A history of a suicide attempt by self-poisoning indicates suicide risk over the entire adult lifetime.

No abstract

Roughly 3,000 war veterans with moderate or severe brain injury have suffered from a psychiatric disturbance. Psychotic disorders are found in approximately 750 cases. The material of this preliminary report consists of the first 100 veterans with paranoid disorders. Delusional psychosis is the most common main diagnosis (28% of veterans), followed by major depression (21 %), delirium (18 %) and paranoid schizophrenia (14 %). Paranoid schizophrenia and paranoid schizophreniform psychosis develop earlier (in 23% of cases within 1 year) than delusional psychosis (4 %). Delusional psychosis lasted less than a year in 28 % of the cases and more than 5 years in 40% of cases. The corresponding figures for paranoid schizophrenia and paranoid schizophreniform psychoses are 26 and 63%. Jealousy or fear of being sexually betrayed constitutes the most prominent individual content of delusions.

Electroconvulsive therapy (ECT) is widely accepted as a treatment for severe depression, but is seldom used in the treatment of chronic pain even though chronic pain and depression frequently occur together. This study presents a case in which ECT relieved both severe depression and chronic pain. It seems that the recognition of depressive disorders merits more attention and that ECT as a treatment for chronic pain in patients with severe depression should be taken into consideration in cases in which other treatments have failed.

No abstract