Psychopharmaceuticals for treatment of suicidal patients and for suicide prevention.

[Psychopharmaceuticals for treatment of suicidal patients and for suicide prevention]. Nervenarzt. 2016 Mar 7; Authors: Haußmann R, Bauer M, Lewitzka U, Müller-Oerlinghausen B Abstract Suicidality represents a frequent phenomenon in affective and psychotic disorders but the treatment of acute and chronic suicidality is still a controversial issue. Especially the efficacy of antidepressant and neuroleptic drugs for prevention of suicide continues to be debated. There is a lack of evidence due to limitations of methodological studies and ethical concerns are a major issue. Considering methodological problems in the conducted studies the often insufficiently valued differentiation between suicidal thoughts and actual suicidal behavior has to be emphasized. With the exception of lithium and clozapine suicide-preventing effects of antidepressants and neuroleptics could not yet be demonstrated. Regarding new antidepressant drugs, such as selective serotonin reuptake inhibitors (SSRI) and serotonin-norepinephrine reuptake inhibitors (SNRI) even the possible new onset of suicidal thoughts and ideations as an adverse effect needs to be stressed. Considering the frequent occurrence of suicidality the currently available evidence is undoubtedly insufficient. The improvement of study concepts and especially a more differentiated consideration of the vague term "suicidality" seems to be essential. An underrepresentation of the evidence-based ther...
Source: Der Nervenarzt - Category: Neurology Authors: Tags: Nervenarzt Source Type: research

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Conclusions The risk of relapse after ECT is lower for patients with PPD and/or PPP than for patients outside the postpartum period, but the risk is nonetheless substantial in both groups.
Source: The Journal of ECT - Category: Psychiatry Tags: Original Studies Source Type: research
Authors: Murphy AL, O'Reilly CL, Ataya R, Doucette SP, Burge FI, Salvador-Carulla L, Chen TF, Himmelman D, Kutcher S, Martin-Misener R, Rosen A, Gardner DM Abstract OBJECTIVE: The study's objective was to examine Canadian and Australian community pharmacists' experiences with people at risk of suicide. METHODS: A survey was developed and administered online. Countries were compared by Fisher's exact and t tests. Multivariable logistic-regression analysis was used to identify variables associated with preparedness to help someone in a suicidal crisis. RESULTS: The survey was completed by 235 Canadian and 161...
Source: Psychiatric Services - Category: Psychiatry Tags: Psychiatr Serv Source Type: research
Authors: Lindh ÅU, Dahlin M, Beckman K, Strömsten L, Jokinen J, Wiktorsson S, Renberg ES, Waern M, Runeson B Abstract OBJECTIVE: To compare the predictive accuracy of the Suicide Intent Scale (SIS), the Suicide Assessment Scale (SUAS), the Karolinska Interpersonal Violence Scale (KIVS), and the Columbia-Suicide Severity Rating Scale (C-SSRS) for suicide attempts and suicides within 3 and 12 months of an episode of self-harm. METHODS: This prospective multicenter cohort study included patients (N = 804) aged 18-95 years with a recent episode of self-harm assessed in psychiatric emergency settings from...
Source: Journal of Clinical Psychiatry - Category: Psychiatry Tags: J Clin Psychiatry Source Type: research
DISCUSSION: Awareness of poorer mental health outcomes, particularly for bisexual individuals, can help guide specific interventions aimed at improving the mental health and well-being of sexual minority populations. PMID: 31747043 [PubMed - in process]
Source: Health Reports - Category: International Medicine & Public Health Tags: Health Rep Source Type: research
Alcohol is the drug of choice for most teenagers and can lead to severe consequences. Alcohol abuse by teenagers not only affects the young people who are drinking, but also impacts the safety of the people they encounter. Luckily, there are signs to look out for, ways to prevent alcohol abuse by teenagers and ways to get help. Stats on Alcohol Abuse by Teenagers Alcohol is the most commonly used and abused drug among youth in the United States, making it a very large problem. Here are some statistics on alcohol abuse by teenagers, provided by the CDC. Excessive drinking is responsible for more than 4,300 deaths among un...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Alcohol Drinking Teenagers alcohol abuse alcohol treatment alcohol treatment center alcoholism teens Source Type: blogs
AbstractPurpose of ReviewTo summarise empirical research on the adverse and beneficial public health impacts of cannabis legalisation in states in the USA.Recent FindingsThe most consistent finding from surveys of drug use is that the legalisation of medical cannabis has so far not had an effect on rates of use or cannabis use disorders among youth, but it has increased the frequency of use among adult cannabis users. There are conflicting findings on the impact of legalisation of medical and recreational cannabis use on the following: cannabis use disorders in adults, rates of motor vehicle accidents in which the driver w...
Source: Current Addiction Reports - Category: Addiction Source Type: research
Our series "A More Perfect Union" aims to show that what unites us as Americans is far greater than what divides us. This morning, we're learning about a surprising safe haven for veterans living with PTSD. Nationwide, about 17 veterans die by suicide every day. Now, some blacksmiths in Virginia are building new tools to help. Chip Reid reports.
Source: Health News: - Category: Consumer Health News Source Type: news
Abstract Dr. Elisabeth Kübler-Ross is credited as one of the first clinicians to formalize recommendations for working with patients with advanced medical illnesses. In her seminal book, On Death and Dying, she identified a glaring gap in our understanding of how people cope with death, both on the part of the terminally ill patients that face death and as the clinicians who care for these patients. Now, 50 years later, a substantial and ever-growing body of research has identified "best practices" for end of life care and provides confirmation and support for many of the therapeutic practice...
Source: The American Journal of Bioethics : AJOB - Category: Medical Ethics Authors: Tags: Am J Bioeth Source Type: research
By Ellie Decker and Teresa Brockie Larry Wetsit, a former business leader, Fort Peck Community College Vice President, and the youngest Tribal Chairman elected to the Fort Peck Executive Board, now works from his basement office. He has left retirement for a new endeavor: research. Research on The post Fort Peck Indian Reservation: The Healthy People Factory appeared first on Johns Hopkins Nursing Magazine.
Source: Nursing Blogs at Johns Hopkins University - Category: Nursing Authors: Tags: On the Pulse Community health native american Public health suicide Source Type: blogs
AbstractDecapitation is well-documented as an immediately lethal injury that is encountered in medicolegal autopsies. It can be due to an accident, suicide, or homicide. Literature on decapitation reveals that suicide is committed by decapitation using domestic or industrial tools, such as electric saws and drills, and improvised guillotines. Decapitation can also be the result of railway or other bizarre incidents. In this particular case, a man committed suicide by decapitation using a log splitter. This has not been reported earlier. Death investigation, including a medicolegal autopsy and scene visit, was conducted. Th...
Source: Forensic Science, Medicine, and Pathology - Category: Forensic Medicine Source Type: research
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