Comment un diagnostic psychiatrique est-il établi ?

Il repose sur des entretiens cliniques, des évaluations psychologiques et des critères DSM.

Quels outils sont utilisés pour le diagnostic ?

Des questionnaires, des échelles d'évaluation et des tests psychologiques sont utilisés.

Quelles sont les principales catégories de troubles ?

Les troubles de l'humeur, anxieux, psychotiques et de la personnalité sont principaux.

Le diagnostic peut-il changer avec le temps ?

Oui, il peut évoluer en fonction des symptômes et des réponses au traitement.

Qui peut poser un diagnostic psychiatrique ?

Un psychiatre ou un professionnel de la santé mentale qualifié peut établir un diagnostic.

Quels sont les symptômes courants des troubles mentaux ?

Les symptômes incluent l'anxiété, la dépression, les hallucinations et les troubles de l'humeur.

Comment reconnaître une crise d'angoisse ?

Elle se manifeste par des palpitations, des sueurs, des tremblements et une peur intense.

Les symptômes peuvent-ils varier d'une personne à l'autre ?

Oui, l'expression des symptômes peut être très individuelle selon les personnes.

Quels signes indiquent une dépression sévère ?

Une perte d'intérêt, des troubles du sommeil, de l'appétit et des pensées suicidaires.

Les symptômes physiques sont-ils fréquents ?

Oui, des douleurs corporelles et des troubles digestifs peuvent accompagner les troubles mentaux.

Comment prévenir les troubles mentaux ?

La prévention passe par l'éducation, le soutien social et la gestion du stress.

Le soutien familial joue-t-il un rôle ?

Oui, un bon soutien familial peut réduire le risque de troubles mentaux.

Les programmes scolaires peuvent-ils aider ?

Oui, ils peuvent enseigner des compétences de vie et de gestion des émotions.

L'activité physique aide-t-elle à prévenir les troubles ?

Oui, l'exercice régulier est bénéfique pour la santé mentale et le bien-être.

Les techniques de relaxation sont-elles utiles ?

Oui, des techniques comme la méditation et le yoga peuvent réduire le stress.

Quels types de traitements sont disponibles en psychiatrie ?

Les traitements incluent la psychothérapie, la médication et les thérapies alternatives.

Comment fonctionne la psychothérapie ?

Elle aide à explorer les pensées et comportements pour améliorer le bien-être mental.

Quels médicaments sont couramment prescrits ?

Les antidépresseurs, anxiolytiques et antipsychotiques sont fréquemment utilisés.

La thérapie de groupe est-elle efficace ?

Oui, elle favorise le soutien social et l'échange d'expériences entre patients.

Qu'est-ce que la thérapie électroconvulsive ?

C'est un traitement pour les cas sévères de dépression, utilisant des impulsions électriques.

Quelles complications peuvent survenir avec les troubles mentaux ?

Des complications incluent l'isolement social, les problèmes de santé physique et le suicide.

Les troubles mentaux augmentent-ils le risque de maladies physiques ?

Oui, ils peuvent augmenter le risque de maladies cardiovasculaires et métaboliques.

Comment l'usage de substances affecte-t-il la santé mentale ?

L'abus de substances peut aggraver les troubles mentaux et compliquer le traitement.

Les troubles mentaux peuvent-ils affecter la vie professionnelle ?

Oui, ils peuvent entraîner des absences, une baisse de productivité et des conflits.

Quelles sont les conséquences du suicide ?

Le suicide a des conséquences dévastatrices pour la famille, les amis et la communauté.

Quels sont les facteurs de risque des troubles mentaux ?

Les facteurs incluent l'hérédité, le stress, les traumatismes et l'isolement social.

Le stress au travail peut-il être un facteur de risque ?

Oui, un environnement de travail stressant peut contribuer au développement de troubles mentaux.

Les antécédents familiaux influencent-ils le risque ?

Oui, un historique familial de troubles mentaux augmente le risque chez les individus.

Les événements traumatiques augmentent-ils le risque ?

Oui, les traumatismes peuvent déclencher ou aggraver des troubles mentaux.

L'isolement social est-il un facteur de risque ?

Oui, l'isolement social peut exacerber les symptômes et augmenter le risque de troubles.

Service hospitalier de psychiatrie - Informations médicales vérifiées

Phentermine involvement in fatal drug overdoses in Tennessee, 2019-2022.

09 2023

DOI: 10.1016/j.drugpo.2023.104151 PMID: 37549596

Phentermine, one of the most-commonly prescribed pharmaceuticals for weight-loss in the United States (US), has appeared on toxicology and listed as a cause of death in fatal drug overdoses in the sta... We used Tennessee State Unintentional Drug Overdose Reporting System (SUDORS) data and controlled substances monitoring program data (CSMD) to evaluate demographics, prescription history and co-occurr... We identified 51 phentermine-positive cases, with a subset of 20 that listed phentermine as a cause of death. When compared to all SUDORS cases, a higher proportion of cases that listed phentermine as... Phentermine was listed as a cause of death in 20 fatal drug overdoses in TN. Our findings suggest there may be differences in the characteristics of these decedents when compared to all SUDORS deceden...

Female Humans United States Tennessee Analgesics, Opioid +3 autres

Injecting drugs alone during an overdose crisis in Vancouver, Canada.

17 11 2022

DOI: 10.1186/s12954-022-00701-w PMID: 36397146

Settings throughout Canada and the USA continue to experience crises of overdose death due to the toxic unregulated drug supply. Injecting drugs alone limits the potential for intervention and has acc... Data were derived from two prospective cohorts of people who use drugs between June 2016 and November 2018. This analysis was restricted to participants who, in the previous 6 months, reported any inj... Among 1070 PWID who contributed 3307 observations, 931 (87%) reported injecting alone at least once during the study period. In total, there were 729 (22%) reports of always injecting alone, 722 (21.8... We observed that injecting alone, a key risk for overdose mortality, was common among PWID in Vancouver. Our findings underline the need for additional overdose prevention measures that are gender-spe...

Male Humans Substance Abuse, Intravenous Prospective Studies Drug Overdose +2 autres

Cocaethylene cardiotoxicity in emergency department patients with acute drug overdose.

02 2023

DOI: 10.1111/acem.14584 PMID: 36000306

Cocaine use results in over 500,000 emergency department (ED) visits annually across the United States and ethanol co-ingestion is reported in 34% of these. Commingling cocaine with ethanol results in... This was a secondary data analysis of a prospective cohort study of adult patients with acute drug overdose at two urban tertiary care hospital EDs over 4 years. Patients with positive urinary cocaine... We enrolled a total of 199 patients (150 cocaine, 49 CE). Rates of cardiac arrest were significantly higher in the CE group compared to cocaine (6.1% vs. 0.67%, p = 0.048). Cocaine was significantly a... When compared to cocaine exposure alone, CE exposure in ED patients with acute drug overdose was significantly associated with higher occurrence of cardiac arrest, higher mean lactate concentrations, ...

Adult Humans Cardiotoxicity Hyperlactatemia Prospective Studies +7 autres

Prevalence of hepatitis C virus among fatal drug overdoses in Tennessee: an analysis using 2019-2020 Tennessee State Unintentional Drug Overdose Reporting System Data.

04 2023

DOI: 10.1016/j.annepidem.2023.02.002 PMID: 36758846

Given the nature of the co-occurring epidemics of hepatitis C virus (HCV) and fatal stimulant overdose, we sought to assess the prevalence of HCV among opioid and stimulant-positive overdoses.... We conducted a cross-sectional study to examine the prevalence of HCV among fatal drug overdoses in Tennessee using 2019-2020 data from the State Unintentional Drug Overdose Reporting System. We defin... Between 2019 and 2020, 3570 unintentional or undetermined drug overdose deaths occurred in Tennessee with an available autopsy. History of HCV was found in 24.6% of deaths. When assessing different in... This analysis while descriptive highlights the importance of linking datasets to enhance infectious disease and drug overdose surveillance. Partnership between communicable disease and drug overdose s...

Humans Analgesics, Opioid Tennessee Hepacivirus Prevalence +3 autres

Sensitivity of health records for self-reported nonfatal drug and alcohol overdose.

11 2022

DOI: 10.1111/ajad.13327 PMID: 36000282

Public health surveillance for overdose sometimes depends on nonfatal drug overdoses recorded in health records. However, the proportion of total overdoses identified through health record systems is ... We conducted a cohort study linking survey data on overdose from a national survey of Veterans to United States Department of Veterans Affairs (VA) health records, including community care paid for by... The sensitivity of diagnostic codes for overdose, compared to self-report as a reference standard for this analysis, varied by substance: 28.1% for alcohol, 23.1% for sedatives, 12.0% for opioids, and... Diagnostic codes in health records may not identify a substantial proportion of drug overdoses. A health record diagnosis of substance use disorder may offer a stronger inference regarding the size of... This study suggests that diagnostic codes for overdose are insensitive. These findings support consideration of alternative approaches to overdose surveillance in public health....

United States Humans Self Report Cohort Studies Drug Overdose +2 autres

Trends in overdose deaths involving gabapentinoids and Z-drugs in the United States.

01 Aug 2023

DOI: 10.1016/j.drugalcdep.2023.109952 PMID: 37301069

As policies have been implemented to limit access to prescription opioids, other drugs have been prescribed off-label, sometimes concurrently with opioids, to manage pain. There are concerns about the... Data from the census of deaths in the United States for 1999-2020 were used to understand trends in deaths involving gabapentinoids/Z-drugs and opioid co-involvement. These trends were studied overall... Per capita overdose deaths involving gabapentinoids/Z-drugs increased almost continuously since 1999, averaging 15.8% annual growth. This rate increased to 32% in 2020, primarily due to overdoses invo... Overdose deaths involving opioids and gabapentinoids/Z-drugs have tended to disproportionately affect women and older age groups compared to all opioid-involved overdoses. As deaths involving syntheti...

Humans United States Female Aged Analgesics, Opioid +5 autres

A cross sectional survey of provider experiences with patient drug overdose death.

05 2023

DOI: 10.1016/j.josat.2023.209008 PMID: 36921768

A record number of drug overdose (OD) deaths occurred in the United States in 2021. We know little regarding the impact of patient drug OD deaths on providers within health care settings. The aim of t... The study distributed an email invitation to individuals in the Provider Clinical Support System database in December 2020 to complete an anonymous web-based survey. We used multiple choice questions ... Among the 12,204 individuals who read the email invitation, 1064 opened the survey link, and 523 completed the survey. Participants were predominantly physicians (40.2 %) and counselors (25 %), 70 % f... Many providers did not feel prepared themselves to cope with a patient OD death or support a colleague following this type of event. Patient OD deaths were a common experience, and providers did not f...

Humans Female United States Middle Aged Male +4 autres

Drug overdoses, geographic trajectories, and the influence of built environment and neighborhood characteristics.

01 2023

DOI: 10.1016/j.healthplace.2022.102959 PMID: 36535075

Much research has analyzed the spatial patterns of drug overdose events and identified features of the environment associated with heightened overdose levels. Generally absent from the literature are ...

Humans Drug Overdose Neighborhood Characteristics New Jersey

County-level predictors of US drug overdose mortality: A systematic review.

01 01 2023

DOI: 10.1016/j.drugalcdep.2022.109714 PMID: 36463764

This systematic review summarized published literature on county-level predictors of drug overdose mortality in the United States (US).... Peer-reviewed studies and doctoral dissertations published in English between 1990 and July 19, 2022 were identified from PubMed, Web of Science, ProQuest Dissertations & Theses, PsycINFO, CINAHL, and... Of 56 studies included, 42.9% were subnational, and 53.6% were limited to opioid overdose. In multiple studies, measures related to opioid prescribing, illness/disability, economic distress, mining em... The findings of this review provide relatively mixed evidence regarding many county-level predictors of overdose mortality, several of which also vary between subpopulations, supporting the importance...

Humans United States Analgesics, Opioid Practice Patterns, Physicians' Drug Overdose +2 autres

Experience of Personal Loss Due to Drug Overdose Among US Adults.

03 May 2024

DOI: 10.1001/jamahealthforum.2024.1262 PMID: 38819798

Since 1999, over 1 million people have died of a drug overdose in the US. However, little is known about the bereaved, meaning their family, friends, and acquaintances, and their views on the importan... To quantify the scope of the drug overdose crisis in terms of personal overdose loss (ie, knowing someone who died of a drug overdose) and to assess the policy implications of this loss.... This cross-sectional study used data from a nationally representative survey of US adults (age ≥18 years), the fourth wave of the COVID-19 and Life Stressors Impact on Mental Health and Well-Being (CL... Respondents reported whether they knew someone who died of a drug overdose and the nature of their relationship with the decedent(s). They also reported their political party affiliation and rated the... Of the 7802 panelists invited to participate, 2479 completed the survey (31.8% response rate); 153 were excluded because they did not know whether they knew someone who died of a drug overdose, result... This cross-sectional study found that 32% of US adults reported knowing someone who died of a drug overdose and that personal overdose loss was associated with greater odds of endorsing addiction as a...

Humans Drug Overdose Male Female Adult +8 autres

Service hospitalier de psychiatrie : Questions médicales fréquentes

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