Find out how your compensation, bonuses, and benefits compare to those of your peers. Do you work more hours than others or less? Based on unique research by Psychiatric Times. . . . Read More
Drug use often causes changes in the brain that potentiate the development or intensification of addiction. However, an addictive disorder does not develop in every person who uses alcohol or abuses an illicit drug. It can depend on… Read More
"I was 9 years old in December 1959 when I left and 60 in July 2011 when I returned to Lodz, Poland." In this video, Harold Bursztajn , MD, recounts the story of his parents’ survival of the liquidation of the Lodz ghetto. . .Read More
We've put many of the clinical scales online, hoping healthcare professionals—whether in specialty practices, primary-care settings, or emergency services—will find this format convenient. … Read More
Whenever a suicide happens in the New Asylums, a palpable, muted dread descends over the institution...it is added as another sedimentary layer to the strata and culture of the particular institution. Before things get too deeply buried, it is important to excavate...
It has long been known that total cholesterol levels are consistently lower in severely depressed patients. Since the 1980s, when national attention began to focus on reducing the risk of cardiovascular disease with statins, there have been growing concerns that chronic cholesterol depletion may actually increase noncardiovascular deaths by suicide and violence-related deaths.
The purpose of this study was to gain knowledge about the circumstances related to suicide among children and adolescents 15 years and younger. Methods: We conducted a psychological autopsy, collecting information from parents, hospital records and police reports on persons below the age of 16 who had committed suicide in Norway during a 12-year period (1993-2004) (n=41). Those who committed suicide were compared with children and adolescents who were killed in accidents in the same time period (n=43) and
Per 100, 000 population. Deaths from suicide are those coded U03, X60-X84, Y87.0 in International Classification of Diseases, 10th Revision. ... From 1999 to 2008, the suicide death rate for persons aged 45 64 years increased overall ( from 13.2 to
Paper. Do guidelines on euthanasia and physician-assisted suicide in Dutch hospitals and nursing homes reflect the law? ... Published Online First 27 June 2011. To describe the content of practice guidelines on euthanasia and assisted suicide ( EAS) and
Depression, chronic pain and sleep disturbances frequently co-exist in FM and have shown to be independently related with suicidal behaviours. The present survey was performed to evaluate the prevalence of previous suicide attempts in patients with FM and its potential relationship with sociodemographic and clinical characteristics of the disease.|A concise survey was sent to patients of seven associations of patients with FM. In addition to the inquiry concerning the number, if any, and characteristics of suicide attempts, the survey included questions about sociodemographic and clinical data of patients as well as the revised FM impact questionnaire (FIQR) and the Plutchik suicide risk scale.|One hundred and eighty patients answered the survey. Thirty (16.7%) of them reported one to three previous suicide attempts. Drug poisoning was the most frequently employed method for suicide attempt (70%). No relevant differences were found between suicide attempters and non-attempters in
The current report describes individuals with bipolar disorder who attempted or completed suicide while participating in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) study.|Baseline and course features of individuals with suicide events are described.|Among the 4360 people with bipolar disorder enrolled, 182 individuals made 270 prospectively observed suicidal acts, including 8 completed suicides. This represents a suicide rate of .014 per 100 person years in STEP-BD, which included frequent clinical visits, evidence based care, and standardized assessment at each patient contact. Approximately 1/3 of those who attempted suicide had more than one attempt during study participation. Those who completed suicide tended to do so early in study participation, and half of them did so on their first attempt.|While this study is limited to description of individuals and precipitants of completed suicides and attempts in STEP-BD, further analyses are planned to
To determine if Attention Deficit Hyperactivity Disorder (ADHD) is a risk factor for suicide attempts.|Data were drawn from the National Comorbidity Replication Survey (NCS-R), a nationally representative sample of adults (N=8098).|Of the 365 adults with current ADHD, 16% attempted suicide. After controlling for the presence of comorbid disorders, logistic regression analyses revealed that the ADHD was not a not a strong predictor of suicide attempts; having one or more comorbid disorders was associated with fourfold to twelvefold elevated risk.|The small sample size of respondents with ADHD who attempted suicide significantly reduced the probability of determining which specific comorbid disorders were correlated with parasuicide.|Early treatment of ADHD and comorbidity may reduce the risk of suicide attempts and improve its prognosis.
This study investigates whether changes in registration and coding practices influenced official suicide rates in Norway from 1988 to 2002.|A Poisson regression model was used to evaluate rates of suicide and potentially competing underlying causes of death. Setting in Norway 1988-2002.|From 1988 to 1994, suicide mortality decreased significantly, by 23.7%. Simultaneously, rates of causes of death potentially masking suicide decreased or remained fairly stable. From 1994 to 2002, however, there were no significant changes in suicide rates but accidental poisoning, which may mask suicide, increased significantly by 32.4%. Also, "ill-defined causes" of death increased by 16.7%, indicating poorer data quality.|This study suggests that the decreasing suicide rate in 1988-94 reflects a real change. However, the general quality of mortality statistics has deteriorated since the late 1990s, making it difficult to assess developments since 1994. Such variations in the reliability of official
'What They Should Really Teach in Medical School' Julie Schopps, MD , February 6, 2012 The North Carolina-based pediatrician weighs in on why she thinks the real learning doesn't take place until students are out of the classroom.
Improve EHR Systems by Rethinking Medical Billing Daniel Essin, MA, MD, February 6, 2012 Separating billing-related data from other clinical documentation and transmitting it to a billing system is not difficult …no matter how the charting is done.