Nine Psychiatric Inpatients who Leaped from a Height*

1984 ◽  
Vol 29 (2) ◽  
pp. 129-131 ◽  
Author(s):  
Gary W. Small ◽  
Jerrold F. Rosenbaum
Keyword(s):  
High Risk ◽  
Social Isolation ◽  
Suicide Attempts ◽  
Treatment Plan ◽  
Psychiatric Inpatients ◽  
Recent Change ◽  
Hospital Treatment ◽  
Common Features ◽  
History Of ◽  
Chronic Psychosis

The authors describe nine psychiatric inpatients from the same hospital who leaped from a height. Common features included youth, social isolation, diagnosis of schizophrenia, and chronic psychosis despite neuroleptic therapy. All had prolonged hospitalizations and a history of assaults, suicide attempts, or both. The authors suggest that these characteristics in conjunction with a recent change in hospital treatment plan or loss of social sup-ports may identify patients at high-risk for violent self-destructive acts.

Mortality in Prisons: The Experience of the Bureau of Legal Medicine of Milan (Italy) (1993–2017)

2021 ◽  
Vol 61 (1_suppl) ◽  
pp. 67-76
Author(s):  
Guendalina Gentile ◽  
Marta Nicolazzo ◽  
Rachele Bianchi ◽  
Paolo Bailo ◽  
Michele Boracchi ◽  
...  
Keyword(s):  
High Risk ◽  
Suicide Attempts ◽  
Early Death ◽  
Healthcare Services ◽  
Psychiatric Disease ◽  
Quality Healthcare ◽  
History Of ◽  
The University ◽  
Different Characteristics ◽  
Detention Facilities

We undertook a retrospective analysis of deaths that took place in prisons in Milan between 1993 and 2017, by identifying cases from a total of 24,101 autopsies that were performed at the Section of Forensic Medicine of the University of Milan. From the archives of this institution, we found 227 autopsy reports relating to deaths that had taken place in one of Milan’s three detention facilities. These deaths were divided into two types: natural deaths ( n=135; 59.5%) and violent deaths ( n=92; 40.5%). The groups have different characteristics: while natural deaths mostly resulted from cardiovascular diseases, suicides were mainly the result of hanging. Further, people who died by suicide often had a history of psychiatric disease and/or drug abuse, and over a quarter of them had previous suicide attempts and/or had declared suicidal intentions. This study confirms the need for good quality healthcare services for prisoners, given that they remain a population at high risk of early death.

Gender and Racial Differences for Suicide Attempters and Ideators in a High-Risk Community Corrections Population

Crisis ◽  
2013 ◽  
Vol 34 (1) ◽  
pp. 50-62 ◽  
Author(s):  
Cheryl B. McCullumsmith ◽  
C. Brendan Clark ◽  
Adam Perkins ◽  
Jessaka Fife ◽  
Karen L. Cropsey
Keyword(s):  
Risk Factors ◽  
African American ◽  
High Risk ◽  
Psychotropic Medication ◽  
Suicide Attempts ◽  
Community Corrections ◽  
History Of ◽  
And Gender ◽  
Gender Groups ◽  
Corrections Population

Background: Community corrections populations are a high-risk group who carry multiple suicide risk factors. Aims: To identify factors correlated with historical suicide attempts and ideation among African-American men, African-American women, White men, and White women in a community corrections population. Method: Self-report data from 18,753 enrollees in community corrections were analyzed. Multinomial logistic regression analyses were conducted to determine associations between historical suicidal ideation and attempts among the four demographic groups. Results: Participants with historical suicide attempts tended to be younger, White, female, be taking psychotropic medication, have a history of physical or sexual abuse, and meet criteria for dependence on alcohol, amphetamines, cocaine, opioids, or sedatives. Five variables were commonly associated with suicide attempts for all four race/gender groups: younger age, being on disability or retirement, taking psychotropic medication, history of sexual or physical abuse, and cocaine dependence. Other demographic variables had race or gender specificities as risk factors for suicide attempts. Conclusions: Participants had high rates of historical suicide attempts with unique correlates differentiating attempters from ideators among different racial and gender groups. Cocaine dependence was universal predictor of suicide attempts, while other substance dependencies show specific racial and gender profiles associated with suicide attempts.

Epilepsy at a large psychiatric hospital: survey and audit of its management

2011 ◽  
Vol 28 (3) ◽  
pp. 156-160 ◽  
Author(s):  
Camilla Haw
Keyword(s):  
Brain Injury ◽  
Psychiatric Hospital ◽  
Treatment Plan ◽  
Time History ◽  
Psychiatric Inpatients ◽  
Care Plan ◽  
Seizure Type ◽  
National Guidelines ◽  
Cross Sectional Survey ◽  
History Of

AbstractObjectives: Although epilepsy and psychiatric disorder are known to be associated, little is known about the nature of epilepsy in psychiatric inpatients and how well psychiatrists manage psychiatric patients with epilepsy. The aim of this study was to describe the nature of epilepsy in patients at a large specialist independent psychiatric hospital and to audit the management of epilepsy using patients' records.Method: Cross-sectional survey of inpatients and audit of clinical documents. Audit standards were derived from good clinical practice and UK guidelines.Results: In total, 83/488 (17%) patients had a life-time history of epileptic seizures and 67 (14%) were receiving anti-epileptic drugs. The prevalence of epilepsy was 37% among brain injury patients, compared with 10-11% in adult male and female forensic patients and in the elderly and 2% in adolescents. Generalised tonic-clonic seizures predominated. Common aetiological factors were: traumatic brain injury, antipsychotics, cerebral hypoxia, cerebrovascular disease and learning disability. In 53/67 (79%) cases the care plan stated the patient had epilepsy but in only 20 (30%) was the seizure type recorded. For 30 (45%) there was no history of how epilepsy had been diagnosed. Of those patients with a history of status epilepticus, 5/15 (33%) had a readily accessible emergency treatment plan. The patient's last seizure was incompletely documented in 29/44 (66%) cases, while for only 7/67 (10%) patients was there documented evidence of a review of epilepsy management within the past year.Conclusions: Epilepsy was common in this group of psychiatric inpatients. Documentation and management needed improvement and to be in line with national guidelines.

scholarly journals Adverse Outcomes, Polysubstance Use, and Polypharmacy in Older Veterans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 746-747
Author(s):  
Amy Byers
Keyword(s):  
High Risk ◽  
Suicide Prevention ◽  
Suicide Attempts ◽  
Late Life ◽  
Adverse Outcomes ◽  
Emergency Department Visits ◽  
Adverse Health Outcomes ◽  
Polysubstance Use ◽  
History Of ◽  
Sedative Hypnotics

Abstract This session will provide information about adverse health outcomes, including suicide, suicide attempts and unintended death, that may be related to polysubstance use and polypharmacy in older adults, particularly older veterans. It will further provide information that will help support late-life suicide prevention and intervention efforts. Older veterans (age50 and older) have the highest number of lives lost to suicide, make up majority of the veteran population, and are highly likely to experience conditions (e.g., chronic pain, sleep disorders, musculoskeletal) associated with commonly prescribed medications that are potential markers for suicide risk (hereafter referred to as “high-risk” drug categories), including benzodiazepines, sedative-hypnotics, opioids, antidepressants, antipsychotics, and antiepileptics. The research presented in this session will highlight important patterns in high-risk drug prescribing and use and related outcomes in late life. The presentations will underscore various groups of older veterans that may be important to consider and, yet, neglected in the polysubstance and polypharmacy and suicide prevention conversation, including those who recently attempted suicide, veterans with late-life posttraumatic stress disorder (PTSD), and older veterans transitioning from prison to community. Drs. Maust and Morin will present findings on prescribing and use of high-risk medications in late life, including an overview of trends in polypharmacy and associations with suicide attempts. Drs. Byers and Barry will speak about older veterans with PTSD and those with a history of incarceration, with information on suicide, unintended death by overdose, and substance use disorder-related emergency department visits and hospitalizations, emphasizing importance of care transition models for prevention. Aging, Alcohol and Addictions Interest Group Sponsored Symposium.

scholarly journals The Relationship between Suicide and Oxidative Stress in a Group of Psychiatric Inpatients

2020 ◽  
Vol 9 (11) ◽  
pp. 3462
Author(s):  
Tytus Koweszko ◽  
Jacek Gierus ◽  
Anna Zalewska ◽  
Mateusz Maciejczyk ◽  
Napoleon Waszkiewicz ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Suicide Attempts ◽  
Stress Component ◽  
Psychiatric Inpatients ◽  
Psychological Explanation ◽  
Stress Index ◽  
Oxidative Stress Biomarkers ◽  
Reducing Ability ◽  
Total Antioxidant ◽  
History Of

Diagnosis of suicide risk is a clinical challenge requiring an interdisciplinary therapeutic approach. Except for psychological explanation of the suicidal mechanism, there is evidence that it is associated with brain chemistry disturbances as oxidative stress. The objective of this study was to explore the role of oxidative stress components in suicidality comparing subjects at different stages of suicide. The study included psychiatric inpatients aged 18–64 (n = 48) with different psychiatric diagnoses. Blood specimens were collected from subjects and tested for oxidative stress biomarkers: superoxide dismutase (SOD), dityrozine (DT), oxidative stress index (OSI), glutathione peroxidase (GPx), total antioxidant capacity (TAC trolox), ferric reducing ability of plasma (FRAP), total oxidant status (TOS), catalase (CAT), advanced glycoxidation end products (AGE), NADPH oxidase (NOX), and advanced oxidation protein products (AOPP). The Columbia Severity Suicide Scale (C-SSRS) was used for suicidality assessment. Subjects with a history of suicide ideations over the last three months had significantly higher levels of NOX, AOPP, and OSI. There was no significant relationship to any oxidative stress component levels either with a history of suicide behaviors or with suicide attempts over the last three months. The levels of NOX and AOPP were both positively correlated to the intensity of suicidal thoughts. Moreover, there was a positive correlation between a number of suicide attempts during a lifetime with AGE and DT and negative with CAT. Similarly, the subjects with a history of suicide attempts had significantly higher AGE and DT levels and lower CAT values. The study confirmed that oxidative stress plays an important role in the pathophysiology of suicide and specific oxidative stress measures vary in suicidal and non-suicidal psychiatric inpatients.

scholarly journals A risk index for 12-month suicide attempts in the National Comorbidity Survey Replication (NCS-R)

2006 ◽  
Vol 36 (12) ◽  
pp. 1747-1757 ◽  
Author(s):  
GUILHERME BORGES ◽  
JULES ANGST ◽  
MATTHEW K. NOCK ◽  
AYELET MERON RUSCIO ◽  
ELLEN E. WALTERS ◽  
...  
Keyword(s):  
High Risk ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Characteristic Curve ◽  
Risk Index ◽  
Parental Psychopathology ◽  
Risk Category ◽  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey ◽  
History Of

Background. Clinical judgments about the likelihood of suicide attempt would be aided by an index of risk factors that could be quickly assessed in diverse settings. We sought to develop such a risk index for 12-month suicide attempts among suicide ideators.Method. The National Comorbidity Survey Replication (NCS-R), a household survey of adults aged 18+, assessed the 12-month occurrence of suicide ideation, plans and attempts in a subsample of 5692 respondents. Retrospectively assessed correlates include history of prior suicidality, sociodemographics, parental psychopathology and 12-month DSM-IV disorders.Results. Twelve-month prevalence estimates of suicide ideation, plans and attempts are 2·6, 0·7 and 0·4% respectively. Although ideators with a plan are more likely to make an attempt (31·9%) than those without a plan (9·6%), 43% of attempts were described as unplanned. History of prior attempts is the strongest correlate of 12-month attempts. Other significant correlates include shorter duration of ideation, presence of a suicide plan, and several sociodemographic and parental psychopathology variables. Twelve-month disorders are not powerful correlates. A four-category summary index of correlates is strongly related to attempts among ideators [area under the receiver operator characteristic curve (AUC)=0·88]. The distribution (conditional probability of attempt) of the risk index is: 19·0% very low (0·0%), 51·1% low (3·5%), 16·2% intermediate (21·3%), and 13·7% high (78·1%). Two-thirds (67·1%) of attempts were made by ideators in the high-risk category.Conclusions. A short, preliminary risk index based on retrospectively reported responses to fully structured questions is strongly correlated with 12-month suicide attempts among ideators, with a high concentration of attempts among high-risk ideators.

scholarly journals THE PROFILE OF PATIENTS WITH SCHIZOPHRENIA WHO ATTEMPTED SUICIDE

2015 ◽  
Vol 6 (3) ◽  
pp. 972-978
Author(s):  
Isjanovski Mile Viktor ◽  
Kadri Hadjihamza ◽  
Marija Stefan Raleva
Keyword(s):  
Psychological Factors ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Hospital Treatment ◽  
Middle Aged Person ◽  
Aged Person ◽  
Icd 10 ◽  
Schizophrenic Patients ◽  
History Of ◽  
Clinical Problems

Abstract: Introduction: Suicide is a complex phenomenon, and deliberate act of taking one’s own life, associated with numerous and various biological, social and psychological factors. It is an important psychopathological entity and one of the most demanding clinical problems, which psychiatrists face in their everyday practice, especial in schizophrenic patients. According to literature data, the number of suicides of schizophrenic patients has been increasing in recent decadesObjectives: The aim of this study was to determinate the profile of patients with schizophrenia who attempted suicide in the Psychiatric hospital “Skopje”-Skopje, R.Macedonia.Methods: The study included 114 patients with schizophrenia, 47.4% (n=54) of them attempted suicide, 52.6 %( 60) was group consists of patients with schizophrenia who is not registered for suicide attempt, nor the existence of suicide idea. Psychiatric diagnosis of schizophrenia was based on ICD-10 criteria.Results: Based on the investigation of patients with schizophrenia who attempted suicide, we obtained a typical profile as follows: middle-aged person(31.4 average years), single (61,1% were not married,  44.4% live alone), (79.5%) unemployed, repeatedly hospitalized and history of suicide attempts, attempting suicide using a violent method (poisoning -55.5%, drowing-7.4%, hanging-9.2%, slashing their wrists-16.6%, jumped from height-5.5% etc.) after more than tree weeks of hospital treatment and out of hospital. 

Sign in / Sign up

Export Citation Format

Share Document