Kaplan and Sadock′s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10<sup> th</sup> Edition

Sarkhel, Sujit

doi:10.4103/0019-5545.58308

Cited by 61 publications

(52 citation statements)

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“…One of the strongest indicators of suicidal behavior or death by suicide is a previous suicide attempt [9][10][11][12][13][14]. For instance, prior suicide attempt is more strongly associated with suicidal behavior than presence of substancerelated disorder, mood disorders, adverse marital status or adverse employment status [10].…”

Section: Introductionmentioning

confidence: 99%

Socio-demographic and psychiatric profile of patients hospitalized due to self-poisoning with suicidal intention

et al. 2022

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Objective To identify the psychiatric profile of patients hospitalized due to self-intoxication associated with suicide-related behavior (SRB). Methods In this retrospective single-center study, records of consecutive patients treated for suicidal poisoning in our Clinical Toxicology unit between 1st January 2012 and 31st December 2016, who received at least one psychiatric exploration during their inpatient stay, were analyzed with regard to epidemiological data, ingested substances, psychiatric and somatic comorbidities, suicidal circumstances and follow-up therapy. Results Out of 1289 hospitalized patients, 1090 patients with complete data were analyzed. Mean age was 40.5 ± 17.2 years, 66.7% were female. 32.0% of patients had previously engaged in SRB, in 76.3% intention was suicidal. 64.7% of patients had a pre-existing psychiatric disorder (PD). Patients with a pre-existing PD more often displayed prior SRB than those without PD (40.7% vs 15.3%; p < 0.001; Fisher′s exact test), used long-term/on demand medication (70.2% vs 38.9%; p < 0.001), distanced themselves from the current suicide attempt (65.9% vs 50.8%; p < 0.001) and had no detectable trigger (38.7% vs 18.1%; p < 0.001). Partnership conflict was the most commonly named trigger, and it was documented more often in patients without than in those with PD (41.6% vs 25.6%). After psychiatric reevaluation, most patients were diagnosed with mood disorders (29.7%) and stress disorders (17.0%); 32.8% of patients had a combination of two or more PDs. Conclusion Hospitalization due to self-poisoning is associated with pre-existing PD, prior SRB and access to psychiatric medication. Detection of these risk factors could allow timely introduction of effective preventive measures tailored to particularly vulnerable subgroups and appropriate relief. However, lack of a detectable trigger in many cases may hamper the identification of those at risk.

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Section: Introductionmentioning

confidence: 99%

Socio-demographic and psychiatric profile of patients hospitalized due to self-poisoning with suicidal intention

et al. 2022

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“…Substance abuse of alcohol, opium, heroin, cocaine, etc are associated with affecting neurotransmitters in the brain, including serotonin, norepinephrine, dopamine, and GABA. 21,22…”

Section: Factors Of Depression In Schizophrenia Patientsmentioning

confidence: 99%

Psychosocial Therapy in Schizophrenic Patients with Depression

Bunman

Wannapaschaiyong²,

Saiyasalee

et al. 2022

bkkmedj

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Depressive symptoms are frequent clinical features in schizophrenia patients, which can be found in all stages of the disease, from the initial phase of symptoms to the period of exacerbation and after the psychosis has calmed down. Post-psychotic depression is depression that occurs after the psychotic symptoms have subsided. These depressions are the main symptoms of schizophrenia affecting mental and functional impairments. Patients are also more likely to have suicidal thoughts and successful suicide. 1 Psychosocial therapy is an alternative treatment of depression in people with schizophrenia. The author reviews depression in schizophrenic patients and psychosocial treatments. Depression in schizophrenic patientsDepression refers to a persisting clinical condition that features low mood, anhedonia, and characteristics such as low energy, selfreproach, impaired concentration, pessimism, guilt, lack of confidence, sleep, or appetite disturbances. In contrast, depression in schizophrenia is defined as schizophrenic patients with distorted negative thoughts for themselves, their surroundings, and their future. It refers to a state of negative emotions, such as sadness, loneliness, regret, negative thoughts about oneself such as self-reproach, discouragement, boredom, feelings of self-worth, anorexia, and decreased sexual performance. There are various differences from depression in patients without schizophrenia. 2 People with schizophrenia who feel sad for more than 2 weeks are characterized by depressed mood, unhappy mood, and appetite disturbances. Energy levels and sleep patterns change. Patients experience feelings of guilt, worthlessness, and despair, all of which are leading causes of suicide attempts. 3 Depression is a significant mental and psychiatric problem encountered in every country worldwide. The incidence of depression in schizophrenic patients is expected in a psychotic episode. Moreover, it was found that 81% of schizophrenic patients presenting their first psychotic symptoms had had depression during the 4 years before treatment. Among schizophrenic patients with first psychotic symptoms, the prevalence of depression was 4-20 % 5 , and the prevalence after remission was 20 %. 6

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“…Phobias are classified into market phobia, social anxiety, and specific phobias. Specific phobias are broadly classified as animal phobias, nature phobias, environmental phobias, blood phobias, ampule phobias, injury phobias, situational phobias, and other phobias [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Persian version of the COVID-19 Phobia Scale (C19P-S)

et al. 2023

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Background During various infectious pandemics, phobia or panic has been suggested as one of the most common mental disorders. The current study reports on the psychometric properties of the Persian version of the COVID‐19 Phobia Scale (C19P-S) in Iran. Methods The forward–backward translation procedure was applied to translate the English version of the C19P-S into Persian. Then, content and face validity, structural validity (exploratory and confirmatory factor analyses), convergent and discriminant validity, concurrent validity, reliability, and stability were performed to evaluate the Persian version. Results In all, 660 people participated in the study. The mean age of patients was 35.55 (SD = 12.24) years. Exploratory factor analysis confirmed a four-factor structure for the scale. Confirmatory factor analysis showed that almost all fitness indices for the model were satisfactory (RMSEA = 0.06, CFI = 0.96, TLI = 0.96, IFI = 0.97). The Cronbach’s alpha coefficient and intraclass correlation coefficient (ICC) for the questionnaire were 0.95 and 0.96, respectively. Conclusion The Persian version of C19P-S showed good psychometric properties and a good fit for the four-factor structure. It can now be used to assess panic disorder in therapeutic settings and identify candidates needing clinical intervention.

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Kaplan and Sadock′s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10^th Edition

Cited by 61 publications

References 0 publications

Socio-demographic and psychiatric profile of patients hospitalized due to self-poisoning with suicidal intention

Socio-demographic and psychiatric profile of patients hospitalized due to self-poisoning with suicidal intention

Psychosocial Therapy in Schizophrenic Patients with Depression

Psychometric properties of the Persian version of the COVID-19 Phobia Scale (C19P-S)

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Kaplan and Sadock′s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10 th Edition

Cited by 61 publications

References 0 publications

Socio-demographic and psychiatric profile of patients hospitalized due to self-poisoning with suicidal intention

Socio-demographic and psychiatric profile of patients hospitalized due to self-poisoning with suicidal intention

Psychosocial Therapy in Schizophrenic Patients with Depression

Psychometric properties of the Persian version of the COVID-19 Phobia Scale (C19P-S)

Contact Info

Product

Resources

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Kaplan and Sadock′s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10^th Edition