Motor Vehicle Accidents Related To Psychiatric Impairment

Noyes, Russell

doi:10.1016/s0033-3182(85)72820-4

Cited by 35 publications

(16 citation statements)

References 58 publications

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“…A fifth were 'definitely distressed' at the time of the accident. Psychiatric disorders, such as affective disorder (depression and mania) and schizophrenia, are occasional direct causes of road accidents (Noyes, 1985;Cremona, 1986;Malt et al, 1987;Tsuang, Boor & Fleming, 1985). Suicide and risk taking suicidal behaviour have been reported as being uncommon, nonetheless they are common enough to be a cause for considerable concern (Malt et al, 1987;Tsuang et al, 1985).…”

Section: W H O Suffers Road Accidents?mentioning

confidence: 99%

Psychiatric aspects of road traffic accidents

Mayou

1992

International Review of Psychiatry

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The psychiatry of road traffic accidents has been neglected. Psychiatn'c factors especially alcohol and drug abuse are important causes. Psychiatric consequences are common and include post-traumatic stress disorder and phobic travel anxiety. Legal and compensation issues and whiplash neck inju ry are discussed. Clinical implications are outlined.Int Rev Psychiatry Downloaded from informahealthcare.com by Nyu Medical Center on 06/13/15 For personal use only. Int Rev Psychiatry Downloaded from informahealthcare.com by Nyu Medical Center on 06/13/15 For personal use only.

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Section: W H O Suffers Road Accidents?mentioning

confidence: 99%

Psychiatric aspects of road traffic accidents

Mayou

1992

International Review of Psychiatry

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“…However, these studies lumped mo tor vehicle accident victims together with victims from a variety of industrial and work-related accidents. Other studies have focused on the role of psychopathology, stressful life events, and substance abuse in causing such accidents [10], In the primary author's experience of see ing motor vehicle accident victims in consul tation, a wide range of psychiatric sequelae may be exhibited by some of these patients even months or years afterward, even in many cases where physical injury was mini mal or absent. In addition, very few of these patients with lasting sequelae had histories of prior psychiatric treatment or substance abuse.…”

Section: Introductionmentioning

confidence: 99%

A Typology of Psychiatric Reactions to Motor Vehicle Accidents

Goldberg

Gara²

1990

Psychopathology

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Perhaps owing to their commonness, nonserious motor vehicle accidents, i.e. those not resulting in death or major bodily injury, have received scant systematic study in the psychiatric literature. However, patients presenting with lingering psychiatric distress following such accidents are seen commonly in practice. The authors reviewed the patterns of presentation and background circumstances in a series of 55 such cases, presenting at varying periods of time after the incident. They found such patients to cluster into four distinct groups. The most common presentation was that of a depressive syndrome, outnumbering those with features of posttraumatic stress disorder by 3:1.

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“…Schizophrenia seems to increase the number of crashes per unit distance, as people with schizophrenia drive less than age-matched controls (Edlund et al, 1989). Although the literature on depression is too incomplete to formulate an opinion on its contribution (Noyes, 1985), the use of a motor vehicle crash as a means of suicide seems to be relatively uncommon (Schmidt et al, 1977). Psychoactive medications have been connected with crashes (Skegg et al, 1979), but it is difficult to be certain whether it is the medication or the underlying condition which is responsible.…”

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confidence: 99%