Suicide Risk and Mental Disorders

Brådvik, Louise

doi:10.3390/ijerph15092028

Cited by 347 publications

(255 citation statements)

References 22 publications

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“…This suggested that the link between psychiatric disorders and suicide attempts is strong regardless of caustic ingestion or other means of suicide. 26,[35][36][37] Second, advanced age was noticed among cases with PCs, in contrast to our previously reported patient group between 1999 and 2009. 18 The senior population with mental illness had an increasing incidence of caustic ingestion in the past decade.…”

Section: Discussioncontrasting

confidence: 67%

<p>The Association Between Caustic Ingestion and Psychiatric Comorbidity Based on 396 Adults Within 20 Years</p>

Chen¹,

Seak²,

Chen³

et al. 2020

RMHP

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High prevalence of psychiatric comorbidities (PCs) has been widely documented in caustic substance ingestion cases. However, their effect on the clinical features and prognostic outcomes remains unclear due to the paucity of discussion. We report on detailed clinical courses with long-term multifaceted outcomes and review the association between caustic ingestion and each specific PC. Patients and Methods: The retrospective chart review included 396 adults (median follow-up, 16.6 months) with and 377 without (control group) PCs treated between 1999 and 2018 at Chang Gung Memorial Hospital. All PCs were diagnosed/confirmed by psychiatrists through face-to-face interviews. Results: The PCs predicted serious esophagogastroduodenoscopy grading, higher rates of admission/surgery/intensive care unit stay, increments of systemic/gastrointestinal complications, and poorer 5-year overall survival rates. The poor survival among patients with PCs was highly consistent with their baseline characteristics. Significantly advanced age, more non-PCs, alcoholism, illicit drug abuse, and baseline unhealthy status resulted in statistically higher risks of severe complications and limited recovery. Conclusion: PCs changed clinical patterns and had critical roles in the survival outcomes of caustic injury victims. Clinical awareness achieves benefit by limiting injuries in mild cases or allowing emergent interventions in severe cases. Future studies based on worldwide populations are essential for realizing geographic differences.

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Section: Discussioncontrasting

confidence: 67%

<p>The Association Between Caustic Ingestion and Psychiatric Comorbidity Based on 396 Adults Within 20 Years</p>

Chen¹,

Seak²,

Chen³

et al. 2020

RMHP

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“…1 Md: Median (minimum to maximum) 2 Combination treatment: psychotropics and psychotherapy (CBT, DBT, PDT or other structured psychotherapy) 3 Mono treatment: psychotherapy without psychotropics 4 Mono treatment: psychotropics without psychotherapy 5 Other supportive interventions 6 All patients with ECT were prescribed psychotropic drugs. Two ECT cases (controls) also received psychotherapy 7 Somatic specialist medical inpatient treatment because of somatic comorbidity.…”

Section: Provision Of Somatic Inpatient Carementioning

confidence: 99%

“…Suicide rates and suicide attempts are often associated with a diagnosis of severe psychiatric or somatic illness [4,5], and vary across lifetime and gender [4]. It is important to note that around 90% of individuals who commit suicide have a documented history of a psychiatric disease [6][7][8]. The psychiatric disorders with a high lifetime risk of suicide are the affective disorders [9], particularly bipolar disorder [10], alcohol or substance use disorders [11,12], schizophrenia [13,14], and personality disorders [15,16].…”

Section: Introductionmentioning

confidence: 99%

Are quantity and content of psychiatric interventions associated with suicide? A case-control study of a Swedish sample

et al. 2020

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Background: Research is required to identify those psychiatric interventions with a protective effect against suicide. The overarching aim of the current study was to examine whether completed suicide in psychiatric patients in a Swedish population was associated with the quantity and nature of previous medical and psychosocial treatment interventions. Methods: This retrospective case-control study (n = 308) compared a group of deceased psychiatric patients with matched controls. For every case of suicide, a control was found within psychiatry that matched according to sex, age, and primary psychiatric diagnosis. A stepwise forward logistic regression model with suicide as the dependent outcome variable was used. Results: Receiving pharmacotherapy combined with psychotherapy [OR: 0.44 (95% CI: 0.226-0.876), p = 0.019] and a higher number of outpatient visits in psychiatry [OR: 0.99 (95% CI: 0.982-0.999), p = 0.028] were negatively associated with suicide. These associations were still significant after controlling for previous serious suicide attempts and somatic comorbidity. Conclusions: Frequent visits and pharmacotherapy combined with psychotherapy seem to be important for preventing suicide in psychiatric patients. The reasons for not receiving such therapy are important issues for further study.

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“…(Saks, 2004). It is worth mentioning that untreated mental illness most commonly (about 90% of the time) leads to suicide (Brådvik, 2018). These numbers signal the essential need to fi nd effective ways to de-escalate this problem and provide legal tools to help individuals seek help.…”

Section: Supporting Attitudes Towards Of Mhadsmentioning

confidence: 99%

Advance Will: Ensuring the Right to Autonomy for People with Mental Disabilities

Žaliauskaitė¹

2019

EEJTR

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Suicide Risk and Mental Disorders

Abstract: n/a

Cited by 347 publications

References 22 publications

<p>The Association Between Caustic Ingestion and Psychiatric Comorbidity Based on 396 Adults Within 20 Years</p>

<p>The Association Between Caustic Ingestion and Psychiatric Comorbidity Based on 396 Adults Within 20 Years</p>

Are quantity and content of psychiatric interventions associated with suicide? A case-control study of a Swedish sample

Advance Will: Ensuring the Right to Autonomy for People with Mental Disabilities

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