Suicidal Behavior in Chronic Schizophrenic Patients: A Follow-up Study

1986 ◽  
Vol 31 (8) ◽  
pp. 737-740 ◽  
Author(s):  
Alec Roy ◽  
Judy Schreiber ◽  
Anne Mazonson ◽  
David Pickar
Keyword(s):  
Suicidal Behavior ◽  
Attempted Suicide ◽  
Index Admission ◽  
Chronic Schizophrenic ◽  
Follow Up Study ◽  
Psychiatric Admissions ◽  
Schizophrenic Patients ◽  
The Mean

A follow-up study was carried out of suicidal behavior among 127 chronic schizophrenic patients. We were able to obtain follow-up information for 100 of the 127 patients (78.7%). Over the mean follow-up time of 4½ years, 6 of these 100 patients (6%) had committed suicide and 16 other patients (16%) had attempted suicide. Chronic schizophrenic patients who attempted suicide during the follow-up period, compared with those who did not, had had significantly more psychiatric admissions. Using the data obtained at the time of the index admission we were unable to accurately predict the 6 schizophrenic patients who were known to have subsequently committed suicide.

CSF monoamine metabolites in chronic schizophrenic patients who attempt suicide

1985 ◽  
Vol 15 (2) ◽  
pp. 335-340 ◽  
Author(s):  
Alec Roy ◽  
Philip Ninan ◽  
Anne Mazonson ◽  
David Pickar ◽  
Daniel Van Kammen ◽  
...  
Keyword(s):  
Major Depressive Episode ◽  
Attempted Suicide ◽  
Monoamine Metabolites ◽  
Major Depressive ◽  
Chronic Schizophrenic ◽  
Psychiatric Admissions ◽  
Schizophrenic Patients ◽  
History Of ◽  
The Mean ◽  
Lumbar Cerebrospinal Fluid

SynopsisThe monoamine metabolites 5-hydroxindoleacetic acid (5-HIAA), homovanillic acid (HVA) and 3-methoxy-4-hydroxyphenylethyleneglycol (MHPG) were measured in the lumbar cerebrospinal fluid (CSF) of 27 chronic schizophrenic patients who at some time had attempted suicide, and were compared with values from 27 chronic schizophrenic patients without a history of attempted suicide. There were no significant differences between either the violent or non-violent attempters and those without a history of attempted suicide in the mean lumbar CSF concentrations of the serotonin metabolite 5-HIAA, the dopamine metabolite HVA, or the norepinephrine metabolite MHPG. Significantly more of the suicide attempters had a previous major depressive episode, had received a course of ECT, and had significantly more psychiatric admissions than those who had never attempted suicide.

A Follow-Up Study of Intensively Treated Chronic Schizophrenic Patients

1969 ◽  
Vol 125 (8) ◽  
pp. 1123-1127 ◽  
Author(s):  
MICHEL MESSIER ◽  
RICHARD FINNERTY ◽  
CONSTANCE S. BOTVIN ◽  
LESTER GRINSPOON
Keyword(s):  
Chronic Schizophrenic ◽  
Follow Up Study ◽  
Schizophrenic Patients

Cognitive impairment and negative symptoms in geriatric chronic schizophrenic patients: a follow-up study

1996 ◽  
Vol 22 (3) ◽  
pp. 223-231 ◽  
Author(s):  
Philip D. Harvey ◽  
Janel Lombardi ◽  
Martin Leibman ◽  
Leonard White ◽  
Michael Parrella ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Negative Symptoms ◽  
Chronic Schizophrenic ◽  
Follow Up Study ◽  
Schizophrenic Patients

Emergency Department Admission and Mortality Rate for Suicidal Behavior

Crisis ◽  
2014 ◽  
Vol 35 (6) ◽  
pp. 406-414 ◽  
Author(s):  
Raimondo Maria Pavarin ◽  
Angelo Fioritti ◽  
Francesca Fontana ◽  
Silvia Marani ◽  
Alessandra Paparelli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Metropolitan Area ◽  
Suicidal Behavior ◽  
Mortality Risk ◽  
Illicit Drugs ◽  
Attempted Suicide ◽  
Cox Model ◽  
Emergency Department Admission ◽  
Completed Suicide

Background: The international literature reports that for every completed suicide there are between 8 and 22 visits to an Emergency Department (ED) for attempted suicide/suicidal behavior. Aims: To describe the characteristics of admission to emergency departments (EDs) for suicide-related presenting complaints in the metropolitan area of Bologna; to estimate the risk for all-cause mortality and for suicide; to identify the profiles of subjects most at risk. Method: Follow-up of patients admitted to the EDs of the metropolitan area of Bologna between January 2004 and December 2010 for attempted suicide. A Cox model was used to evaluate the association between sociodemographic variables and the general mortality risk. Results: We identified 505 cases of attempted suicide, which were more frequent for female subjects, over the weekend, and at night (8:00 p.m./8:00 a.m.). The most used suicide methods were psychotropic drugs, sharp or blunt objects, and jumping from high places. In this cohort, 3.6% of subjects completed suicide (4.5% of males vs. 2.9% of females), 2.3% within 1 year of the start of follow-up. The most common causes of death were drug use and hanging. In the multivariate analysis, those who used illicit drugs 24 hr prior to admission to the ED (hazard ratio [HR] = 3.46, 95% CI = 1.23–9.73) and patients who refused the treatment (HR = 6.74, 95% CI = 1.86–24.40) showed an increased mortality risk for suicide. Conclusion: Deliberate self-harm patients presenting to the ED who refuse treatment represent a specific target group for setting up dedicated prevention schemes.

A Follow-Up Study of the CROS Hearing Aid

1972 ◽  
Vol 37 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Hedda Aufricht
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Unilateral Hearing Loss ◽  
Conversational Speech ◽  
Noisy Environment ◽  
Follow Up Study ◽  
Speech Distortion ◽  
Male Veterans ◽  
The Mean

A recent development in hearing aids, the contralateral routing of signals (CROS), makes it possible to provide amplification for persons with unilateral hearing loss. In 1967, a CROS eyeglass hearing aid was placed on government contract and made available to veterans. To study the efficiency of the CROS, a follow-up questionnaire was sent to 60 male veterans who had been fitted with this aid. All had demonstrated unilateral hearing losses, and the mean threshold for the speech frequencies (500–2000 Hz) in the good ear was 24 dB. The 54 replies (90%) indicated that 85% wore the aid, liked it, and derived benefit from it; 15% neither liked nor wore the aid. The CROS appeared to be most helpful in listening to conversational speech and at work, and most disturbing in a noisy environment. The complaints about the aid fell into major categories: 33% objected to its poor fit and construction and 11% were disturbed by speech distortion. The CROS aid has been a useful addition to the hearing-aid stock at the clinic reported here. It has expanded the program by providing amplification to veterans who could not be fitted with the conventional stock of aids.

On the Stress/Parasuicide Or Parasuicide/Stress Relationship

1991 ◽  
Vol 68 (3_suppl) ◽  
pp. 1317-1318 ◽  
Author(s):  
George A. Clum ◽  
Richard L. Luscomb ◽  
Anne T. Patsiokas
Keyword(s):  
Chronic Stress ◽  
Predictive Validity ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
High Stress ◽  
Life Changes ◽  
Suicide Attempters ◽  
Follow Up Study ◽  
One Year

The question of whether high stress leads to attempting suicide (parasuicide) or suicide attempters are more likely to report high stress was examined in a one-year follow-up study of 98 persons, 47 of whom had attempted suicide. Cross-lagged panel correlations between stress and parasuicide provided both concurrent and predictive validity that stress as measured by life changes leads to parasuicide. A high relationship between stress at baseline and stress at follow-up provided support for the notion that some individuals experience chronic stress and that such individuals may be the ones at risk for future suicide attempts.

The Expectation of Outcome from Maintenance Therapy in Chronic Schizophrenic Patients

1976 ◽  
Vol 128 (3) ◽  
pp. 246-250 ◽  
Author(s):  
D. A. W. Johnson
Keyword(s):  
Maintenance Therapy ◽  
Patient Population ◽  
Significant Proportion ◽  
Community Services ◽  
Neuroleptic Drugs ◽  
Follow Up Study ◽  
High Incidence ◽  
Schizophrenic Patients ◽  
Long Acting

SummaryThe results from a prospective follow-up study of a group of schizophrenic patients suggest that a significant proportion (41 per cent) are likely to relapse during a two-year period despite the prescription of long-acting injectable neuroleptic drugs. Some will relapse because of a failure of the regime, but others (32–37 per cent) because the pharmacological protection of these drugs would appear to be less effective in certain patients. Even with the major advantages of the long-acting injectable neuroleptics over oral medication, the schizophrenic patient population remains a group with a high incidence of psychiatric and social morbidity which continues to require the full resources of both the hospital and community services.

scholarly journals A new expansive two-open-doors laminoplasty for multilevel cervical spondylotic myelopathy: technical report and follow-up results

2014 ◽  
Vol 72 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Aluizio Augusto Arantes Júnior ◽  
Geraldo Alves da Silva Junior ◽  
José Augusto Malheiros ◽  
Fernando Flavio Gonçalves ◽  
Marcelo Magaldi ◽  
...  
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Radiographic Evaluation ◽  
Follow Up Study ◽  
Post Surgery ◽  
Technical Report ◽  
Significant Difference ◽  
The Mean ◽  
Clinical And Radiological Results ◽  
Multilevel Cervical Spondylotic Myelopathy

The laminoplasty technique was devised by Hirabayashi in 1978 for patients diagnosed with multilevel cervical spondylotic myelopathy. Objective: To describe an easy modification of Hirabayashi’s method and present the clinical and radiological results from a five-year follow-up study. Method and Results: Eighty patients had 5 levels of decompression (C3-C7), 3 patients had 6 levels of decompression (C2-T1) and 3 patients had 4 levels of decompression (C3-C6). Foraminotomies were performed in 23 cases (27%). Following Nurick`s scale, 76 patients (88%) improved, 9 (11%) had the same Nurick grade, and one patient worsened and was advised to undergo another surgical procedure. No deaths were observed. The mean surgery time was 122 min. Radiographic evaluation showed an increase in the mean sagittal diameter from 11.2 mm at pretreatment to 17.3 mm post surgery. There was no significant difference between pretreatment and post-surgery C2-C7 angles. Conclusions: This two-open-doors laminoplasty technique is safe, easy and effective and can be used as an alternative treatment for cases of multilevel cervical spondylotic myelopathy without instability.

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