Predictors of emergency department use for suicidal behaviors among patients with substance-related disorders

Objective:┬áThis study aimed to identify predictors of emergency department (ED) use for suicide ideation or suicide attempt compared with other reasons among 14,158 patients with substance-related disorders (SRD) in Quebec (Canada). Methods:┬áLongitudinal data on clinical, sociodemographic, and service use variables for patients who used addiction treatment centers in 2012-13 were extracted from Quebec administrative databases. […]

Relationship between suicide attempts and synthetic cannabinoids in adjustment disorder

Objective: Although it has been known that adult patients with an adjustment disorder diagnosis do not have suicidal behavior similar to adolescents, the validity of this assertion in particular groups is unknown. This study was designed to determine the prevalence and risk factors associated with suicide in patients with adjustment disorder that resulted in suicide […]

Child sexual abuse, bullying, cyberbullying, and mental health problems among high schools students: A moderated mediated model.

Child sexual abuse is associated with adverse outcomes, including heightened vulnerability that may translate into risk of revictimization. The aims of the study were: (1) to explore the direct and indirect links between child sexual abuse and cyberbullying, bullying, and mental health problems and (2) to study maternal support as a potential protective factor. Teenagers […]

Suicidal behaviours in adjustment disorder and depressive episode.

Little is known about suicidal ideation and behaviours in adjustment disorder (AD). In this paper we sought to examine the variables independently associated with suicidal ideation and behaviour in patients diagnosed with AD or depressive (DE) episode among psychiatric outpatients and in liaison psychiatry. 370 patients who were referred to the liaison psychiatry services (including […]

Suicidal tendency among adolescents with adjustment disorder: Risk and protective personality factors.

Journal held in CSP Library.

Embitterment in suicide and homicide-suicide (In: Embitterment: Societal, psychological, and clinical perspectives edited by M. Linden and A. Maercker).

Linden (2003) has posited that a salient, negative life event can lead to the development of posttraumatic embitterment disorder (PTED), conceptualized as an adjustment disorder marked by the prolonged experience of strong emotions marked by bitterness and related feelings in an individual who had otherwise been functioning normally and prior had minimal or no diagnosable […]

How homeless sector workers deal with the death of service users: a grounded theory study.

Homeless sector workers often encounter the deaths of service users. A modified grounded theory methodology project was used to explore how workers make sense of, respond to, and cope with sudden death. In-depth interviews were undertaken with 16 paid homeless sector workers who had experienced the death of someone with whom they worked. Transcripts of […]

The Association Between Adjustment Disorder Diagnosed at Psychiatric Treatment Facilities and Completed Suicide

This study is a population-based case control study examining the association between adjustment disorder & completed suicide among Danish people, aged 15-90 years. All suicides in Denmark from 1994-2006 were included, resulting in 9,612 cases. For each case, up to 30 controls were matched, yielding 199,306 controls. Adjustment disorder diagnosis was found in 7.6% of […]

Adjustment Disorder and the Course of the Suicidal Process in Adolescents

The association of adjustment disorders (with depressed mood) & suicide in adolescents was investigated by means of a psychological autopsy study. Relatives & other informants of 19 Belgian suicide victims were interviewed. Differences in the duration of the suicidal process between suicide victims diagnosed with adjustment disorder & suicide cases diagnosed with other psychiatric disorders […]

Adolescent Violence Screening in the ED

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A Study of Severity of Intention of Suicide in Various Psychiatric Diagnoses

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Suicidal Intent and the HPA-Axis Characteristics of Suicide Attempters With Major Depressive Disorder and Adjustment Disorders

This study investigated Hypothalamic-Pituitary-Adrenal axis characteristics in relation to suicidal intent among suicide attempters with major depressive disorder & adjustment disorders. The relationship between suicidal intent & serum cortisol after a dexamethasone suppresion test was investigated in 78 suicide attempters, divided into diagnostic subgroups. There was a significant negative correlation between suicidal intent & post […]

Suicidality in Adjustment Disorder: Clinical Characteristics of Adolescent Outpatients

Background, psychopathology, & treatment-related factors were examined among suicidal adolescent outpatients with adjustment disorders. Data on 302 consecutively referred psychiatric outpatients, aged 12-22 years, were collected. Of the patients, 89 received a diagnosis of adjustment disorder, 25% showed suicide attempts, suicidal threats or ideation. Compared with non-suicidal adjustment disorder patients, suicidal patients were characterized by […]

The Dexamethasone Suppression Test in Borderline Personality Disorder

A retrospective study was carried out, by means of chart review, on DST results in a group of patients with borderline personality disorders who had been admitted to a state psychiatric facility, in order to examine the relationship between affective disorders & borderline personality disorders. As well, the authors investigated the relationship between between DST […]

Suicidal Behavior in Patients With Adjustment Disorders

This retrospective study characterizes the suicidal behaviour in 119 patients with Axis I adjustment disorders as assessed by psychiatrists at the University of Virginia Hospital. Results indicated 72 patients had documented suicide attempts in the past, 96% had been suicidal during their admission to the hospital, & 50% had attempted suicide before their hospitalization. Adjustment […]

Adjustment Disorder as an Admission Diagnosis

Charts of 54 adolescent & 102 adult inpatients with diagnosis of adjustment disorder at admission were compared with charts of matched subjects given other admission diagnosis. This study explored subtyping, demographic variables, suicidality, diagnostic stability, a 2-year rehospitalization outcome. Results are reported. Conclusions: adjustment disorder diagnoses were associated with suicidality, shorter lengths of stay, &, […]

Parasuicidal Behavior on an Active Duty Army Training Post

The incidence of suicidal behaviour among active duty Army personnel at a training post has not been the subject of analysis since the advent of the all-volunteer military. A review of admissions over 16 consecutive months showed most of the behaviours to be parasuicidal, with low levels of lethality & high rescuability. Compared to previous […]

Research Note: Youth Suicides Unknown to Psychiatric Care Providers

58 suicides, studied by psychological autopsies, were classified according to presence or absence of previous psychiatric care. 15 of the 16 subjects without previous care were males, six of these were diagnosed as having an adjustment disorder related to a recent event. Unemployment was less common, the suicidal processes were shorter, previous parasuicide & communication […]

Psychiatric Aspects of HIV-1 Infection and AIDS

Reviews the literature & describes psychiatric manifestations seen in HIV-1 infected patients, including: neuropsychological impairment without dementia, delirium, acute stress reactions, adjustment, acute psychotic & mood disorders, & suicide. AIDS-related psychopathology in Ss without HIV-1 infection is noted & the need for facilities, health care professionals with adequate training & positive attitudes towards AIDS patients […]

Attempted Suicide in the Armed Forces: A Retrospective Study of Norwegian Conscripts

A group of 112 male suicide-attempting conscripts was studied retrospectively. Suicide attempters more often had troublesome backgrounds, had experienced psychiatric problems & abuse, & had previously more often attempted suicide. Diagnostically, adjustment disorders, alcohol & drug abuse, & personality disorders predominated, whereas major affective disorders & psychotic disorders were rare. Methods of self-destruction employed were […]

Psychiatric Aspects of Patients With HIV Infection in the General Hospital

Describes psychiatric disorders found in 100 HIV-positive patients (aged 14-45 years), in different stages of the illness, at the psychiatric consultation service of a general hospital in Madrid. 85% of the Ss were IV-drug addicts. The most frequent psychiatric diagnosis was substance dependence disorder (41%), followed by organic mental disorder (29%), adjustment disorder (15%), & […]

Psychiatric Morbidity in HIV Infected Individuals

46 Ss infected with HIV were followed up, for recording psychiatric morbidity, if any, before & after they learned their HIV status. Psychiatric morbidity after diagnoses were revealed included major depression & adjustment disorders which, in most cases, could be managed with psychological counselling (the S who developed major depression later, committed suicide). This preliminary […]

Bereavement and Adjustment Disorders (IN: Geriatric Psychiatry, ed. by E W Busse & D G Blazer)

This article reviews studies on the impact of bereavement. The authors begin by describing the phases of normal bereavement. They then discuss the studies on abnormal/unresolved grief. The authors also outline study results on the affects of attitudes toward death on the bereavement process, & prevention & interventions strategies for the bereaved. Finally, they describe […]