Sexual assault in the emergency department: What can you do?

It has been documented that 1 in 3 women will experience rape in her lifetime, and this is most common in women under the age of 25.  Over 95 percent of victims of sexual assault are women worldwide, while in North America estimates place that at 85 percent.  These are the assaults we know about — generous estimates say that, at most, 10 percent of rapes are reported to police or other authorities/health care providers.  2004 CDC statistics indicated there were 57,000 visits to U.S. emergency departments for a presenting complaint of sexual assault — which is still a high number despite flawed methodology which likely vastly underestimated the numbers.  To support this, a 2014 survey of patients in the emergency department found that half had experienced sexual assault in their lifetime.  Sexual assault has an annual cost of over $2 billion in direct patient costs, lost wages and productivity (not including childhood sexual abuse). Sexual assault affects all domains of a victim’s life, the physical and emotional, and extends out in a ripple effect to their surrounding relationships.  This has been shown to be a key factor in the health of a person, exacerbating chronic complaints and contributing to new medical issues.  It can be difficult for a patient to disclose their assault due to shame, guilt, feelings of responsibility and cultural norms.  Instead, they can present with vague complaints which can be acute or chr...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Emergency Medicine Source Type: blogs

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Rui Yan1, ShiWan Tao1, HaiYan Liu1, Yu Chen1, JiaBo Shi1, YuYin Yang1, RongXin Zhu1, ZhiJian Yao1,2* and Qing Lu3,4*1Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China2Nanjing Brain Hospital, Medical School of Nanjing University, Nanjing, China3School of Biological Sciences and Medical Engineering, Southeast University, Nanjing, China4Child Development and Learning Science, Key Laboratory of Ministry of Education, Nanjing, ChinaBackground: Major depressive disorders often involve somatic symptoms and have been found to have fundamental differences from non-somatic depressi...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusion: Our results indicate similar prevalence rates of comorbid psychiatric symptoms to studies carried out in the Middle East and North Africa (MENA) region and relatively high attendance and referral rates to psychiatric services.Implications: The results shed light on the clinical profile of patients in this region and support the need for integrated collaborative medical services. Moreover, findings have important implications for health care policies pertaining to resource distribution and funding.IntroductionMedical care has traditionally been dominated by a separation between disciplines catering to physiologi...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
DiscussionAs detailed above, the “elements” in both a classical and a contemporary sense have effects on our mental health and are potentially modifiable aspects that can be harnessed as therapeutic interventions. The most robust interventional evidence currently available shows tentative support for several use of the elements via horticultural and nature-exposure therapy, green exercise/physical activity, sauna and heat therapy, balneotherapy, and breathing exercises. It should be noted that, in many cases, these interventions were not studied in definitive diagnosed psychiatric disorders and thus it is prema...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Discussion Human trafficking is estimated to be the second largest criminal activity in the world after illegal arms trafficking. It affects all nations with an estimated 27 million people of all ages worldwide but only a small number are identified. It is defined by the United Nations as “the recruitment, transfer, harboring, or receipt of persons by means of threat or use of force or other forms of coercions, abduction, fraud, deception, the abuse of power, or a position of vulnerability to achieve the consent of a person, having control over another person, for the purpose of exploitation.” It includes comme...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Ryan R. Kelly1,2†, Lindsay T. McDonald1,2†, Nathaniel R. Jensen1,2, Sara J. Sidles1,2 and Amanda C. LaRue1,2* 1Research Services, Ralph H. Johnson VA Medical Center, Charleston, SC, United States 2Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC, United States The significant biochemical and physiological effects of psychological stress are beginning to be recognized as exacerbating common diseases, including osteoporosis. This review discusses the current evidence for psychological stress-associated mental health disorders as risk factors for os...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
How Bad Is Fentanyl? Fentanyl is an extremely dangerous synthetic opioid. Unlike some other opioids that occur naturally, it is man-made for the purpose of helping aid people suffering from extreme pain. It can be administered for recovery after surgery, during cancer treatments or for recovery after a painful injury. The Drug Enforcement Administration (DEA) classifies fentanyl as a Schedule II controlled substance. This means that it is legal for medical use, however, it has an extremely high potential for abuse and addiction. Understanding Fentanyl Significantly stronger than morphine or oxycodone, Fentanyl can be fatal...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction to Pharmaceuticals Drug Rehab Information Drug Treatment Heroin Painkiller Substance Abuse Synthetic fentanyl prescription drug abuse prescription drug addiction prescription drug detox prescription drug use p Source Type: blogs
Our Approach Cliffside Malibu is a world class luxury drug and alcohol treatment center. We want you to recover for good, and we do that with seven major factors. 1. We Stand By Our Commitment To Your Success. Our main goal is: We only want you to come to treatment once. 2. We Recognize The Root Cause Of Addiction As Pain/Trauma. Most treatment programs are based on the 12 Step Model. While 12 Step programs have largely been the go-to way to recover from addiction for over 75 years, the model does not address the underlying causes of addiction. While we use 12 Steps as an adjunct to other forms of therapy, we work to help ...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction Recovery Addiction Treatment and Program Resources Alcohol Rehab Information Complementary Therapies Detox Resources for Alcohol and Drugs/Opiates Drug Rehab Information Drug Treatment Holistic Treatment Protocols Sob Source Type: blogs
Abstract Opioid misuse, including the use of heroin and the overprescribing, misuse, and diversion of opioid pain medications, has reached epidemic proportions in the United States. As a result, there has been a dramatic increase in opioid use disorder and associated overdoses and deaths. Addiction is a chronic brain disease with a genetic component that affects motivation, inhibition, and cognition. Patient characteristics associated with successful buprenorphine maintenance treatment include stable or controlled medical or psychiatric comorbidities and a safe, substance-free environment. As a partial opioid agon...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
Discussion In the US during 2011, ~60,000 youth were incarcerated at some time in a correctional facility. Boys are detained more than girls (86% vs 14% respectively in the US, 95% male in the United Kingdom in 2014) but girls have more health issues. There are racial and ethnic differences with 38-40% of detainees being black, 23% being Hispanic/Latino and 32% being white, and 5% other. For detained youth, 5% are for violent crimes, 22% for non-violent property crimes and the majority of the rest are for non-violent offices such as substance use. The average length of detainment is 3-4 months and unfortunately the rates o...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Most people experience feelings of anxiety before an important event such as a big exam, business presentation, or first date. These are normal feelings of anxiety that nearly everyone experiences from time to time in their lives. Anxiety disorders, however, are conditions that fill a person’s life with overwhelming anxiety and fear. This fear is chronic, unremitting, and can grow progressively worse. Tormented by panic attacks, obsessive thoughts, flashbacks, nightmares, or countless frightening physical symptoms, some people with anxiety disorders even become housebound. How Common Are Anxiety Disorders? People wi...
Source: Psych Central - Category: Psychiatry Authors: Tags: Anxiety Disorders General Panic Disorder Anxiety Disorders facts about anxiety Panic Attack Separation Anxiety Disorder Specific phobia Source Type: news
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