scholarly journals CLINICAL PROFILE AND PSYCHIATRIC MORBIDITY IN PATIENTS WITH DELIBERATE SELF-HARM

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Yogesh Motwani ◽  
Shobha Nair ◽  
Aditi Chaudhari ◽  
Kaustubh Mazumdar
Keyword(s):  
Psychiatric Disorder ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Demographic Data ◽  
Psychiatric Morbidity ◽  
Deliberate Self Harm ◽  
Icd 10 ◽  
History Of ◽  
Case Files ◽  
Self Harm

Background: It requires detailed research to understand the psychopathology behind DSH attempts. Apart from social factors, psychiatric disorders and individual coping mechanisms can contribute to DSH. This study will be helpful in knowing the prevalence of psychiatric morbidity in these patients. Aims and Objectives: To study the Psychiatric morbidity in patients with DSH. Materials and Methods: This is a retrospective, descriptive study including 42 patients who had history of DSH and were referred to psychiatry department of BARC Hospital, Mumbai. Patients who were below 45 years of age at the time of DSH and above 18 years at the time of study were included. Their socio-demographic data were collected, psychiatric diagnosis were noted from the case files, personality disorders were evaluated using ICD-10 IPDE. Data were analysed using descriptive and analytic statistical methods. Results: 42.86% of the population was diagnosed as having psychiatric disorder. Most common disorder was depression. 7.14% of the patients were diagnosed as having borderline personality disorder. Conclusions: Depression was the most common psychiatric disorder found in our study. Key words: Deliberate self-harm, psychiatric disorders, personality disorders.

scholarly journals Psychiatric and personality disorders in deliberate self-harm patients

2001 ◽  
Vol 178 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Camilla Haw ◽  
Keith Hawton ◽  
Kelly Houston ◽  
Ellen Townsend
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
General Hospital ◽  
Representative Sample ◽  
Deliberate Self Harm ◽  
Common Diagnosis ◽  
Icd 10 ◽  
Self Harm

BackgroundPrevious UK studies have reported much lower rates of psychiatric and personality disorder in those who attempt suicide than in those who die by suicide.AimsTo determine the nature and prevalence of psychiatric and personality disorders in deliberate self-harm (DSH) patients.MethodA representative sample of 150 DSH patients who presented to a general hospital were assessed using a structured clinical interview and a standardised instrument. Follow-up interviews were completed for 118 patients approximately 12–16 months later.ResultsICD–10 psychiatric disorders were diagnosed in 138 patients (92.0%), with comorbidity of psychiatric disorders in 46.7%. The most common diagnosis was affective disorder (72.0%). Personality disorder was identified in 45.9% of patients interviewed at follow-up. Comorbidity of psychiatric and personality disorder was present in 44.1%.ConclusionsPsychiatric and personality disorders, and their comorbidity, are common in DSH patients. This has important implications for assessment and management.

Deliberate Self-Harm Patients with Alcohol Disorders: Characteristics, Treatment, and Outcome

Crisis ◽  
2001 ◽  
Vol 22 (3) ◽  
pp. 93-101 ◽  
Author(s):  
Camilla Haw ◽  
Kelly Houston ◽  
Ellen Townsend ◽  
Keith Hawton
Keyword(s):  
Past History ◽  
Depressive Illness ◽  
Alcohol Problems ◽  
Psychiatric Services ◽  
Alcohol Disorders ◽  
Deliberate Self Harm ◽  
Before And After ◽  
Icd 10 ◽  
History Of ◽  
Self Harm

Summary: Deliberate self-harm (DSH) patients with alcohol problems present a considerable challenge for clinical services. In a study of a sample of 150 DSH patients who were representative of all such patients seen at a general hospital during the study period, 40 patients with an ICD-10 diagnosis of alcohol dependence or harmful use of alcohol were compared with the remainder of the sample. The treatment of the patients with alcohol disorders before and after the episode of DSH and the outcome 12-20 months later were also investigated. Compared with other DSH patients, those with an alcohol diagnosis were older and more often male, living alone, unemployed, sick, disabled, or with a past history of DSH. They also had higher scores on measures of anger, aggression, and impulsivity. Comorbid psychiatric disorder was present in 37 (92.5%) patients, this being depression in three-quarters of those cases. Fourteen (35.0%) patients were receiving treatment from the psychiatric services prior to DSH, and 33 (82.5%) were subsequently offered treatment. Of the patients who were followed up, 37.9% remained in contact with psychiatric services, 55.2% showed poor compliance with treatment and 44.8% reported a further episode of DSH. All patients presenting after DSH need to be carefully screened for alcohol disorders and for comorbid psychiatric diagnoses. Treatment of DSH patients with alcohol disorders should include the treatment of any comorbid depressive illness.

Clinical and demographic characteristics of psychiatric patients seropositive for Borrelia burgdorferi

2006 ◽  
Vol 21 (2) ◽  
pp. 118-122 ◽  
Author(s):  
T. Hájek ◽  
J. Libiger ◽  
D. Janovská ◽  
P. Hájek ◽  
M. Alda ◽  
...  
Keyword(s):  
Borrelia Burgdorferi ◽  
Psychiatric Disorders ◽  
Psychiatric Patients ◽  
Psychiatric Morbidity ◽  
Demographic Variables ◽  
Healthy Controls ◽  
Diagnostic Categories ◽  
Potential Association ◽  
History Of ◽  
The Central Nervous System

AbstractPurpose.Borrelia burgdorferi (Bb) infection can affect the central nervous system and possibly lead to psychiatric disorders. We compared clinical and demographic variables in Bb seropositive and seronegative psychiatric patients and healthy controls.Method.Nine hundred and twenty-six consecutive psychiatric patients were screened for antibodies to Bb and compared with 884 simultaneously recruited healthy subjects.Results.Contrary to healthy controls, seropositive psychiatric patients were significantly younger than seronegative ones. None of the studied psychiatric diagnostic categories exhibited stronger association with seropositivity. There were no differences between seropositive and seronegative psychiatric patients in hospitalization length, proportion of previously hospitalized patients and proportion of subjects with family history of psychiatric disorders.Conclusion.These findings elaborate on potential association between Bb infection and psychiatric morbidity, but fail to identify any specific clinical ‘signature’ of Bb infection.

History of Deliberate Self Harm May Predict Methods of Fatal Self Harm in the Elderly

2001 ◽  
Vol 41 (2) ◽  
pp. 107-110 ◽  
Author(s):  
Emad Salib ◽  
George Tadros ◽  
Sheila Cawley
Keyword(s):  
The Elderly ◽  
Deliberate Self Harm ◽  
History Of ◽  
Self Harm

scholarly journals Background stressors and deliberate self-harm

2003 ◽  
Vol 27 (11) ◽  
pp. 411-415 ◽  
Author(s):  
Helen S. Keeley ◽  
Mary O'Sullivan ◽  
Paul Corcoran
Keyword(s):  
Life Events ◽  
Interpersonal Problems ◽  
Dysfunctional Family ◽  
Deliberate Self Harm ◽  
Monitoring Study ◽  
History Of ◽  
Self Harm ◽  
Background History ◽  
Prospective Monitoring

Aims and MethodIn this study we aimed to identify negative life events, especially those associated with repetition, in the background histories of patients in a 2-year prospective monitoring study of hospital-treated deliberate self-harm (DSH). Thematic analysis of the narratives recorded during assessment was used to produce general categories of life events.ResultsIn 3031 DSH episodes (n=2287 individuals), women reported more life events than men. Family and interpersonal problems were most commonly reported. Reporting a dysfunctional family of origin, a history of sexual abuse and the imprisonment of self or other were associated with repetition retrospectively and prospectively.Clinical ImplicationsThe background history of patients who harm themselves should be explored routinely on assessment in order to help establish risk of repetition and to determine appropriate follow-up.

Personality disorder and suicide

1997 ◽  
Vol 170 (5) ◽  
pp. 441-446 ◽  
Author(s):  
Andrew T. A. Cheng ◽  
A. H. Mann ◽  
K. A. Chan
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Ethnic Groups ◽  
Severe Depression ◽  
Han Chinese ◽  
Main Category ◽  
Icd 10 ◽  
Emotionally Unstable Personality Disorder ◽  
Aboriginal Groups

BackgroundThe relationships between personality disorders and suicide were investigated among two aboriginal groups and the Han Chinese in East Taiwan.MethodBiographical reconstructive interviews were conducted for consecutive suicides from each of the three ethnic groups (116 suicides in total), 113 of whom were matched with two controls for age, gender, and area of residence.ResultsIn all three groups, a high proportion of suicides suffered from ICD-10 personality disorder before suicide (46.7–76.7%), and the most prevalent category was emotionally unstable personality disorder (F60.3) (26.7–56.7%). The risk for suicide was mainly significantly associated with F60.3, comorbidity among personality disorders, and comorbidity of personality disorder with other psychiatric disorders, particularly severe depression.ConclusionThe main category of personality disorder significantly associated with the risk of suicide is F60.3 in ICD-10. The risk is highest for a comorbidity of this category and severe depression.

Euthanasia and assisted suicide of persons with psychiatric disorders: the challenge of personality disorders

2019 ◽  
Vol 50 (4) ◽  
pp. 575-582 ◽  
Author(s):  
Marie E. Nicolini ◽  
John R. Peteet ◽  
G. Kevin Donovan ◽  
Scott Y. H. Kim
Keyword(s):  
Content Analysis ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Assisted Suicide ◽  
Suicide Attempts ◽  
Cross Sectional ◽  
Psychiatric Comorbidities ◽  
Directed Content Analysis ◽  
Complex Patient ◽  
History Of

AbstractBackgroundEuthanasia or assisted suicide (EAS) for psychiatric disorders, legal in some countries, remains controversial. Personality disorders are common in psychiatric EAS. They often cause a sense of irremediable suffering and engender complex patient–clinician interactions, both of which could complicate EAS evaluations.MethodsWe conducted a directed-content analysis of all psychiatric EAS cases involving personality and related disorders published by the Dutch regional euthanasia review committees (N = 74, from 2011 to October 2017).ResultsMost patients were women (76%, n = 52), often with long, complex clinical histories: 62% had physical comorbidities, 97% had at least one, and 70% had two or more psychiatric comorbidities. They often had a history of suicide attempts (47%), self-harming behavior (27%), and trauma (36%). In 46%, a previous EAS request had been refused. Past psychiatric treatments varied: e.g. hospitalization and psychotherapy were not tried in 27% and 28%, respectively. In 50%, the physician managing their EAS were new to them, a third (36%) did not have a treating psychiatrist at the time of EAS request, and most physicians performing EAS were non-psychiatrists (70%) relying on cross-sectional psychiatric evaluations focusing on EAS eligibility, not treatment. Physicians evaluating such patients appear to be especially emotionally affected compared with when personality disorders are not present.ConclusionsThe EAS evaluation of persons with personality disorders may be challenging and emotionally complex for their evaluators who are often non-psychiatrists. These factors could influence the interpretation of EAS requirements of irremediability, raising issues that merit further discussion and research.

Which Neurotic Patients Do Psychiatrists Treat?

1988 ◽  
Vol 152 (2) ◽  
pp. 222-228 ◽  
Author(s):  
John M. Eagles ◽  
David A. Alexander
Keyword(s):  
Alcohol Abuse ◽  
Short Duration ◽  
Psychiatric Treatment ◽  
Deliberate Self Harm ◽  
Factors Associated ◽  
Main Hospital ◽  
Duration Of Illness ◽  
History Of ◽  
Self Harm

Of 336 newly referred neurotic patients, 80 were not offered continuing psychiatric treatment. The factors associated with patients' not being offered continuing treatment were: short duration of illness; history of alcohol abuse and/or deliberate self-harm; age over 50 years; being widowed; and living more than 20 miles from the main hospital complex. The implications of these findings are discussed.

Psychiatric disorders in low birthweight young adults. Prevalence and association with assessments at 11 years

2013 ◽  
Vol 28 (7) ◽  
pp. 393-396 ◽  
Author(s):  
I.B. Elgen ◽  
F. Holsten ◽  
M.D. Odberg
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Psychiatric Disorder ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Young Adulthood ◽  
Low Birthweight ◽  
Antisocial Personality ◽  
Mini International Neuropsychiatric Interview ◽  
Increased Risk

AbstractObjectiveTo compare mental health of 136 young adults without neurosensory handicaps born with low birthweight (LBW, birthweight less than 2000 g) with 132 adults with normal birthweight (NBW).MethodA cohort of moderate LBW and NBW young adults were assessed with the Mini-International Neuropsychiatric Interview (MINI) at 19 years and the Children Assessment Schedule (CAS) at 11 years of age.ResultsAt 19 years of age, 44 out of 136 (32%) LBW young adults were diagnosed with a psychiatric disorder compared to 10% NBW (OR: 2.8; 95% CI: 1.1, 4.5, P = 0.02). Among the LBW young adults, affective-, anxiety-, ADHD- and antisocial personality disorders were most common, and nine subjects (20%) had more than one diagnosis. Of 97 LBW subjects examined both at 11 and 19 years of age, 54 (56%) were mentally healthy though out adolescence. This was half as many as for controls (OR: 0.6; 95% CI: 0.3 to 0.9).ConclusionModerate LBW was associated with an increased risk of psychiatric disorders in young adulthood. Only half of LBW young adults stayed healthy throughout adolescence.

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