Indian Journal of Psychiatry最新文献

{"title":"Calculation of citation metrics: High time to improve the situation.","authors":"Anil Kakunje","doi":"10.4103/indianjpsychiatry_1091_25","DOIUrl":"10.4103/indianjpsychiatry_1091_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"649-650"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indian psychiatrist at the crossroads of transgender care: Gatekeeper, advocate, or redundant authority?","authors":"Roshan F Sutar","doi":"10.4103/indianjpsychiatry_372_26","DOIUrl":"10.4103/indianjpsychiatry_372_26","url":null,"abstract":"<p><p>ICD-11 marks a conceptual shift by recognizing gender incongruence as not a mental disorder while retaining it within the classification under sexual health to facilitate healthcare access, coding, and insurance reimbursement. Thus, its continued inclusion is primarily an administrative necessity rather than a reflection of psychopathology. Although psychiatrists have increasingly viewed their role as facilitating care rather than policing identity, mandatory psychiatric documentation has often been experienced by transgender individuals as gatekeeping. The 2026 amendments to the Transgender Persons (Protection of Rights) Act further complicate this landscape by replacing self-declared gender identity with certification through designated medical boards for legal recognition. This perspective examines the historical, clinical, ethical, and legal dimensions of psychiatric involvement in transgender care within the Indian context. It argues that while psychiatry has an essential role in assessing decision-making capacity, identifying co-occurring mental disorders, managing psychosocial distress, and promoting safe hormone use, it should not function as an authority that validates or invalidates an individual's gender identity. Recent legislative changes risk reinforcing defensive psychiatric practices and reinstating institutional gatekeeping, potentially delaying access to care and increasing reliance on unsupervised gender-affirming interventions. Drawing parallels with the consultative role of psychiatrists in organ transplantation, we propose a collaborative, multidisciplinary model in which psychiatrists serve as facilitators, advocates, and providers of mental healthcare rather than custodians of identity. Strengthening residency training, developing clear national guidelines, and harmonizing legal and healthcare frameworks are critical to achieving this transition.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"643-645"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LGBTQIA+ suicide in India: Data scarcity, accuracy, and other challenges.","authors":"Sujita K Kar, Ramdas Ransing","doi":"10.4103/indianjpsychiatry_647_26","DOIUrl":"10.4103/indianjpsychiatry_647_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"661-662"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood-onset schizophrenia co-occurring with 3-hydroxyisobutyryl-CoA hydrolase deficiency: A rare dual diagnosis successfully treated with clozapine.","authors":"Neetu Garg, Shobit Garg, Mohan Dhyani","doi":"10.4103/indianjpsychiatry_565_26","DOIUrl":"10.4103/indianjpsychiatry_565_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"653-654"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation orientation in psychiatric outpatient consultations for severe mental illness: A qualitative study from southern India.","authors":"Nishanth Kodigenahalli Narasimhamurthy, Basavaraj Angadi, Jagadisha Thirthalli, Hareesh Angothu, Krishna Prasad Muliyala, Devvarta Kumar, Thanapal Sivakumar","doi":"10.4103/indianjpsychiatry_336_26","DOIUrl":"10.4103/indianjpsychiatry_336_26","url":null,"abstract":"<p><strong>Background: </strong>Rehabilitation services are crucial for functional improvement of patients with severe mental illness (SMI). However, evidence regarding the extent to that such services are offered in routine clinical practice in India is lacking. The present study aimed to 1) explore rehabilitation efforts during real-time outpatient consultations for persons with SMI and 2) identify strategies to optimize rehabilitation-oriented care for SMI.</p><p><strong>Methods: </strong>In-depth semi-structured interviews were conducted with patient and family caregiver dyads (<i>n</i> = 15) after outpatient consultation, and with mental health professionals (residents-6, consultants-4) to understand what transpires in consultations and how we can improve to facilitate rehabilitation. Codes were extracted after transcription and translation. Qualitative content analysis was conducted using triangulated data from Atlas Ti.</p><p><strong>Results: </strong>Clinical aspects of SMI, such as treatment adherence, current symptom evaluation, psychoeducation, and comorbidities, were adequately addressed. Functionality assessment, welfare facilitation, and family burden were missed, and the family did not seek help for the loss of functioning, inability to travel alone, or manage money, and social withdrawal. Needs were missed due to a lack of awareness (dyads and doctors) and hesitation (dyads). Solution: Concise rehabilitation tools/modules, information material in layman's language, and adequate psychoeducation. Resource mapping, continued support, and individualized planning must be inculcated at the beginning of psychiatric training.</p><p><strong>Conclusion: </strong>Modification of the clinical approach, supported by assessment tools and informational materials, can facilitate rehabilitation of individuals with SMI in outpatient settings. Further research to develop and evaluate time-efficient modules and tools that incorporate input from patients and caregivers may improve functional outcomes.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"616-624"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glucagon-like peptide-1 receptor agonists in India: Psychiatric considerations and the case for integrated metabo-psychiatry care.","authors":"Ahmad Alam","doi":"10.4103/indianjpsychiatry_450_26","DOIUrl":"10.4103/indianjpsychiatry_450_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"666-667"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transient, dose-dependent QTc prolongation with lurasidone in an older woman with schizophrenia: A case report.","authors":"Natarajan Varadharajan, Manjil Bharati, Shubam Shree Patyal, Ravi Philip Rajkumar, Vikas Menon","doi":"10.4103/indianjpsychiatry_459_26","DOIUrl":"10.4103/indianjpsychiatry_459_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"651-652"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric onset of fulminant SSPE in an adolescent: A diagnostic trap.","authors":"Chintan B Panchal, Parth S Akhani, Minakshi N Parikh","doi":"10.4103/indianjpsychiatry_1333_25","DOIUrl":"10.4103/indianjpsychiatry_1333_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"662-663"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive assessment of risk-taking behavior in adults with substance use disorders and internet addiction.","authors":"Hrutul Chhag, Chaithanya Leon, Simran Kaur, Yatan Pal Singh Balhara, Ravneet Kaur, Ratna Sharma","doi":"10.4103/indianjpsychiatry_813_25","DOIUrl":"10.4103/indianjpsychiatry_813_25","url":null,"abstract":"<p><strong>Background: </strong>Individuals with substance use and internet addiction disorders have a greater likelihood to indulge in risky behavior and show signs of impairment in self-regulation. Risk-taking behavior depends on reward seeking, impulsiveness, and cognitive control systems such as executive functioning, cognitive flexibility, and working memory. Assessment using cognitive tasks and validated questionnaires can provide an insight into the risk-taking behavior of these individuals.</p><p><strong>Aim: </strong>To assess the risk-taking behavior in adults with substance use disorders (SUDs) and internet addiction, by both subjective and objective assessment methods compared to matched healthy controls.</p><p><strong>Methods: </strong>This cross-sectional observational study included 120 participants comprising 60 adults with SUDs (30 subjects each with opioid use disorder, alcohol use disorder (AUD)), 30 with internet addiction (IA), and 30 matched healthy volunteers. Each participant performed an objective cognitive function task (Balloon Analogue Risk Task (BART)) and subjective questionnaires were administered (risk-taking questionnaire, brief self-control scale, and Eysenck impulsivity subscale).</p><p><strong>Results: </strong>Subjects with opioid use disorder were found to have poor self-control (37 ± 9.052 vs 44.4 ± 7.686, <i>P</i> < 0.01) and higher risk-taking score (12.13 ± 2.32 vs 9 ± 1.576, <i>P</i> < 0.0001) as compared to controls. Further, they also exhibited higher median reaction time (all pumps, safe bets) during BART compared to controls (18.57 (12.49-24.34) vs 9.81 (6.23-11.34), <i>P</i> < 0.0001 and 21.64 (13.66-36.59) vs 10.64 (6.8-12.59), <i>P</i> < 0. 0001, respectively), AUD (18.57 (12.49-24.34) vs 10.75 (8.84-17.65), <i>P</i> < 0.05 and 21.64 (13.66-36.59) vs 11.83 (9.28-21.52), <i>P</i> < 0.05, respectively), and IA groups (18.57 (12.49-24.34) vs 9.92 (7.92-11.90), <i>P</i> < 0.0001 and 21.64 (13.66-36.59) vs 11.34 (8.95-13.71), <i>P</i> < 0.001, respectively).</p><p><strong>Conclusion: </strong>Among all participants with SUDs and IA, those with opioid use disorder exhibited higher risk taking, as assessed by subjective and objective measures.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"602-608"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital immersion, adolescent vulnerability, and suicide: Lessons from the Ghaziabad (India) triple teen deaths.","authors":"Swapnajeet Sahoo, Sujita Kumar Kar","doi":"10.4103/indianjpsychiatry_362_26","DOIUrl":"10.4103/indianjpsychiatry_362_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"656-657"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}