Volume 72
June 2011
Number 6
CME Pretest | CME Posttest
publisher’s note
736 JCP 2011: Our World Keeps Improving FREE to registered users
[PDF] [Full Text]
Original Articles
737 First Episode of Self-Harm in Older Age: A Report From the 10-Year Prospective Manchester Self-Harm Project
Richard C. Oude Voshaar, Jayne Cooper, Elizabeth Murphy, Sarah Steeg, Nav Kapur, and Nitin B. Purandare
[Abstract] [Full Text] [Clinical Points] [Related Blog Post FREE to registered users]
[Close]
- 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
Aybala Saricicek, Kathleen Maloney, Anjana Muralidharan, Barbara Ruf, Hilary P. Blumberg, Gerard Sanacora, Boris Lorberg, Brian Pittman, and Zubin Bhagwagar
[Abstract] [Full Text]
751 Association of Weight Gain and Metabolic Syndrome in Patients Taking Clozapine: An 8-Year Cohort Study
Ya Mei Bai, Chao-Cheng Lin, Jen-Yeu Chen, Tzu Ting Chen, Tung-Pine Su, and Pesus Chou
[Abstract] [Full Text]
757 Concise Health Risk Tracking Scale: A Brief Self-Report and Clinician Rating of Suicidal Risk
Madhukar H. Trivedi, Stephen R. Wisniewski, David W. Morris, Maurizio Fava, Jackie K. Gollan, Diane Warden, Andrew A. Nierenberg, Bradley N. Gaynes, Mustafa M. Husain, James F. Luther, Sidney Zisook, and A. John Rush
[Abstract] [Full Text] [Clinical Points]
[Close]
- 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
Madhukar H. Trivedi, Stephen R. Wisniewski, David W. Morris, Maurizio Fava, Benji T. Kurian, Jackie K. Gollan, Andrew A. Nierenberg, Diane Warden, Bradley N. Gaynes, James F. Luther, and A. John Rush
[Abstract] [Full Text] [Supplementary Material] [Clinical Points]
[Close]
- 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]
Roland M. Jones, Paul Lichtenstein, Martin Grann, Niklas Långström, and Seena Fazel
[Abstract] [Full Text] [CME Activity] [Clinical Points]
[Close]
- 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]
Kiara R. Timpano, Cornelia Exner, Heide Glaesmer, Winfried Rief, Aparna Keshaviah, Elmar Brähler, and Sabine Wilhelm
[Abstract] [Full Text] [CME Activity] [Clinical Points] [Related Blog Post FREE to registered users]
[Close]
- 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
James Signorovitch, Howard Birnbaum, Rym Ben-Hamadi, Andrew P. Yu, Yohanne Kidolezi, David Kelley, Glenn Phillips, Anthony Lawson, and Daniel E. Ball
[Abstract] [Full Text]
795 Homeopathic Treatments in Psychiatry: A Systematic Review of Randomized Placebo-Controlled Studies
Jonathan R. T. Davidson, Cindy Crawford, John A. Ives, and Wayne B. Jonas
[Abstract] [Full Text] [View eAppendix] [Clinical Points]
[Close]
- 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
Xiaoduo Fan, Emily Y. Liu, Vicki Poole Hoffman, Alison J. Potts, Bikash Sharma, and David C. Henderson
[Abstract] [Full Text]
813 Acute Efficacy of Divalproex Sodium Versus Placebo in Mood Stabilizer–Naive Bipolar I or II Depression: A Double-Blind, Randomized, Placebo-Controlled Trial
David J. Muzina, Keming Gao, David E. Kemp, Sammy Khalife, Stephen J. Ganocy, Philip K. Chan, Mary Beth Serrano, Carla M. Conroy, and Joseph R. Calabrese
[Abstract] [Full Text]
820 Ethnoracial Disparities in Sexual Assault Among Asian Americans and Native Hawaiians/Other Pacific Islanders
Annette S. Crisanti, Christopher Frueh, Debbie M. Gundaya, Florentina R. Salvail, and Elisa G. Triffleman
[Abstract] [Full Text]
827 Reasons for Antidepressant Nonadherence Among Veterans Treated in Primary Care Clinics
John C. Fortney, Jeffrey M. Pyne, Mark J. Edlund, Tracy Stecker, Dinesh Mittal, Dean E. Robinson, and Kathy L. Henderson
[Abstract] [Full Text]
Focus on Childhood and Adolescent Mental Health
835 Controversial Issues in Child Psychiatry
Karen Dineen Wagner
[Abstract] [Full Text]
836 Problematic Internet Use and Health in Adolescents: Data From a High School Survey in Connecticut
Timothy C. Liu, Rani A. Desai, Suchitra Krishnan-Sarin, Dana A. Cavallo, and Marc N. Potenza
[Abstract] [Full Text] [Related Blog Post FREE to registered users]
846 Relationship of Persistent Manic Symptoms to the Diagnosis of Pediatric Bipolar Spectrum Disorders
Thomas W. Frazier, Eric A. Youngstrom, Sarah McCue Horwitz, Christine A. Demeter, Mary A. Fristad, L. Eugene Arnold, Boris Birmaher, Robert A. Kowatch, David Axelson, Neal Ryan, Mary Kay Gill, and Robert L. Findling
[Abstract] [Full Text]
854 QT Interval Duration and Dispersion in Children and Adolescents Treated With Ziprasidone
Christoph U. Correll, Johnny D. Lops, Vicki Figen, Anil K. Malhotra, John M. Kane, and Peter Manu
[Abstract] [Full Text]
861 Mental Health and Extracurricular Education in Korean First Graders: A School-Based Cross-Sectional Study
Hyun Ju Hong, Young Shin Kim, Duk-In Jon, Jeong Ho Soek, Narei Hong, Jill M. Harkavy-Friedman, Ann M. Miller, and Laurence L. Greenhill
[Abstract] [Full Text] [Supplementary Material]
ASCP Corner
869 Rediscovering Adverse Anticholinergic Effects
Philip Gerretsen and Bruce G. Pollock
[Purchase] [Full Text]
Letters To the Editor
871 In Bipolar Disorder Beyond 10 Weeks of Treatment, the Term Antidepressants Is a Misnomer
Roger Sparhawk
[Purchase] [Full Text]
871 Cognitive Inhibition in Suicidal Depressed Elderly: A Case-Control Pilot Study
Stéphane Richard-Devantoy, Cedric Annweiler, Didier Le Gall, Jean-Bernard Garré, Jean-Pierre Olié, and Olivier Beauchet
[Purchase] [Full Text]
872 Metabolic Syndrome in Inpatients Treated With Clozapine
Takefumi Suzuki
[Purchase] [Full Text]
• Reply by Ya Mei Bai, Chao-Cheng Lin, Tzu Ting Chen, and Tung-Pine Su
[Purchase] [Full Text]
874 In Memory of Jonathon O. Cole
Mark J. Goldblatt
[Purchase] [Full Text]
874 Correction
Khin NA, Chen Y-F, Yang Y, Yang P, Laughren TP. Exploratory analyses of efficacy data from major depressive disorder trials submitted to the US Food and Drug Administration in support of new drug applications (J Clin Psychiatry 2011;72[4]:464–472)
[Purchase] [Full Text]
Book Reviews
875 Young Adult Mental Health
Matthew Kleban
[Purchase] [Full Text]
875 Handbook of Diagnosis and Treatment of Bipolar Disorders
Robert M. A. Hirschfeld
[Purchase] [Full Text]
876 Hands-On Help: Computer-Aided Psychotherapy
John H. Greist
[Purchase] [Full Text]
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
Larry Culpepper
[Abstract]
e20 Administering and Evaluating the Results of the Adult ADHD Self-Report Scale (ASRS) in Adolescents
Lenard A. Adler and Jeffrey H. Newcorn
[Abstract]
e21 Highlights of the International Consensus Statement on Major Depressive Disorder
David J. Nutt
[Abstract]
information for authors
see www.psychiatrist.com/author.htm
