A Shot in the Dark: Failing to Recognize the Link Between Physical and Mental Illness
Identifieur interne : 001B93 ( Main/Exploration ); précédent : 001B92; suivant : 001B94A Shot in the Dark: Failing to Recognize the Link Between Physical and Mental Illness
Auteurs : Tammy R. Copsey Spring [États-Unis] ; Leanne M. Yanni [États-Unis] ; James L. Levenson [États-Unis]Source :
- Journal of General Internal Medicine [ 0884-8734 ] ; 2007-05-01.
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Abstract
A 74-year-old widowed white man with chronic rheumatoid arthritis presented with nausea and weight loss. He was diagnosed with failure to thrive and admitted for hydration. Misoprostol was determined to be the etiology of his symptoms and he was discharged home. Three days later, he killed himself with a gunshot to the head. Clinicians often fail to recognize those at high risk for suicide. Suicidal risk is increased in both psychiatric and physical illness, and particularly when both are present. Psychiatric illness, particularly depression, often underlies chronic medical illness. The purpose of this case report is to remind health care providers of the strong association between depression and chronic medical illness, and to consider this in all patients, including those who present solely with physical symptoms. Recognizing this association and screening for it, as recommended by the U.S. Preventive Services Task Force, may prevent the unnecessary tragedy of suicide.
Url:
DOI: 10.1007/s11606-006-0089-9
Affiliations:
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Levenson</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, Virginia Commonwealth University (VCU) Medical Center, PO Box 980268, 23298, Richmond, VA</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of General Internal Medicine</title><title level="j" type="abbrev">J GEN INTERN MED</title><idno type="ISSN">0884-8734</idno><idno type="eISSN">1525-1497</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>New York</pubPlace><date type="published" when="2007-05-01">2007-05-01</date><biblScope unit="volume">22</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="677">677</biblScope><biblScope unit="page" to="680">680</biblScope></imprint><idno type="ISSN">0884-8734</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0884-8734</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>chronic disease</term><term>depression</term><term>risk assessment</term><term>screening</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 74-year-old widowed white man with chronic rheumatoid arthritis presented with nausea and weight loss. He was diagnosed with failure to thrive and admitted for hydration. Misoprostol was determined to be the etiology of his symptoms and he was discharged home. Three days later, he killed himself with a gunshot to the head. Clinicians often fail to recognize those at high risk for suicide. Suicidal risk is increased in both psychiatric and physical illness, and particularly when both are present. Psychiatric illness, particularly depression, often underlies chronic medical illness. The purpose of this case report is to remind health care providers of the strong association between depression and chronic medical illness, and to consider this in all patients, including those who present solely with physical symptoms. Recognizing this association and screening for it, as recommended by the U.S. Preventive Services Task Force, may prevent the unnecessary tragedy of suicide.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Virginie</li></region></list><tree><country name="États-Unis"><region name="Virginie"><name sortKey="Copsey Spring, Tammy R" sort="Copsey Spring, Tammy R" uniqKey="Copsey Spring T" first="Tammy R." last="Copsey Spring">Tammy R. Copsey Spring</name></region><name sortKey="Levenson, James L" sort="Levenson, James L" uniqKey="Levenson J" first="James L." last="Levenson">James L. Levenson</name><name sortKey="Yanni, Leanne M" sort="Yanni, Leanne M" uniqKey="Yanni L" first="Leanne M." last="Yanni">Leanne M. Yanni</name><name sortKey="Yanni, Leanne M" sort="Yanni, Leanne M" uniqKey="Yanni L" first="Leanne M." last="Yanni">Leanne M. Yanni</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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