The detection of psychiatric illness by questionnaire

https://www.sjsu.edu/people/jennifer.gregg/courses/c4/s1/sex.pdf

Psychological and interpersonal dimensions of sexual function and dysfunction.

International Consultation on Sexual Medicine ReportPsychological and Interpersonal Dimensions of Sexual Function and Dysfunction

STUDY QUESTION: What is the prevalence of infertility and of help seeking among women and men in Britain? SUMMARY ANSWER: One in eight women and one in ten men aged 16-74 years had experienced infertility, defined by unsuccessfully attempting pregnancy for a year or longer, and little more than half of these people sought medical or professional help. WHAT IS KNOWN ALREADY: Estimates of infertility and help seeking in Britain vary widely and are not easily comparable because of different definitions and study populations. STUDY DESIGN, SIZE, DURATION: A cross-sectional population survey was conducted between 2010 and 2012 with a sample of 15 162 women and men aged 16-74 years. PARTICIPANTS/MATERIALS, SETTING, METHODS: Participants completed the Natsal-3 questionnaire, using computer-assisted personal interviewing (CAPI) and computer-assisted self-interview (CASI). MAIN RESULTS AND THE ROLE OF CHANCE: The reported prevalence of infertility was 12.5% (CI 95% 11.7-13.3) among women and 10.1% (CI 95% 9.2-11.1) among men. Increased prevalence was associated with later cohabitation with a partner, higher socio-economic status and, for those who had a child, becoming parents at older ages. The reported prevalence of help seeking was 57.3% (CI 95% 53.6-61.0) among women and 53.2% (CI 95% 48.1-58.1) among men. Help seekers were more likely to be better educated and in higher status occupations and, among those who had a child, to have become parents later in life. LIMITATIONS, REASONS FOR CAUTION: These data are cross-sectional so it is not possible to establish temporality or infer causality. Self-reported data may be subject to recall bias. WIDER IMPLICATIONS OF THE FINDINGS: The study provides estimates of infertility and help seeking in Britain and the results indicate that the prevalence of infertility is higher among those delaying parenthood. Those with higher educational qualifications and occupational status are more likely to consult with medical professionals for fertility problems than others and these inequalities in help seeking should be considered by clinical practice and public health. STUDY FUNDING/COMPETING INTERESTS: Funding was provided by grants from the Medical Research Council and the Wellcome Trust, with support from the Economic and Social Research Council and the Department of Health. AMJ is a Governor of the Wellcome Trust. Other authors have no competing interests.

/pdf/prevalence-of-infertility-and-help-seeking-among-15-000-52ozuxly2q.pdf

Prevalence of infertility and help seeking among 15 000 women and men

Subcommittee Members: Dr. Alexander Nast, Berlin (Germany) Dr. Cristina Oprica, Stockholm (Sweden) Prof. Dr. Brigitte Dreno, Nantes (France) Mrs. Stefanie Rosumeck, Berlin (Germany) Dr. Vincenzo Bettoli, Ferrara (Italy) Prof. Dr. Berthold Rzany, Berlin (Germany) Prof. Dr. Klaus Degitz, Munich (Germany) Dr. Adel Sammain, Berlin (Germany) Mr. Ricardo Erdmann, Berlin (Germany) Dr. Thierry Simonart, Brussels (Belgium) Prof. Dr. Andrew Finlay, Cardiff (United Kingdom) Dr. Niels Kren Veien, Aalborg (Denmark) Prof. Dr. Ruta Ganceviciene, Vilnius (Lithuania) Dr. Maja Vurnek fivkovi , Zagreb (Croatia) Dr. Alison Layton, Harrogate (United Kingdom) Prof. Dr. Christos Zouboulis, Dessau (Germany) Dr. Jose Luis Lopez Estebaranz, Madrid (Spain) Prof. Dr. Falk Ochsendorf, Frankfurt (Germany) Prof. Dr. med. Harald Gollnick, Magdeburg (Germany)

https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1468-3083.2011.04374.x

European Evidence‐based (S3) Guidelines for the Treatment of Acne

OBJECTIVE —To evaluate whether people who have committed parasuicide have low serum cholesterol concentrations DESIGN —Results of blood tests in subjects admitted to hospital for parasuicide compared with those of a control group of non-suicidal subjects; comparison in subgroup of parasuicide subjects of two sets of blood test results (one set from admission for parasuicide and the other from admission for some other illness) SETTING —General hospital, Ferrara, Italy SUBJECTS —331parasuicide subjects aged 44 (SD 21) years (109 with two sets of blood test results) and 331 controls MAIN OUTCOME MEASURES —Serum cholesterol concentrations and possible association with parasuicide, considering sex, violence of method of parasuicide, and underlying psychiatric disorder RESULTS —Lower serum cholesterol concentrations (496 (SD 116) mmol/l) were found in the parasuicide subjects than in the controls (543 (130); P CONCLUSION —The study showed low cholesterol concentrations after parasuicide This finding agrees with previous studies, which suggest an association between low cholesterol concentration and suicide Key messages Trials of cholesterol lowering have shown an increased mortality from violent deaths and suicide No studies of cholesterol concentrations in parasuicide subjects are available This study shows lower cholesterol concentrations in parasuicide subjects than in controls The association between low cholesterol concentration and parasuicide, however, does not allow definite conclusions to be drawn Further prospective trials are needed to focus on the possible effects of abrupt variation in cholesterol concentration on behaviour

/pdf/serum-cholesterol-concentrations-in-parasuicide-wvr46huof2.pdf

Serum cholesterol concentrations in parasuicide

BACKGROUND

Hidradenitis suppurativa (HS) is a chronic, progressive inflammatory, debilitating, follicular disease of the skin with a reported incidence of less than 1% in the general population. Diagnosis of HS may typically be delayed for years, and even when diagnosed, is challenging to treat. Thus, HS has considerable negative impact on patient quality of life.

OBJECTIVES

To describe the HS patient journey in Italy, identify unmet needs and provide a proposal for integrated patient care.

METHODS

A multidisciplinary panel of leading Italian experts met to evaluate routine clinical practice and patient experience, and analyse the available scientific evidence on HS.

RESULTS

A comprehensive map of the journey of the HS patient in Italy was built based on integrated data obtained from clinical practice and patient experience. The journey is non-linear and can be grouped into four broad stages that are somewhat overlapping and intersecting: (i) onset to diagnosis; (ii) circle of visits; (iii) circle of treatments; (iv) living with HS. Several unmet needs were identified that included greater awareness of disease by both healthcare practitioners and patients.

CONCLUSION

Improved disease awareness can be addressed through continuing medical education for physicians and development of educational materials for patients, in addition to greater utilization of social networks. Moreover, the development of integrated treatment centres was considered a worthwhile goal, and would offer patients the possibility to receive multidisciplinary care, ideally with dermatologists coordinating treatment, along with surgeons, psychologists, endocrinologists, gastroenterologists, pain specialists, gynaecologists and paediatricians as needed. Lastly, standardized management protocols for HS are also needed.

The Hidradenitis suppurativa patient journey in Italy: current status, unmet needs and opportunities.

To evaluate whether a time pattern exists in the occurrence of suicide, 223 cases observed in Ferrara, Italy, over a 10-year period were considered. The determination of the hour of suicide was precise in 99 cases, presumptive (within a range of 1 hour) in 53, while for another 44 cases it was possible to define a probable time of suicide, grouping into four 6-hour periods (night, morning, afternoon, and evening). The remaining 27 cases were excluded as it was impossible to determine the time reliably. The data were analysed both by means of chi 2 test for goodness-of-fit and by single cosinor. A specific pattern, characterized by a significant peak in the late morning -early afternoon hours was found for the entire sample and sex subgroups. Language: en

The time for suicide

Circadian patterns have been shown for many physiological variables and several medical diseases.1 Suicidal behaviours usually occur with symptoms of depression, although only a few people who attempt suicide fully satisfy diagnostic criteria for having an affective disorder. Clinical and experimental evidence suggests that affective disorders are related to disturbances in the phase or amplitude of biological rhythms - for example, sleep-wake cycles, environmental dark-light cycles, and hormonal rhythms. We determined whether a specific temporal risk exists in the occurrence of attempted suicide by deliberate self poisoning.

We studied prospectively all patients who attempted suicide by deliberate self poisoning and were admitted to the accident and emergency department of St Anna Hospital, Ferrara, Italy, from 1 January 1989 to 31 December 1991. This hospital alone deals with medical emergencies occuring in the city and suburban area of …

Circadian variation in attempted suicide by deliberate self poisoning

Circadian occurrence of parasuicide was evaluated in relation to sex, violence of parasuicide method and psychiatric diagnosis In all, 457 consecutive episodes of parasuicide were recruited during a 5-year period Complete data for time of parasuicide, parasuicide method, parasuicide recurrency and psychiatric diagnosis (ICD-9) were available for 304 subjects Parasuicide methods were classified into two groups depending on the violence of the method Parasuicide occurred significantly more often in the afternoon and evening hours for both men and women, for both violent and non-violent methods, both in first-even cases and repeaters, and in the following diagnostic groups: organic mental and psychoactive substance disorders, neurotic disorders and personality disorders The data support the hypothesis of a circadian rhythmicity of parasuicide, showing an area of chronobiological risk in the afternoon and early evening hours

Circadian rhythm of parasuicide in relation to violence of method and concomitant mental disorder.

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