Psychiatric Disorders among Suicidal Behavior Patients Attending Mental Health Facilities: A Descriptive Crosssectional Study

Background: Suicide is a leading cause of death worldwide. This is the first study in Bangladesh to find out the psychiatric morbidity profile and suicidal behavior. The study was aimed to delineate the types of suicidal behavior and the psychiatric morbidity profile, and sociodemographic status of patients. Methods: A descriptive cross-sectional study was done in Depatrment of Psychiatry, Cumilla Medical College, Cumilla from October 2015 to March 2017. A total 120 patient aged 9 to 40 years who fulfilled the enrolment criteria included in the study. The Composite International Diagnostic Interview (CIDI) module was used to assess the suicidal behavior. DSM-5 was used to diagnose the psychiatric disorders. Semi structural questionnaire were used for collecting information about the risk factors for psychiatric morbidity and sociodemographic information. Result: Of 120 suicidal behavior patients’ psychiatric disorders was 65%. Among suicidal behavior patients neurotic disorders was 19%, psychotic disorders was 15%, personality disorders was 39% and others disorder was 27%. Among 78 psychiatric patients borderline personality disorder was 25.64%, adjustment disorders were 15.38%, mood disorders were 11.53%, psychotic disorder was 7.69%, multiple personality disorder and oppositional defiant disorder were 6.42%, hystrionic personality disorder and substance use disorder were 3.84%, antisocial personality disorder, conduct disorder and anxiety disorder were 2.57%, and composite disorder was 11.53%. Among suicidal behavior in psychiatric patients suicidal ideation was 54, suicidal plan was 13, suicidal attempt was 45 , ideators only proceeded to plan was 17, ideation to attempt was 59. Among suicidal behavior in total 120 participants suicidal ideation was 84, suicidal plan was 19, suicidal attempt was 56, ideators only proceeded to plan was 26, ideation to attempt was 76, planned attempt was 14 and impulsive attempt was 62. Most of the suicidal behavior participants were female (77.5%) and age group of <24 years (60%). Conclusions: Psychiatric disorders are important risk factors for the onset and persistence of suicidal behaviour, with this risk being the greatest in childhood, and early adult. J Bangladesh Coll Phys Surg 2019; 37(3): 130-134

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Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study

Indian Journal of Psychological Medicine ◽

10.1177/0253717621999537 ◽

2021 ◽

pp. 025371762199953

Author(s):

Bhavneesh Saini ◽

Pir Dutt Bansal ◽

Mamta Bahetra ◽

Arvind Sharma ◽

Priyanka Bansal ◽

...

Keyword(s):

Personality Disorder ◽

Psychiatric Disorders ◽

Psychotic Disorders ◽

Age Of Onset ◽

Psychiatric Patients ◽

Cross Sectional Study ◽

Psychotic Symptoms ◽

Sectional Study ◽

Cross Sectional ◽

Neurotic Disorders

Background: Normal personality development, gone awry due to genetic or environmental factors, results in personality disorders (PD). These often coexist with other psychiatric disorders, affecting their outcome adversely. Considering the heterogeneity of data, more research is warranted. Methods: This was a cross-sectional study on personality traits in psychiatric patients of a tertiary hospital, over 1 year. Five hundred and twenty-five subjects, aged 18–45 years, with substance, psychotic, mood, or neurotic disorders were selected by convenience sampling. They were evaluated for illness-related variables using psychiatric pro forma; diagnostic confirmation and severity assessment were done using ICD-10 criteria and suitable scales. Personality assessment was done using the International Personality Disorder Examination after achieving remission. Results: Prevalence of PD traits and PDs was 56.3% and 4.2%, respectively. While mood disorders were the diagnostic group with the highest prevalence of PD traits, it was neurotic disorders for PDs. Patients with PD traits had a past psychiatric history and upper middle socioeconomic status (SES); patients with PDs were urban and unmarried. Both had a lower age of onset of psychiatric illness. Psychotic patients with PD traits had higher and lower PANSS positive and negative scores, respectively. The severity of personality pathology was highest for mixed cluster and among neurotic patients. Clusterwise prevalence was cluster C > B > mixed > A (47.1%, 25.2%, 16.7%, and 11.4%). Among subtypes, anankastic (18.1%) and mixed (16.7%) had the highest prevalence. Those in the cluster A group were the least educated and with lower SES than others. Conclusions: PD traits were present among 56.3% of the patients, and they had many significant sociodemographic and illness-related differences from those without PD traits. Cluster C had the highest prevalence. Among patients with psychotic disorders, those with PD traits had higher severity of psychotic symptoms.

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Pattern of Psychiatric Morbidities and Sociodemographic Profiles of Patients Attending Out-Patient Department (OPD) at Iftikhar Psychiatric Hospital, Peshawar

10.53350/pjmhs2115113386 ◽

2021 ◽

Vol 15 (11) ◽

pp. 3386-3388

Author(s):

Ghaazaan Khan ◽

Shafi Ullah

Keyword(s):

Psychiatric Disorders ◽

Psychiatric Hospital ◽

Psychotic Disorders ◽

Somatoform Disorders ◽

Psychiatric Patients ◽

Psychiatric Morbidity ◽

Sampling Technique ◽

Male Predominance ◽

Icd 10 ◽

Patient Department

Background: Psychiatric disorders are the major causes of disability worldwide. Due to cultural differences, the patterns of mental disorders vary globally and there is need to study the patterns of psychiatric disorders in our region. Aims and Objectives: The aim of this study is to know the pattern of various psychiatric morbidities as well as socio demographic characteristics of patients attending out-patient department (OPD) at Iftikhar Psychiatric Hospital, Peshawar. Materials and Methods: This descriptive study was conducted at Iftikhar Psychiatric Hospital, Peshawar from 1st June 2020 to 31st January 2021. During this period, a total of 150 patients were recruited through non-probability consecutive sampling technique. Data was collected for variables like gender, age, marital status, urban/rural background, employment status and psychiatric diagnosis. For the variables of continuous type like age, mean and standard deviation were calculated. Diagnosis was made using ICD-10 diagnostic classification system. All the variables were presented as frequencies and %ages. Data was analyzed using SPSS software version 20. Conclusion: Male predominance was observed in the study. Maximum numbers of psychiatric patients were in the age range from 18-40 years. Majority of the study participants were married, employed and belonged to urban background Regarding psychiatric morbidities, the most common were neurotic, stress related and somatoform disorders (38%) followed by mood disorders (28.66 %)., schizophrenia and other psychotic disorders (17.33%) and substance misuse disorders (10%). Keywords: ICD-10; Psychiatric morbidity; out-patient department

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Suicidal Behavior in Borderline Personality Disorder: Prevalence, Risk Factors, Prediction, and Prevention

Journal of Personality Disorders ◽

10.1521/pedi.18.3.226.35445 ◽

2004 ◽

Vol 18 (3) ◽

pp. 226-239 ◽

Cited By ~ 230

Author(s):

Donald W. Black ◽

Nancee Blum ◽

Bruce Pfohl ◽

Nancy Hale

Keyword(s):

Risk Factors ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Suicidal Behavior ◽

Borderline Personality ◽

Prediction And Prevention

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Metabolic syndrome in psychiatry: advances in understanding and management

Advances in Psychiatric Treatment ◽

10.1192/apt.bp.113.011619 ◽

2014 ◽

Vol 20 (2) ◽

pp. 101-112 ◽

Cited By ~ 13

Author(s):

Cyrus S. H. Ho ◽

Melvyn W. B. Zhang ◽

Anselm Mak ◽

Roger C. M. Ho

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Psychiatric Disorders ◽

Psychiatric Patients ◽

Learning Objectives ◽

List Type ◽

Type Number ◽

Unhealthy Lifestyle ◽

Definition Of ◽

The Relationship

SummaryMetabolic syndrome comprises a number of cardiovascular risk factors that increase morbidity and mortality. The increase in incidence of the syndrome among psychiatric patients has been unanimously demonstrated in recent studies and it has become one of the greatest challenges in psychiatric practice. Besides the use of psychotropic drugs, factors such as genetic polymorphisms, inflammation, endocrinopathies and unhealthy lifestyle contribute to the association between metabolic syndrome and a number of psychiatric disorders. In this article, we review the current diagnostic criteria for metabolic syndrome and propose clinically useful guidelines for psychiatrists to identify and monitor patients who may have the syndrome. We also outline the relationship between metabolic syndrome and individual psychiatric disorders, and discuss advances in pharmacological treatment for the syndrome, such as metformin.LEARNING OBJECTIVES•Be familiar with the definition of metabolic syndrome and its parameters of measurement.•Appreciate how individual psychiatric disorders contribute to metabolic syndrome and vice versa.•Develop a framework for the prevention, screening and management of metabolic syndrome in psychiatric patients.

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Self-Reported Suicidal Ideation as a Predictor of Suicidal Behavior Among Outpatients With Diagnoses of Psychotic Disorders

Psychiatric Services ◽

10.1176/appi.ps.201800381 ◽

2019 ◽

Vol 70 (3) ◽

pp. 176-183 ◽

Cited By ~ 4

Author(s):

Gregory E. Simon ◽

Bobbi Jo Yarborough ◽

Rebecca C. Rossom ◽

Jean M. Lawrence ◽

Frances L. Lynch ◽

...

Keyword(s):

Suicidal Ideation ◽

Suicidal Behavior ◽

Psychotic Disorders

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Correlation of adverse childhood experiences with psychiatric disorders and aggressiveness in adulthood

Vojnosanitetski pregled ◽

10.2298/vsp1008653s ◽

2010 ◽

Vol 67 (8) ◽

pp. 653-658 ◽

Cited By ~ 2

Author(s):

Ljiljana Samardzic ◽

Gordana Nikolic ◽

Grozdanko Grbesa ◽

Maja Simonovic ◽

Tatjana Milenkovic

Keyword(s):

Psychiatric Disorders ◽

Adverse Childhood Experiences ◽

Psychotic Disorders ◽

Psychiatric Patients ◽

Statistical Significance ◽

Healthy Individuals ◽

Childhood Experiences ◽

Positive Correlation ◽

Adverse Childhood ◽

Significant Difference

Background/Aim. Consequences of individual adverse childhood experiences for adult mental health have been precisely studied during past decades. The focus of past research was mainly on childhood maltreatment and neglect. The aim of this paper was to determine association between multiple adverse childhood experiences and psychiatric disorders, as well as their correlation to the degree and type of aggressiveness in adult psychiatric patients. Methods. One hundred and thirteen psychiatric outpatients were divided into three diagnostic groups: psychotics, non-psychotics and alcoholics and compared with fourty healthy individuals. Adverse childhood experiences data were gathered retrospectively, using the Adverse childhood experiences questionnaire and explanatory interview. Aggressiveness was assessed using Buss-Perry Aggression Questionnaire. The Student's t test, ANOVA and correlational analysis were used for evaluation of statistical significance of differences among the groups. A value p < 0.05 was considered statistically significant. Results. Our results showed that the mean number of adverse childhood experiences in each group of psychiatric patients, as well as in the whole group of patients, was statistically significantly higher than in the group of healthy individuals (p < 0.001); there was a statistically significant difference in score of physical aggressiveness between the patients exposed to adverse childhood experiences and those who were not exposed to them (p < 0.05); scores of physical aggressiveness were in positive correlation with the number of adverse childhood experiences (p < 0.05). The highest mean score of adverse childhood experiences was evidenced in the group of patients with psychotic disorders. Conclusion. Multiple adverse childhood experiences are significantly associated with psychotic disorders, nonpsychotic disorders and alcohol dependence in adulthood and their presence is important morbidity risk factor for psychiatric disorders. They are in positive correlation with physical aggressiveness of the patients from these diagnostic groups.

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Clinical and demographic characteristics of psychiatric patients seropositive for Borrelia burgdorferi

European Psychiatry ◽

10.1016/j.eurpsy.2004.09.021 ◽

2006 ◽

Vol 21 (2) ◽

pp. 118-122 ◽

Cited By ~ 8

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.

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Breathing-Related Sleep Disorders

Management of Sleep Disorders in Psychiatry ◽

10.1093/med/9780190929671.003.0015 ◽

2020 ◽

pp. 215-238

Author(s):

Ahmed S. BaHammam ◽

Sulaiman Alhifzi ◽

Salih Aleissi

Keyword(s):

Risk Factors ◽

Sleep Apnea ◽

Sleep Disorders ◽

Psychiatric Disorders ◽

Clinical Skills ◽

Psychiatric Patients ◽

Central Sleep Apnea ◽

Metabolic Dysfunction ◽

Obstructive Sleep ◽

Risk Patients

Breathing-related sleep disorders (BRSD) encompass obstructive sleep apnea (OSA), central sleep apnea, and hypoventilation disorders. Risk factors for BRSD include obesity, metabolic dysfunction, smoking, use of respiratory depressant medications (like opiates and benzodiazepines), and alcohol consumption, all of which are highly prevalent among patients with psychiatric disorders. BRSDs are associated with substantial morbidity, disturbed quality of life, and worse prognosis of comorbid psychiatric disorders. Therefore, it is essential for psychiatric care providers to have the clinical skills to recognize BRSDs. Recent studies suggest that the prevalence rates of OSA in psychiatric patients are higher than the general population. Moreover, BRSD’s share common symptoms and risk-factors with psychiatric disorders. A comprehensive clinical approach including a thorough sleep history and examination along with the use of validated screening questionnaires like the STOP-BANG questionnaire, particularly for at-risk patients, is effective in identifying BRSD.

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