General hospital psychiatry
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Gen Hosp Psychiatry · Jan 2009
Reliability and validity of the Japanese version of the Peritraumatic Distress Inventory.
To assess the reliability and validity of the Japanese version of the Peritraumatic Distress Inventory (PDI). ⋯ The present study indicated that the Japanese version of the PDI has a high degree of internal consistency, acceptable reliability and a high degree of concurrent validity with measures of peritraumatic dissociation and posttraumatic symptoms. The Japanese version of the PDI can be used as a validated instrument in future research.
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Gen Hosp Psychiatry · Jan 2009
Case ReportsCatatonia and systemic lupus erythematosus: a clinical study of three cases.
Catatonia may be encountered in psychiatric disorders, but also in general medical conditions. Cases of catatonia associated with systemic lupus erythematosus (SLE) are rare. ⋯ We report three cases here of patients who presented with catatonia during a lupus relapse, in whom treatment with lorazepam improved the catatonic symptomatology, thus allowing the associated condition to be treated. We touch on several points about the diagnosis, etiology and treatment of catatonia, when it is associated with SLE.
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This study examined the association between pain and suicidality in the general US population. ⋯ These findings highlight the importance of pain as a potentially independent risk factor for suicide, particularly among those with head pain or multiple forms of co-occurring pain. Individuals suffering from chronic pain may be particularly appropriate for suicide screening and intervention efforts.
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Gen Hosp Psychiatry · Nov 2008
The impact of rural residence on medically serious medicinal self-poisonings.
Suicide rates are often high in rural areas. Despite the strong association between deliberate self-harm (DSH) and suicide, few have studied rural residence and DSH. Self-poisonings dominate DSH hospital presentations. We investigate a previously reported association between rural residence and medical severity (defined as a subsequent medical/surgical inpatient stay) among emergency department presentations for medicinal self-poisoning (SP) to determine whether differences in agents taken, mental health service use or hospital-level resources explain the relationship. ⋯ The rural-medical severity association was best explained by disparities in the delivery systems serving rural and nonrural residents, important to rural suicide prevention efforts.
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Gen Hosp Psychiatry · Nov 2008
Clinical predictors of psychiatric and medical morbidities of charcoal-burning suicide attempt in Hong Kong.
This naturalistic retrospective cohort study explored the demographic and clinical factors associated with psychiatric and medical morbidities among patients with suicide attempts by burning charcoal. ⋯ Psychiatric and medical morbidities are common among charcoal-burning suicide attempts and identified clinical factors associated with these problems may be useful in its management.