Resource Tag: DRUG THERAPIES

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This article briefly discusses judicial rulings in two American cases where psychiatric patients died after treatment. In one case, the patient’s estate claimed the psychiatrist was negligent in discharging the patient from hospital without a post-discharge recovery plan. However, it was shown that such a plan was in place & the jury found for the […]

This article describes an age-based psychiatric workup of the suicidal older patient, including factors to consider when screening for depressive symptoms, prescribing drug therapy, & determining the need for hospitalization. The 6-step screening interview includes: asking about a specific plan for suicide; gathering a history of prior suicidal behavior, including familial suicide; assessing social status; […]

In this letter to the editor, the authors comment on an article by Busch et al (2003) on the clinical correlates of inpatient suicide, specifically the treatment implications which are said to be unclear or doubtful. The reply of Busch and her colleagues follows.

This book includes the following chapters: suicidality & suicide; the inner world of the chronically suicidal patient; suicidality in childhood & adolescence; chronic suicidality & personality disorders; myths of suicide prevention; psychotherapy research & chronic suicidality; pharmacotherapy & chronic suicidality; tolerating chronic suicidality; managing chronic suicidality; & suicidality & litigation. The book concludes with a […]

This book overviews & explores new areas of suicidal behaviours mainly in relation to psychiatric disorders. Chapters are also included on the effects of antidepressants on the suicide mortality of patients with major depression, attention deficit hyperactivity disorder, management of suicide risk in the psychiatric emergency department, suicide risk among epileptic patients, drug therapies, perspectives […]

This study used data from a large American pediatric cohort to examine patterns of diagnosis of depression, prescription of antidepressants, prescription of pharmacological alternatives to antidepressants, & use of psychosocial care before & after the Food & Drug Administration advisory was issued. From 1999-2004, pediatric diagnoses of depression increased from 3 to 5 per 1,000. […]

This article examines the evidence for a significant risk of of suicidal behaviours, including ideation, attempts, & deaths, associated with the use of antidepressants. The evidence is set into both clinical & medicolegal contexts. (29 refs.)

Borderline personality disorder is a chronic psychiatric condition characterized by a pervasive pattern of instability in affect regulation & impulse control. These maladaptive coping strategies predispose individuals with borderline personality disorder to suicidal behaviour & this diagnosis increases the risk for completed suicide. Psychopharmacological interventions, including the use of antidepressants, anti-psychotics, & mood stabilizers, are […]

In this overview of the pharmacotherapy of body dysmorphic disorder, the authors briefly describe this disorder’s clinical features, associated morbidity, & how to recognize & diagnose body dysmorphic disorder. Pharmacotherapy research, with a focus on serotonin-reuptake inhibitors, is reviewed. Many patients have substantial improvement in core symptoms, psychosocial functioning, quality of life, measure of suicidality […]

Suicidal behavior (ie, thoughts and attempts) in children is an issue of serious concern. In the past, suicide in young children has been largely denied and ignored. However, this is no longer possible, as accumulating evidence supports the existence of suicidal thoughts and actions in preadolescent children. This article explores suicidal behavior in preadolescent children […]

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This article includes a discussion between J Mann and J R Cornelius.

Suicide is recognized as a global phenomenon and many countries now have national suicide prevention strategies. International guidance on suicide prevention and accepted epidemiological and treatment-based research underpins healthcare policy relating to suicide reduction. There has been an established comprehensive strategy in England since 2002. However, the rate of suicide continues to be a concern […]

This book begins with a discussion of neuroimaging & the neurobiological aspects of suicide. In addition to considering how psychiatric disorders can affect a suicidal patient, the author also addresses the influence of medical disorders on suicidality. Following this, there is a discussion of the psychopharmacology of suicidality, especially in interaction with drugs that treat […]

This article attempts to answer the following questions: how common & how serious is suicide ideation &/or behaviour in patients with borderline personality disorder? How should it be evaluated & managed? What is the appropriate role of hospitalization in such cases? (57 refs.)

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OBJECTIVE: To systematically review the treatment of suicidal behaviour in children and adolescents. METHOD: After discussing the principles of treatment, we review the literature regarding adequate assessment, hospital-based services and their alternatives, and follow-up. RESULTS: Treatment modalities (including psychotherapy) and preventive strategies (including school-based interventions, gatekeeper and primary practitioner training, and treatment of psychiatric disorders) […]

OBJECTIVE: To review the risk factors for suicide in the elderly and available interventions to avert this tragedy. METHOD: Systematic literature review, based on a PubMed search for studies in English. Included were randomized controlled trials (RCTs), controlled cohort studies, and case-control studies. Wherever possible, I reviewed papers dealing with suicide rather than suicide attempts […]

OBJECTIVE: The primary objective of this review article is to provide a coherent, systematic synthesis of the literature on the management of suicidality in schizophrenia that is relevant to the front-line clinician. METHOD: Literature searches were conducted on MEDLINE (1996 to 2007) and PubMed (1993 to 2007), using the key words “schizophrenia” and “suicide,” as […]

To review the evidence for the efficacy of pharmacotherapy and other biological treatments in suicidality associated with personality disorders, chiefly borderline personality disorder. Systematic review of the literature. Studies evaluating treatment of suicidality in personality disorders are absent. However, several studies examine the efficacy of pharmacotherapy for core symptom clusters that are closely associated with […]