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Mashup Score: 2Recency of Suicide Attempt, Ideation, and Reattempt in the Emergency Department: Managing Youth With a Past Attempt - 1 day(s) ago
Objective This study describes recency of suicide attempt (SA) and suicidal ideation (SI) at index emergency department (ED) visit and post‐ED‐discharge reattempt among pediatric patients. Methods Secondary analysis from the ED Screen for Teens at Risk for Suicide study included patients ages 12–17 who reported a past SA during screening and received a phone call 3‐month post‐ED‐discharge assessing reattempt. Logistic regressions tested past SA/SI recency as predictors of reattempt. Descriptive statistics on SA/SI recency and reattempt are provided. Results Sample included 351 patients reporting a past SA during screening (70% cisgender female, 59% White, 53% psychiatric chief complaint, mean [SD] age = 15.3 [1.5]). 17% (60/351) reattempted suicide post‐ED‐discharge. Compared to patients who attempted over a year ago, patients with recent SA within 3 months, especially 1 week before screening, had greater odds of reattempting (3 months: p < 0.05, adjusted odds ratio [adjOR] = 3.1 [1.1–
Source: prcp.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 1New Ethics Opinions Available on APA’s Website - 1 day(s) ago
The Ethics Committee continues to serve APA’s members by providing guidance in response to questions from members about ethical issues they are trying to resolve. Recent opinion topics have included the following: Ethical considerations for psychiatrists navigating novel business arrangements, such as serving simultaneously as the owner of a national telehealth company and a treating psychiatrist; see Opinion B.7. Whether it is ethical to screen potential patients for suicidal thinking or past psychiatric
Source: psychnews.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 6Longitudinal Study Looks at Risk of Cardiovascular Disease With Long-Term ADHD Medication Use - 1 day(s) ago
A study assessed the associations between the use of ADHD medications and CVD over the course of 14 years. Here’s what the investigators found.
Source: www.psychiatrictimes.comCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 0Editorial: From the Identified Patient to Precision Medicine - 1 day(s) ago
The article by Lock et al.1 in this month’s issue of the Journal highlights 3 features that are of interest to child and adolescent psychiatrists. First, it provides further evidence for an effective therapy for an extremely debilitating condition, with additional means for improving prognosis. Second, it underscores how families can be helpful in supporting therapy for their children, thus avoiding unnecessary scapegoating of parents. Finally, it is a fine example of a clinical trial performed in accordance with all the principles of modern methodology.
Source: www.jaacap.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 8Placebo Response Strongest in Depression Trials, but Robust Across Multiple Psychiatric Disorders - 1 day(s) ago
In a meta-analysis published yesterday in JAMA Psychiatry , researchers found that people with major depression showed the strongest place…
Source: alert.psychnews.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 10What Are Brain Zaps? - 2 day(s) ago
Researchers have struggled to understand brain zaps but they suspect they’re a result of abrupt changes in neurotransmitter levels.
Source: www.psychiatrist.comCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 9Medical Uses Adverse Effects Psilocybin - 2 day(s) ago
There has been a resurgence of interest in the use of psychedelics, including psilocybin, for therapeutic purposes, with early studies suggesting promise for use in various conditions such as depression and substance use disorder.
Source: www.psychiatrist.comCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 0APA’s Government, Policy, and Advocacy Update (May 2024) - 2 day(s) ago
Members of Friends of the Agency for Health Research and Quality (AHRQ) sent a letter to House and Senate leaders requesting no less than $500 million funding for AHRQ in fiscal year 2025. APA is one of 173 members of Friends of AHRQ that signed the letter. AHRQ “supports research to improve health care quality, reduce costs, advance patient safety, decrease medical errors, and broaden access to essential services,” the letter stated. “As the lead federal agency for funding health services research and
Source: psychnews.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 3Rapid-Access Focused Treatment: Clinical Considerations for Brief Psychotherapy in Outpatient Psychiatry - 2 day(s) ago
Demand for mental health treatment surged after the COVID-19 pandemic intensified existing issues of limited access to care and long wait times. Programs that deliver high-quality treatment in a brief format are appealing in that they could reduce wait times for care and increase the number of patients served. The Rapid-Access Focused Treatment (RAFT) program was developed with the overarching goals of delivering brief, evidence-informed interventions in a timely and patient-centered manner, reducing wait times, and improving access to psychiatric specialty services. In this article, the authors describe the pilot implementation of the RAFT program in an outpatient psychiatry clinic, provide guidelines for identification of appropriate patients, and discuss lessons learned from two case examples that illustrate variations in the trajectory of brief treatment. Recommendations for the effective implementation of brief therapy models in an outpatient setting are provided.
Categories: General Medicine News, PsychiatryTweet
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Mashup Score: 0Associations Between a Primary Care-Delivered Alcohol-Related Brief Intervention and Subsequent Opioid-Related Outcomes - 2 day(s) ago
Objective: The co-occurrence of unhealthy alcohol use and opioid misuse is high and associated with increased rates of overdose, emergency health care utilization, and death. The current study examined whether receipt of an alcohol-related brief intervention is associated with reduced risk of negative downstream opioid-related outcomes. Methods: This retrospective cohort study included all VISN-6 Veterans Affairs (VA) patients with Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) screening results (N=492,748) from 2014 to 2019. Logistic regression was used to examine the association between documentation of an alcohol-related brief intervention and probability of a new 1) opioid prescription, 2) opioid use disorder (OUD) diagnosis, or 3) opioid-related hospitalization in the following year, controlling for demographic and clinical covariates. Results: Of the veterans, 13% (N=63,804) had “positive” AUDIT-C screen results. Of those, 72% (N=46,216) had a documented alcohol-
Source: ajp.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
Pediatric emergency department patients are at greater risk of reattempting suicide post-discharge if their last suicide attempt was within the past 3 months−especially within 1 week−and when most recent suicidal ideation occurred within 24 hours #OA https://t.co/4330AeP9PM https://t.co/RyeJH4TFVv