OBJECTIVE Shared decision making is widely recognized to facilitate effective health care. The purpose of this study was to assess the applicability and usefulness of a scale to measure the presence and extent of shared decision making in clinical decisions in psychiatric practice. METHODS A coding scheme assessing shared decision making in general medical settings was adapted to mental healt...

Following a suicide attempt by female adolescents, the impact of a specialized emergency room (ER) care intervention was evaluated over the subsequent 18 months. Using a quasi-experimental design, this study assigned 140 female adolescent suicide attempters (SA), ages 12-18 years, and their mothers (88% Hispanic) to receive during their ER visit either: (a) specialized ER care aimed at enhancin...

background although the number of infectious diseases has sharply decreased in last few decades, parasitic diseases persist in developing countries. on the other hand, chronic psychiatric patients tend to have low self-control, poor personal hygiene, long term institutionalization and extremely low self-care should be monitored for parasitic diseases since psychosocial conditions can contribute...

CONTEXT Prospective studies are needed to adequately describe the overall impact of neuropsychiatric syndromes on the course of hospice enrollment in outpatient settings. OBJECTIVES To determine the prevalence and natural history of delirium, cognitive impairment, alcohol abuse, anxiety, depression, and suicidal ideation (SI) in community-dwelling veteran hospice patients. METHODS Home hosp...

BACKGROUND The majority of research studies on medical student attitudes toward psychiatry focus on influencing factors and the medical school experience. This study evaluates the effectiveness of a one-day visit to a high secure forensic psychiatric unit on medical students' attitudes towards psychiatry and also assesses career intentions and the factors influencing these. METHOD Change in a...

Introduction The current SARS Covid-19 pandemic has negatively affected primary care and health system services provided to chronically ill patients, such as patients with Diabetes Mellitus Objectives comparison of glycemic regulation demonstrated by the levels glycated hemoglobin HbA1c % in Psychiatric monitored at Hospital Attica before (9/2018 -2/2020) during its progression (3/2020-2/2022) ...

Follow-up methods must be easy for young people to handle. We examine Interactive Voice Response (IVR) as a method for collecting self-reported data. Sixty inpatients were recruited from a child and adolescent psychiatric emergency unit in Malmö, Sweden and called every second (N = 30) or every fourth (N = 30) day from discharge until first visit in outpatient care. A pre-recorded voice asked t...

A 68-year-old man presented to the emergency department of our hospital because of high fever, tachycardia, consciousness disturbance, and generalized muscle rigidity. According to his caregiver’s statement, he was found groaning and shivering on the bed with rapid and shallow respirations before he was sent to the hospital. The patient had a depressive disorder and had been followed up regular...

OBJECTIVE To determine if a pharmacist assisted psychiatric clinic would improve adherence to medications and quality of life over 6 months. The primary study endpoints were the change from baseline in Medication Adherence Rating Scale (MARS), Brief Evaluation of Medication Influences and Beliefs (BEMIB), World Health Organization Quality of Life - BREF (WHOQOL-BREF) scales as well as hospitali...