A5065722699- Suicide and Self-Harm Studies
- Emergency and Acute Care Studies
- Healthcare Decision-Making and Restraints
- Mental Health Research Topics
- Psychosomatic Disorders and Their Treatments
- Schizophrenia research and treatment
- COVID-19 and Mental Health
- Electroconvulsive Therapy Studies
- Homicide, Infanticide, and Child Abuse
- Mental Health and Psychiatry
- Substance Abuse Treatment and Outcomes
- Mental Health via Writing
- Injury Epidemiology and Prevention
- Impact of Technology on Adolescents
- Visual perception and processing mechanisms
- Mental Health Treatment and Access
- Ophthalmology and Visual Impairment Studies
- Corneal surgery and disorders
- Poisoning and overdose treatments
- Agroforestry and silvopastoral systems
- Digital Mental Health Interventions
- COVID-19 and healthcare impacts
- Psychiatric care and mental health services
- Restraint-Related Deaths
- Forest ecology and management
Massachusetts General Hospital
2018-2024
Harvard University
2020-2024
Colorado State University
2003
Bradford Teaching Hospitals NHS Foundation Trust
1987
Half of the people who die by suicide make a health care visit within 1 month their death. However, clinicians lack tools to identify these patients.To predict attempts and 6 months presentation at an emergency department (ED) for psychiatric problems.This prognostic study assessed 1-month 6-month risk among 1818 patients presenting ED between February 4, 2015, March 13, 2017, with problems. Data analysis was performed from May 1, 2020, November 19, 2021.Suicide after were defined combining...
Race-based bias in health care occurs at organizational, structural, and clinical levels impacts emergency medical care. Limited literature exists on the role of race patient restraint setting. This study sought to examine physical an department (ED) a major academic center.Retrospective chart analysis was performed, querying all adult ED visits over 2-year period (2016-2018) Massachusetts General Hospital. The associations between selected covariates (sex, insurance, age, diagnosis,...
There is concern that the COVID-19 pandemic may cause increased risk of suicide. In current study, we tested whether suicidal thinking has during and such was predicted by feelings social isolation. a sample 55 individuals recently hospitalized for or behaviors participating in 6-month intensive longitudinal smartphone monitoring examined isolation before after declared national emergency United States. We found significantly among adults (odds ratio [ OR] = 4.01, 95% confidence interval...
Suicidal ideation frequently prompts visits to psychiatric emergency departments, and more information is needed about factors that mediate clinicians' decisions hospitalize or discharge patients with suicidal ideation.The authors reviewed records for 257 presenting a service. Demographic clinical correlates of hospitalization were examined by backward stepwise binary logistic regression.Hospitalization occurred 70% persons was significantly associated psychosis, history attempted suicide,...
To estimate the association between COVID-19 and Emergency Department (ED) psychiatric presentations, including suicidal ideation.Using an interrupted time series design, we analyzed presentations using electronic health record data in academic medical center ED 2018 2020. We used regression models to assess onset of outbreak certain presentations. The period February 26-March 6, 2020 was define patterns before after coronavirus outbreak.We found a 36.2% decrease (unadjusted) consults...
Ecological momentary assessment (EMA) is increasingly used to study suicidal thoughts and behaviors (STBs). There a potential ethical obligation for researchers intervene when receiving information about in real time. A possible concern, however, that intervening responses indicate high risk suicide during EMA research may impact how participants respond questions thus affect the validity integrity of collected data. We leveraged data from adults adolescents (
Article AbstractObjective: Considerable debate exists about the value and wisdom of initiating "definitive" pharmacotherapies, particularly antidepressants, in psychiatric emergency setting. We evaluated nature prevalence medication prescriptions for patients discharged from an urban service extent to which pharmacotherapy initiation was predictive follow-through with aftercare. Method: Records were reviewed 675 consecutive individuals a community-based over 3-month period (January...
Suicide risk is highest immediately after psychiatric hospitalization, but the field lacks methods for identifying which patients are at greatest risk, and when. We built personalized models predicting suicidal thoughts hospital visits (N=89 patients), using ecological momentary assessment (EMA; average EMA responses per participant=311). several idiographic models, including baseline autoregressive elastic net (using single train/test split) Gaussian Process (GP) an iterative...
Abstract Background Smartphone-based monitoring in natural settings provides opportunities to monitor mental health behaviors, including suicidal thoughts and behaviors. To date, most behaviors research using smartphones has primarily relied on collecting so-called “active” data, requiring participants engage by completing surveys. Data collected passively from smartphone sensors logs may offer an objectively measured representation of individual’s behavior, screen time. Objective This study...
Forty consecutive amblyopic patients between the ages of 3 and 12 years attending Orthoptic Clinic for assessment treatment were tested on AO Contrast Sensitivity System [Arden grating test (AGT)] VISTECH Charts. Recordings unsuccessful in more than 50% these both systems. Of those who could successfully complete AGT, false negative results noted 62.5% eyes positive found 25% normal fellow eyes. On near chart, all produced that outside specified limit normality. distance gave results. From...
Acute psychosis can be a true emergency, and the primary goal in evaluation of an acutely psychotic patient should to maintain safety prevent harm staff. The defining symptoms include hallucinations, delusions, disorganized thought or speech, abnormal motor behavior, negative symptoms. This review covers approach patient, definitive treatment, disposition outcomes for patients experiencing acute psychosis. figure shows interview setting triangular arrangement, allowing safe egress. Tables...
Acute psychosis can be a true emergency, and the primary goal in evaluation of an acutely psychotic patient should to maintain safety prevent harm staff. The defining symptoms include hallucinations, delusions, disorganized thought or speech, abnormal motor behavior, negative symptoms. This review covers approach patient, definitive treatment, disposition outcomes for patients experiencing acute psychosis. figure shows interview setting triangular arrangement, allowing safe egress. Tables...
Acute psychosis can be a true emergency, and the primary goal in evaluation of an acutely psychotic patient should to maintain safety prevent harm staff. The defining symptoms include hallucinations, delusions, disorganized thought or speech, abnormal motor behavior, negative symptoms. This review covers approach patient, definitive treatment, disposition outcomes for patients experiencing acute psychosis. figure shows interview setting triangular arrangement, allowing safe egress. Tables...