Introduction:Suicidal behaviour is one of the most common reasons for presentation to the emergency rooms. Bullying is a universal public health concern that affects significant number of adolescents. Many children and adolescents are recurrently involved in school bullying. Research suggests that both bullies and victims are overrepresented amongst those seen by mental health professionals. Objectives: Understand the the relationship between bullying and suicidal behaviour, prevalence of different kinds of bullying in patients with mental health problems and prevalence of cyber bullying and it's affect on the victim Aim: Increase public awareness on importance of cyber bullying. We feel that many patients won't disclose that they had been or are being cyber bullied because the characteristics are unclear. Method:Charts of all patients who visited emergency room from 2011 to 2013 with a mental health complaint were reviewed. Variables understudy were gender, history of bullying, type of bullying (verbal, physical, emotional), DSM-IV-TR diagnosis and outcome following the assessment. Results: Our study shows significant association between bullying, and suicidal behaviours, although based on our study, this predictor was not commonly assessed. Conclusion:Our study showed that there was a significant link between bullying and future suicidal behaviour which is not commonly assessed. It is important that physicians identify these risk factor while assessing suicidality. Involvement in current cyber bullying was found to be less frequent than other forms of bullying such as verbal and physical. However, significant links were observed between cyber bullying and suicidal behaviour.

Objectives: Kingston is mid-sized urban community in South Eastern Ontario which is currently experiencing an increase in the burden of addictions-related morbidity and mortality. Here, we present the results of a preliminary needs assessment for a pilot multidisciplinary inpatient addictions medicine consultation service to address the growing addictions needs of our community. Methods: A 6-item questionnaire was distributed in June 2018 to all inpatient physicians at Kingston General Hospital. The questionnaire asked if they had patients with a substance use disorder (SUD) under their care, their perception of skill to manage their SUD, and perceived need for addiction medicine consultation services. In total, 128 surveys were returned. Categorical and numerical data were tabulated from the survey results. The 30-day revisit and readmission rates for the identified SUD patients from the surveys were compared to rates for other medical patients and psychiatric patients at the hospital. Results: Opioids and alcohol were the most commonly identified substances of abuse, while addictions counselling and community supports were the most commonly requested services. Internal medicine, psychiatry, and surgery were the predominant services requesting addictions consultation. The 30-day revisit and readmission rates for inpatients with SUDs was significantly higher (40.6% and 25.8%, respectively) than the average rate for patients without SUDs. Conclusions: Our needs assessment identified a high need for an inpatient addictions medicine consultation service. Future work will focus on procuring funding and infrastructure for such a service and implementing a multidisciplinary approach to bridging inpatients with community addictions services. Objectifs: Kingston est une communauté urbaine moyenne du sud-est de l’Ontario, qui subit actuellement une augmentation du fardeau de la morbidité et de la mortalité liées à la toxicomanie. Nous présentons ici les résultats d’une évaluation préliminaire des besoins d’un service de consultation pilote multidisciplinaire en médecine de la toxicomanie pour patients hospitalisés afin de répondre aux besoins croissants de notre communauté en matière de toxicomanie. Méthodes: Un questionnaire comprenant six questions a été distribué en juin 2018 à tous les médecins rattachés au Kingston General Hospital. Le questionnaire demandait s’ils avaient sous leurs soins des patients atteints d’un trouble lié à une substance, leur perception des compétences nécessaires pour gérer ce trouble lié à une substance et le besoin perçu de services de consultation en médecine de la toxicomanie. Au total, 128 sondages ont été retournés. Les données nominales et numériques ont été compilées à partir des résultats de l’enquête. Les taux de réexamen et de réadmission après 30 jours pour les patients présentant des troubles liés à l’utilisation de substances identifiés dans les enquêtes ont été comparés aux taux d’autres patients en médecine et de patients en psychiatrie à l’hôpital. Résultats: Les opioïdes et l’alcool étaient les substances d’abus les plus couramment identifiées, tandis que les services de conseil en toxicomanie et de soutien communautaire étaient les services les plus demandés. La médecine interne, la psychiatrie et la chirurgie étaient les services prédominants demandant une consultation en toxicomanie. Les taux de réexamen et de réadmission après 30 jours chez les patients hospitalisés présentant des troubles liés à l’utilisation de substances étaient nettement plus élevés (40,6% et 25,8%, respectivement) que le taux moyen chez les patients ne présentant pas de troubles liés à l’utilisation de substances. Conclusions: Notre évaluation des besoins a révélé un besoin important de services de consultation en médecine des toxicomanies pour patients hospitalisés. Les travaux futurs se concentreront sur l’obtention de financement et l’infrastructure pour un tel service et sur la mise en œuvre d’une approche multidisciplinaire pour relier les patients hospitalisés aux services communautaires de lutte contre les dépendances.

Medical specialties have different opinions on the importance of various suicide predictors. Also, some predictors deemed important had low documentation rates. Educational interventions and simple assessment tools may help to increase documentation rates of several suicide predictors in busy clinical settings.

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