Psychiatric assessment of self-poisoning

Self-poisoning accounts for a significant number of attendances to acute services. It can occur at any age. The reasons that lead someone to self-poison are variable and individual. It is often a manifestation of distress. Women are more likely to present, or die, after overdose than men, although men are more likely to die by suicide overall. Self-harm, including self-poisoning, is a strong risk factor and antecedent to suicide. Psychosocial assessment offers an important opportunity to intervene.
Source: Medicine - Category: Internal Medicine Authors: Tags: General aspects of poisoning Source Type: research

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IMPORTANCE: Prior lethality analyses of suicide means have historically treated drug poisoning other than alcohol poisoning as a lumped category. Assessing risk by drug class permits better assessment of prevention opportunities. OBJECTIVE: To inve...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
Abstract In 2011, Florida established a Prescription Drug Monitoring Program and adopted new regulations for independent pain-management clinics. This paper examines the association of those reforms with drug overdose deaths and other injury fatalities. Florida's post-reform monthly mortality rates - for drug-involved deaths, motor vehicle crashes, and suicides by means other than poisoning - were compared to a counterfactual estimate of what those rates would have been absent reform. The counterfactual was estimated using a Bayesian structural time-series model based on mortality trends in similar states. By Dece...
Source: Am J Epidemiol - Category: Epidemiology Authors: Tags: Am J Epidemiol Source Type: research
Conclusions: DUIMS indicates higher mortality, and DUIMS' profiles in causes of death differ from the general population. Elevated risk for, for instance, suicidal, accidental and violent death among those using multiple substances highlights the need to also pay attention to causes of death other than poisoning/overdose. PMID: 31856686 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Public Health - Category: International Medicine & Public Health Authors: Tags: Scand J Public Health Source Type: research
Having a concussion within the past year may raise the risk of suicidal ideation and behavior in high school students, according to astudy in theJournal of Affective Disorders.Dale S. Mantey, M.P.A., of the University of Texas School of Public Health and colleagues used data from more than 13,000 respondents in grades 9 through 12 who participated in the 2017 Youth Risk Behavior Surveillance Survey (YRBSS). The national YRBSS is conducted every two years by the Centers for Disease Control and Prevention to monitor health behaviors that contribute to the leading causes of death, disability, and social problems among youth a...
Source: Psychiatr News - Category: Psychiatry Tags: concussion Dale Mantey depressive symptoms Journal of Affective Disorders suicide Youth Risk Behavior Surveillance Survey Source Type: research
ConclusionsCause of death of the male corpse was deemed to be due to heroin intoxication as the blood concentration of morphine was more than the lethal concentration with a morphine/codeine ratio of more than 1:1. Methomyl intoxication of the male corpse was unlikely to be the cause of death because methomyl systemic blood concentration was found to be very low,
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
Between 1991 and 2017, the rate of black adolescents who reported attempting suicide rose, according to areport published Monday inPediatrics. This trend was not seen in adolescents who identified as white, Hispanic, Asian American or Pacific Islander, or being of multiple races.“Examining trends in suicidal ideation and behaviors over time by sex and race and ethnicity allows us to determine where to focus prevention and intervention efforts,” wrote Michael A. Lindsey, Ph.D., M.S.W., M.P.H., of New York University and colleagues.Lindsey and colleagues analyzed data from the Youth Risk Behavior Survey (YRBS) &m...
Source: Psychiatr News - Category: Psychiatry Tags: adolescents Benjamin Shain Michael Lindsey pediatrics suicide attempt suicide ideation Youth Risk Behavior Survey Source Type: research
We sought to identify trends in overdoses with over-the-counter (OTC) dextromethorphan (DXM) cough preparations among adolescents from a national poison center surveillance database. Our objective was to identify both severity of outcomes and trends in adolescent suicide attempts with OTC DXM cough preparations.
Source: Journal of the American Academy of Child and Adolescent Psychiatry - Category: Psychiatry Authors: Source Type: research
Conclusions: The risks of SA and SDO were proportionally increased by head injury in patients with depression in Taiwan. Our findings provide crucial information to implement efficient suicide prevention strategies in the future.
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
CONCLUSIONS: It is reassuring that the absolute number of prescription drug suicides in non-abusers was small; the findings, however, are important because they could serve as a baseline for assessing time trends in future studies. For the present, we suggest that prescription drugs of potential abuse, especially those containing opioids and antispasmodics, should be prescribed and dispensed judiciously, especially to youth. PMID: 31374376 [PubMed - as supplied by publisher]
Source: Asian Journal of Psychiatry - Category: Psychiatry Tags: Asian J Psychiatr Source Type: research
ng Lijun Li The detection of difenidol hydrochloride, which is a drug that is widely used for treating the nausea and vomiting symptoms caused by certain diseases, has been increasingly involved in cases of suicide via overdosing and of drug poisoning in children. A novel electrochemiluminescence (ECL) sensor for the simple and effective detection of difenidol hydrochloride was fabricated by modifying a glassy carbon electrode with three-dimensional carbon nanofibers (3D-CNFs). The 3D-CNFs were synthesized by electrospinning a mixture of montmorillonite (MMT) and polyacrylonitrile, carbonizing the electrospun product...
Source: Sensors - Category: Biotechnology Authors: Tags: Article Source Type: research
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