IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE最新文献_第10页

Suicidal ideation and depressive symptoms in an urban post-partum maternity setting: a retrospective cohort study. 城市产后产妇的自杀意念和抑郁症状：一项回顾性队列研究。

IF 5.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2023-12-01 Epub Date: 2023-03-03 DOI: 10.1017/ipm.2023.12

L Moran, J D Sheehan, D Roddy, R M Duffy

{"title":"Suicidal ideation and depressive symptoms in an urban post-partum maternity setting: a retrospective cohort study.","authors":"L Moran, J D Sheehan, D Roddy, R M Duffy","doi":"10.1017/ipm.2023.12","DOIUrl":"10.1017/ipm.2023.12","url":null,"abstract":"Background: Fifteen percent of women worldwide experience depression in the perinatal period. Suicide is now one of the leading causes of maternal mortality in developed countries. Internationally, many healthcare systems screen post-natal women for depressive symptoms and suicidal ideation to facilitate early assessment and intervention. To our knowledge, no Irish data exists on the prevalence of suicidal ideation in this cohort.Aims: To evaluate the prevalence of suicidal ideation and depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS) in post-natal women attending a large Dublin maternity hospital.Methods: A retrospective cohort study was conducted. Women were randomly selected by delivery date over a 6 month period. Demographic and medical information was collected from their booking visit and discharge summary data. EPDS results at discharge post-partum were examined.Results: Data was collected on 643 women. Post-partum, 19 women (3.4%) had experienced suicidal ideation in the previous 7 days. Just over half of these women also had high EPDS scores (>12). Overall, 29 women (5.2%) screened positive for depression (EPDS score > 12).Conclusions: The rate of suicidal ideation is in line with the published international data and emphasises the need for all clinicians to inquire about such thoughts. Training of midwifery and obstetric staff is required. Maternity units should have a policy on the management of suicidal ideation and risk. The prevalence of depressive symptoms post-partum was comparatively low in our study. This could suggest that antenatal screening and early intervention, which are integral parts of the perinatal mental health service, are effective. However, due to limitations of the study, it could also reflect an under-representation of depressive symptom burden in this cohort.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"566-570"},"PeriodicalIF":5.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9385915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anxiety in a Specialist Perinatal Mental Health Service: patient characteristics, management, and outcomes. 围产期心理健康专科服务中的焦虑症：患者特征、管理和结果。

IF 5.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2023-12-01 Epub Date: 2023-02-15 DOI: 10.1017/ipm.2023.4

F McKenna, M Gibbons, M Imcha, R M Duffy, M M Mohamad

{"title":"Anxiety in a Specialist Perinatal Mental Health Service: patient characteristics, management, and outcomes.","authors":"F McKenna, M Gibbons, M Imcha, R M Duffy, M M Mohamad","doi":"10.1017/ipm.2023.4","DOIUrl":"10.1017/ipm.2023.4","url":null,"abstract":"Objectives: To outline characteristics of patients with anxiety diagnoses attending a Specialist Perinatal Mental Health Service (SPMHS) in Ireland, the mental health care received by those patients, mental health and obstetric outcomes for those patients, and immediate neonatal outcomes for their babies.Methods: A retrospective chart review was conducted of patients with antenatal anxiety diagnoses who attended the SPMHS in University Maternity Hospital Limerick, from initiation of the service to the end of its first year.Results: Data were collected on 100 patients, 81 with a mental health diagnosis prior to attending the SPMHS, 32 with prior engagement with psychiatry, and 23 with a previous perinatal diagnosis. The mean age of patients was 32.4 (19-47, std 6.158). Beyond initial assessment, the Mental Health Midwife was involved in the care of 61% of patients, more than any other specialty including psychiatry. Twenty-seven patients had psychiatric medication either started or altered by the SPMHS. The most common reason for eventual discharge was that patients were well. Two patients presented in mental-health-related crisis to emergency services and one patient was admitted to an acute psychiatric ward.Conclusions: Patients attending the SPMHS for anxiety spanned a broad spectrum of demographics and diagnoses and received varied set of interventions. A significant proportion of patients had a primary diagnosis of Pregnancy-related anxiety. The Mental Health Midwife played a key role in management of these patients. Though rates of mental health crises and admissions were low, the absence of a Mother and Baby Unit in Ireland was highlighted.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"561-565"},"PeriodicalIF":5.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10721811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pharmacist-led medicines optimisation service in an inpatient mental health setting. 药剂师主导的药物优化服务在住院病人的精神健康设置。

IF 5.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2023-11-30 DOI: 10.1017/ipm.2023.46

Caroline Hynes-Ryan, Aoife Carolan, Larkin Feeney, Judith Strawbridge, Audrey Purcell, Georgina Gilsenan, Darragh O'Donoghue, Dolores Keating

{"title":"Pharmacist-led medicines optimisation service in an inpatient mental health setting.","authors":"Caroline Hynes-Ryan, Aoife Carolan, Larkin Feeney, Judith Strawbridge, Audrey Purcell, Georgina Gilsenan, Darragh O'Donoghue, Dolores Keating","doi":"10.1017/ipm.2023.46","DOIUrl":"https://doi.org/10.1017/ipm.2023.46","url":null,"abstract":"Medicines optimisation ensures that people get the best possible outcomes from their medicines. As those with severe mental illness (SMI) are frequently prescribed psychotropic medicines with potentially significant side-effects, poor adherence to treatment and physical morbidity are common. This results in suboptimal symptom control, physical health problems and negative health outcomes. The specialist mental health pharmacist (SMHP) is best placed to provide leadership for medicines optimisation in the inpatient mental health setting. By adopting a patient-centred approach to providing information, improving adherence, screening, initiating and maintaining medicines, and supporting self-advocacy, the SMHP can ensure the patients' experience of taking medicines is optimised. As there is currently limited understanding of what a baseline clinical pharmacy service in a mental health setting looks like, we aim to outline a framework for pharmacist-led medicines optimisation for those with SMI. This framework is suitable to be scaled and adapted to other settings.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-8"},"PeriodicalIF":5.1,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The clinical impact of a crisis resolution home treatment team. 危机解决家庭治疗团队的临床影响。

IF 5.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2023-11-06 DOI: 10.1017/ipm.2023.45

S Crowley, S McDonagh, D Carolan, K O'Connor

{"title":"The clinical impact of a crisis resolution home treatment team.","authors":"S Crowley, S McDonagh, D Carolan, K O'Connor","doi":"10.1017/ipm.2023.45","DOIUrl":"https://doi.org/10.1017/ipm.2023.45","url":null,"abstract":"OBJECTIVES\u0000To evaluate the impact of treatment provided by a Crisis Resolution Home Treatment Team (CRHTT) in terms of preventing hospital admission, impact on service user's symptoms and overall functioning, as well as service user's satisfaction with the service. Secondary objectives were to evaluate the patient characteristics of those attending the CRHTT.\u0000\u0000\u0000METHODS\u0000All the service users treated by the CRHTT between 2016 and 2020 were included. Service users completed the Brief Psychiatric Rating Scale (BPRS), the Health of the Nation Outcome Scale (HoNOS), and the Client Satisfaction Questionnaire-version 8 (CSQ-8) before and after treatment by the CRHTT. Admission rates were compared between areas served by the CRHTT and control, before and after the introduction of the CRHTT, using two-way ANOVA.\u0000\u0000\u0000RESULTS\u0000Between 2016 and 2020, 1041 service users were treated by the service. Inpatient admissions in the areas served by the CRHTT fell by 38.5% after its introduction. There was a statistically significant interaction between CRHTT availability and time on admission rate, F (1,28) = 8.4, p = .007. BPRS scores were reduced significantly (p < .001), from a mean score of 32.01 before treatment to 24.64 after treatment. Mean HoNOS scores were 13.6 before and 9.1 after treatment (p < .001). Of the 1041 service users receiving the CSQ-8, only 180 returned it (17.3%). Service users' median responses were \"very positive\" to all eight items on the CSQ-8.\u0000\u0000\u0000CONCLUSIONS\u0000Although our study design has limitations this paper provides some support that CRHTT might be effective for the prevention of inpatient admission. The study also supports that CRHTT might be an effective option for the treatment of acute mental illness and crisis, although further research is needed in this area.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-8"},"PeriodicalIF":5.1,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Admission patterns in a psychiatric intensive care unit in Ireland: a longitudinal follow-up. 爱尔兰精神病重症监护室的入院模式：纵向随访。

IF 5.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2023-09-01 Epub Date: 2021-04-23 DOI: 10.1017/ipm.2021.18

S Raaj, S Navanathan, B Matti, A Bhagawan, P Twomey, J Lally, R Browne

{"title":"Admission patterns in a psychiatric intensive care unit in Ireland: a longitudinal follow-up.","authors":"S Raaj, S Navanathan, B Matti, A Bhagawan, P Twomey, J Lally, R Browne","doi":"10.1017/ipm.2021.18","DOIUrl":"10.1017/ipm.2021.18","url":null,"abstract":"Objective: This study aims to describe the course of admission and clinical characteristics of admissions to a psychiatric intensive care unit (PICU) in the Phoenix Care Centre (PCC), Dublin, Ireland.Methods: This retrospective chart study was conducted at the PCC, Dublin, Ireland. The cohort included all admission episodes (n = 91 complete data) over a three-year study period between January 2014 and January 2017.Results: The mean age of admitted cases was 37.1 (s.d. = 11.3; range 18-63). The mean length of stay (LOS) was 59.3 days (s.d. = 61.0; median 39.5 days). All patients were admitted under Mental Health Act legislation. Antipsychotic polypharmacy was used in 61% (n = 55) of the admissions. A diagnosis of acute psychotic disorder (B = -1.027, p = 0.003, 95% CI: -1.691, -0.363) was associated with reduced LOS in PICU.Conclusion: Our study describes the cohort of patients admitted as being predominantly male, younger-aged, single, having a diagnosis of schizophrenia and being legally detained. The primary indication for referral is risk of assault, which highlights the need for the intensive and secure treatment model that a PICU can provide.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"361-368"},"PeriodicalIF":5.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/ipm.2021.18","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38900803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Characteristics of a later life population in a general adult community mental health service setting. 一般成人社区心理健康服务环境中晚年人群的特征。

IF 5.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2023-09-01 Epub Date: 2021-06-16 DOI: 10.1017/ipm.2021.46

R O'Sullivan, M Cosgrave, A Butler, J P Lyne

{"title":"Characteristics of a later life population in a general adult community mental health service setting.","authors":"R O'Sullivan, M Cosgrave, A Butler, J P Lyne","doi":"10.1017/ipm.2021.46","DOIUrl":"10.1017/ipm.2021.46","url":null,"abstract":"Objectives: Globally, increasing life expectancy has escalated demands on psychiatric services caring for a later life population. It is recognised that those with enduring mental illness may have specific needs with advancing age. In this study, we describe the characteristics of a population aged over 60 years attending a general adult community psychiatric service and compare demographic and clinical features across age and diagnostic categories. The study aims to gather preliminary information which may guide future local mental health service planning.Methods: We conducted a cross-sectional observational study using retrospective chart review of all patients aged over 60 years attending four community mental health teams in North Dublin. Cohorts of attenders were stratified by age comparing 60-64 year age group with the population aged 65 years and over. Attenders were also stratified by diagnosis and regression analysis was used to determine predictors of psychotic disorder diagnosis.Results: The study included 127 patients. There was a higher prevalence of psychotic disorders among those aged 65 years and over (n = 73), while those aged 60-64 years (n = 54) were more likely to have depression and non-affective, non-psychotic disorders. Among the population aged 65 years and over 78% (n = 57) were long-term psychiatric service attenders.Conclusions: The majority of the sample aged 65 years and over were long-term service attenders with a diagnosis of severe mental illness. Further research is warranted to determine optimal service delivery for later life psychiatric service attenders.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"450-456"},"PeriodicalIF":5.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/ipm.2021.46","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39234244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reflective practice in psychiatric training: Balint groups during COVID-19. 精神病培训中的反思实践：新冠肺炎期间的Balint小组。

IF 5.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2023-09-01 Epub Date: 2022-12-15 DOI: 10.1017/ipm.2022.51

M Elzain, S Murthy, S Omer, G McCarthy

引用次数: 0

Neuropsychiatric manifestations in a patient with prolonged COVID-19 encephalopathy: case report and literature review. 一例长期新冠肺炎脑病患者的神经精神表现：病例报告和文献回顾。

IF 5.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2023-09-01 Epub Date: 2021-09-21 DOI: 10.1017/ipm.2021.67

J O'Leary, J McAndrew, A Shukralla, K C Murphy

引用次数: 0

An overview of recent advances in opioid agonist treatment (OAT). 阿片类激动剂治疗（OAT）的最新进展综述。

IF 5.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2023-09-01 Epub Date: 2021-09-29 DOI: 10.1017/ipm.2021.62

M McNicholas, M Scully, E Keenan

引用次数: 0

Antipsychotic prescribing in GMS paediatric and young adult population in Ireland 2005-2015: repeated cross-sectional study. 2005-2015年爱尔兰GMS儿科和年轻成年人群的抗精神病处方：重复横断面研究。

IF 5.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2023-09-01 Epub Date: 2021-03-22 DOI: 10.1017/ipm.2021.7

K Conlan, J McGrath, M Teeling, M J MacAvin, K Bennett, L Gallagher

{"title":"Antipsychotic prescribing in GMS paediatric and young adult population in Ireland 2005-2015: repeated cross-sectional study.","authors":"K Conlan, J McGrath, M Teeling, M J MacAvin, K Bennett, L Gallagher","doi":"10.1017/ipm.2021.7","DOIUrl":"10.1017/ipm.2021.7","url":null,"abstract":"Objectives: To examine the rates of antipsychotic prescribing in the Irish paediatric and young adult population enrolled in the Irish General Medical Services Scheme pharmacy claims database from the Health Service Executive Primary Care Reimbursement Services database, with a focus on age and sex differences. To examine concomitant prescribing of certain other related medicines in this population.Methods: Data were obtained from the Irish General Medical Services (GMS) scheme pharmacy claims database from the Health Service Executive (HSE) - Primary Care Reimbursement Services (PCRS). Participants included children aged <16 years and youth aged 16-24 years availing of medicines under the HSE-PCRS GMS scheme between January 2005 and December 2015. Outcome measures included prescribing rates of antipsychotics from 2005 to 2015, differences in prescribing rates between different ages and sexes, and percentage of concomitant prescriptions for antidepressants, psychostimulants, anxiolytics and hypnosedatives.Results: Overall the trend in prescribing rates of antipsychotic medications was stable at 3.94/1000 in 2005 compared with 3.97/1000 in 2015 for children <16 years, and 48.37/1000 eligible population in 2005 compared to 39.64/1000 in 2015 for those aged 16-24. There was a significant decrease in prescribing rates for males in the 16-24 age group.Conclusions: While rates of antipsychotic prescribing have decreased or remained stable over the timeframe of the study, we did find a significant proportion of this population were prescribed antipsychotics. This study also shows that co-prescribing of antidepressants increased and highlights the need for guidelines for antipsychotic prescribing in children and youth in terms of clinical indication, monitoring, co-prescribing and treatment duration.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"343-352"},"PeriodicalIF":5.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/ipm.2021.7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25499491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1