Service hospitalier de psychiatrie : Questions médicales fréquentes
Nom anglais: Psychiatric Department, Hospital
Descriptor UI:D011567
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"name": "Diagnostic",
"headline": "Diagnostic sur Service hospitalier de psychiatrie",
"description": "Comment un diagnostic psychiatrique est-il établi ?\nQuels outils sont utilisés pour le diagnostic ?\nQuelles sont les principales catégories de troubles ?\nLe diagnostic peut-il changer avec le temps ?\nQui peut poser un diagnostic psychiatrique ?",
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"description": "Quels sont les symptômes courants des troubles mentaux ?\nComment reconnaître une crise d'angoisse ?\nLes symptômes peuvent-ils varier d'une personne à l'autre ?\nQuels signes indiquent une dépression sévère ?\nLes symptômes physiques sont-ils fréquents ?",
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"description": "Comment prévenir les troubles mentaux ?\nLe soutien familial joue-t-il un rôle ?\nLes programmes scolaires peuvent-ils aider ?\nL'activité physique aide-t-elle à prévenir les troubles ?\nLes techniques de relaxation sont-elles utiles ?",
"url": "https://questionsmedicales.fr/mesh/D011567?page=4#section-prévention"
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"headline": "Traitements sur Service hospitalier de psychiatrie",
"description": "Quels types de traitements sont disponibles en psychiatrie ?\nComment fonctionne la psychothérapie ?\nQuels médicaments sont couramment prescrits ?\nLa thérapie de groupe est-elle efficace ?\nQu'est-ce que la thérapie électroconvulsive ?",
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"description": "Quelles complications peuvent survenir avec les troubles mentaux ?\nLes troubles mentaux augmentent-ils le risque de maladies physiques ?\nComment l'usage de substances affecte-t-il la santé mentale ?\nLes troubles mentaux peuvent-ils affecter la vie professionnelle ?\nQuelles sont les conséquences du suicide ?",
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"name": "Facteurs de risque",
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"description": "Quels sont les facteurs de risque des troubles mentaux ?\nLe stress au travail peut-il être un facteur de risque ?\nLes antécédents familiaux influencent-ils le risque ?\nLes événements traumatiques augmentent-ils le risque ?\nL'isolement social est-il un facteur de risque ?",
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"@type": "Question",
"name": "Comment un diagnostic psychiatrique est-il établi ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il repose sur des entretiens cliniques, des évaluations psychologiques et des critères DSM."
}
},
{
"@type": "Question",
"name": "Quels outils sont utilisés pour le diagnostic ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des questionnaires, des échelles d'évaluation et des tests psychologiques sont utilisés."
}
},
{
"@type": "Question",
"name": "Quelles sont les principales catégories de troubles ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les troubles de l'humeur, anxieux, psychotiques et de la personnalité sont principaux."
}
},
{
"@type": "Question",
"name": "Le diagnostic peut-il changer avec le temps ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il peut évoluer en fonction des symptômes et des réponses au traitement."
}
},
{
"@type": "Question",
"name": "Qui peut poser un diagnostic psychiatrique ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un psychiatre ou un professionnel de la santé mentale qualifié peut établir un diagnostic."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants des troubles mentaux ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent l'anxiété, la dépression, les hallucinations et les troubles de l'humeur."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une crise d'angoisse ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle se manifeste par des palpitations, des sueurs, des tremblements et une peur intense."
}
},
{
"@type": "Question",
"name": "Les symptômes peuvent-ils varier d'une personne à l'autre ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'expression des symptômes peut être très individuelle selon les personnes."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une dépression sévère ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une perte d'intérêt, des troubles du sommeil, de l'appétit et des pensées suicidaires."
}
},
{
"@type": "Question",
"name": "Les symptômes physiques sont-ils fréquents ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des douleurs corporelles et des troubles digestifs peuvent accompagner les troubles mentaux."
}
},
{
"@type": "Question",
"name": "Comment prévenir les troubles mentaux ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention passe par l'éducation, le soutien social et la gestion du stress."
}
},
{
"@type": "Question",
"name": "Le soutien familial joue-t-il un rôle ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un bon soutien familial peut réduire le risque de troubles mentaux."
}
},
{
"@type": "Question",
"name": "Les programmes scolaires peuvent-ils aider ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils peuvent enseigner des compétences de vie et de gestion des émotions."
}
},
{
"@type": "Question",
"name": "L'activité physique aide-t-elle à prévenir les troubles ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'exercice régulier est bénéfique pour la santé mentale et le bien-être."
}
},
{
"@type": "Question",
"name": "Les techniques de relaxation sont-elles utiles ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des techniques comme la méditation et le yoga peuvent réduire le stress."
}
},
{
"@type": "Question",
"name": "Quels types de traitements sont disponibles en psychiatrie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent la psychothérapie, la médication et les thérapies alternatives."
}
},
{
"@type": "Question",
"name": "Comment fonctionne la psychothérapie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle aide à explorer les pensées et comportements pour améliorer le bien-être mental."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont couramment prescrits ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antidépresseurs, anxiolytiques et antipsychotiques sont fréquemment utilisés."
}
},
{
"@type": "Question",
"name": "La thérapie de groupe est-elle efficace ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle favorise le soutien social et l'échange d'expériences entre patients."
}
},
{
"@type": "Question",
"name": "Qu'est-ce que la thérapie électroconvulsive ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est un traitement pour les cas sévères de dépression, utilisant des impulsions électriques."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec les troubles mentaux ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications incluent l'isolement social, les problèmes de santé physique et le suicide."
}
},
{
"@type": "Question",
"name": "Les troubles mentaux augmentent-ils le risque de maladies physiques ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils peuvent augmenter le risque de maladies cardiovasculaires et métaboliques."
}
},
{
"@type": "Question",
"name": "Comment l'usage de substances affecte-t-il la santé mentale ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'abus de substances peut aggraver les troubles mentaux et compliquer le traitement."
}
},
{
"@type": "Question",
"name": "Les troubles mentaux peuvent-ils affecter la vie professionnelle ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils peuvent entraîner des absences, une baisse de productivité et des conflits."
}
},
{
"@type": "Question",
"name": "Quelles sont les conséquences du suicide ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le suicide a des conséquences dévastatrices pour la famille, les amis et la communauté."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque des troubles mentaux ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'hérédité, le stress, les traumatismes et l'isolement social."
}
},
{
"@type": "Question",
"name": "Le stress au travail peut-il être un facteur de risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un environnement de travail stressant peut contribuer au développement de troubles mentaux."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux influencent-ils le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un historique familial de troubles mentaux augmente le risque chez les individus."
}
},
{
"@type": "Question",
"name": "Les événements traumatiques augmentent-ils le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les traumatismes peuvent déclencher ou aggraver des troubles mentaux."
}
},
{
"@type": "Question",
"name": "L'isolement social est-il un facteur de risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'isolement social peut exacerber les symptômes et augmenter le risque de troubles."
}
}
]
}
]
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This study examined psychiatric hospitalisation patterns in San Salvatore Hospital in L' Aquila (Italy), during two major crises: the 2009 earthquake and the COVID-19 pandemic lockdown. The investigat...
We analysed weekly psychiatric unit admissions of adults diagnosed with schizophrenia spectrum disorder, major depression, bipolar disorder, and alcohol/substance use disorder. Four-year periods aroun...
A total of 1195 and 1085 patients were admitted to the psychiatric ward in the 2008-2011 and 2019-2022 periods, respectively. Weekly hospitalisations in the earthquake trimester were lower than during...
The present study indicated that exposure to major health crises can have both short- and long-term effects on psychiatric ward admission, holding significant implications for current and future major...
Aggression on psychiatric wards develops under influence of patient, staff and ward factors. Assessment of naturalistic derived staff and ward factors might increase better understanding of how aggres...
Studying staff and ward factors including interactions between patients and nurses prior and after development of aggression, within a naturalistic closed ward setting....
A prospective naturalistic experience sampling method (ESM) study....
A high intensive care unit of a mental health institution in The Netherlands where 29 nurses answered beeps generated by an app during approximately 7 consecutive days with questions regarding their s...
Associations were established between different staff and ward factors and the occurrence of aggressive incidents on the ward....
Risk for aggression was associated with the nurse being with a patient (OR=2.26, 95% CI 0.99 to 5.15, p=0.05). No significant association was found between discussing with the patient and setting a li...
Aggression is a problem that should be managed from a multidimensional perspective. The quality of interaction between nurses and patients is crucial. Exceeding the maximum bed capacity is likely asso...
The current pandemic situation led to deep changes not only in social relationships, but also on clinical care and access to healthcare facilities. The authors aimed to understand whether this context...
Retrospective data collection of all patients admitted in Centro Hospitalar Psiquiátrico de Lisboa, in two different time periods: pre-COVID-19 (march 11th, 2019 to march 10th, 2020, n = 1845) and COV...
Statistical significance was found regarding total number of admissions (reduction of around 30.7%), as well as compulsory ones (reduction of 14%, although the relative frequency had increased), days ...
While there was a general reduction in the overall number of patients admitted, in the most severe conditions (compulsory admissions and schizophrenia diagnosis) did not present such a reduction. Diff...
The current study was approved by the hospital's scientific and ethics committees (CCP number 0060/2021 and CES 09/2021)....
Psychiatric wards treating involuntarily admitted patients are traditionally locked to prevent absconding. However, on the basis of observational evidence, the necessity for locked units in psychiatri...
We examined the effects of an open-door policy in a quasi-experimental, prospective design. For the first time, at each of two locations, two identical wards serving as control and intervention could ...
Overall, door-opening times increased significantly at both sites´ intervention wards. The number of adverse events did not increase during intervention period. Frequencies of coercive measures decrea...
It is possible to manage psychiatric wards with open doors without taking inappropriate risks. The extent to which open-door policies are achievable is be dependent on staffing and patient characteris...
Our trial "Open Doors by Fair Means" is retrospectively registered with DRKS ( DRKS00015154 ) on Sept. 10...
Evaluation of long-term effects of the implementation of the Safewards Model (SM) among staff and patients in acute psychiatry in Germany....
Assessment of ward atmosphere, job satisfaction, fidelity, and coercive interventions in 2 locked wards directly before and 15 months after implementation of the SM....
Ward atmosphere was assessed significantly better after implementation, job satisfaction was still above-average at both times, coercive interventions declined significantly in one ward, fidelity and ...
The implementing of the SM in locked wards in acute psychiatry can also have positive effects in long run....
It has been reported that the COVID-19 pandemic has predisposed adolescents to risky behaviors such as substance use and subsequent substance use disorder (SUD). However, it is unknown how the pandemi...
Patients suffering from psychiatric disorders face many difficulties due to their condition, medications and lifestyle. Oral health and nutrition may be affected, further complicating their lives. Our...
Twenty-three patients (mean age 36, average medications five) were recruited during short-term hospitalization in a psychiatric ward. Inclusion criteria: anxiety, psychosis and/or depression, and use ...
Compared to healthy controls, the patients had significantly higher SXI scores and CODS, and SWS secretion was lower. Complaints of dysgeusia and halitosis were significantly more frequent among patie...
This relatively small group of patients in short-term psychiatric ward had both reduced oral health and poor oral health-related quality of life. Furthermore, their nutritional intake was affected by ...
As an emerging infectious disease with a heterogenous and uncertain transmission pattern, coronavirus disease 2019 (COVID-19) has created a catastrophe in healthcare-associated infections (HAIs) and p...
A cross-sectional multi-method study based on participant unobtrusive observation coupled with the completion of a self-administered ICP survey was conducted to assess compliance with ICPs among HCWs ...
A total of 2,670 ICP opportunities were observed from January to April 2020. The overall compliance rate was 42.6%. HCWs exhibited satisfactory compliance to the wearing of mask (91.2%) and the handli...
The compliance of HCWs in a psychiatric inpatient ward to ICPs during the COVID-19 pandemic ranged from poor to suboptimal. This result was alarming. Revisions of current ICP guidelines and policies t...
Overdose-related suicide attempts represent a significant portion of self-harm presentations in the psychiatric emergency department (ED). Identifying specific patient characteristics associated with ...
This retrospective study was conducted at Beijing Anding Hospital, Capital Medical University, from January 2020 to December 2021. Patients with psychiatric drug overdose suicide attempts presenting t...
This study examined 252 overdose patients, excluding 51 patients treated with alcohol or nonpsychiatric drugs, and a total 201 cases were included. The mean age of the patients was 28 ± 16 years (medi...
The present study revealed a greater prevalence of suicide overdose attempts among young females receiving prescriptions for antidepressants and/or BZDs. This finding suggests a potential need for enh...
Failure mode and effect analysis (FMEA) is a powerful tool for accessing potential failures, but the participants are limited. It has not been used in psychiatric hospitals. Objectives were to impleme...
In this prospective, questionnaire-based study, a multidisciplinary team experienced in ED admissions was trained in FMEA and determined potential failures in the process. They developed a questionnai...
By applying FMEA, we found 6 steps of the ED admission process, with 32 potential failures. Risk priority numbers ranged from 91 to 225. The most notable potential failure identified was during a pati...
Failure mode and effect analysis can be implemented in psychiatric hospitals and can be a useful tool for anticipating potential failures. The number of participants in an FMEA can be increased to inc...