General hospital psychiatry
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Gen Hosp Psychiatry · Nov 2011
Current practices for mental health follow-up after psychiatric emergency department/psychiatric emergency service visits: a national survey of academic emergency departments.
The objective was to describe continuity of care approaches for psychiatric emergencies in the emergency department. ⋯ While systematic identification of repeat psychiatric emergency patients was uncommon, emergency departments reported using a variety of fairly intensive strategies to promote continuity of care with outpatient mental health services.
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Gen Hosp Psychiatry · Nov 2011
Suicidal ideation in medical inpatients: psychosocial and clinical correlates.
To identify psychosocial and clinical correlates of suicidal ideation in medical inpatients. ⋯ Three out of the four correlates of suicidal ideation in medical inpatients are potentially modifiable factors: severe anxiety, depressive symptoms and poor social support. The fourth variable, prior suicide attempts, is not modifiable but should serve as a red flag to suspect and investigate current suicide risk. These findings highlight the importance of suicidal ideation as a proxy for the distress that is incumbent upon physicians to manage if they wish to provide excellent and comprehensive inpatient care.
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Very few studies have evaluated the level of distress due to the experience of delirium in patients who have recovered from delirium. ⋯ Overall experience of delirium is distressing for the patients. Most of the patients (those who remembered or who were not able to remember) experienced at least moderate level of distress.