Schizophrenia is a chronic mental disorder known for distortions in perception and thinking consist of positive and negative symptoms for over six months. Expressed emotion (EE) is an attitude towards a patient with a mental disorder from the individuals surrounding him. EE was predicted as a key element in the relapsing of schizophrenia through criticism, emotional over-involvement, and/or intrusiveness. High-EE environment has always been a known risk factor for relapsing into schizophrenia comparing to low-EE environment. However, in our case, that risk has increased the level of suicidality, as few articles have linked EE as a risk factor to increase suicidality in other mental disorders. We present a case of a young male from eastern reigon of Saudi Arabia with a high level of expressed emotion from the family in the form of emotional over-involvement, better highlighting the importance of family therapy through psychoeducational interventions in managing a schizophrenic patient.

Introduction: In-hospital cardiac arrest is a common health problem associated with high levels of mortality, our goal is to identify the important elements that play a significant role in lowering cardiopulmonary resuscitation (CPR) in-hospital (code Blue) death rates. Methods: this was a retrospective cohort study, involving patients who had in-hospital CPR at Heraa General Hospital from January 2020 to June 2022. The data was collected from the hospital's information center. Results: our sample population was over 600 patients, selected randomly from the hospital's information center. Consist of 55.1% males and 44.5% of them were females with 53.9% having Pulseless Electrical Activity (PEA) as initial cardiac rhythm. The following variables: age, intubated before CPR, intubated during CPR, initial cardiac rhythm, Adrenaline 1mg, and Amiodarone 300mg showed P-valve less than 0.05. Conclusion: There is statistically significant association between the clinical variables: Intubated before CPR, intubated during CPR, initial cardiac rhythm, Adrenaline 1mg, Amiodarone 300mg and age and "Survived after Cardiopulmonary resuscitation (CPR)".