Relevant risk factors of repeated suicidal attempts in a sample of outpatients
This study aims to identify predictors of suicide in patients with suicidal attempt retry (SAR), who are followed-up an in the Intensive Intervention Program (PII).MethodsThe sample includes patients followed up at the PII because of a previous suicidal attempt. The following variables were collected during the 12 months follow-up (baseline, 6 months and 12 months): Repeated attempts, socio-demographic and clinical variables, lack of adherence and the Beck Depression Inventory and Hopelessness Scale.Statistic analysisThe association between SAR and qualitative study variables was performed using Chi-Square and for the quan...
Source: Revista de Psiquiatria y Salud Mental - December 20, 2019 Category: Psychiatry Source Type: research

Clinical outcome after discontinuation of maintenance electroconvulsive therapy. A retrospective follow-up study
ConclusionsThe risk of recurrence should be considered before the discontinuation of c/m-ECT. After the discontinuation, almost half of the patients relapsed, most of them within the first year. Close monitoring should be conducted in these patients and the discontinuation is not recommended when it is administered at intervals between sessions of less than a month. Further studies are required to identify risk groups for relapse.ResumenIntroducciónLa terapia electroconvulsiva de continuación/mantenimiento (TEC-c/m) es una opción terapéutica tras la TEC aguda. Aunque es ampliamente usada, tanto ...
Source: Revista de Psiquiatria y Salud Mental - December 19, 2019 Category: Psychiatry Source Type: research

Cardiovascular safety profile of tianeptine
Publication date: Available online 18 December 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Omar Walid Muquebil Ali Al Shaban Rodríguez, Juan Bermúdez Rivera, Ángeles Hevia Maroto, Isabel Menéndez Miranda, Juan José Martínez Jambrina (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - December 19, 2019 Category: Psychiatry Source Type: research

Clozapine and acute hepatitis
Publication date: Available online 18 December 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): José María Prieto de Paula, Miguel Martín-Luquero Ibáñez, Javier Martín Guerra, Sandra Cepedello Pérez, Silvia Franco Hidalgo, Mario Prieto Dehesa, Miguel Martín Asenjo (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - December 19, 2019 Category: Psychiatry Source Type: research

Intra-individual variation of clozapine and norclozapine plasma levels in clinical practice
ConclusionsOur study suggest high intra-individual variation even in a subgroup of very stable patients, which suggest that routine monitoring of these levels may be indicated in order to detect significant plasma variations. We think that clinicians should act with caution in case of a sudden decrease in plasma level. In the absence of obvious symptom severity variation, sources of intra-individual fluctuations might be considered first, before assuming poor compliance.ResumenIntroducciónLos niveles plasmáticos de clozapina son útiles para monitorizar el cumplimento farmacológico pero tambi&eac...
Source: Revista de Psiquiatria y Salud Mental - December 19, 2019 Category: Psychiatry Source Type: research

Importance of training in de-escalation techniques for the prevention and management of agitation
Publication date: Available online 14 December 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Gonzalo Salazar de Pablo, Ana González-Pinto (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - December 14, 2019 Category: Psychiatry Source Type: research

Disruptive treatments in psychiatry
Publication date: Available online 6 December 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Eduard Vieta (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - December 6, 2019 Category: Psychiatry Source Type: research

Modelo predictivo de la funcionalidad en la esquizofrenia: una aproximación desde el modelado de ecuaciones estructurales
ConclusionesLos resultados indican que los síntomas negativos y el funcionamiento premórbido predicen directamente la funcionalidad, mientras que los factores cognitivos muestran interacciones más complejas con los síntomas negativos y la funcionalidad. Estos resultados deberían ser considerados para nuevas estrategias de intervención.AbstractIntroductionAlthough it is well-known that several factors such as symptoms and cognition are related with functional outcome in schizophrenia, the complex nature of the disorder makes necessary to study their interaction by means of a more an...
Source: Revista de Psiquiatria y Salud Mental - November 15, 2019 Category: Psychiatry Source Type: research

Conflict of interest in Psychiatry
Publication date: Available online 11 November 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Miguel Bernardo, Manuel Martín-Carrasco (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - November 12, 2019 Category: Psychiatry Source Type: research

Measures of frequency used in cohorts studies to evaluate the suicidal behaviour in young people (12–26 years): A systematic review
ConclusionsResearchers must make an effort to reach an agreement on the measures of frequency used in suicidal behaviour studies, as the methodological and terminological variability currently used impedes making any comparisons between different studies or understanding the real dimension of the problem.ResumenIntroducciónLa OMS prioriza para el año 2020 reducir las tasas de suicidio señalando dificultades para dar estimaciones precisas debido a una amplia variedad de factores, entre ellos, aspectos relativos a la propia medición estadística de la conducta suicida. La proporción d...
Source: Revista de Psiquiatria y Salud Mental - November 10, 2019 Category: Psychiatry Source Type: research

Psychiatric Home Hospitalisation Unit of the Hospital del Mar. A crisis resolution and home treatment team in Barcelona
ConclusionsThe results obtained in our study are consistent with previous results. Home crisis intervention teams have proved to be an alternative to traditional hospitalisation. However, more studies are needed to support these results.ResumenIntroducciónA pesar del desarrollo de la hospitalización domiciliaria en España durante los últimos años, es llamativa la escasez de literatura. El siguiente estudio pretende exponer los datos obtenidos por la Unidad de Hospitalización a Domicilio de Psiquiatría del Hospital del Mar (HADMar). HADMar es un programa de hospitalizaci&oacu...
Source: Revista de Psiquiatria y Salud Mental - October 12, 2019 Category: Psychiatry Source Type: research

The SDQ dysregulation profile is associated with self-injurious thoughts and behaviors in adolescents evaluated at a clinical setting
ConclusionsOur results point to the role of self-regulatory problems in the presence of suicide plans, suicide gestures, suicide attempts, and in non-suicidal self-injury behavior. Longitudinal studies are needed to confirm the relationship between the Strengths and Difficulties Questionnaire-Dysregulation Profile and self-injurious thoughts and behaviors.ResumenIntroducciónLa ideación suicida, la conducta suicida y las conductas autolesivas sin intención suicida (autolesiones) son un grave problema de salud pública en la adolescencia. Una proporción significativa de de adolescentes evalu...
Source: Revista de Psiquiatria y Salud Mental - October 12, 2019 Category: Psychiatry Source Type: research

Suicide: Contexts and persons
Publication date: Available online 4 October 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Gonzalo Martínez-Alés, Franco Mascayano, María Fe Bravo-Ortiz (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - October 6, 2019 Category: Psychiatry Source Type: research

Precautions in prescribing serotonin reuptake inhibitors
Publication date: Available online 3 October 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Javier Miguel Martín Guerra, Miguel Martín Asenjo, Luis Ángel Sánchez Muñoz, José María Prieto de Paula (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - October 5, 2019 Category: Psychiatry Source Type: research

Involuntary outpatient treatment: A proposal of regulation
Publication date: Available online 16 September 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Sergio Ramos Pozón (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - September 17, 2019 Category: Psychiatry Source Type: research

One decade of the first episodes project (PEPs): Advancing towards a precision psychiatry
Publication date: Available online 12 September 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Miquel Bernardo, Bibiana Cabrera, Celso Arango, Miquel Bioque, Josefina Castro-Fornieles, Manuel Jesús Cuesta, Amalia Lafuente, Mara Parellada, Jeronimo Saiz-Ruiz, Eduard Vieta (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - September 14, 2019 Category: Psychiatry Source Type: research

Levothyroxine treatment for persistent cognitive symptoms in major depression
Publication date: Available online 20 August 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Javier Labad, Virginia Soria, Antonio Armario, Roser Nadal, José Antonio Monreal, Diego Palao (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - August 21, 2019 Category: Psychiatry Source Type: research

Barriers to complete recovery of major depression: Cross-sectional, multi-centre study on clinical practice. RECORD study
ConclusionsSome 50% of patients did not achieve complete remission, frequently related to persistence of residual symptoms. Achievement of complete recovery should be an essential objective.ResumenIntroducciónEl objetivo de este estudio fue identificar las barreras para lograr una recuperación completa en pacientes con depresión mayor.MétodosUn total de 461 psiquiatras participaron en un estudio cualitativo, no randomizado, transversal y multicéntrico basado en una encuesta. El cuestionario incluía 42 ítems relacionados con el tratamiento, prevalencia, perfil del paciente, i...
Source: Revista de Psiquiatria y Salud Mental - July 28, 2019 Category: Psychiatry Source Type: research

Pattern of use of clozapine in Spain. Variability and under-prescription
ConclusionsAlthough below the figures suggested as desirable in the literature, global prescribing data for clozapine in the areas we studied are not as low as the data collected in other international studies, and are in the range of countries in our environment. However, the variability in prescription is large and apparently not justified; this heterogeneity increases as we focus on smaller areas, and there is great heterogeneity at the level of individual prescription.ResumenIntroducciónLos datos internacionales disponibles sobre uso de clozapina recogen en general una baja prescripción, infradosificaci&o...
Source: Revista de Psiquiatria y Salud Mental - July 27, 2019 Category: Psychiatry Source Type: research

Management of asenapine treatment in clinical practice: Recommendations from a panel of experts
ConclusionsIn this recommendations document, we provide clinicians with guidance on the use of asenapine in real-life practice, including the identification of patients who best suit the characteristics of this antipsychotic.ResumenIntroducciónLa selección del antipsicótico adecuado para el tratamiento de pacientes con trastorno bipolar (TB) debe basarse en los síntomas presentes, así como en las necesidades terapéuticas de cada paciente y en los posibles efectos adversos asociados al tratamiento. Asenapina es un antipsicótico de segunda generación indicado para el tr...
Source: Revista de Psiquiatria y Salud Mental - July 26, 2019 Category: Psychiatry Source Type: research

Tianeptine, an atypical pharmacological approach to depression
Publication date: Available online 26 July 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Cecilio Alamo, Pilar García-Garcia, Francisco Lopez-Muñoz, Cristina ZaragozáAbstractThe introduction of the first antidepressants in the 50s of the 20th century radically changed the treatment of depression, while providing information on pathophysiological aspects of this disease. New antidepressants drugs (agomelatine, tianeptine, vortioxetine) are providing data that give rise to pathophysiological hypotheses of depression that differ from the classic monoaminergic theory. ...
Source: Revista de Psiquiatria y Salud Mental - July 26, 2019 Category: Psychiatry Source Type: research

Is the alteration in emotional recognition a specific risk factor of suicide attempt?
Publication date: Available online 24 July 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Ángela Velasco, Julia Rodríguez-Revuelta, Lorena de la Fuente-Tomás, Abel Diego Fernández-Peláez, Francesco Dal Santo, Luis Jiménez-Treviño, Iciar Abad, Leticia González-Blanco, María Paz García-Portilla, Pilar Alejandra Saiz (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - July 26, 2019 Category: Psychiatry Source Type: research

Translational research in psychiatry: The Research Domain Criteria Project (RDoC)
Publication date: Available online 25 July 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Ana Vilar, Víctor Pérez-Sola, María Jesús Blasco, Elena Pérez-Gallo, Laura Ballester Coma, Santiago Batlle Vila, Jordi Alonso, Antoni Serrano-Blanco, Carlos G. ForeroAbstractDespite the consensus achieved in the homogenisation of clinical criteria by categorical psychiatric classification systems (DEM and CIE), they are criticised for a lack of validity and inability to guide clinical treatment and research. In this review article we introduce the Research Domain...
Source: Revista de Psiquiatria y Salud Mental - July 26, 2019 Category: Psychiatry Source Type: research

Psychosis as debut of sporadic Creutzfeldt–Jakob disease
Publication date: Available online 7 July 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Maria Ruiz, Enrique del Agua, Gerard Piñol-Ripoll (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - July 8, 2019 Category: Psychiatry Source Type: research

ICD-11 and the depathologisation of the transgender condition
Publication date: Available online 5 July 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Rebeca Robles García, José Luis Ayuso-Mateos (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - July 6, 2019 Category: Psychiatry Source Type: research

Pharmacological treatment of obsessive compulsive disorder in adults: A clinical practice guideline based on the ADAPTE methodology
This article summarises the process of preparing this guideline and the recommendations adopted by consensus by a guideline panel grouped into five areas of interest: acute treatment, duration of treatment, predictors of response and special symptoms, partial response to lack of response to treatment, and special populations.ResumenA pesar de la existencia de tratamientos efectivos basados en la evidencia para el tratamiento del trastorno obsesivo-compulsivo (TOC), el abordaje de esta enfermedad sigue siendo subóptimo. Disponer de una guía terapéutica farmacológica del TOC puede ayudar a mejorar...
Source: Revista de Psiquiatria y Salud Mental - July 6, 2019 Category: Psychiatry Source Type: research

Long-acting injectable antipsychotics for the treatment of schizophrenia in Spain
The objective of this article is to analyse the use of LAI antipsychotics in Spain, which is similar to other European countries but with a predominance of the use of second generation LAI, to discuss the possible causes of prescribing differences with respect to other countries (including organisational aspects, attitudes of psychiatrists, patients and family members, and clinical practice guidelines), and to discuss their use in acute psychiatric units, first episode, and in children and adolescents. In our view, while it is necessary to increase existing evidence regarding the advantages of LAI antipsychotics and the di...
Source: Revista de Psiquiatria y Salud Mental - July 5, 2019 Category: Psychiatry Source Type: research

Prepare the smoking cessation in severe mental illness: Early diagnosis and prevention opportunities
Publication date: Available online 4 July 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Fernando Sarramea, María José Jaén-Moreno, Nuria Feu, Justa Redondo-Écija, Vicente Balanzá-Martínez, Luis Gutiérrez-Rojas, María Paz García-Portilla (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - July 5, 2019 Category: Psychiatry Source Type: research

Could structural changes in the retinal layers be a new biomarker of mental disorders? A systematic review and thematic synthesis
Publication date: Available online 4 July 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): María Paz García-Portilla, Leticia García-Álvarez, Lorena de la Fuente-Tomás, Ángela Velasco-Iglesias, Pilar Alejandra Sáiz, Leticia González-Blanco, María Teresa Bobes Bascarán, Begoña Baamonde, Ignacio Alcalde, Jesús Merayo-Lloves, Julio BobesAbstractIt has recently been suggested that alterations of the layers of the retina could be a biomarker of specific mental disorders since they originate in the same embryon...
Source: Revista de Psiquiatria y Salud Mental - July 5, 2019 Category: Psychiatry Source Type: research

Clinical staging in severe mental disorders: Bipolar disorder, depression and schizophrenia
Publication date: Available online 4 July 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Lorena de la Fuente-Tomas, Mónica Sánchez-Autet, Leticia García-Álvarez, Leticia González-Blanco, Ángela Velasco, Pilar A. Sáiz Martínez, María P. Garcia-Portilla, Julio BobesAbstractClinical staging is a diagnostic tool used in other medical specialties, which has resulted from the combination of a categorical and dimensional approach. In the last 2 decades, the usefulness of its application in the field of psychiatry has been suggeste...
Source: Revista de Psiquiatria y Salud Mental - July 5, 2019 Category: Psychiatry Source Type: research

Joint hypermobility is a marker for anxiety in children
Publication date: Available online 5 June 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Andrea Bulbena-Cabre, Lourdes Duñó, Sara Almeda, Santiago Batlle, Ester Camprodon-Rosanas, Luis Miguel Martín-Lopez, Antonio BulbenaAbstractBackgroundJoint hypermobility syndrome (JHS) has been found to be associated with anxiety disorders in clinical and nonclinical populations, but to date no studies have evaluated this association in children. The main goal of this study is to evaluate JHS along with anxiety, somatic and behavioral measures in children to clarify if JHS is a...
Source: Revista de Psiquiatria y Salud Mental - June 7, 2019 Category: Psychiatry Source Type: research

Clozapine-induced eosinophilia and serositis
Publication date: Available online 30 May 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Pablo Demelo-Rodríguez, José María de Miguel-Yanes, Sandra Gómez-Vallejo (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - June 1, 2019 Category: Psychiatry Source Type: research

The impact of the 2008 economic crisis on the increasing number of young psychiatric inpatients
ConclusionsPsychiatric hospital admissions abruptly increased in April 2008, coinciding with the onset of the economic crisis. We identified age groups and diagnoses affected. Increased hospitalizations were found only at the age-ranges most affected by the rise in unemployment. The diagnoses affected were those most sensitive to environmental changes.ResumenIntroducciónSe dispone de escasa literatura científica sobre el impacto de la crisis económica de 2008 en los servicios de salud mental en España.MétodoSe ha realizado un análisis de serie temporal interrumpido para examinar un...
Source: Revista de Psiquiatria y Salud Mental - March 9, 2019 Category: Psychiatry Source Type: research

Deep brain stimulation and treatment-resistant obsessive-compulsive disorder: A systematic review
ConclusionsThe use of DBS is still considered to be in the field of research, although it is increasingly used in refractory-OCD, producing in the majority of studies significant improvements in symptomatology, and in functionality and quality of life. It is essential to implement random and controlled studies regarding its long-term efficacy, cost-risk analyses and cost/benefit.ResumenIntroducciónAl menos el 10% de pacientes con trastorno obsesivo-compulsivo (TOC) son refractarios al tratamiento psicofarmacológico. La aparición de nuevas tecnologías neuroquirúrgicas (estimulación ...
Source: Revista de Psiquiatria y Salud Mental - March 4, 2019 Category: Psychiatry Source Type: research

Rethinking suicide in urban and rural areas. A critical approach to research of suicide in Castellon
Publication date: Available online 2 March 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Alejandro Arnaldo Barroso Martínez (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - March 4, 2019 Category: Psychiatry Source Type: research

Teasing as a risk factor for abnormal eating behaviours: A prospective study in an adolescent population
ConclusionsTeasing about weight or abilities has no direct effect, neither in boys nor in girls of 13–15 years old, in the development of eating psychopathology.ResumenIntroducciónExisten discrepancias en la literatura sobre el papel de las burlas en la aparición de clínica alimentaria. El objetivo de este artículo es establecer la influencia de las burlas sobre la aparición de conductas alimentarias anómalas en una población adolescente.Material y métodosSe trata de un estudio prospectivo a 2 años en el que participaron 7.167 adolescentes de entre 13 y 1...
Source: Revista de Psiquiatria y Salud Mental - March 4, 2019 Category: Psychiatry Source Type: research

Epidemiological and clinical variables related with the predominant polarity on bipolar disorder: A systematic review
ConclusionPP may be useful as a supplement to current BD classifications. We have found consistent data on a great number of studies, but there is also contradictory information regarding PP. Further studies are needed, ideally of a prospective design and with a unified methodology.ResumenIntroducciónLas actuales clasificaciones del trastorno bipolar (TB) en tipo I y tipo II, aunque han demostrado utilidad, aportan una información clínica insuficiente en algunos pacientes. Por ese motivo se han propuesto clasificaciones complementarias como la basada en la polaridad predominante (PP) que es definida co...
Source: Revista de Psiquiatria y Salud Mental - March 4, 2019 Category: Psychiatry Source Type: research

CIBERSAM: Ten years of collaborative translational research in mental disorders
Publication date: Available online 2 March 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Estela Salagre, Celso Arango, Francesc Artigas, José Luis Ayuso-Mateos, Miquel Bernardo, Josefina Castro-Fornieles, Julio Bobes, Manuel Desco, Lourdes Fañanás, Ana González-Pinto, Josep María Haro, Juan Carlos Leza, Peter J. Mckenna, José Javier Meana, José Manuel Menchón, Juan Antonio Micó, Tomás Palomo, Ángel Pazos, Víctor Pérez, Jerónimo Saiz-Ruiz (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - March 4, 2019 Category: Psychiatry Source Type: research

Can interleukin-2 and interleukin-1β be specific biomarkers of negative symptoms in schizophrenia?
ConclusionsOur findings suggested that IL-6 concentrations are elevated in stable patients with schizophrenia. Whereas IL-2 specifically marks severity of the motivation and pleasure domain of negative symptoms, IL-1β is not specific to this dimension as it also predicts severity of general and global symptomatology.ResumenIntroducciónHay evidencias que sugieren la existencia de alteraciones de algunas citocinas en pacientes con esquizofrenia, pero su asociación con la psicopatología aún no está clara. El objetivo de este estudio es determinar si los niveles de citocinas proinflamato...
Source: Revista de Psiquiatria y Salud Mental - March 4, 2019 Category: Psychiatry Source Type: research

Trazodone utilization among the elderly in Spain. A population based study
ConclusionsTrazodone use is increasing in elderly patients, and a high proportion of use in non-approved indications was observed. Trazodone is not being used at high doses, but interacting medicines were frequent, and it may pose additional risks for elderly patients.ResumenIntroducciónLa trazodona se autorizó para el tratamiento de la depresión en los años 70, y se han propuesto otros usos por su mecanismo de acción heterogéneo. Este estudio tiene como objetivo caracterizar la utilización de trazodona en ancianos en España.MétodosSe llevó a cabo un an&...
Source: Revista de Psiquiatria y Salud Mental - November 25, 2018 Category: Psychiatry Source Type: research

Suicidal behaviour characteristics and factors associated with mortality in the hospital setting
ConclusionsHospitalised suicidal acts show a low mortality, mainly related to comorbidities and the severity of injuries.ResumenIntroducciónEl suicidio es un importante problema de salud pública mundial, de necesario abordaje por su alto potencial preventivo. Este trabajo estudia las principales características de las personas ingresadas en hospitales de la Comunidad de Madrid (España) con conducta suicida y los factores asociados a su mortalidad intrahospitalaria.Material y métodosSe estudian los códigos E950-E959 de suicidio y lesiones autoinfligidas de la Clasificación In...
Source: Revista de Psiquiatria y Salud Mental - November 17, 2018 Category: Psychiatry Source Type: research

The Andalusian Bipolar Family (ABiF) Study: Protocol and sample description
DiscussionWe discuss the value of this approach in terms of new technologies for the identification of high-penetrance genetic factors. These new technologies include exome and whole genome sequencing, and the use of induced pluripotent stem cells or model organisms to determine functional consequences.ResumenIntroducciónSe presenta la primera descripción del estudio denominado Andalusian Bipolar Family (ABiF). Se trata de una investigación longitudinal con familias procedentes de Andalucía (España), que comenzó en 1997, con el objetivo de dilucidar las causas geneticomoleculares d...
Source: Revista de Psiquiatria y Salud Mental - November 14, 2018 Category: Psychiatry Source Type: research

Does the environment affect suicide rates in Spain? A spatiotemporal analysis
Publication date: Available online 10 November 2018Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Maite Santurtún, Ana Santurtún, María T. ZarrabeitiaAbstractIntroductionSuicide is an important public health problem, it represents one of the major causes of unnatural death, and there are many factors that affect the risk of suicidal behaviour. The present study analyzes the temporal and spatial variations of mortality by suicide in Spain and its relationship with gross domestic product (GDP) per capita.Material and methodsA retrospective study was performed, in which d...
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

Depression and associated variables in people over 50 years in Spain
ConclusionsThe most important variables associated with depression were poor perceived physical health, presence of difficulties in ADL, and female gender.ResumenIntroducciónLa depresión es un trastorno psiquiátrico incapacitante y frecuente en la edad adulta asociado a mayor mortalidad y discapacidad funcional.ObjetivosDeterminar la asociación de las variables clínicas y sociodemográficas con la depresión, en una muestra de personas mayores de 50 años residentes en España, y comparar la prevalencia de depresión con los demás países del est...
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

Adaptation into Spanish of the Internalised Stigma of Mental Illness scale to assess personal stigma
ConclusionsEIEM is an appropriate measurement tool to assess personal stigma in a Spanish population with severe mental disorder, at least in those with a diagnosis of schizophrenia or schizoaffective disorder.ResumenIntroducciónEn ocasiones los pacientes con esquizofrenia asumen como propio el estigma social relacionado con la enfermedad y se origina el denominado estigma personal. El estigma personal implica el autoestigma (interiorización de estereotipos negativos), el estigma percibido (percepción de rechazo) y el estigma experimentado (experiencias de discriminación). El estigma personal se...
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

Improving suicide mortality statistics in Tarragona (Catalonia, Spain) between 2004–2012
ConclusionsAn exhaustive review of suicide deaths data from forensic sources has led to an improvement in the under-reported statistical information. It also improves the knowledge of the method of suicide and personal characteristics.ResumenIntroducciónLa vigilancia y prevención de la conducta suicida requiere, entre otros datos, conocer con precisión las muertes por suicidio (MPS). Frecuentemente existe una infradeclaración o mala clasificación de las MPS en las estadísticas oficiales de mortalidad. El objetivo del estudio es analizar la infradeclaración de la estadí...
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

How to improve the integrity of clinical trial articles
Publication date: Available online 10 November 2018Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Rafael Dal-Ré (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

What most influent psychiatry journals do not show
Publication date: Available online 10 November 2018Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Rafael Dal-Ré (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

Flexibilization in controlling the use of clozapine: A great opportunity
Publication date: Available online 7 November 2018Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Enrique Álvarez de Morales Gómez-Moreno, Omar Walid Muquebil Ali Al Shaban Rodríguez, Jennifer Fernández Fernández, Carmen Fresno García (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - November 7, 2018 Category: Psychiatry Source Type: research

Benzodiazepine prescriptions and falls in older men and women
ConclusionsOver 40% of older adults presenting for emergency care after a fall had previously been prescribed BZD/Z drugs. Some important gender differences in the prescription of BZD/Z drugs were seen, especially prescription above the recommended dose and of drugs with a long-half life.ResumenObjetivoA pesar de las advertencias de numerosas asociaciones profesionales, las benzodiacepinas (BZD) y los hipnóticos Z (Z) son ampliamente prescritos a los ancianos ya que son especialmente susceptibles de padecer insomnio y ansiedad, pero a su vez resultan especialmente sensibles a la aparición de efectos secundari...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research