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A Case of Delirium and Rhabdomyolysis in Severe Iatrogenic Opioid Withdrawal
Opioid withdrawal is often thought of as psychologically and physiologically distressing but ultimately not life-threatening, however it can result in severe medical complications in some cases. The case herein describes an elderly gentleman on methadone maintenance therapy who experienced delirium and rhabdomyolysis when in severe iatrogenic opioid withdrawal following initiation of naltrexone for alcohol use disorder management. This case and ensuing discussion illustrates the importance of pharmacovigilance and of medically managing opioid withdrawal and reviews some of the more serious complications associated with acu...
Source: Psychosomatics - December 14, 2017 Category: Psychiatry & Psychology Authors: Jessie Hanna, Samantha Swetter Source Type: research

Prevalence and Predictors of Depression Among Patients with Epilepsy, Stroke, and Multiple Sclerosis Using the Cleveland Clinic Knowledge Program within the Neurological Institute
Neurological conditions carry a high risk of depression. Given this risk, the Neurological Institute (NI) at Cleveland Clinic has initiated systematic screening for depression using the nine-item Patient Health Questionnaire-9 (PHQ-9) embedded within its electronic medical record and its data capture system, the Knowledge Program(KP)1. (Source: Psychosomatics)
Source: Psychosomatics - December 13, 2017 Category: Psychiatry & Psychology Authors: Adele C. Viguera, Youran Fan, Nicolas R. Thompson, Brittany Lapin, Alexander Chaitoff, Sandra D. Griffith, Deborah M. Miller, Lara Jehi, Irene L. Katzan Source Type: research

Clinical Severity Alone Does Not Determine Disposition Decisions for Patients in the Emergency Department with Suicide Risk
Boarding of patients with suicide risk in emergency departments (EDs) negatively impacts both patients and society. Factors other than clinical severity may frequently preclude safe outpatient dispositions among suicidal patients boarding for psychiatric admission in the ED. (Source: Psychosomatics)
Source: Psychosomatics - December 7, 2017 Category: Psychiatry & Psychology Authors: David S. Kroll, Jennifer Karno, Brian Mullen, Sejal B. Shah, Daniel J. Pallin, David F. Gitlin Source Type: research

Individual Significance of Olfaction: A Comparison between Normosmic and Dysosmic People
Olfactory dysfunctions are common in older age. The individual importance of such dysfunction is highly variable: many people do not seem to care about their olfactory dysfunction at all, others suffer and complain about problems in daily life, a reduced quality of life, or symptoms of depression. Understanding the importance of olfaction for different age groups in normosmic as well as in smell-disordered subjects may help to find reasons for insufficient coping with olfactory dysfunction. (Source: Psychosomatics)
Source: Psychosomatics - December 4, 2017 Category: Psychiatry & Psychology Authors: Julia Murr, Thomas Hummel, Gerhard Ritschel, Ilona Croy Source Type: research

Fetal Outcomes in Intentional Over-the-Counter Medication Overdoses in Pregnancy
We present three cases of patients attempting suicide by ingesting over-the-counter (OTC) medications diphenhydramine, salicylate, and acetaminophen. We then provide clinical guidelines for management of toxicity in pregnancy. Two cases resulted in fetal demise. Preventive strategies through an interdisciplinary team approach to screen for and treat patients with psychiatric illnesses resulting in suicidal thoughts are also discussed. (Source: Psychosomatics)
Source: Psychosomatics - November 24, 2017 Category: Psychiatry & Psychology Authors: Neeta Shenai, Joshua Shulman, Priya Gopalan, Edith Cheng, Joseph Cerimele Tags: Case Report Source Type: research

A possible role of Takotsubo cardiomyopathy in ventricular fibrillation during delirium tremens: A case report and literature review
We report on a 57-year-old male who presented with Takotsubo cardiomyopathy during delirium tremens that resulted from alcoholism. Laboratory examination revealed hypokalemia and hypomagnesemia. ECG revealed marked QT prolongation and he developed ventricular fibrillation (Vf) after torsade de pointes (TdP), which was successfully treated with immediate defibrillation. (Source: Psychosomatics)
Source: Psychosomatics - November 24, 2017 Category: Psychiatry & Psychology Authors: Takuto Ishida, Hiroyuki Uchida, Kazuki Miyazaki, Takahiro Yukawa, Kazuhiro Sugiyama, Yuuichi Hamabe, Masaru Mimura, Takefumi Suzuki Source Type: research

Postpartum Depression Screening Tools: A Review
The purpose of this study is to analyze the accuracy of screening tools in detecting postpartum depression (PPD). (Source: Psychosomatics)
Source: Psychosomatics - November 23, 2017 Category: Psychiatry & Psychology Authors: Nneamaka Ukatu, Camille A. Clare, Maria Brulja Source Type: research

Consultation-Liaison Psychiatry versus Psychosomatic Medicine: What ′s in a name?
In November of 2017, The Academy of the Psychosomatic Medicine voted to change its name to the Academy of Consultation-Liaison Psychiatry. The followed a similar change in which the American Board of Medical Specialties voted to change the name of the field to Consultation-Liaison Psychiatry. The authors, all instrumental in bringing about this change, discuss the history and rationale for this name change. (Source: Psychosomatics)
Source: Psychosomatics - November 22, 2017 Category: Psychiatry & Psychology Authors: Robert Boland, James Rundell, Steven Epstein, David Gitlin Source Type: research

The Electroencephalogram Speaks for the Patient: Identification and Treatment of Akinetic Mutism With Comorbid Delirium
Akinetic mutism is a constellation of psychoneurological symptoms characterized by profound apathy and a lack of verbal and motor output for action, despite preserved alertness and the intention or wish to speak. The syndrome has been observed in a wide variety of clinical scenarios. It can occur concomitantly with neuropsychiatric illnesses and in patients without global cerebral dysfunction.1 The frontal regions of the brain appear to be most commonly implicated with additional emphasis on the mesocortical dopamine pathway. (Source: Psychosomatics)
Source: Psychosomatics - November 15, 2017 Category: Psychiatry & Psychology Authors: Moein Foroughi, Robert J. Morgan Tags: Case Report Source Type: research

The EEG Speaks for the Patient: Identification and Treatment of Akinetic Mutism with Comorbid Delirium
Akinetic mutism is a constellation of psychoneurological symptoms characterized by profound apathy and a lack of verbal and motor output for action, despite preserved alertness and the intention or wish to speak. The syndrome has been observed in a wide variety of clinical scenarios. It can occur concomitantly with neuropsychiatric illnesses and in patients without global cerebral dysfunction.1 The frontal regions of the brain appear to be most commonly implicated with additional emphasis on the mesocortical dopamine pathway. (Source: Psychosomatics)
Source: Psychosomatics - November 15, 2017 Category: Psychiatry & Psychology Authors: Moein Foroughi, Robert J. Morgan Source Type: research

Validating the Structure of the Depression and Somatic Symptoms Scale
Depressed primary care patients may present somatic symptoms first, complicating differential diagnosis. Clinicians have few instruments for assessing this co-morbidity. (Source: Psychosomatics)
Source: Psychosomatics - November 14, 2017 Category: Psychiatry & Psychology Authors: Pamela Tse, David Gonz ález, Sharon Jenkins Tags: Original Research Reports Source Type: research

Fluoroquinolone related neuropsychiatric events in hospitalized veterans
To measure the incidence and risk factors for fluoroquinolone (ciprofloxacin, moxifloxacin and levofloxacin) associated psychosis or delirium in a veteran population. Design: Retrospective cohort. (Source: Psychosomatics)
Source: Psychosomatics - November 9, 2017 Category: Psychiatry & Psychology Authors: John Sellick, Kari Mergenhagen, Lindsay Morris, Lindsey Feuz, Amy Horey, Vineeta Risbood, Amy Wojciechowski, Christine Ruh, Edward Bednarczyk, Erin Conway, Michael Ott Source Type: research

Prevalence and risk factors of type 2 diabetes in major depression: A study on 703 individuals referred for sleep examinations
Several studies have investigated the prevalence and risk factors of depression in individuals with type 2 diabetes. However, few studies have investigated the prevalence and risk factors for type 2 diabetes in major depression. The aim of this study was to examine the  prevalence and risk factors of type 2 diabetes in a large sample of individuals with major depression. (Source: Psychosomatics)
Source: Psychosomatics - November 9, 2017 Category: Psychiatry & Psychology Authors: Matthieu Hein, Jean-Pol Lanquart, Gw énolé Loas, Philippe Hubain, Paul Linkowski Source Type: research

QT Prolongation, Torsades de Pointes, and Psychotropic Medications: A Five Year Update
Some psychotropic medications have been associated with prolongation of the QT interval, and QT prolongation, especially in those with medical illness, is linked to lethal ventricular arrhythmias, such as Torsades de Pointes (TdP). In 2013, we published a review of QT prolongation, TdP, and psychotropic medications. (Source: Psychosomatics)
Source: Psychosomatics - November 3, 2017 Category: Psychiatry & Psychology Authors: Scott R. Beach, Christopher M. Celano, Alan M. Sugrue, Caitlin Adams, Michael J. Ackerman, Peter A. Noseworthy, Jeff C. Huffman Source Type: research

Editorial Board
(Source: Psychosomatics)
Source: Psychosomatics - November 1, 2017 Category: Psychiatry & Psychology Source Type: research

Table of Contents
(Source: Psychosomatics)
Source: Psychosomatics - November 1, 2017 Category: Psychiatry & Psychology Source Type: research

Providing Care for Lesbian, Gay, Bisexual, and Transgender Immigrants at Health Centers and Clinics
Approximately 637,000 lesbian, gay, bisexual, or transgender (LGBT)-identified documented adult immigrants live in the United States.1 LGBT people face persecution in dozens of countries around the world, where having an LGBT identity may be criminalized or even punishable by death.1 LGBT immigrants have often survived traumatic experiences in their countries of origin. In the United States, some LGBT immigrants may also suffer violence and re-traumatization. Both LGBT immigrants and nonimmigrants may experience significant stigma-related health disparities, which range from mental health problems to sexually-transmitted i...
Source: Psychosomatics - October 23, 2017 Category: Psychiatry & Psychology Authors: Alex S. Keuroghlian, Michal J. McDowell, Theodore A. Stern Tags: Case Report Source Type: research

Increasing HIV Testing in Inpatient Psychiatry
People with serious mental illness (SMI) are at elevated risk of HIV infection, but do not receive HIV tests regularly. Inpatient psychiatric admissions provide opportunities for HIV testing. (Source: Psychosomatics)
Source: Psychosomatics - October 23, 2017 Category: Psychiatry & Psychology Authors: Martha Shumway, Christina Mangurian, Noah Carraher, Amanda Momenzadeh, Mark Leary, Emily Lee, James W. Dilley Source Type: research

Providing Care for Lesbian, Gay, Bisexual and Transgender Immigrants at Health Centers and Clinics
Approximately 637,000 lesbian, gay, bisexual, or transgender (LGBT)-identified documented adult immigrants live in the United States. LGBT people face persecution in dozens of countries around the world, where having an LGBT identity may be criminalized or even punishable by death. LGBT immigrants have often survived traumatic experiences in their countries of origin. In the United States, both LGBT non-immigrants and immigrants may experience significant stigma-related health disparities, which range from mental health problems to sexually-transmitted infections. (Source: Psychosomatics)
Source: Psychosomatics - October 23, 2017 Category: Psychiatry & Psychology Authors: Alex S. Keuroghlian, Michal J. McDowell, Theodore A. Stern Source Type: research

Response to Letter to the Editor: Psychiatric Disease Among Patients with Takotsubo Syndrome
We read with great interest the letter to the editor on behalf of Drs. El-Battrawy et al. regarding our recent publication in Psychosomatics on the prognostic significance of pre-existing psychiatric illness in takotsubo cardiomyopathy (TC).1,2 In response to the letter, the pattern of wall motion abnormality in TC was not included in our study ′s multivariable models assessing mortality or recurrence. However, in univariate analysis, there was no significant difference in the rate of “atypical” TC patterns between patients with or without pre-existing psychiatric illness. (Source: Psychosomatics)
Source: Psychosomatics - October 18, 2017 Category: Psychiatry & Psychology Authors: Arash Nayeri, Eric Rafla-Yuan, Eric Farber-Eger, Marcia Blair, Boback Ziaeian, Martin Cadeiras, John A. McPherson, Quinn S. Wells Source Type: research

Unique characteristics of high-cost users of medical care with comorbid mental illness or addiction in a population-based cohort
To understand if high-cost users of medical care with and without comorbid mental illness or addiction differ in terms of their sociodemographic and health characteristics. Unique characteristics would warrant different considerations for interventions and service design aimed at reducing unnecessary health care utilization and associated costs. (Source: Psychosomatics)
Source: Psychosomatics - October 16, 2017 Category: Psychiatry & Psychology Authors: Jennifer M. Hensel, Valerie H. Taylor, Kinwah Fung, Claire de Oliveira, Simone N. Vigod Source Type: research

Targeted Electroconvulsive Therapy for Super Refractory Status Epilepticus: A Case Report and Literature Review
Consultation psychiatrists may be asked by neurological services to identify treatment options for status epilepticus (SE), particularly electroconvulsive therapy (ECT). The successful use of ECT in the treatment of refractory SE has been reported in numerous case studies but remains sparsely utilized despite its apparent efficacy. (Source: Psychosomatics)
Source: Psychosomatics - October 14, 2017 Category: Psychiatry & Psychology Authors: Dana M. Pinchotti, Christopher Abbott, Davin K. Quinn Source Type: research

Lithium Toxicity after Roux-en-Y Gastric Bypass is Not Just Limited to Perioperative Period
TO THE EDITOR: There have now been several case reports and a recent case series by Bingham et al.1 regarding lithium toxicity following Roux-en-Y gastric bypass surgery.2,3 These cases have routinely examined the relationship only in the perioperative period. It is important to note that in the discussions of these cases they make mention of an in vitro experiment that shows the dissolution of unaltered lithium carbonate capsules to be about double in the postgastric bypass environment as compared to pregastric bypass environment. (Source: Psychosomatics)
Source: Psychosomatics - October 13, 2017 Category: Psychiatry & Psychology Authors: Brian Wasserman, Wei Jiang Tags: Letter to the editor Source Type: research

Lithium Toxicity after Roux-en-Y Gastric Bypass is Not Just Limited to Peri-operative Period
To the Editor (Source: Psychosomatics)
Source: Psychosomatics - October 13, 2017 Category: Psychiatry & Psychology Authors: Brian Wasserman Source Type: research

Challenges Faced When Caring for Foreign Nationals With Comorbid Medical and Psychiatric Problems in the General Hospital
We present a case of a 40-year-old woman whose multidisciplinary care also involved social services and legal consultants to highlight dilemmas faced by patients, clinicians, and systems of care when the laws of the land affect the care of foreign nationa ls. (Source: Psychosomatics)
Source: Psychosomatics - October 10, 2017 Category: Psychiatry & Psychology Authors: Rubiahna L. Vaughn, Theodore A. Stern Tags: Case Report Source Type: research

Psychosis in a 22-Year-Old Woman with Narcolepsy after Restarting Sodium Oxybate
Sodium oxybate, the sodium salt of γ-hydroxybutyrate (GHB), is a safe and effective treatment for excessive daytime sleepiness and cataplexy in patients with narcolepsy. Other case reports have described acute psychosis in narcoleptic patients shortly after starting or increasing the dose of sodium oxybate. Here we report the case o f a 22-year-old woman with narcolepsy who developed acute psychosis after restarting sodium oxybate at a previously well-tolerated dose. This case highlights the importance of titrating sodium oxybate to therapeutic doses, even after short-term discontinuation, in order to avoid psychiatr...
Source: Psychosomatics - October 10, 2017 Category: Psychiatry & Psychology Authors: Patrick J. Buckley, Chelsea T. Wolf Source Type: research

Challenges faced when caring for foreign nationals with co-morbid medical and psychiatric problems in the general hospital
We present a case of a 40-year-old woman whose multidisciplinary care also involved social services and legal consultants to highlight dilemmas faced by patients, clinicians and systems of care when the laws of the land impact the care of foreign national s. (Source: Psychosomatics)
Source: Psychosomatics - October 10, 2017 Category: Psychiatry & Psychology Authors: Rubiahna L. Vaughn, Theodore A. Stern Source Type: research

Postsurgical Disfigurement Influences Disgust Recognition: A Case-Control Study
Little is known about how emotion recognition may be modified in individuals prone to elicit disgust. (Source: Psychosomatics)
Source: Psychosomatics - September 20, 2017 Category: Psychiatry & Psychology Authors: Quentin Lisan, Nathalie George, Stephane Hans, Ollivier Laccourreye, C édric Lemogne Tags: Original Research Report Source Type: research

Gestational Weight Gain and Pre-pregnancy Body Mass Index Associated with Second-Generation Antipsychotic Use During Pregnancy
The objective of this study was to assess pre-pregnancy weights and gestational weight gain in women who were exposed to second-generation antipsychotics (SGAs) during pregnancy compared to controls. (Source: Psychosomatics)
Source: Psychosomatics - September 20, 2017 Category: Psychiatry & Psychology Authors: Marlene P. Freeman, Alexandra Z. Sosinsky, Lina Goez-Mogollon, Gina M. Savella, Danna Moustafa, Adele C. Viguera, Lee S. Cohen Source Type: research

The Medical Incapacity Hold: a policy on the involuntary medical hospitalization of patients who lack decisional capacity
Medically hospitalized patients who lack decisional capacity may request, demand, or attempt to leave the hospital despite grave risk to themselves. The treating physician in this scenario must determine how to safeguard such patients, including whether to attempt to keep them in the hospital. However, in many jurisdictions there are no laws that address this matter directly. In this absence, psychiatrists are often called upon to issue an involuntary psychiatric hold (civil commitment) to keep the patient from leaving. (Source: Psychosomatics)
Source: Psychosomatics - September 20, 2017 Category: Psychiatry & Psychology Authors: Erick H. Cheung, Jonathan Heldt, Thomas Strouse, Paul Schneider Source Type: research

Post-Surgical Disfigurement Influences Disgust Recognition: A Case-Control Study
Little is known about how emotion recognition may be modified in individuals prone to elicit disgust. We hypothesized that subjects with total laryngectomy would present a modified recognition of facial expressions of disgust. (Source: Psychosomatics)
Source: Psychosomatics - September 20, 2017 Category: Psychiatry & Psychology Authors: Q. Lisan, N. George, S. Hans, O. Laccourreye, C. Lemogne Source Type: research

Collaborative care and related interventions in patients with heart disease: an update and new directions
Psychiatric disorders, such as depression, are very common in cardiac patients and are independently linked to adverse cardiac outcomes, including mortality. Collaborative care and other integrated care models have been used successfully to manage psychiatric conditions in patients with heart disease, with beneficial effects on function and other outcomes. Novel programs utilizing remote delivery of mental health interventions and promotion of psychological well-being may play an increasingly large role in supporting cardiovascular health. (Source: Psychosomatics)
Source: Psychosomatics - September 15, 2017 Category: Psychiatry & Psychology Authors: Jeff C. Huffman, Caitlin N. Adams, Christopher M. Celano Source Type: research

Onset of psychosis following strokes to the cerebellum and thalamus
Clinical studies have suggested that the cerebello –thalamo–cortical circuit could be one of the neural networks contributing to the pathogenesis of psychosis.1–5 However, current reports still remain limited regarding the onset of psychosis in association with structural lesions over both cerebellum and thalamus. Hereon we present the case wh o developed a new-onset psychosis after strokes to the left cerebellum and bilateral thalamus. (Source: Psychosomatics)
Source: Psychosomatics - September 11, 2017 Category: Psychiatry & Psychology Authors: Po-Chiao Liao, Chun-Jen Wei, Pao-Huan Chen Source Type: research

Editorial Board
(Source: Psychosomatics)
Source: Psychosomatics - September 1, 2017 Category: Psychiatry & Psychology Source Type: research

Table of Contents
(Source: Psychosomatics)
Source: Psychosomatics - September 1, 2017 Category: Psychiatry & Psychology Source Type: research

Clozapine-associated Aspiration Pneumonia: Case Series and Review of the Literature
While risk of medication-induced movement disorders is lower for most atypical antipsychotics compared to typical antipsychotics, atypical antipsychotics are more commonly associated with weight gain and metabolic abnormalities. They are also associated with more serious and life-threatening conditions; in particular, clozapine has been linked to agranulocytosis, myocarditis, and gut dysmotility. Increasingly, an association has been established between clozapine and lower respiratory infection. (Source: Psychosomatics)
Source: Psychosomatics - August 29, 2017 Category: Psychiatry & Psychology Authors: Jonathan Kaplan, Ann C. Schwartz, Martha C. Ward Source Type: research

Mental Health Screening of Medically-Admitted Patients With Cystic Fibrosis
Multi-national studies have identified an increased risk for depression and anxiety among the cystic fibrosis population. People with cystic fibrosis and depression have decreased lung function, adherence, and quality of life, and increased health care utilization. This is a pilot study of mental health screening and referral of patients with cystic fibrosis in a large tertiary medical center. (Source: Psychosomatics)
Source: Psychosomatics - August 28, 2017 Category: Psychiatry & Psychology Authors: Georgina Garcia, Carolyn Snell, Gregory Sawicki, Laura E. Simons Tags: Original Research Report Source Type: research

Pilot Mental Health Screening of Medically Admitted Patients with Cystic Fibrosis
Multinational studies have identified an increased risk for depression and anxiety among the cystic fibrosis (CF) population. People with cystic fibrosis (CF) and depression have decreased lung function, adherence and quality of life, and increased healthcare utilization. This is a pilot study of a mental health screening and referral of patients with CF in a large tertiary medical center. (Source: Psychosomatics)
Source: Psychosomatics - August 28, 2017 Category: Psychiatry & Psychology Authors: Georgina Garcia, Carolyn Snell, Gregory Sawicki, Laura Simons Source Type: research

Avery D. Weisman, M.D.
Avery Danto Weisman, MD, Emeritus Professor of Psychiatry at the Harvard Medical School (HMS), founder and former Chief of the Psychiatric Consultation Service (that now bears his name) at the Massachusetts General Hospital (MGH), died in Scottsdale, Arizona on January 2, 2017 at the age of 103 years. His ground-breaking clinical research and teaching in the fields of psychosomatic medicine and psycho-oncology forged a path for scores of clinicians and investigators. (Source: Psychosomatics)
Source: Psychosomatics - August 11, 2017 Category: Psychiatry & Psychology Authors: Julia C. Cromwell, John B. Herman, Theodore A. Stern Tags: Memorial Minute Source Type: research

Memorial Minute: Avery D. Weisman, M.D
Avery Danto Weisman, M.D., Emeritus Professor of Psychiatry at the Harvard Medical School (HMS), founder and former Chief of the Psychiatric Consultation Service (that now bears his name) at the Massachusetts General Hospital (MGH), died in Scottsdale, Arizona on January 2, 2017 at the age of 103 years. His ground-breaking clinical research and teaching in the fields of psychosomatic medicine and psycho-oncology forged a path for scores of clinicians and investigators. (Source: Psychosomatics)
Source: Psychosomatics - August 11, 2017 Category: Psychiatry & Psychology Authors: Julia C. Cromwell, John B. Herman, Theodore A. Stern Source Type: research

Telepsychiatry Consultation for Medical and Surgical Inpatient Units
Telepsychiatry is becoming more commonplace in the provision of psychiatric care. Most commonly used in the outpatient setting, there is little available in the literature as to the use of telepsychiatry for inpatient medical/surgical consultation. We review the University of Pittsburgh Medical Center ′s telepsychiatry consultation program which provides consultation to an outlying community based rural hospital. This paper examines the 69 telepsychiatry consultations which were performed from November 2014 through February 2016, looking at the patients served, common consultation questions, an d patterns of diagnose...
Source: Psychosomatics - August 11, 2017 Category: Psychiatry & Psychology Authors: Julie A. Graziane, Priya Gopalan, Jack Cahalane Source Type: research

Delirium Following Topical Application of Compounded Creams Containing Multiple Analgesic Medications in Geriatric Patients: Two New Cases
Compounded topical formulations containing multiple classes of analgesic medications are becoming increasingly common; however, the current literature is sparse regarding complications such as delirium and inadvertent overdose in the elderly. (Source: Psychosomatics)
Source: Psychosomatics - August 11, 2017 Category: Psychiatry & Psychology Authors: Alyssa A. Soumoff, David L. Cook, Caroline C. Clark Source Type: research

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This book reviews the foundations, evolution, and current status of Psychosomatic Medicine (nee Consultation-Liaison Psychiatry). Its author has been a major figure in the modern development of the specialty. Dr Lipsitt established and edited two important journals that have shaped our field. Both the International Journal of Psychiatry in Medicine and General Hospital Psychiatry provided an essential forum for clinical data and broad ranging perspectives that have led to the designation of Consultation-Liaison Psychiatry as a recognized subspecialty within Psychiatry. (Source: Psychosomatics)
Source: Psychosomatics - August 10, 2017 Category: Psychiatry & Psychology Authors: Thomas N. Wise Tags: Book review Source Type: research

Characteristics of Patients with Constant Observers
The use of constant observers ( “sitters”) has been common practice in many medical centers to maintain patient safety. A retrospective chart review of patients who required sitters from October 1, 2007 to September 31, 2013 at a large, private hospital serving a multiethnic community showed that the top reasons for sitters in clude suicide risk, agitation, fall risk, interfering with medical devices, and confusion/disorientation. Sitters were used for a mean of 3.4 days ranging from 1 to 287 days, with a mean hospital length of stay of 18.9 days. (Source: Psychosomatics)
Source: Psychosomatics - August 10, 2017 Category: Psychiatry & Psychology Authors: Deborah Goebert, Susan Solimine, Junji Takeshita, June Lee, Brian Schultz, Maria Guerrero, Michael Tanael, Mark Pilar, Loraine Fleming, Stacy Kracher, Leah Lawyer Source Type: research

Non-Neurogenic Language Disorders: A Preliminary Classification
Few publications deal with non-neurogenic language disorders (NNLDs), distinct from psychogenic speech disorders such as psychogenic dysphonia or stuttering. NNLDs are alterations in language due to psychosomatic preoccupations, conversion disorder, psychiatric disorders, or other psychological reasons. (Source: Psychosomatics)
Source: Psychosomatics - August 10, 2017 Category: Psychiatry & Psychology Authors: Mario F. Mendez Source Type: research

The Association Between Leukotriene-Modifying Agents and Suicidality: A Review of Literature
In 2008 Food and Drug Administration issued a warning regarding a possible association between leukotriene-modifying agents and suicidality. (Source: Psychosomatics)
Source: Psychosomatics - August 9, 2017 Category: Psychiatry & Psychology Authors: Faiza Khalid, Awais Aftab, Sumita Khatri Tags: Review Article Source Type: research

The Association Between Leukotriene Modifying Agents and Suicidality: A Review of Literature
In 2008 FDA issued a warning regarding possible association between leukotriene modifying agents (LTMAs) and suicidality. The warning remains controversial to this date and this review of literature is an attempt to examine the evidence on the matter. The data supporting a relationship between LTMAs and suicidality comes primarily from reviews of individual case safety reports in adverse event databases; is subject to considerable reporting bias and does not control for confounding factors. Case-control and cohort studies as well as data from clinical trials do not support an association between LTMAs and suicidality. (Source: Psychosomatics)
Source: Psychosomatics - August 9, 2017 Category: Psychiatry & Psychology Authors: Faiza Khalid, Awais Aftab, Sumita Khatri Source Type: research

A comparison of the Severe Cognitive Impairment Rating Scale with the Mini-Mental State Examination and Delirium Rating Scale-Revised-98 for delirium: A cross-sectional study
Cognitive impairment including attention deficits, disorientation, memory impairment, language disturbance, and impaired visuospatial ability, are core symptoms of delirium. The Severe Cognitive Impairment Rating Scale (SCIRS) was developed to assess cognition in patients with severe dementia, but may also be useful in elderly people with delirium. (Source: Psychosomatics)
Source: Psychosomatics - August 5, 2017 Category: Psychiatry & Psychology Authors: Jeong Lan Kim, Jin-Hoon Choi, Chae-Sung Im, Tae-Sung Kim, So-Hyun Ahn Source Type: research

Dermatologic Conditions and Risk of Suicide: A Case-Control Study
Patients diagnosed with skin conditions have a higher risk of comorbid psychiatric conditions and suicide-related outcomes such as suicidal ideations and behaviors. There is paucity of evidence in the US general population about the risk of suicide death in patients with dermatologic conditions. (Source: Psychosomatics)
Source: Psychosomatics - August 4, 2017 Category: Psychiatry & Psychology Authors: Deepak Prabhakar, Edward L. Peterson, Yong Hu, Rebecca C. Rossom, Frances L. Lynch, Christine Y. Lu, Beth E. Waitzfelder, Ashli A. Owen-Smith, L. Keoki Williams, Arne Beck, Gregory E. Simon, Brian K. Ahmedani Tags: Original Research Reports Source Type: research

Dermatologic Conditions and Risk of Suicide: A Case Control Study
Patients diagnosed with skin conditions have a higher risk of comorbid psychiatric conditions and suicide related outcomes such as suicidal ideations and behaviors. There is paucity of evidence in the US general population about the risk of suicide death in patients with dermatologic conditions. (Source: Psychosomatics)
Source: Psychosomatics - August 4, 2017 Category: Psychiatry & Psychology Authors: Deepak Prabhakar, Edward L. Peterson, Yong Hu, Rebecca C. Rossom, Frances L Lynch, Christine Y. Lu, Beth E. Waitzfelder, Ashli A. Owen-Smith, L. Keoki Williams, Arne Beck, Gregory E. Simon, Brian K. Ahmedani Source Type: research