and nuclear aspects of eating disorders specified along with this article. Methods: The sample consisted of 60 women diagnosed with anorexia and bulimia. Questionnaires assessing impulsivity, body satisfaction, alexithymia, body attitude and self-esteem were administered. Participants with non-suicidal self-harm were compared with those without, and participants with anorexia with and without self-harm and participants with bulimia with and without self-harm were compared. Results: Differences were found in body dissatisfaction = 5,71; p ≤ ,01), body attitudes = 4,80; p ≤ ,02), self-esteem = 14,09; p ≤ .00) and impulsivity (t = 3,39; p ≤ ,01) between participants with and without non-suicidal self-harm. Conclusions: These are key factors for the clinic in the treatment of eating disorders to prevent the presence of self-harm, as it allows focusing the treatment target on those aspects such as dissatisfaction and impulsivity, which are key in the development of self-harm.

scholarly journals The Relationship Between Nonsuicidal Self‐Injury Age of Onset and Severity of Self‐Harm

2017 ◽  
Vol 48 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Brooke A. Ammerman ◽  
Ross Jacobucci ◽  
Evan M. Kleiman ◽  
Lauren L. Uyeji ◽  
Michael S. McCloskey
Keyword(s):  
Age Of Onset ◽  
Self Injury ◽  
Self Harm ◽  
The Relationship ◽  
Nonsuicidal Self Injury

scholarly journals General Practitioners’ Accounts of Patients Who Have Self-Harmed

Crisis ◽  
2016 ◽  
Vol 37 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Amy Chandler ◽  
Caroline King ◽  
Christopher Burton ◽  
Stephen Platt
Keyword(s):  
Risk Assessment ◽  
General Practitioners ◽  
Suicide Risk ◽  
Assessment Method ◽  
Service Development ◽  
Structured Interviews ◽  
Increase Risk ◽  
Self Harm ◽  
The Right ◽  
The Relationship

Abstract. Background: The relationship between self-harm and suicide is contested. Self-harm is simultaneously understood to be largely nonsuicidal but to increase risk of future suicide. Little is known about how self-harm is conceptualized by general practitioners (GPs) and particularly how they assess the suicide risk of patients who have self-harmed. Aims: The study aimed to explore how GPs respond to patients who had self-harmed. In this paper we analyze GPs’ accounts of the relationship between self-harm, suicide, and suicide risk assessment. Method: Thirty semi-structured interviews were held with GPs working in different areas of Scotland. Verbatim transcripts were analyzed thematically. Results: GPs provided diverse accounts of the relationship between self-harm and suicide. Some maintained that self-harm and suicide were distinct and that risk assessment was a matter of asking the right questions. Others suggested a complex inter-relationship between self-harm and suicide; for these GPs, assessment was seen as more subjective. In part, these differences appeared to reflect the socioeconomic contexts in which the GPs worked. Conclusion: There are different conceptualizations of the relationship between self-harm, suicide, and the assessment of suicide risk among GPs. These need to be taken into account when planning training and service development.

Internal Control System in Cooperative Society

2019 ◽  
pp. 276-301
Author(s):  
Norfaizah Manjah ◽  
Radiah Othman ◽  
Haslinda Yusoff
Keyword(s):  
Risk Assessment ◽  
Internal Control ◽  
Audit Committee ◽  
Control Environment ◽  
Internal Auditors ◽  
Fraud Risk ◽  
Cooperative Society ◽  
The Board Of Directors ◽  
Assessment And Monitoring ◽  
The Relationship

The increasing number of recent fraud cases involving the board of directors and top management in cooperative societies has raised concerns about the effectiveness of internal control systems (ICS) in these organizations. This chapter aims to examine the relationship between the effectiveness of the ICS and the likelihood of fraud occurrence by focusing on the control environment, risk assessment, and monitoring activities of cooperative societies in Malaysia. The results showed that the effectiveness of the control environment, risk assessment, and monitoring had no significant relationship with the likelihood of fraud occurrence in these organizations. However, this does not necessarily mean that the fraud risk is not an emerging issue. The study proposes that the internal auditors and audit committee oversee a pro-active fraud prevention check-up, as suggested by the Association of Certified Fraud Examiners (ACFE), which is to be implemented in co-operative societies to assess how vulnerable the organizations are to fraud.

scholarly journals The First Report of Erythroderma as the First Manifestation of Myelodysplastic Syndromes that responded to 5-azacytidine

2021 ◽  
Author(s):  
Danyang Wu ◽  
Rui Zhang ◽  
Xiaojing Yan ◽  
Ran Gao
Keyword(s):  
Case Report ◽  
Myelodysplastic Syndromes ◽  
Cell Lymphoma ◽  
Steroid Treatment ◽  
The Other ◽  
Cutaneous T Cell Lymphoma ◽  
Effective Treatment Option ◽  
Case Presentation ◽  
First Report ◽  
Inflammatory Dermatoses

Abstract Background: Erythroderma is an uncommon and severe dermatological manifestation of a variety of diseases, and identifying its potential cause is challenging. Additionally, erythroderma is exceedingly rare as the first manifestation of myelodysplastic syndromes (MDS). Case presentation:We report the case of a 67-year-old male patient with MDS that initially presented with erythroderma. The patient was dependent upon steroid treatment to control the erythroderma when he was treated with decitabine. When we converted decitabine to 5-azacytidine, the patient achieved complete remission of both erythroderma and MDS and was relieved of his dependency on the steroid treatment. The patient continued to be steroid-independent 13 months after treatment with 5-azacytidine. Conclusions:This is the first report of erythroderma as the first manifestation of MDS. When screening the potential causes of erythroderma, MDS should be considered in addition to common cutaneous T-cell lymphoma. Based on our case report and a review of the published literature, 5-azacytidine appears to be a more effective treatment option for MDS-related autoimmune and inflammatory dermatoses. On the other hand, various cutaneous adverse events can be induced by 5-azacytidine. Since MDS-related autoimmune and inflammatory dermatoses may occur prior to the diagnosis of MDS, concomitantly with it or even during the illness, it is important to distinguish whether the dermatoses is MDS-related or 5-azacitidine-induced.

Risk Assessment and Management in Practice: The Forensicare Risk Assessment and Management Exercise

2008 ◽  
Vol 16 (6) ◽  
pp. 412-417 ◽  
Author(s):  
Andrew Carroll
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Psychiatric Treatment ◽  
Adverse Outcomes ◽  
Forensic Mental Health ◽  
Potential Benefits ◽  
Self Harm ◽  
Evaluative Research ◽  
Risk Assessment And Management ◽  
Professional Judgement

Objective: There is an emerging consensus that the assessment and management of adverse outcomes in mental health, such as violence and self harm, is best achieved by approaches which incorporate validated tools using “structured professional judgement”. Although several useful tools have emerged from the literature, there is no clear consensus on the best way to integrate these with clinical practice. This paper describes a framework, the Forensicare Risk Assessment and Management Exercise (F.R.A.M.E.), employed by a statewide community forensic mental health service, which incorporates two structured professional judgement tools, and explicitly integrates these into case management and psychiatric treatment. The potential benefits of the framework are discussed in the context of contemporary trends in risk assessment and management. Conclusions: The F.R.A.M.E. appears to assist with the task of integrating risk assessment with clinical management. Formal evaluative research is indicated before it can be recommended for use by other services.

Adolescents’ self-mutilation - Relationship with dependent behaviour

2003 ◽  
Vol 62 (4) ◽  
pp. 241-249 ◽  
Author(s):  
M. Bolognini ◽  
B. Plancherel ◽  
J. Laget ◽  
P. Stéphan ◽  
O. Halfon
Keyword(s):  
Suicide Attempts ◽  
Clinical Sample ◽  
Control Sample ◽  
Clinical Population ◽  
Control Group ◽  
Clinical Group ◽  
Self Mutilation ◽  
Self Harm ◽  
Partial Overlap ◽  
The Relationship

The aim of this study, which was carried out in the French-speacking part of Switzerland, was to examine the relationship between suicide attempts and self-mutilation by adolescents and young adults. The population, aged 14-25 years (N = 308), included a clinical sample of dependent subjects (drug abuse and eating disorders) compared to a control sample. On the basis of the Mini Neuropsychiatric Interview ( Sheehan et al., 1998 ), DSM-IV criteria were used for the inclusion of the clinical population. The results concerning the occurrence of suicide attempts as well as on self-mutilation confirm most of the hypotheses postulated: suicidal attempts and self-mutilation were more common in the clinical group compared to the control group, and there was a correlation between suicide attempts and self-mutilation. However, there was only a partial overlap, attesting that suicide and self-harm might correspond to two different types of behaviour.

Coping Style as a Mediator of the Relationship Between Depressive Symptoms and Deliberate Self-Harm

Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe
Keyword(s):  
Depressive Symptoms ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Self Report ◽  
Hierarchical Regression ◽  
Cross Sectional ◽  
Deliberate Self Harm ◽  
Self Blame ◽  
Self Harm ◽  
The Relationship

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.

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