Jing Ling Tay, Ling Zhang, Jie Sang, Keng Boon Ong
{"title":"Unexpected deaths within psychiatric setting: A scoping review","authors":"Jing Ling Tay, Ling Zhang, Jie Sang, Keng Boon Ong","doi":"10.1016/j.apnu.2025.151878","DOIUrl":"10.1016/j.apnu.2025.151878","url":null,"abstract":"<div><h3>Background</h3><div>Unexpected deaths have been associated with a variety of factors within the inpatient psychiatric setting.</div></div><div><h3>Aims</h3><div>This scoping review aims to evaluate the contributing/risk factors and preventive strategies of unexpected deaths.</div></div><div><h3>Methods</h3><div>This study is guided by the PRISMA extension for scoping review and the PRISMA 2020 statement. Six databases were searched from database inception to 18 December 2023, using the keywords: death* or mortality or autopsy AND (mental health) or psychiat* AND inpatient*. Studies published in English that explored the causes, contributing factors, risk factors, and preventive strategies of unexpected death within the inpatient psychiatric settings were included.</div></div><div><h3>Results</h3><div>Twenty-seven articles were included. The articles explored contributing factors (100 %, n = 27), and strategies (59.3 %, n = 16) surrounding unexpected deaths within inpatient psychiatry setting. Studies attributed the causes to (1) medical conditions, (2) restraints, (3) asphyxia, and (4) catatonia or extreme agitation. Studies, mostly case reports, described deaths in those who utilised (5) antipsychotics but greater quality studies, such as case controls denied this association. Corresponding preventive strategies included, (1) medical assessment and treatment (especially cardiovascular disorders and their related risk factors), collaboration with medical physicians, staff training, staffing (increasing physician numbers), (2) usage of better alternatives like counselling, rapid tranquilisation, usage of restraints cautiously as a last resort with thorough observation, (3) risk assessment, training, (4) prompt treatment of catatonia and, (5) simplification of antipsychotic regimen.</div></div><div><h3>Conclusion</h3><div>More good quality studies are required to examine this controversial topic. An evidence-based understanding of this important topic can save lives in psychiatry.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151878"},"PeriodicalIF":2.2,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143921674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Elimination of the clozapine risk evaluation and mitigation strategy (REMS) – Improving access to care for those with treatment-refractory schizophrenia","authors":"Brayden Kameg","doi":"10.1016/j.apnu.2025.151862","DOIUrl":"10.1016/j.apnu.2025.151862","url":null,"abstract":"<div><div>A variety of pharmacological treatment options exist for schizophrenia, although as many as 20 % to 40 % of individuals with schizophrenia experience treatment-refractory symptoms. Typically defined by non-response to at least two sequential, adequate trials of antipsychotics, treatment-refractory schizophrenia represents a significant clinical challenge. Currently, clozapine (Clozaril) is the only evidence-based treatment strategy available for treatment-refractory schizophrenia. Nonetheless, clozapine has long remained underutilized due to administrative barriers such as the Food and Drug Administration (FDA) Risk Evaluation and Mitigation Strategy (REMS) program, a historical requirement for clozapine prescribing. The FDA has eliminated the clozapine REMS program effective February 2025. This editorial provides an update on clozapine and recognizes that elimination of the clozapine REMS program will reduce barriers to clozapine prescribing.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151862"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of therapeutic music listening on depression and sleep quality in people with chronic schizophrenia: Pilot randomized controlled trial","authors":"Dilek Avci , Berfin Coskun","doi":"10.1016/j.apnu.2025.151865","DOIUrl":"10.1016/j.apnu.2025.151865","url":null,"abstract":"<div><h3>Objective</h3><div>This pilot study aimed to determine the effects of experimenter-selected recorded music listening on depression and sleep quality in people with chronic schizophrenia.</div></div><div><h3>Methods</h3><div>The single-masked, randomized controlled trial was conducted with 56 outpatients in a community mental health center in western Turkey, between January 2023 and July 2023. The music listening intervention was carried out for eight weeks, two sessions per week and 60 min per session.</div></div><div><h3>Results</h3><div>The post-test and follow-up test depression and sleep quality scores of chronic schizophrenia patients in the music listening group were lower than the control group and the difference was statistically significant. In addition, there was a significant decrease in the depression levels of the patients in the music listening group from pre-test to post-test and from post-test to follow-up test. There was a significant improvement in sleep quality in the post-test compared to the pre-test, but there was no significant difference between the follow-up test and post-test scores.</div></div><div><h3>Conclusion</h3><div>Listening to pre-recorded Turkish rast makam music is a feasible, economical, safe, and non-invasive intervention, able to improve both depression and sleep quality in outpatients with chronic schizophrenia. Therefore, psychiatric nurses should use therapeutic music listening to reduce depression and increase sleep quality in patients.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151865"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J.A. Zauszniewski , R. Almutairi , A. Jeanblanc , E. Juratovac
{"title":"Corrigendum to “Need-based in intervention delivery for family caregivers of older adults with dementia” [Arch. Psychiatr. Nurs. 51, 133–136]","authors":"J.A. Zauszniewski , R. Almutairi , A. Jeanblanc , E. Juratovac","doi":"10.1016/j.apnu.2025.02.001","DOIUrl":"10.1016/j.apnu.2025.02.001","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151850"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785728","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}
Ingrid Zugey Galán-Vera , María Auxiliadora Robles-Bello , Aziz Sarhani-Robles , Nieves Valencia-Naranjo
{"title":"Experiences and coping strategies of parents with children diagnosed with autism spectrum disorder in early care with emphasis on social skills and family cultural values: A qualitative study","authors":"Ingrid Zugey Galán-Vera , María Auxiliadora Robles-Bello , Aziz Sarhani-Robles , Nieves Valencia-Naranjo","doi":"10.1016/j.apnu.2025.151864","DOIUrl":"10.1016/j.apnu.2025.151864","url":null,"abstract":"<div><div>Parents of children diagnosed with autism spectrum disorder (ASD) often experience a grieving process upon receiving the diagnosis. In Spain, early care centers focus on providing care to this population. However, little is known about parents' experiences during this process, the daily challenges they face due to their children's social skills deficits, and how their context and values influence this process. The aim of this study was to explore and describe the experiences of parents of children diagnosed with ASD in early care services, focusing on their children's social skills and the family's cultural values. For this purpose, a semi-structured interview was conducted with 17 parents and a qualitative thematic analysis was made based on the principles of Gadamer's hermeneutic phenomenology. Three main themes could be identified: the emotional process of the parents upon receiving the diagnosis, the unanticipated obstacles and coping strategies they use, and the role of cultural family values that maintain the family dynamics. Part of the findings emphasize the need for greater parental mental health care, the social difficulties faced by both parents and their children, and the importance of support networks and parental values in raising their children.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151864"},"PeriodicalIF":2.2,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}