scholarly journals Clinical characteristics of different nationalities, who committed suicide attempts and were hospitalized in a psychiatric hospital

2018 ◽  
Vol 20 (3) ◽  
pp. 114-118
Author(s):  
E S Mekhtiyev ◽  
S E Abbasova ◽  
O G Kasimov ◽  
K V Dnov
Keyword(s):  
Mental Disorders ◽  
Psychiatric Hospital ◽  
Mentally Ill ◽  
Clinical Characteristics ◽  
Suicide Attempts ◽  
Gunshot Wounds ◽  
Organic Mental Disorders ◽  
Substance Abuse Disorders ◽  
And Behavior ◽  
Suicidal Patients

The clinical characteristics of persons of Talysh and Lezghin nationalities who committed suicide attempts and were hospitalized in this regard in a psychiatric hospital are analyzed. It was established that among the suicides of the Talysh nationalities the largest were the shares of people who had suicidal actions in response to severe stress and adaptation disorders, as well as organic mental disorders (32,4% each). Significantly less frequent were patients with personality and behavior disorders - 13,7% (χ2=8,96; p=0,003), schizophrenia, schizotypic and delusional disorders - 8,8% (χ2=15,86; p0,001). Among the psychiatric disorders, the psychiatric hospital of the Lezghin nationality was dominated by organic mental disorders (27,7%) among suicidal patients. Less common were personality and behavioral disorders at a young age of18,5% (χ2=1,08; p=0,29); schizophrenia, schizotypic and delusional disorders - 15.4% (χ2=2,23; p=0,135) and psychiatric and psychiatric substance abuse disorders - 12,3% (χ2=3,89; p=0,048). Officers of the Talysh and Lezghin nationalities resorted to poisoning with equal frequency - 82,1 and 81,8%, less often - firearms - 13,4% (χ2=92,7; p0,001) and 13,7% (χ2=89, 9; p0,001); hanging - 4,5% (χ2=117,5; p0,001). Talysh rank and file officers often chose hanging and poisoning- 42,9 and 40%; less often they caused gunshot injuries - 17,1% (χ2=4,35; p=0,036). Lezgin’s soldiers used gunshot wounds more often - 42,9%, less often poisoning - 33,3% (χ2=0,1; p=0,75) and hanging - 23,8% (χ2=0,32; p=0,96). In general, the incidence of suicides in mentally ill patients depends on the combination of the following factors: the prevalence rate of suicides in the general population; ethnicity of patients; level of organization and access to psychiatric care. Various combinations of these factors determine the prevalence of suicide among patients with mental disorders.

Suicidality in Hospitalized Patients with a Primary Diagnosis of Personality Disorder

Crisis ◽  
1996 ◽  
Vol 17 (2) ◽  
pp. 59-63 ◽  
Author(s):  
Bernd Ahrens ◽  
Joachim Haug
Keyword(s):  
Personality Disorder ◽  
Affective Disorder ◽  
Psychiatric Hospital ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Clinical Importance ◽  
Psychiatric Inpatients ◽  
Primary Diagnosis ◽  
Suicidal Patients ◽  
High Degree

In this investigation the frequency and clinical importance of suicidal behavior in patients with a primary diagnosis of personality disorder was studied. The sample was drawn from a group of over 8000 psychiatric inpatients admitted to a university psychiatric hospital. Only patients with a primary diagnosis of personality disorder were included. In the subgroup of 226 patients with this diagnosis, it was found that the rate of suicidality was almost as great as that of patients with a primary diagnosis of major affective disorder (39% as opposed to 41%), despite the absence in all but 3% of these patients of an additional diagnosis of affective disorder. Further, this figure was considerably higher than that for all psychiatric inpatients (24%). Suicidal patients had more suicide attempts in their history and had a more serious depressive syndrome, despite the fact that only 3% fulfilled the criteria for major affective disorder. The conclusion which can be drawn is that a high degree of suicidality should not be regarded as exclusively linked to a primary diagnosis of major affective disorder.

scholarly journals Sexual dimorphism and specificities of psychopharmacological treatment in women

2013 ◽  
Vol 141 (1-2) ◽  
pp. 116-120
Author(s):  
Saveta Draganic-Gajic ◽  
Dusica Lecic-Tosevski ◽  
Milica Pejovic-Milovancevic ◽  
Smiljka Popovic-Deusic ◽  
Goran Gajic
Keyword(s):  
Mental Disorders ◽  
Mentally Ill ◽  
Brain Function ◽  
Female Gender ◽  
Gender Dimorphism ◽  
Psychopharmacological Treatment ◽  
Hormonal Fluctuations ◽  
Hormonal System ◽  
And Behavior

The scope of gender related differences observed in mentally ill persons provides a major source of inference about the role of gonadal steroids in brain function and behavior. Reported gender dimorphism in psychiatry includes the following: prevalence of certain mental disorders specific to female gender, phenomenology and treatment characteristics, i.e. response to the applied psychopharmacotherapy. Structural and functional relationship between the hormonal system and central nervous system is closely correlated with vulnerability to various psychopathological disturbances in biologically different stages in women. It has been observed, for instance, that the association of gonadal steroid activity with serotonin is relevant to mood change in premenstrual and postpartum mood disturbances. Gender related hormonal fluctuations may cause or be correlated with the development of several gender-related psychopathological disturbances. The aim of this article is to review the literature concerning gender-related specificities of psychopharmacological treatment of some of the most important mental disorders in women, such as affective disorder in menopause, premenstrual syndrome and postpartum mood disorders.

scholarly journals Youth Suicide

1995 ◽  
Author(s):  
Annette Beautrais
Keyword(s):  
Mental Disorders ◽  
Suicidal Behaviour ◽  
Depressive Disorders ◽  
Suicide Attempts ◽  
Substantial Reduction ◽  
Youth Suicide ◽  
Suicide Rates ◽  
Adverse Childhood ◽  
Substance Abuse Disorders ◽  
Developed World

Youth suicide rates have increased markedly in New Zealand during the last three decades and are now among the highest in the developed world. Major risk factors for suicidal behaviour include: psychiatric illness (notably, depressive disorders, substance abuse disorders and antisocial behaviours) previous suicide attempts and comorbid diagnoses of more than one mental disorder; exposure to adverse childhood and family experiences; social disadvantage; borderline and antisocial personality disorders; genetic and biologic factors. The best hope for substantial reduction in youth suicide rates may lie in reducing the number of young people with mental disorders. There is substantial scope for schools to participate in inter-sectoral efforts to promote and improve youth mental health in order to reduce vulnerability to mental disorders associated with suicidal behaviour.

Facing a Patient Who Seeks Help After a Suicide Attempt

Crisis ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 110-122 ◽  
Author(s):  
Inês Areal Rothes ◽  
Margarida Rangel Henriques ◽  
Joana Barreiros Leal ◽  
Marina Serra Lemos
Keyword(s):  
Health Professionals ◽  
Suicide Attempts ◽  
Self Report ◽  
Suicidal Patient ◽  
Emotional Difficulties ◽  
Specific Training ◽  
Patient Suicide ◽  
Professional Groups ◽  
Professional Characteristics ◽  
Suicidal Patients

Background: Although intervention with suicidal patients is one of the hardest tasks in clinical practice, little is known about health professionals’ perceptions about the difficulties of working with suicidal patients. Aims: The aims of this study were to: (1) describe the difficulties of professionals facing a suicidal patient; (2) analyze the differences in difficulties according to the sociodemographic and professional characteristics of the health professionals; and (3) identify the health professionals’ perceived skills and thoughts on the need for training in suicide. Method: A self-report questionnaire developed for this purpose was filled out by 196 health professionals. Exploratory principal components analyses were used. Results: Four factors were found: technical difficulties; emotional difficulties; relational and communicational difficulties; and family-approaching and logistic difficulties. Differences were found between professionals who had or did not have training in suicide, between professional groups, and between the number of patient suicide attempts. Sixty percent of the participants reported a personal need for training and 85% thought it was fundamental to implement training plans targeted at health professionals. Conclusion: Specific training is fundamental. Experiential and active methodologies should be used and technical, relational, and emotional questions must be included in the training syllabus.

Suicidal Behavior in Patients with Adjustment Disorders

Crisis ◽  
2001 ◽  
Vol 22 (3) ◽  
pp. 125-131 ◽  
Author(s):  
Ludmila Kryzhanovskaya ◽  
Randolph Canterbury
Keyword(s):  
Personality Disorder ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Adjustment Disorder ◽  
Adjustment Disorders ◽  
Involuntary Hospitalization ◽  
Axis Ii ◽  
The Past ◽  
Substance Abuse Disorders ◽  
Axis I

Summary: This retrospective study characterizes the suicidal behavior in 119 patients with Axis I adjustment disorders as assessed by psychiatrists at the University of Virginia Hospital. Results indicated that 72 patients (60.5%) had documented suicide attempts in the past, 96% had been suicidal during their admission to the hospital, and 50% had attempted suicide before their hospitalization. The most commonly used method of suicide attempts was overdosing. Of the sample group with suicide attempts in the past, 67% had Axis II diagnoses of borderline personality disorder and antisocial personality disorder. Adjustment disorder diagnosis in patients with the suicide attempts was associated with a high level of suicidality at admission, involuntary hospitalization and substance-abuse disorders. Axis II diagnoses in patients with adjustment disorders constituted risk factors for further suicidal behavior. Additional future prospective studies with reliability checks on diagnosis of adjustment disorders and suicidal behavior are needed.

The Biopsychosocial Paradigm in the Assessment of Mental Health of Older Persons

2016 ◽  
Vol 33 (S1) ◽  
pp. S464-S464
Author(s):  
L. Pishchikova
Keyword(s):  
Mental Disorders ◽  
Old Age ◽  
Psychiatric Hospital ◽  
Legal Protection ◽  
Physical Assault ◽  
Dynamic Features ◽  
Criminal Proceedings ◽  
Conceptual Approach ◽  
Forensic Psychiatric ◽  
Biopsychosocial Determinants

The vulnerability of patients of late age in psychiatry increases the professional and ethical requirements to the quality of psychiatric and forensic psychiatric help. It must account for the clinical and dynamic features of mental disorders in old age, biopsychosocial determinants of their formation, be based on a conceptual approach and a comprehensive understanding of the involution processes. To identify biopsychosocial determinants of mental disorders in old age and (or) involving patients to the forensic psychiatric examination, we examined 235 late age patients in criminal and civil cases. Revealed: «non-dement» mental disorders – with 45.5%, psychosis – with 7.7%, dementia – with 46,8%. The results of biopsychosocial determinants of involution are determined as follows: biological: sensory and motor deprivation, multicomorbid somatic neurological pathology, specific syndromes and disorders if late age, dementia; socio-psychological: termination of labor activity, living alone and loneliness, problematic relationship with children because of housing disputes and alcohol; legal: conclusion and contestation of legal civil acts, participation in criminal proceedings as victims and defendants, legal illiteracy, legal controversy, lack of legal protection; victimological: physical (assault, abuse), psychological (threats of commitment into social security institutions, involuntary commitment to a psychiatric hospital and examination by a psychiatrist, hold in the psychiatric hospital), financial violence (fraud with housing for older people and deception, manipulation during conclusion of civil-legal acts), violation of rights of older person (unlawful deprivation of legal capacity).Disclosure of interestThe author has not supplied his/her declaration of competing interest.

606 – Clinical characteristics of patients with suicide attempts in emergency hospital

2013 ◽  
Vol 28 ◽  
pp. 1
Author(s):  
V.E. Pashkovskiy ◽  
G.A. Prokopovich ◽  
A.G. Sofronov ◽  
A.Y. Egorov
Keyword(s):  
Clinical Characteristics ◽  
Suicide Attempts ◽  
Emergency Hospital

The comparative analysis of clinical and social characteristics of patients with schizophrenia and organic mental disorders receiving care in partial inpatient units

2021 ◽  
pp. 394-403
Author(s):  
George Petrovich Kostyuk ◽  
Burygina Larisa Andreevna Burygina Larisa Andreevna ◽  
Andrey Yurevich Berezantsev ◽  
Valeriya Vasilyevna Surikova
Keyword(s):  
Comparative Analysis ◽  
Mental Disorders ◽  
Psychiatric Care ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Social Characteristics ◽  
Organic Mental Disorders ◽  
Spectrum Disorders ◽  
Day Hospitals ◽  
Inpatient Units

The article presents the results of a comparative analysis of the clinical and social characteristics of patients with schizophrenic spectrum disorders (SSD) and organic mental disorders (OMD) who received care in day hospitals and intensive psychiatric care units (Moscow). During the study, a random sample of 487 discharge epicrises was studied, of which 392 (80,49%) were patients with SSD and OMD, who were subjected to further analysis. The study revealed gender differences and low rates of labor and family adaptation in both nosological groups of patients. The highest percentage of patients observed on a long-term basis in neuropsychiatric dispensaries and the rate of hospitalization in a round-the-clock inpatient unit were among the patients with diagnoses of schizophrenic spectrum disorders who were treated in intensive psychiatric care units. There were significant differences in the routing of patients depending on the pathology: district psychiatrists more often refer patients with a diagnosis of schizophrenia to the intensive psychiatric care unit in order to prevent hospitalization and patients with organic mental disorders - to day hospitals for therapy selection and medical and social rehabilitation, while doctors of the round-theclock hospital – vice versa (in order to continue treatment or follow up in out-of-hospital conditions). There was also a circulation of patients between the intensive psychiatric care unit and the day hospitals. Isolated episodes of compliance violations were noted. Indicative indicators such as hospitalization in a round-the-clock psychiatric inpatient unit within a year after the discharge from partial inpatient units was low and was usually due to severe continuous forms of the disease and the formation of therapy resistance in patients. Day hospitals and departments (offices) of intensive psychiatric care in general effectively perform the functions of inpatient unit substitution.

Organic Mental Disorders

1987 ◽  
pp. 141-169
Author(s):  
Ralph E. Tarter ◽  
Andrea M. Hegedus
Keyword(s):  
Mental Disorders ◽  
Organic Mental Disorders
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