Dhrithi Mushthi, Alicia Perti, Suprakash Chaudhury, Daniel Saldanha
{"title":"Lacosamide induced aggression in a patient with seizure disorder.","authors":"Dhrithi Mushthi, Alicia Perti, Suprakash Chaudhury, Daniel Saldanha","doi":"10.4103/ipj.ipj_59_24","DOIUrl":"10.4103/ipj.ipj_59_24","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 3","pages":"553-554"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12574779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antonio Ventriglio, Julio Torales, Tomás Caycho-Rodríguez, Luis Hualparuca-Olivera, Fabiana Ricci, Daniela Giallanella, Costanza Gaggiano, João Mauricio Castaldelli-Maia
{"title":"Basaglia's psychiatric reform: A bridge between Italy and Latin America.","authors":"Antonio Ventriglio, Julio Torales, Tomás Caycho-Rodríguez, Luis Hualparuca-Olivera, Fabiana Ricci, Daniela Giallanella, Costanza Gaggiano, João Mauricio Castaldelli-Maia","doi":"10.4103/ipj.ipj_133_25","DOIUrl":"10.4103/ipj.ipj_133_25","url":null,"abstract":"<p><p>More than 40 years after the approval of Law 180, Italy remains the only country to have entirely replaced psychiatric hospitals with a comprehensive, community-based mental health system. Driven by the vision of Franco Basaglia, this transformative reform moved psychiatric care away from institutionalization toward a model rooted in human rights, autonomy, and social inclusion. Although pioneering, the implementation was uneven, constrained by limited financial and human resources, and initially hindered by the absence of systems to evaluate care outcomes. Recent nationwide studies have revealed significant shortcomings in continuity of care, limited access to psychosocial interventions, and variability in treatment quality for conditions including personality, bipolar, depressive, and psychotic disorders. Internationally, the Italian model has significantly influenced mental health reforms in Latin America. In Brazil, the development of the Centros de Atenção Psicossocial reflected Basaglia's principles but is now challenged by service overload and a lack of inpatient alternatives. Paraguay has recently adopted progressive legislation promoting community care and deinstitutionalization, while Peru has implemented legal frameworks to integrate mental health into the general health system, although progress remains gradual. These diverse experiences underscore the Italian reform's global relevance and the complexities of translating its principles into practice.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 3","pages":"528-532"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12574774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ishita Malik, Sourav Khanra, Aniruddha Mukherjee, Sanjay K Munda
{"title":"Psychosis-like symptoms and seizure in a case of complicated opioid withdrawal from heroin use.","authors":"Ishita Malik, Sourav Khanra, Aniruddha Mukherjee, Sanjay K Munda","doi":"10.4103/ipj.ipj_35_25","DOIUrl":"10.4103/ipj.ipj_35_25","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 3","pages":"557-558"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12574759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Shankar, M Mohamed Ilyas, J Shyamprakash, K Narayanasamy, M Sargunam
{"title":"Evaluating the impact of an emotional well-being training program on medical professionals: A quasi-experimental study.","authors":"S Shankar, M Mohamed Ilyas, J Shyamprakash, K Narayanasamy, M Sargunam","doi":"10.4103/ipj.ipj_89_25","DOIUrl":"10.4103/ipj.ipj_89_25","url":null,"abstract":"<p><strong>Background: </strong>Burnout and psychological distress are prevalent among medical professionals, particularly in resource-limited settings like India, where systemic stressors exacerbate workplace strain.</p><p><strong>Aim: </strong>To assess the effectiveness of a culturally adapted emotional wellness training program in reducing burnout and enhancing well-being among Indian doctors.</p><p><strong>Materials and methods: </strong>A quasi-experimental one-group pretest-posttest study was conducted with 30 doctors at a Government Medical College in South India. A 10-week intervention included mindfulness, cognitive-behavioral strategies, and peer support. Outcomes were measured using the Brief Symptom Inventory (BSI), Utrecht Work Engagement Scale (UWES-9), and WHO-5 Well-Being Index, analyzed with paired <i>t</i>-tests and correlation analyses.</p><p><strong>Results: </strong>Post-intervention, psychological distress decreased (Global Severity Index: 0.40 to 0.10, <i>P</i> < 0.001), work engagement improved (vigor: <i>d</i> = 0.45; dedication: <i>d</i> = 0.82), and well-being increased (WHO-5: 57.53 to 73.67, <i>P</i> < 0.001). Negative affect moderated outcomes, with no role-based differences (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>The program effectively reduced distress and enhanced engagement, showing feasibility in low-resource contexts, though sustainability requires systemic support.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 3","pages":"414-420"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12574722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring barriers to access mental health services in first-episode psychosis: A cross-sectional study from Eastern Nepal.","authors":"Suren Limbu, Araniko Pandey, Suraj Nepal, Sanjeev Kumar Mishra","doi":"10.4103/ipj.ipj_37_25","DOIUrl":"10.4103/ipj.ipj_37_25","url":null,"abstract":"<p><strong>Background: </strong>There are multiple barriers for psychotic patients to access mental health services, resulting in delays in treatment. Fewer studies are there exploring these barriers in the country. Identifying these barriers will contribute to management strategies.</p><p><strong>Aims: </strong>To explore barriers to accessing mental health care in first-episode psychotic (FEP) patients and their association with clinical and demographic factors and duration of untreated psychosis (DUP).</p><p><strong>Setting and design: </strong>This was a cross-sectional, descriptive study conducted in the Department of Psychiatry in a tertiary hospital in Eastern Nepal.</p><p><strong>Materials and methods: </strong>Eighty-six FEP patients were enrolled. International Classification of Mental and Behavioral Disorders - Research Diagnostic criteria (10<sup>th</sup> Revision) was used for making the diagnosis. The Barriers to Access to Care Evaluation (BACE) Nepali version assessed barriers to seeking help. DUP was determined using the Nottingham Onset Schedule-DUP version (NOS-DUP). Chi-square, parametric, and nonparametric tests were applied wherever appropriate.</p><p><strong>Results: </strong>Attitudinal-related barriers (preference for traditional/religious treatment) were the most common major barrier. Unemployed patients from nuclear families and insidious modes of onset of psychosis had more barriers to the treatment. DUP was significantly correlated (<i>P</i> value < 0.001) with attitudinal barriers (r<sub>s</sub> = 0.606), instrumental barriers (r<sub>s</sub> = 0.476), and total BACE score (r<sub>s</sub> = 0.632).</p><p><strong>Conclusion: </strong>People's preferences for alternative treatment methods should be acknowledged, and multidimensional approaches for bringing the patient into standard care should be emphasized.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 3","pages":"478-485"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12574770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vijay Niranjan, Ashvin Chouhan, Ankit Kushwaha, Riya Gangwal, Minakshi Verma
{"title":"Mapping of geographic inequality in mental health care facilities and psychiatrists distribution across seven districts of indore division: A geospatial analysis from central India.","authors":"Vijay Niranjan, Ashvin Chouhan, Ankit Kushwaha, Riya Gangwal, Minakshi Verma","doi":"10.4103/ipj.ipj_167_25","DOIUrl":"10.4103/ipj.ipj_167_25","url":null,"abstract":"<p><strong>Background: </strong>India faces a severe mental health workforce shortage, with Madhya Pradesh (MP) having only 0.05 psychiatrists per 100,000 population-far below the World Health Organization (WHO) benchmark of 3. Granular data on psychiatrist distribution are needed to address inequities in care.</p><p><strong>Aim: </strong>To map psychiatrist distribution across the seven districts of Indore division, MP, to assess geographic inequalities and estimate resource requirements for achieving WHO staffing norms.</p><p><strong>Materials and methods: </strong>A cross-sectional geospatial survey (Jan-Mar 2025) identified actively practicing psychiatrists via snowball sampling, global positioning system (GPS)mapping, and inequality indices (Gini, Theil). Spatial clustering was analyzed using the nearest-neighbor index (NNI). Regression models assessed infrastructure-psychiatrist associations.</p><p><strong>Results: </strong>Among 71 psychiatrists, 88% clustered in Indore city, yielding a regional density of 0.54 per 100,000. Three districts had no psychiatrists. High inequality (Gini = 0.78) and urban clustering (NNI = 0.38) were observed. Infrastructure availability strongly predicted psychiatrist presence (β =0.98). Meeting WHO targets requires 429 additional psychiatrists (annual investment: INR 514.8 million).</p><p><strong>Conclusion: </strong>Severe urban-rural disparities exist in psychiatrist distribution. Targeted investments in workforce expansion, telepsychiatry (e.g. Tele-MANAS), and rural infrastructure are urgently needed to bridge the treatment gap.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 3","pages":"522-527"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12574762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of interleukin-6 (IL-6) with suicide attempt.","authors":"Iqra Rasheed Shah, Sabah Manzoor, Arshad Hussain, Sabhiya Majid, Khawar Khan","doi":"10.4103/ipj.ipj_77_25","DOIUrl":"10.4103/ipj.ipj_77_25","url":null,"abstract":"<p><strong>Background: </strong>Suicide is a major cause of death among young adults, but few biological markers have been linked to suicidality. Interleukin-6 (IL-6) may play a role in elevating the risk of depression and suicidal tendencies. However, limited research has explored the connections between IL-6 and suicidal thoughts or actions.</p><p><strong>Aim: </strong>This study was conducted to investigate the association between IL-6 levels and suicide attempts.</p><p><strong>Materials and methods: </strong>In this observational study, 31 patients undergoing clinical follow-up after a suicide attempt were enrolled. The Columbia Suicide Severity Rating Scale (C-SSRS) was used for assessment of suicidal behavior. IL-6 levels in patients were measured using the ELISA technique with the IL-6 Human ELISA Kit (Invitrogen, Cat. No-BMS213-2) following the manufacturer's protocols.</p><p><strong>Results: </strong>The mean level of IL-6 in the patients was 2.75 ± 6.50 (range: 0-36.6) pg/mL. Women exhibited higher IL-6 levels than men (women = 4.04 ± 8.97; men = 1.54 ± 1.86) pg/mL. IL-6 levels significantly increased with higher severity levels of suicidal ideation, with a <i>P</i> value of 0.0001, indicating a positive association. A significant positive correlation was observed between IL-6 levels and the intensity of suicidal ideation, with higher intensity associated with elevated IL-6 levels (<i>P</i> value = 0.0113). A significant positive correlation was observed between IL-6 levels and the lethality of suicidal ideation, with higher levels of lethality associated with elevated IL-6 levels (<i>P</i> value = 0.0129).</p><p><strong>Conclusion: </strong>This study provides evidence that elevated IL-6 levels are associated with suicide attempts, supporting its potential role as a biomarker for suicidal behavior.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 3","pages":"433-437"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12574729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}