What psychiatric illness/disorder would you say has the worst overall prognosis/outcomes?
The research on this seems to show that it largely depends on the metric you use to measure outcomes (e.g., suicide rate, overall mortality, self-related QOL, functioning [and what domain of functioning], disability-adjusted life years [I have serious issues with that concept, but that's another topic], time without hospitalization, etc), so I'm curious, based on the overall gestalt of "outcomes" what disorder(s) would you consider to have the worst outcomes and why? (Source: Student Doctor Network)
Source: Student Doctor Network - October 8, 2023 Category: Universities & Medical Training Authors: futureapppsy2 Tags: Psychiatry Source Type: forums
Re: “Ashamed and alone”—healthcare staff need better support after a patient’s suicide
(Source: BMJ Comments)
Source: BMJ Comments - October 3, 2023 Category: General Medicine Source Type: forums
Expert witness question about life span prediction and lawsuit valuation
I had a recent call with a plaintiff attorney representing family of mid 20s female with schizophrenia who committed suicide while inpatient. They asked if I would be able to refute defense expert's claims that the patient was high risk and had a significantly reduced life expectancy on the order of less than 5 years due schizophrenia and history of suicide attempts. Plaintiff attorney said this prediction was based on a sophisticated predictive model of people with severe mental illness...
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Source: Student Doctor Network - October 1, 2023 Category: Universities & Medical Training Authors: nexus73 Tags: Psychiatry Source Type: forums
I don ’t do anything outside of school really, am I screwed when it’s time to apply for residencies?
TL;DR—end of M2 (core clinical year) at a T20 without much productivity outside of the classroom. Interested in Neuro or IM or FM.
I’m most interested in Neuro, IM, FM, or MAYBE anesthesia but I’ve only spent 4 days on that so idk. Anyway, outside of school, I generally just go home and chill. I don’t mean to make this too personal, but at the end of M1 I came out to my mom as gay and it caused a huge stir. She threatened suicide, told me I am a disgrace, and I had to move out pretty...
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Source: Student Doctor Network - September 16, 2023 Category: Universities & Medical Training Authors: Latteandaprayer Tags: Medical Students (MD) Source Type: forums
The challenge of managing chronically depressed patients
I have a few patients, usually females in their 40s or 50s, whom I inherited from past psychiatrists with a history of persistant and VERY impactful depressive symptoms (HAMD usually >30), with chronic suicidal ideation and almost no functionality in the real world.
The way I'm trying to approach these cases is:
1) Review the diagnosis, looking for secondary causes that may have been missed, and other psychiatric diagnosis such as personality disorders, OCD, PTSD, etc...no luck thus far...
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Source: Student Doctor Network - September 15, 2023 Category: Universities & Medical Training Authors: thelastpsych Tags: Psychiatry Source Type: forums
Managing a difficult psych attending
I’ve gotten helpful responses before, so I thought I’d try again.
Client is mid-fourties’ and female. She was diagnosed 15 years ago by her psychiatrist as having bipolar 1, ocd, and ptsd. This client has taken medication for bipolar for 15 years with significant weight gain and sexual side effects as well as hair loss. Client was recently discharged for depression with suicidal ideation and intent after staying a week on the inpatient unit. This is when I began seeing her.
At the client’s...
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Source: Student Doctor Network - September 14, 2023 Category: Universities & Medical Training Authors: psychma Tags: Psychiatry Source Type: forums
Peaceful demedicalised assisted dying already exists. Many patients nowadays are not resigned to prolonged, palliation-resistant discomforts and reject religious taboos against rational suicide.
(Source: BMJ Comments)
Source: BMJ Comments - September 11, 2023 Category: General Medicine Source Type: forums
Pharmacists : the forgotten professionals in euthanasia and assisted suicide
(Source: BMJ Comments)
Source: BMJ Comments - September 1, 2023 Category: General Medicine Source Type: forums
Assisted suicide/euthanasia is a threat to everyone & #039;s right to life.
(Source: BMJ Comments)
Source: BMJ Comments - August 31, 2023 Category: General Medicine Source Type: forums
All NIH-funded human research suspended at Columbia psychiatry
U.S. Watchdog Halts Studies at N.Y. Psychiatric Center After a Subject’s Suicide
Human research trials at the New York State Psychiatric Institute at Columbia have been paused while regulators review whether protocols were violated.
www.nytimes.com
Jeff Lieberman's replacement (interim chair Blair Simpson) was replaced. Research staff are being laid off as salary money is running thin. Unclear when human subjects research will be permitted to resume. I DO NOT think this is going to significantly affect the quality of their uber-competitive reside...
Source: Student Doctor Network - August 11, 2023 Category: Universities & Medical Training Authors: a;sldkfj Tags: Psychiatry Source Type: forums
Another neurotic new grad needing reassurance (inpatient discharges)
Seems there's been a spate of these posts lately - must be the time of year.
I've just started off on an inpatient unit and I'm feeling exactly like I did during intern year - just change afraid to order Tylenol with afraid to discharge patients. I got burned badly during my PGY3 year in which a seemingly low risk patient I advocated to discharge committed suicide within hours of leaving the hospital. Clearly I wasn't the one who officially signed off on that, but it still haunts me.
Now...
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Source: Student Doctor Network - August 10, 2023 Category: Universities & Medical Training Authors: uhmocksuhsillen Tags: Psychiatry Source Type: forums
Top NYC cancer doctor, 40, 'shoots herself and her baby dead at their $1M Westchester home in horrific murder-suicide'
Top doc 'shoots herself and baby at their $1M home in murder-suicide'
Dr. Krystal Cascetta was a Hematology-Oncology specialist with Mount Sinai in New York City and is said to have shot her baby and then turned the gun on herself earlier this morning.
www.dailymail.co.uk
Another physician suicide. That is horrific!
I am not sure why $1M is placed in the title of the article. (Source: Student Doctor Network)
Source: Student Doctor Network - August 6, 2023 Category: Universities & Medical Training Authors: Splenda88 Tags: Medical Students (MD) Source Type: forums
Why do dentists have a high suicide rate?
The link between suicide and dentistry is something we have always heard about - but WHY does it happen? (Source: Student Doctor Network)
Source: Student Doctor Network - July 26, 2023 Category: Universities & Medical Training Authors: anash931 Tags: Dental Residents and Practicing Dentists Source Type: forums
Involuntary commitment question
Hello. I have a conundrum and I’m trying to figure out if I’m simply misunderstanding the issue or if I’m witnessing wrongdoing.
I work in a government (US federal) hospital as an internist. We have psychiatry staff but they will only admit military patients who are actively suicidal or homicidal. They will not admit nonmilitary patients to their inpatient service for any reason.
What we get very often is that an unfunded/uninsured civilian patient will be brought to the ER by the police...
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Source: Student Doctor Network - July 23, 2023 Category: Universities & Medical Training Authors: DocArmy Tags: Psychiatry Source Type: forums
150 reports of possible cases of self-injury and suicidal thoughts.
(Source: BMJ Comments)
Source: BMJ Comments - July 22, 2023 Category: General Medicine Source Type: forums
