scholarly journals A Root Cause Analysis of Various Causes of Self Poisoning

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Dr Vishal Damani ◽  
Dr Alpesh Gediya ◽  
Dr Hitendra Gandhi
Keyword(s):  
Psychiatric Diagnosis ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Cross Sectional Study ◽  
Suicidal Attempt ◽  
Cross Sectional ◽  
Root Cause ◽  
Common Diagnosis ◽  
Unskilled Workers

Self poisoning refers to the intentional taking of too much of a poisonous substance believing that it will be noxious. Study aims is to study the socio-demographic variables in self-poisoning patients and to study various types of method of self-poisoning and to assess the Psychiatric morbidity in these patients according to DSM-IV TR.A cross sectional study conducted on 70 patients of self poisoning at one of the tertiary care teaching hospital of Ahmadabad, Gujarat from April 2009 to September 2009 .Patients were assessed after emergency medical care & resuscitation, between 2nd to 7th days of suicidal attempt. OP Poisoning (42.86%) was the most common method used for self-poisoning.82.86% patients were diagnosed to have psychiatric diagnosis on SCID-I, most common diagnosis was depressive disorder (38.57%) followed by adjustment disorder (28.57%). 17.14% patients had no psychiatric diagnosis. From my study conclusion is that Suicidal attempt was found more in married male. Housewives & unskilled workers formed majority in the study.

scholarly journals Psychiatric Morbidity among Caregivers of Schizophrenia Patients – A Study in Tertiary Care Psychiatric Hospital in Dhaka

2015 ◽  
Vol 2 (1) ◽  
pp. 12-17
Author(s):  
MM Jalal Uddin ◽  
Md. Tariqul Alam ◽  
Helal Uddin Ahmed ◽  
Niaz Mohammad Khan ◽  
MA Hamid ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
General Health Questionnaire ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Cross Sectional Study ◽  
Somatoform Disorder ◽  
Cross Sectional ◽  
Axis I

Background: Severe mental illness like schizophrenia has far-reaching consequence for both patients and caregivers and their relatives and they also experience feeling of loss and grief. They are confronted with uncertainty and emotion of shame, guilt and anger like the patients they feel stigmatized and socially isolated. Caring for a family member with schizophrenia is an enduring stressor and causes considerable amount of burden. Objective: To assess mental health status of the caregivers of schizophrenia patients. Methodology: This descriptive cross sectional study was done among the caregivers of schizophrenia patients in outpatient and inpatient department of National Institute of Mental Health (NIMH), Dhaka, Bangladesh from September 2010 to February 2011. A semi-structured Questionnaire and General Health Questionnaire-28 (GHQ-28) were applied to the caregivers of schizophrenia patients who fulfilled the inclusion criteria. Among the respondents whose GHO-28 score were 4 or above Structured Clinical Interview for DSM-IV Axis I Non Patient (SCID-I/NP) version was applied to identify psychiatric disorders among the caregivers of schizophrenia.Results: Out of 272 respondents most of them were female (88.97%), housewife (72.42%) of 21 to 50 yrs age (80.51%). In this study 22.43% of respondents were suffering from different types of mental disorders. Among them major depressive disorder were most prevalent (11.8%). Other psychiatric disorders were found generalized anxiety disorder (4.8%), pain disorder (2.9%). Less common were panic disorder, social phobia, adjustment disorder and undifferentiated somatoform disorder (0.7% in each type).Conclusions: Significant proportions of the caregiver of schizophrenic patients were suffering from psychiatric disorders that did not get any psychiatric treatment.Journal of Current and Advance Medical Research 2015;2(1):12-17DOI:  http://dx.doi.org/10.3329/jcamr.v2i1.22581

scholarly journals Breaking bad news of cancer diagnosis - the patient’s perspective

2017 ◽  
Vol 5 (4) ◽  
pp. 1617 ◽  
Author(s):  
Amod S. Dhage ◽  
Anne R. Wilkinson
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Bad News ◽  
Fundamental Aspect ◽  
Junior Resident ◽  
Breaking Bad News ◽  
Cross Sectional ◽  
Breaking Bad ◽  
Patient’S Perspective ◽  
Common Diagnosis

Background: Communication between physicians and patients is a fundamental aspect of cancer care. Bad news could be defined as "any information, which adversely affects an individual's view of his or her future”. The aim of the research study was to explore the patient’s perspective on receiving cancer news and their expectations regarding the same.Methods: A cross-sectional study was performed in our tertiary care teaching hospital. 50 consenting cancer patients from 18 to 60 years of age were interviewed on the basis of a structured, validated questionnaire.Results: On analysis of the 50 patients ‘answers, it was found that 37 were females and 13 were males, the average age being 50.07 years. The common diagnosis in females was breast cancer (20 patients) and in males it was lung cancer (5 patients). All the patients wanted relatives present with them when the bad news was broken to them.  In 66.6% patients, the news was broken by a junior resident, 15% of the doctors didn't greet the patients, 10% of the patients were told the news suddenly, while 99% of the doctors didn’t explain any positive aspects of the disease related to the treatment outcome.Conclusions: This study provides an insight into the expectations of patients from their physicians with regard to the process of breaking bad news.

scholarly journals A Descriptive Study on Patients of Papulosquamous Lesion at Tertiary Care Institute

2014 ◽  
Vol 1 (1) ◽  
pp. 30
Author(s):  
S. D. Chavhan ◽  
S. V. Mahajan ◽  
Ashok J. Vankudre
Keyword(s):  
Lichen Planus ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Histopathological Study ◽  
Cross Sectional ◽  
Thin Sections ◽  
Dermatological Examination ◽  
Common Diagnosis ◽  
Hematoxylin And Eosin Stain ◽  
Conclusive Diagnosis

<strong>Background:</strong> Papulosquamous lesions of the skin are encountered with considerable frequency. There is overlap of both clinical pattern and distribution of papulosquamous skin disorders, which often makes clinical diagnosis difficult. However, some of the histopathological features are specific and characteristic for each entity. Hence, combination of proper clinical observation and histopathological study will give a conclusive diagnosis. <strong>Material &amp; Methods:</strong> A cross sectional study was done in department of pathology in which after satisfying inclusion criteria all papulosquamous lesion patients irrespective of age &amp; gender were included in study in defined period. A brief history and dermatological examination was carried out. Skin biopsies taken were fixed in 10% formalin and subjected for tissue processing. The processed tissue was embedded in paraffin to obtain five-micron thin sections. The sections were stained with routine hematoxylin and eosin stain, followed by microscopic examination. <strong>Result:</strong> Out of 61 patients of papulosquamous lesion most common diagnosis was Lichen planus, (57.37 %) followed by Psoriasis (32.78 %). Commonest age group reporting Lichen planus &amp; Psoriasis was 21-40 yrs. Male preponderance was noted in all papulosquamous lesion patients. Histological features commonly seen were hyperkeratosis, parakeratosis in both Lichen planus &amp; Psoriasis patients.

Birth order and psychiatric morbidity

2017 ◽  
Vol 41 (S1) ◽  
pp. S356-S356
Author(s):  
J. Hussain
Keyword(s):  
Birth Order ◽  
Psychiatric Diagnosis ◽  
Psychiatric Symptoms ◽  
Demographic Data ◽  
Psychiatric Morbidity ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Psychiatric Clinic ◽  
Cross Sectional

Objectives:– to determine the frequency of sociodemographic factors (birth order)among subjects attending a psychiatric clinic;– to establish psychiatric diagnosis of subjects;– to bring out dominating frequencies of birth orders of the patient in relation with related diagnosis.MethodologyThis cross-sectional study was conducted at outpatient clinic of Liquate university hospital Hyderabad during 1st January 2012 to 31st January 2012. One hundred consecutive subjects attending a psychiatric OPD with psychiatric symptoms, were assessed for the total siblings, birth order among siblings and their psychiatric diagnosis. The socio-demographic data was recorded through a designed semi-structured proforma, and diagnosis was established by diagnostic and statistical manual-IV text revised criteria (DSM-IV TR).ResultsThe age range remained 9-60 years and numbers of siblings were in the range of 1–12 siblings and fourth birth order was found to be dominant in this study to have psychiatric morbidity (38%). While, frequency of first order birth was 18%. Generalized anxiety disorder and depressive (GAD) disorders were dominant diagnosis (55%), while GAD was more in the male gender.ConclusionThis study shows that psychiatric morbidity was more common in the lower birth order. This study may be carried out at different centers of psychiatry for the better assessment of psychiatric morbidity.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Study of Psychosocial Factors, Modes of Attempt and Psychiatric Morbidities of Suicidal Attempters

2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Dr. Sivabalan. E
Keyword(s):  
Marital Status ◽  
Psychiatric Diagnosis ◽  
Attempted Suicide ◽  
Psychiatric Treatment ◽  
Adjustment Disorder ◽  
Suicidal Attempt ◽  
Preventive Strategies ◽  
Medical College ◽  
The People ◽  
Common Diagnosis

Background: Suicide and suicidal attempt is growing concern around the world. We are now at the stage to formulate effective preventive strategies to decrease number of suicides, which is rising significantly for the past few decades. To make effective preventive programme we must study the people who attempted suicide for number variables because they are having the high risk of committing suicide later years. Aim: To analyze psycho social factors, methods of attempt and diagnosis of patients admitted for attempted suicide. Method: It is a retrospective study and includes 548 patients admitted for attempted suicide during the period of June 2014 to May 2016 have been registered in psychiatry department of SRM Medical College and Hospital analyzed retrospectively regarding age, sex, marital status, modes of attempt and diagnosis, results will be discussed. Results: Among total no of attempted suicide, female outnumber male that is 59% of attempted suicide were female, regarding marital status 54% of attempted suicide persons were unmarried, 57% of attempted suicide were less than 30 years of age, regarding method tablet poisoning was most common mode of suicidal attempt that is 52% followed by Insecticide poisoning that is 38%,and 29% of suicidal attempters diagnosed as primary psychiatric diagnosis, depression (41%) is common diagnosis among all psychiatric diagnosis followed by adjustment disorder (21%). Anxiety disorders (20%). Conclusion: We cannot explain suicide and suicidal attempt as a single perspective and we need to look into all factors on every suicidal attempt. For making effective preventive strategies we must be evaluate every individual in all Bio-psycho-social aspects. High prevalence of major mental disorders among the suicidal attempters is alarming because still there are remarkable percentage of individual not getting adequate psychiatric treatment if we identify them at early stages and initiate appropriate treatment we can prevent large proportion of individual who committed suicide ultimately.

scholarly journals Prevalence and patterns of psychiatric morbidity in people living with HIV

2017 ◽  
Vol 5 (5) ◽  
pp. 2011
Author(s):  
Senthilsayinathan Balasubramaniam ◽  
Kasikrishnaraja Pauldurai ◽  
Madhushanthini Eswaran ◽  
Mohankumar Vethanayagam ◽  
Rajesh Rajagopalan
Keyword(s):  
Suicidal Ideation ◽  
Tamil Nadu ◽  
Rating Scales ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Cross Sectional Study ◽  
Psychiatric Evaluation ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Living With Hiv

Background: Diagnosis of HIV infection creates an overwhelming stress and leads to symptoms like guilt, fear, anxiety, sad mood, grief and suicidal ideation. Though the rate of suicide has decreased after the introduction of highly active anti-retroviral therapy (HAART), it still remains high. Indian studies assessing suicidal ideation in people living with HIV (PLHIV) are scarce. Psychiatric evaluation and treatment improves the quality of life in PLHIV. Aim of the study was to assess the prevalence and patterns of psychiatric morbidity including suicidal ideation in PLHIV attending Integrated Counselling and Testing Centre (ICTC), prior to initiation of ART.Methods: A cross sectional study design was used. 11476 persons attending ICTC of IRT Perundurai Medical College, Erode, Tamil Nadu, India were tested for their HIV status over a period of two years. 211 persons were found to be positive, 143 persons gave consent and met inclusion criteria. Every patient underwent a semi-structured clinical interview and their psychiatric morbidity was assessed based on ICD 10. Current suicidal behavior, hopelessness and depression were measured by appropriate rating scales. Data was analyzed by using the SPSS 16.Results: Psychiatric diagnosis was present in 36.4% of the sample. Depression was the commonest diagnosis followed by adjustment disorder, alcohol related problems and anxiety disorder. 26 persons (18.2%) had current suicidal ideation. 3 out of 143 persons had attempted suicide within 6 months following notification of their HIV status.Conclusions: Nearly 1/3rd of PLHIV require psychiatric referral and 1/5th of PLHIV have suicidal ideation. It will be highly beneficial to integrate psychiatric services into daily care of PLHIV.

scholarly journals Psychiatric co morbidities in ESRD Patients Recently Placed on Haemodialysis : A Prospective Observational Study from a Tertiary Care Hospital

2016 ◽  
Vol 4 (1) ◽  
pp. 28-32
Author(s):  
Sarwar Iqbal ◽  
Umme Salma Talukder ◽  
Tufayel Ahmed Chowdhury ◽  
Md Mostarshid Billah ◽  
Mehruba Alam Anana ◽  
...  
Keyword(s):  
Acute Stress ◽  
Tertiary Care ◽  
Adjustment Disorder ◽  
Cross Sectional Study ◽  
Maintenance Hemodialysis ◽  
Care Hospital ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
Co Morbidity ◽  
Esrd Patients

Background: Psychiatric co-morbidity especially anxiety and depression are common in patients who are recently placed on dialysis, but very little research has been done on this subject. Mental illness results in increased non-compliance in accepting dialysis and this results in increased mortality in End Stage Renal Disease (ESRD) patients.Methodology: This cross- sectional study was done on ESRD patients newly diagnosed and initiated hemodialysis in the department of Nephrology of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh with informed written consent and maintaining privacy. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) was used for diagnosis of psychiatric disorders. Patients on maintenance hemodialysis for more than 1 month and patients on Chronic Ambulatory Peritoneal Dialysis were excluded in this study.Results: There were total 83 patients out of whom there were 50 (62.2%) males and 33(39.38%) females. Mean age of study patients was 56.8±9.96 years. Bulk of the patients was clinically depressed (68.7%), followed by anxiety disorder (13.3%) rest were acute stress disorder, adjustment disorder and one case of psychosis. 8.4% participants denied any symptoms.Conclusion: Significant psychiatric co-morbidities developed in newly diagnosed ESRD subjects when they were prescribed hemodialysis. This study showed majority of the patients with renal failure on initiating hemodialysis who develop different psychiatric problems that need prompt diagnosis and appropriate treatment. These interventions will improve the quality of life of ESRD patientsBangladesh Crit Care J March 2016; 4 (1): 28-32

scholarly journals Silent monster inside the ear! Understanding the level of awareness about Cholesteatoma in hospital visitors of Puducherry.

2021 ◽  
Author(s):  
Mariappan Rajagopal ◽  
Poornima S Bhat ◽  
Santhanakrishnan Kaliavaradan ◽  
Pravin Surendran ◽  
Nisha Muruganidhi
Keyword(s):  
General Population ◽  
Emergency Services ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Intracranial Complications ◽  
Unskilled Workers ◽  
Ear Infections ◽  
Level Of Knowledge

Abstract Aims: With the COVID-19 pandemic resulting in most centres postponing the non-emergency services, there is a potential risk of under reporting of uncomplicated cholesteatoma cases, due to lack of symptoms and awareness. This study aims to assess the level of knowledge about CSOM, especially cholesteatoma and related harmful practices among general population. Methods: All consenting adult hospital visitors, irrespective of their purpose of visit were invited to participate in this questionnaire based, cross sectional study at the preregistration point of the tertiary care teaching hospital. Data was collected and analyzed using appropriate methods. Results: Among 350 respondents, majority exhibited poor level of knowledge about general perceptions about ear infections [295(84.3%)], perceptions about cholesteatoma[246(70.3%)]; knowledge about intratemporal complications[244(69.7%)]; knowledge about intracranial complications[247(70.6%)] and harmful practices in ear disease patients[279(79.7%)].Multivariate analysis of socio-demographic and ear disease history related characteristics with overall ear disease related knowledge has shown that unskilled workers and unemployed respondents have poor knowledge levels compared to their counterparts, but at the same time the study has found that respondents with higher level of education also exhibited poor levels of knowledge in contrary to the existing evidence. Conclusion: This study highlights the lack of awareness about CSOM, especially cholesteatoma and its complications, harmful practices mainly in rural population, even in well educated groups, and the need for health education measures to create awareness among the general population regarding various areas ofconcern, to prevent a potential increase in the incidence of complications, especially during and post COVID-19 pandemic.

Psychiatric morbidity managed by liaison psychiatry in a Tunisian population

2017 ◽  
Vol 41 (S1) ◽  
pp. s494-s494
Author(s):  
N. Charfi ◽  
K. Hajbi ◽  
M. Maâlej Bouali ◽  
L. Zouari ◽  
N. Zouari ◽  
...  
Keyword(s):  
Common Factor ◽  
Psychiatric Morbidity ◽  
Psychological Impact ◽  
Adjustment Disorder ◽  
Depressive Mood ◽  
Cross Sectional Study ◽  
Tunisian Population ◽  
Liaison Psychiatry ◽  
Cross Sectional ◽  
Somatic Diseases

IntroductionThe epidemiology of the association between mental disorders and medical illnesses is the subject of many research studies, mainly due to the worse prognosis associated with this comorbidity.ObjectivesTo investigate the psychiatric morbidity associated with somatic diseases in liaison psychiatry outpatients and to identify factors associated with this morbidity.MethodsA descriptive and analytical cross-sectional study was conducted. It took place at the psychiatry outpatient unit at CHU Hedi Chaker of Sfax in Tunisia. We collected 110 files of patients having a medical and/or surgical condition, addressed for the first time in 2014, as part of liaison psychiatry.ResultsMajor depressive disorder (MDD) and adjustment disorder (AD) with anxious and/or depressive mood were the most common diagnoses in liaison psychiatry (respectively 53 cases and 28 cases).MDD has been diagnosed mainly during the course of three somatic illnesses: cancer, sciatica and hypertension, with respective rates of 90%, 85.7% and 60%.The onset of a MDD during the evolution of a somatic disease was significantly more common in female patients (P = 0.04) and those living in couple family (P = 0.005).ConclusionAmong all psychiatric disorders, depression and AD were the most frequently associated disorders with somatic diseases. This comorbidity may be explained by the physiological and psychological impact of certain somatic diseases, the iatrogenic effect of certain treatments, or the involvement of a biological, psychological or environmental common factor for both conditions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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