Volume 72
June 2011
Number 6
 
 

CME Pretest | CME Posttest

publisher’s note

736 JCP 2011: Our World Keeps Improving FREE to registered users

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Original Articles

737 First Episode of Self-Harm in Older Age: A Report From the 10-Year Prospective Manchester Self-Harm Project

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Clinical Points

  • More than half of all older people who present to a hospital with self-harm are presenting with the first episode of self-harm.
  • The rate of repetition is lower among older people presenting with the first episode of self-harm, but repetition is more often fatal.
  • Physical health problems as a precipitant of self-harm are a key predictor of repetition among older people presenting with the first episode of self-harm.

744 Levetiracetam in the Management of Bipolar Depression: A Randomized, Double-Blind, Placebo-Controlled Trial

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751 Association of Weight Gain and Metabolic Syndrome in Patients Taking Clozapine: An 8-Year Cohort Study

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757 Concise Health Risk Tracking Scale: A Brief Self-Report and Clinician Rating of Suicidal Risk

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Clinical Points

  • Use of standardized measures to monitor suicide risk is essential in the care of patients with depression.
  • The Concise Health Risk Tracking (CHRT) scale is a brief, easy-to-use rating instrument for suicide risk.
  • The CHRT scale can be used in routine clinical care with minimal burden.

765 Concise Associated Symptoms Tracking Scale: A Brief Self-Report and Clinician Rating of Symptoms Associated With Suicidality

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Clinical Points

  • Clinicians should monitor patients treated with antidepressants for symptoms associated with treatment-emergent suicidal ideation.
  • The Concise Associated Symptoms Tracking (CAST) scale allows for efficient screening of the activation syndrome (ie, irritability, anxiety, mania, panic, insomnia).
  • The CAST is a brief self-report instrument that allows for the assessment of domains thought to be associated with changes in suicidal risk.

775 Alcohol Use Disorders in Schizophrenia: A National Cohort Study of 12,653 Patients [CME]

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  • Alcohol use disorders (AUDs) are common in patients who have been diagnosed with schizophrenia and are associated with significantly increased morbidity.
  • The risk of the patient’s developing an AUD should be considered at the time of first presentation with schizophrenia to inform appropriate interventions.
  • Risk factors for developing an AUD after a patient is diagnosed with schizophrenia are low educational attainment, parental history of AUD, and history of violent offending.

780 The Epidemiology of the Proposed DSM-5 Hoarding Disorder: Exploration of the Acquisition Specifier, Associated Features, and Distress [CME]

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For Clinical Use

  • The proposed hoarding disorder represents a more prevalent public health burden than historically anticipated.
  • Excessive acquisition is a common phenomenon among individuals with hoarding, and clinicians should assess patients for all 3 primary types, including buying, acquisition of free things, and stealing.
  • Because the associated features of hoarding (acquisition, perfectionism, indecision, and procrastination) were all significant predictors of distress and impairment, treatment may need to be focused on these factors, in addition to the core symptoms.

787 Increased Olanzapine Discontinuation and Health Care Resource Utilization Following a Medicaid Policy Change

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795 Homeopathic Treatments in Psychiatry: A Systematic Review of Randomized Placebo-Controlled Studies

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Clinical Points

  • Randomized placebo-controlled studies suggest that homeopathy is without benefit for anxiety, that it may be useful for functional somatic syndromes, and that for other conditions such as ADHD, premenstrual and sleep-related problems, its benefit is undetermined. For other common psychiatric conditions such as depression, posttraumatic stress disorder, and dementia, there are no informative data.
  • Although homeopathic medicines are well tolerated and believed to carry few side effects, there has to date been no adequate demonstration of their safety.
  • It is unknown whether a single individually chosen medicine is more effective than a fixed-dose combination formula.

806 Triglyceride/High-Density Lipoprotein Cholesterol Ratio: A Surrogate to Predict Insulin Resistance and Low-Density Lipoprotein Cholesterol Particle Size in Nondiabetic Patients With Schizophrenia

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813 Acute Efficacy of Divalproex Sodium Versus Placebo in Mood Stabilizer–Naive Bipolar I or II Depression: A Double-Blind, Randomized, Placebo-Controlled Trial

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820 Ethnoracial Disparities in Sexual Assault Among Asian Americans and Native Hawaiians/Other Pacific Islanders

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827 Reasons for Antidepressant Nonadherence Among Veterans Treated in Primary Care Clinics

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Focus on Childhood and Adolescent Mental Health

835 Controversial Issues in Child Psychiatry

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836 Problematic Internet Use and Health in Adolescents: Data From a High School Survey in Connecticut

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846 Relationship of Persistent Manic Symptoms to the Diagnosis of Pediatric Bipolar Spectrum Disorders

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854 QT Interval Duration and Dispersion in Children and Adolescents Treated With Ziprasidone

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861 Mental Health and Extracurricular Education in Korean First Graders: A School-Based Cross-Sectional Study

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ASCP Corner

869 Rediscovering Adverse Anticholinergic Effects

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Letters To the Editor

871 In Bipolar Disorder Beyond 10 Weeks of Treatment, the Term Antidepressants Is a Misnomer

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871 Cognitive Inhibition in Suicidal Depressed Elderly: A Case-Control Pilot Study

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872 Metabolic Syndrome in Inpatients Treated With Clozapine

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• Reply by Ya Mei Bai, Chao-Cheng Lin, Tzu Ting Chen, and Tung-Pine Su

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874 In Memory of Jonathon O. Cole

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874 Correction

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Book Reviews

875 Young Adult Mental Health

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875 Handbook of Diagnosis and Treatment of Bipolar Disorders

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876 Hands-On Help: Computer-Aided Psychotherapy

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online CME Activities

These online CME activities are available for free to all our users. You must register to view them, even if you have institutional access.

e19 Understanding the Burden of Depression

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e20 Administering and Evaluating the Results of the Adult ADHD Self-Report Scale (ASRS) in Adolescents

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e21 Highlights of the International Consensus Statement on Major Depressive Disorder

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information for authors

see www.psychiatrist.com/author.htm