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Autor: Grafiati
Data publikacji: 4 czerwca 2021
Data aktualizacji: 25 stycznia 2023

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1

Beck, Aaron T. Beck scale for suicide ideation: Manual. San Antonio,Tex: Psychological Corporation, 1993.

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Beck, Aaron T. BSI, Beck scale for suicide ideation: Manual. San Antonio, TX: Psychological Corp., 1991.

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Clarke, Diana Elaine. Holocaust experience and suicide ideation in high-risk older adults. Ottawa: National Library of Canada, 2001.

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Clarke, Diana Elaine. Holocaust experience and suicide ideation in high-risk older adults. Toronto: University of Toronto, 2001.

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Pérez Barrero, Sergio Andrés, 1953-, red. A comprehensive guide to suicidal behaviours: Working with individuals at risk and their families. London: Jessica Kingsley Publishers, 2012.

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Lester, David. Understanding Suicidal Ideation. Nova Science Publishers, Incorporated, 2020.

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Weaver, Bradley. Suicidal Ideation: Predictors, Prevalence and Prevention. Nova Science Publishers, Incorporated, 2015.

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Merrick, Joav, Seter Siziya i Mazyanga L. Mazaba. Suicide: A Global View on Suicidal Ideation among Adolescents. Nova Science Publishers, Incorporated, 2017.

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Rothberg, Brian, i Robert E. Feinstein. Suicide. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199326075.003.0012.

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All psychiatric assessments should include screening for recent suicidal ideation and past suicide behavior. The Columbia-Suicide Severity Rating Scale (C-SSRS) provides a reliable objective assessment of suicide risk. A history of past suicide attempts is a risk factor for future suicide, and risk is increased by more serious, more frequent, or more recent attempts. Over 90% of individuals who die by suicide have at least one psychiatric disorder. Patients with schizophrenia, alcohol and other substance use disorders, and borderline and antisocial personality disorders are at increased risk for suicide. Familial transmission of suicide risk appears to occur independent of the familial risk for psychiatric disorders; impulsivity seems to be an inherited trait that makes individuals more vulnerable to suicide. Hospitalization should be considered if suicidal ideation is present in a patient who is psychotic or who has a history of past attempts, particularly if near lethal, and may be the safest option in patients with other contributing medical conditions, limited family or social support, or lack of access to timely outpatient follow-up.
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10

Cukrowicz, Kelly C., i Erin K. Poindexter. Suicide. Redaktorzy C. Steven Richards i Michael W. O'Hara. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199797004.013.033.

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Suicide is a significant concern for clinicians working with clients experiencing major depressive disorder (MDD). Previous research has indicated that MDD is the diagnosis more frequently associated with suicide, with approximately two-thirds of those who die by suicide suffering from depression at the time of death by suicide. This chapter reviews data regarding the prevalence of suicidal behavior among those with depressive disorders. It then reviews risk factors for suicide ideation, self-injury, and death by suicide. Finally, the chapter provides an empirical overview of treatment studies aimed at decreasing risk for suicide, as well as an overview of several recent treatment approaches showing promise in the reduction of suicidal behavior.
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11

Galynker, Igor. Suicide Crisis Syndrome. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190260859.003.0007.

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Research has shown that the suicide crisis syndrome (SCS) is a suicide-specific diagnosable condition that is associated with imminent suicidal behavior. This chapter proposes Diagnostic and Statistical Manual of Mental Disorders criteria for SCS and provides a detailed description of its proposed structure and symptoms. Discussion of long-term versus short-term suicide risk and of suicide warning signs is followed by a discussion of the lack of predictive validity of self-reported suicidal ideation and intent with regard to imminent suicidal behavior. The core of the chapter consists of detailed description of the SCS main components: entrapment, affective disturbance in its many forms (emotional pain, anhedonia, frantic anxiety, and depressive turmoil), loss of cognitive control in several forms (ruminations, cognitive rigidity, thought suppression, and ruminative flooding), and altered arousal. The chapter concludes with the SCS assessment algorithm, representative case descriptions, and a test case.
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12

Bongar, Bruce, Glenn Sullivan, Victoria Kendrick i Joseph Tomlins. Evaluating and Managing Suicide Risk with the Adult Patient. Redaktor Phillip M. Kleespies. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199352722.013.10.

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Suicide and suicidal behavior are major medical and social problems in many parts of the world, despite a growing understanding of how to adequately prevent suicide. Many health-care professionals do not have a sufficient knowledge base and the training to provide adequate suicide assessment, nor do they have an understanding of the protocols necessary for management of suicidal patients. Without validated predictive tools to use in cases of suspected suicidal ideation, it is usually left to the clinician to make a decision regarding risk and potential harm. In this chapter we describe how to identify a suicidal patient and the procedures necessary to adequately provide services.
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13

Vince, Shaun. Give Life Another Chance: Understanding Depression, Suicide Ideation & How to Overcome Depression and Suicidal Thoughts. Independently Published, 2019.

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14

Spirito, Anthony, Kimberly O'Brien, Megan Ranney i Judelysse Gomez. The Evaluation and Management of Suicide Risk in Adolescents in the Context of Interpersonal Violence. Redaktor Phillip M. Kleespies. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199352722.013.4.

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In this chapter, risk factors for suicidal ideation and behavior are reviewed, including sociodemographics, prior suicidal behavior, nonsuicidal self-injury, depression, anxiety, substance use, family factors, physical and sexual abuse, sexual orientation, and access to firearms. Special emphasis is placed on the intersection of suicidality and interpersonal violence in terms of reciprocal risk. A review of the core areas to address in the acutely suicidal adolescent or the adolescent who has recently attempted suicide is also provided. Clinical questions regarding the adolescent’s current emotional state, suicidal ideation/intent, reasons for suicidality, access to means, and capability of the environment to keep the adolescent safe are suggested. The chapter concludes with a discussion of safety planning.
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15

Feinstein, Robert E. Violence and Suicide. Redaktorzy Robert E. Feinstein, Joseph V. Connelly i Marilyn S. Feinstein. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190276201.003.0018.

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Patients exhibiting violent or suicidal behavior have psychiatric symptoms varying along a spectrum of risk, from minimal to fatal. Evidence supports screening patients for intimate partner violence and suicide risk. Clinical care focuses on establishing a team and a working alliance, determining the “Why now?” of dangerousness, and using clinical judgments, risk assessment tools, a critical pathway, and a risk registry. Clinical care includes assessment of (1) violent or suicidal ideation, (2) recent dangerous behaviors, (3) past history of risky behaviors, (4) support system, (5) substance use, (6) cooperation with treatment, and (7) clinician reactions (8) diagnosis of medical and neurologic comorbidities. A multidisciplinary team can optimally manage these patients by deciding on the level of care needed for each problem or episode. Care can be delivered by using a practice registry and a critical pathway and focusing care on psychotherapy, with medications as needed. Steps are outlined for managing intimate partner violence.
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16

Phillips, Katharine A. Suicidality and Aggressive Behavior in Body Dysmorphic Disorder. Redaktor Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0013.

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This chapter reviews suicidality and aggressive/violent behavior in body dysmorphic disorder (BDD) and presents clinical cases, which reflect the extreme suffering that BDD often causes. Suicidal ideation and suicide attempts are common in BDD. This has been found in both clinical and epidemiologic samples and in adults as well as youth. More severe BDD symptoms are independently associated with an increased risk of suicidal ideation and suicide attempts. Suicidality appears more common in BDD than in obsessive-compulsive disorder and other clinical samples with which BDD has been directly compared. Although data are limited, the rate of completed suicide appears markedly elevated; indeed, individuals with BDD have many risk factors for completed suicide. Physical aggression and violence are less well studied but appear to commonly occur as a consequence of BDD. Surgeons, dermatologists, and other clinicians who provide cosmetic treatment may be at particular risk. Additional studies designed to investigate these topics are urgently needed.
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17

The epidemiology of attempted suicide and suicidal ideation: An analysis of the Ontario health survey and the Ontario health supplement. Ottawa: National Library of Canada, 1996.

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18

Jacobson, Gary. Practice and Malpractice in the Evaluation of Suicidal Patients. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199387106.003.0004.

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This chapter discusses practice and malpractice in the evaluation of suicidal patients. Contemporary standards of care require a comprehensive assessment of suicide risk. Risk factors include ideation about suicide, death, or self-harm; a history of attempted suicide and a family history of suicide or a serious suicide attempt; diagnoses and symptoms that are correlated with an increased suicide risk; and stressors correlated with an increased risk of suicide in the short term. Protective factors include the presence of young children at home and religious beliefs. Hospitalization of a suicidal person does not necessarily eliminate the risk. Constant observation is usually required during the initial treatment period. Transferring care requires the transfer of explicit documentation, including the patient’s history of suicide risk, treatment efforts and their results, and plans for ensuring the patient’s safety during the transitional period between providers.
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19

Malin, Maureen A., Carolina Jimenez-Madiedo i Robert Kohn. Suicidal Behavior in the Elderly and its Forensic Implications. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0033.

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The probability of death from a suicidal act increases exponentially with age. Risk factors for suicide in the elderly include mental illness, serious suicidal ideation, functional impairment, stressful life events, substance use disorder, physical illness, and type of social connectedness. Following depression, substance use disorder is the second most common psychiatric diagnosis associated with elder suicide. Risk factors associated with suicide in long-term care facilities are similar to those for the general population. This chapter presents the epidemiology of suicide among older adults and discusses the various risk factors for suicide and its occurrence in long-term care facilities. Also discussed are guidelines for prevention of suicide and clinician liability. Stratifying the risk severity and temporality in relation to risk factors may assist in ascertaining the actual risk and facilitate clinical decision-making. As elderly patients have the highest risk of suicide, clinicians need to be vigilant and implement good clinical practice standards to reduce liability.
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20

Phillips, Katharine A. Body Dysmorphic Disorder in Children and Adolescents. Redaktor Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0014.

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Body dysmorphic disorder (BDD) usually has its onset during childhood or adolescence. Prevalence studies indicate that BDD is common in adolescents. BDD symptoms in children and adolescents appear largely similar to those in adults, although BDD may be somewhat more severe in youth. Youth with BDD typically have poor psychosocial functioning and mental health–related quality of life. BDD often causes academic underachievement, social avoidance, and other types of psychosocial impairment; it may lead to school refusal and dropping out of school. Suicidal ideation and attempts, physical aggression behavior that is attributable to BDD symptoms, and substance use disorders are common risk behaviors in youth with BDD. BDD can derail the developmental trajectory, which makes appropriate treatment especially important during childhood and adolescence. Youth in mental health settings and cosmetic treatment settings, as well as youth who express suicidal ideation or have attempted suicide, should be screened for BDD.
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21

Bradley, John C. The Psychopharmacological Treatment of Individuals at Risk of Recurrent Suicidal Behavior. Redaktor Phillip M. Kleespies. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199352722.013.40.

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Mental illness is the primary risk factor for suicidal ideation, attempts, and completion. Effective treatment of the psychiatric condition is the foundational strategy to reduce the risk of suicide associated with these conditions, but few medications can be demonstrated to independently reduce the risk of suicide. This chapter will describe how psychopharmacological treatment can be included as a component of bio-psycho-social treatments within the context of a recovery model for suicide prevention. The evidence for medication therapies will be reviewed both for specific behavioral health conditions and for any reduced suicide risk independent of general therapeutic effects to treat underlying conditions. A framework strategy will be described for the integration of evidence-based clinical decision making to provide the most effective treatment that also specifically targets suicide risk for patients.
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22

Lester, David. Understanding Suicidal Ideation. Nova Science Publishers, Incorporated, 2020.

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Mulligan, Aisling. Adjustment disorders in child and adolescent psychiatry (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198786214.003.0009.

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The clinical description of adjustment disorder (AD) in children and young people is the same as in adults. However, the stressors or triggers to AD in childhood and adolescence may differ from those in adult life. Up to 30% of those presenting to acute psychiatric services for adolescents can be considered to have an AD. The diagnosis of AD is associated with an increased risk of suicide and of suicidal ideation in young people. While most young people recover from AD, the long-term prognosis of AD is different in young people than in adults—young people with AD have a higher risk of developing ongoing psychiatric illness than adults with AD.
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24

Galynker, Igor. Conducting Short-Term Risk Assessment Interviews. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190260859.003.0009.

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This chapter describes several approaches to conducting imminent risk assessment interviews, which may be applicable to different clinical settings. The chapter has five sections. The first section uses the narrative crisis model of suicidal behavior to combine all the key components of the imminent risk assessment described in the preceding chapters into one comprehensive risk assessment outline. The second section addresses real-world challenges and limitations inherent to suicide risk assessments, limitations of self-reported suicidal ideation and intent, and strategies for minimizing interview bias. The third section is devoted to the potential advantages and disadvantages of using the short-term risk assessment instruments. The fourth section describes three different imminent risk assessment interview strategies and gives examples of each. The final section describes how to recognize a patient who has made a definitive plan to take his or her life behind the mask of “eerie calm.”
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Ganança, Licínia, David A. Kahn i Maria A. Oquendo. Mood Disorders. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199326075.003.0003.

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This chapter discusses the mood disorders. Major depressive disorder is characterized by neurovegetative changes, anhedonia, and suicidal ideation. Persistent depressive disorder is a milder form of depression, lasting for at least 2 years, with little or no remission during that time... Psychotic features can occur in both depressive and manic episodes. Premenstrual dysphoric disorder is diagnosed through use of a prospective daily symptom ratings log showing a cyclical pattern over at least 2 consecutive months. Patients with mood episodes with mixed features have a high risk of suicide. Some patients with bipolar disorder and major depressive disorder may develop catatonic features characterized by marked psychomotor disturbance. Selective serotonin reuptake inhibitors (SSRIs) are the usual first-line medication treatment for patients with major depressive disorder. For patients with bipolar disorder the mainstays of somatic therapy are lithium and the anticonvulsants valproate and carbamazepine.
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Steinberg, Martin. Treatment of Depression. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199959549.003.0006.

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Most depression in the elderly can be effectively treated in the primary care setting. Psychiatric referral should be considered in the setting of severe depression, suicidal ideation, prior suicide attempts, multiple risk factors, psychotic symptoms, bipolar disorder, poor response to prior treatment, or high medical comorbidity. Combining pharmacological and psychosocial interventions is most likely to be effective. Available antidepressants include serotonin-specific reuptake inhibitors, serotonin norepinephrine reuptake inhibitors, novel mechanism agents, tricyclic antidepressants, and monoamine oxidase inhibitors. Antidepressant selection should take into account adverse effects, medical comorbidities, potential medication interactions, and patient preferences. Additional strategies (e.g. augmentation) are available for treatment resistant depression. Available psychotherapies include supportive, cognitive-behavioral, interpersonal, and problem solving. Lifestyle interventions (e.g. exercise) may be helpful adjuncts. Given limited evidence for antidepressant treatment in cognitive impairment, for those with mild to moderate depression severity, non-pharmacological interventions should be attempted first.
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Hartmann, Andrea S., i Ulrike Buhlmann. Prevalence and Underrecognition of Body Dysmorphic Disorder. Redaktor Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0005.

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Large epidemiologic studies across Western countries that used DSM-IV and DSM-5 diagnostic criteria have found a point prevalence rate of body dysmorphic disorder (BDD) of 1.7% to 2.9%. The prevalence of BDD is higher in clinical samples. Gender ratios in epidemiologic studies show a slight preponderance of females, which is confirmed in most convenience and clinical samples. Prevalence rates appear to be highest in younger (adolescent) subsamples. Other demographic correlates include a lower likelihood of being in a committed relationship, less education, lower household income, and higher unemployment rates. Key clinical correlates from epidemiologic studies are greater depression, anxiety, and somatoform symptoms and more frequent suicidal ideation and suicide attempts. Reasons for the underrecognition of BDD include shame, fear of not being understood by the clinician, lack of readiness for treatment, skepticism about treatment or belief in the superiority of other forms of treatment (such as cosmetic treatment), and lack of financial coverage for treatment.
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Holland, Carol Buchholz. SFBT in Action. Oxford University Press, 2017. http://dx.doi.org/10.1093/acprof:oso/9780190607258.003.0008.

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This chapter provides information about the prevalence of youth mental health issues, and identifies student risk and protective factors. In addition, the solution-focused counseling approach is compared with traditional problem-focused counseling approaches. Benefits of using the solution-focused approach in schools are identified. A case study is also included in this chapter. The case study offers school-based mental health practitioners with detailed steps on how to recognize and respond to students’ suicide ideation from a solution-focused perspective. This solution-focused intervention is designed to build hope, to empower the student, and to encourage more solution-building activities.
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Tucker, Brittany, i Robin Russell. Suicide Was at the End of My Rainbow: For Those with Suicidal Ideations and Suicide Attempts. Independently Published, 2017.

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Deshmukh, Parikshit. Management of Patient with Suicidal Ideation. Lulu Press, Inc., 2008.

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Dishion, Thomas J., i James Snyder. Coercion Dynamics. Redaktorzy Thomas J. Dishion i James Snyder. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199324552.013.29.

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This chapter summarizes the history of research focused on coercive relationship dynamics among family members and peers. It is plausible that evolutionary mechanisms are at play that account for the cross-generational repetition of conflict and coercion and the alarming transformations in human behavior that lead to more serious forms of violence. Considerable progress has been made in understanding the genetic and neurobiological underpinnings of emotion-regulation patterns that define vulnerability to coercive relationships. Coercive relationship dynamics can be subtle and laden with many emotions, but ultimately, the core dynamic is that conflict is solved by emotional manipulation rather than by negotiation. More nuanced forms of coercion are also implicated in some patterns of depression, anxiety, and suicide ideation and attempts. There are several evidence-based prevention and treatment strategies for youth problem behavior and marital relationships. Successful prevention and intervention must skillfully motivate and manage changes in these overlearned patterns of behavior.
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32

Astor, Ron, i Rami Benbenishty. Mapping and Monitoring Bullying and Violence. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190847067.001.0001.

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Mapping and Monitoring Bullying and Violence is a guidebook for district and school education leaders and professionals to reduce incidents of violence and bullying and enhance students' well-being. Written in a step-by-step format, the text is designed to assist in collecting and making better use of data on non-academic issues in schools, such as reports of victimization, weapon and drug possession, theft of personal property, suicide ideation, and other areas. The authors advocate an ongoing monitoring approach that involves collecting information from multiple audiences about what is taking place in and around schools. One part of this process is mapping, which gives school leaders, students, and staff members a visual record of areas of the campus considered safe, alongside those that students view to be places where they might encounter bullying, harm, or trouble. Other common parts of such systems are surveys among students, educators, and parents. The authors include practical examples of how to design such a system, gather current information, analyze and display the data, share it with different audiences, and use it to find solutions. Ultimately, this timely guidebook is a must-have for social workers, psychologists, counselors, nurses, and others working to improve safety in schools.
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Jillani, Sarah. Clinical Vignette. Redaktor Mallika Lavakumar. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190265557.003.0039.

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Forrest, Marcia R. PERCEIVED SOCIAL SUPPORT, SELF-ESTEEM, DEPRESSION AND SUICIDAL IDEATION OF RURAL ADOLESCENTS. 1989.

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Horton-Deutsch, Sara Lynne. A PSYCHOLOGICAL AUTOPSY OF OLDER ADULTS: CHRONIC DYSPNEA AND SUICIDAL IDEATION IN ELDERLY MEN. 1992.

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McKenzie, Jon W. The level of collegiate athletic participation and its effects on suicidal ideation, depressive symptoms, psychological distress, and hopelessness. 1992.

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The level of collegiate athletic participation and its effects on suicidal ideation, depressive symptoms, psychological distress, and hopelessness. 1992.

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Schneider, Stephen Gary. Suicidal ideation in gay and bi-sexual men as predicted by AIDS related life stressors, social support and pre-existing chronic depression. 1989.

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Brown, Lily A., David Yusko, Hallie Tannahill i Edna B. Foa. Prolonged Exposure Therapy for Post-Traumatic Stress Disorder. Redaktorzy Charles B. Nemeroff i Charles R. Marmar. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190259440.003.0030.

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This chapter presents an overview of prolonged exposure therapy (PE), a highly efficacious and effective treatment for post-traumatic stress disorder (PTSD). First, emotional processing theory is reviewed, which provides the theoretical basis for PE and the key mechanisms underlying PTSD symptom reduction. Next, a synthesis of the robust evidence for the efficacy and effectiveness of PE is provided. The chapter reviews evidence that in addition to ameliorating PTSD symptoms, PE reduces secondary symptoms such as depression, suicidal ideation, anger, and substance use disorders. The chapter describes evidence supporting the extension of PE with unique samples, including individuals with psychosis, persons with self-injurious behavior, and war veterans. The chapter concludes with a review of the status of PE dissemination and implementation efforts.
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40

Fairman, Nathan, i Scott A. Irwin. Depression and the Desire to Die Near the End of Life. Redaktorzy Stuart J. Youngner i Robert M. Arnold. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199974412.013.25.

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This chapter examines how depression may affect a patient’s ability to make life-shortening decisions within the setting of care near the end of life, as well as a clinician’s willingness to support the patient’s preferences (that is, respecting his autonomy). It considers how the suspicion of depression can make the physician pause even when the obvious choice would be to support the patient’s decision. It also describes some of the defining features of depression, including hopelessness, suicidal ideation, and desire for hastened death. The chapter first reviews depression and similar clinical conditions in the context of end-of-life care before discussing the construct of capacity and the elements of its assessment. It then considers evidence on the relationship between depression and decisional capacity before concluding with suggestions to help guide decision-making.
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41

Pflum, Samantha, Peter Goldblum, Joyce Chu i Bruce Bongar. Bullying and Peer Aggression in Children and Adolescents. Redaktor Phillip M. Kleespies. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199352722.013.8.

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Crafting prevention and intervention strategies for peer bullying, aggression, and suicidality in youth is a complex, multifaceted task. Involvement in bullying and peer aggression is accompanied by numerous psychosocial consequences, including suicidal ideation and behavior. Care must be taken to examine this relationship in an objective, evidence-based manner, rather than overattributing or causally relating youth suicidality to bullying. Mental health professionals, medical providers, teachers, and school administrators are uniquely positioned to intervene in the risk factors that impact bullying and suicidality in youth. Taking an ecological systems perspective, this chapter will review extant efforts to ameliorate bullying, aggression, and suicidality in children and adolescents, with a focus on individual- and group-level protective factors that can facilitate positive health and academic outcomes. Recommendations for providers, educators, parents, policymakers, and researchers offer evidence-based guidance for future work in these domains.
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42

Chazminare, Allex Sun. SAD Symptoms: Oversleeping or Insomnia, Fatigue or Lethargy, Overeating or Decreased Appetite, Suicidal Ideation, Social Isolation, Decreased Libido, Anhedonia, Unpleasant Feelings, Agitation and Difficulty Concentrating, Anxiety. Independently Published, 2021.

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43

Weisholtz, Daniel S., i Barbara A. Dworetzky. Emergency Department and Urgent Care Presentations. Redaktorzy Barbara A. Dworetzky i Gaston C. Baslet. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190265045.003.0002.

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Psychogenic nonepileptic seizures (PNES) may present emergently to a variety of clinicians who are unaccustomed to managing them. Morbidity can occur when PNES are inappropriately treated as epileptic seizures, particularly in a pregnant patient, whose fetus may be unnecessarily exposed to antiepileptic drugs, or when PNES are markedly prolonged and mistaken for status epilepticus, resulting in aggressive treatments including intubation and general anesthesia. PNES should not be considered a benign condition. During the seizures, patients may experience injuries such as head traumas, fractures, and lacerations. PNES patients often also present to emergency departments with serious complaints unrelated to seizures, including somatic complaints such as pain or dyspnea, as well as acute psychiatric crises such as suicidal ideation or self-injurious behavior. PNES emergencies must be dealt with judiciously and serious problems must not be dismissed. Ultimately, emergency department visits can be used to help coordinate care with outpatient providers who can help clarify diagnosis and provide adequate treatment, which should eventually reduce unnecessary use of medical resources.
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Geberth, Vernon J., i Anny Sauvageau. Autoerotic Deaths: Practical Forensic and Investigative Perspectives. Taylor & Francis Group, 2013.

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J, Geberth Vernon, red. Autoerotic deaths: Practical forensic and investigative perspectives. 2013.

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Geberth, Vernon J., i Anny Sauvageau. Autoerotic Deaths. Taylor & Francis Group, 2021.

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Geberth, Vernon J., i Anny Sauvageau. Autoerotic Deaths. Taylor & Francis Group, 2013.

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