Social psychiatry and psychiatric epidemiology
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Soc Psychiatry Psychiatr Epidemiol · Mar 2011
Comparative StudyPrison suicide in 12 countries: an ecological study of 861 suicides during 2003-2007.
Although suicide rates among prisoners are high and vary between countries, it is uncertain whether this reflects the importation of risk from the general population or is associated with incarceration rates. ⋯ Rates of prison suicide do not reflect general population suicide rates, suggesting that variations in prison suicide rates reflect differences in criminal justice systems including, possibly, the provision of psychiatric care in prison.
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Soc Psychiatry Psychiatr Epidemiol · Feb 2011
Comparative StudyProblem drug use, drug misuse and deliberate self-harm: trends and patient characteristics, with a focus on young people, Oxford, 1993-2006.
Drug misuse is related to self-harm and suicide. However, relatively little is known about deliberate self-harm (DSH) in patients with drug problems and whether drug misuse by DSH patients is increasing. ⋯ Provision of help for DSH patients with problem drug use is particularly challenging due to their complex social and clinical characteristics and increased risk of further self-harm, suicide and accidental death. It may require extensive liaison between different services. The increasing misuse of drugs by female DSH patients and the higher SIS scores of young females are of concern.
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Soc Psychiatry Psychiatr Epidemiol · Jun 2010
Comparative StudyPrevalence, clinical correlations, comorbidities, and suicidal tendencies in pathological Korean gamblers: results from the Korean Epidemiologic Catchment Area Study.
Based on the National Epidemiological Survey of Psychiatric Disorders in South Korea conducted in 2006, we examined the prevalence, clinical correlations, comorbidities, and suicidal tendencies of pathological gamblers in the community. ⋯ Pathological/problem gambling is highly associated with substance abuse, mood and anxiety disorders, and suicidality, suggesting that clinicians should carefully evaluate and treat such psychiatric disorders in gamblers.
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Soc Psychiatry Psychiatr Epidemiol · Jun 2010
Comparative StudyInvoluntary admission from the patients' perspective.
Involuntary admission legislation and rates differ greatly throughout the European Union Member States. In Ireland, the Mental Health Act 2001 has introduced significant changes in the care for patients admitted involuntarily, including mental health tribunals that review the involuntary admission orders. ⋯ The majority of patients reflect positively on their involuntary admission and this opportunity should be used to engage patients in follow-up treatment.
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Soc Psychiatry Psychiatr Epidemiol · May 2010
Comparative StudyBehavioral emergencies in India: a population based epidemiological study.
Behavioral emergencies constitute an important but neglected part of emergencies seen worldwide in both emergency departments and by emergency services. Yet research on behavioral emergencies in India has been scarce. ⋯ Suicidal attempts, which form the largest chunk of behavioral emergencies, need to be tackled on a war-footing, given the sensitivity it deserves. Acute psychiatric emergencies, which form about 9% of all emergencies, require the emerging role of emergency psychiatric services.