Pub Date : 2019-09-18DOI: 10.51332/bjp.2019.v24.i1.76
N. Mondal
Suicide is defined as an act in which a person intentionally causes his/her own death. In India, the number of people who ended their lives by committing suicide was 131, 666[1] in 2014; 133, 623[2] in 2015; and 230, 314[3] in 2016. Attempt to die by suicide is defined as a nonfatal and self-injurious behavior with an intent to die. For every death by suicide, on an average, 25 people attempt to die by suicide.[4-6]
{"title":"Suicide and the Law: Indian Perspective","authors":"N. Mondal","doi":"10.51332/bjp.2019.v24.i1.76","DOIUrl":"https://doi.org/10.51332/bjp.2019.v24.i1.76","url":null,"abstract":"Suicide is defined as an act in which a person intentionally causes his/her own death. In India, the number of people who ended their lives by committing suicide was 131, 666[1] in 2014; 133, 623[2] in 2015; and 230, 314[3] in 2016. Attempt to die by suicide is defined as a nonfatal and self-injurious behavior with an intent to die. For every death by suicide, on an average, 25 people attempt to die by suicide.[4-6]","PeriodicalId":377938,"journal":{"name":"Bengal Journal of Psychiatry","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121821888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-18DOI: 10.51332/bjp.2019.v24.i1.75
M. Das
Suicide is a global phenomenon and occurs throughout the life span. It is recognised as a critical public health issue by the World Health Organization (WHO) in its Comprehensive Mental Health Action Plan 2013-2020.1 In the year 2016, it was estimated that globally 817000 population committed suicide. This means world wide one person commits suicide in every 40 seconds.
{"title":"Towards a National Policy on Suicide Prevention","authors":"M. Das","doi":"10.51332/bjp.2019.v24.i1.75","DOIUrl":"https://doi.org/10.51332/bjp.2019.v24.i1.75","url":null,"abstract":"Suicide is a global phenomenon and occurs throughout the life span. It is recognised as a critical public health issue by the World Health Organization (WHO) in its Comprehensive Mental Health Action Plan 2013-2020.1 In the year 2016, it was estimated that globally 817000 population committed suicide. This means world wide one person commits suicide in every 40 seconds.","PeriodicalId":377938,"journal":{"name":"Bengal Journal of Psychiatry","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123234197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-18DOI: 10.51332/bjp.2019.v24.i1.74
Seshadri Sekhar Chatterjee
Suicide is a major public health problem worldwide with complex multifactorial origins. More than 800,000 lives worldwide are lost to suicide every year, and Asia accounts for more than 60% of such deaths. India has seen a steady increase in the incidence of suicidal deaths in the last five decades.1 The estimated suicide-related death rate in India is 21/100,000, which is nearly twice the global average (11.4/100,000) and translates into more than 230,000 lives lost annually.2 Assessment of suicide risk is of utmost importance and is considered one of the key area and responsibilities of a consultant psychiatrist.
{"title":"A ssessment of Suicide Risk : Practical Issues","authors":"Seshadri Sekhar Chatterjee","doi":"10.51332/bjp.2019.v24.i1.74","DOIUrl":"https://doi.org/10.51332/bjp.2019.v24.i1.74","url":null,"abstract":"Suicide is a major public health problem worldwide with complex multifactorial origins. More than 800,000 lives worldwide are lost to suicide every year, and Asia accounts for more than 60% of such deaths. India has seen a steady increase in the incidence of suicidal deaths in the last five decades.1 The estimated suicide-related death rate in India is 21/100,000, which is nearly twice the global average (11.4/100,000) and translates into more than 230,000 lives lost annually.2 Assessment of suicide risk is of utmost importance and is considered one of the key area and responsibilities of a consultant psychiatrist.","PeriodicalId":377938,"journal":{"name":"Bengal Journal of Psychiatry","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126916401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-27DOI: 10.51332/bjp.2018.v23.i1.90
Tamoghna Bandyopadhyay, Aratrika Sen
Attention - Deficit Hyperactivity Disorder (ADHD) is one of the most common childhood behavioral disorders diagnosed in the psychiatry outdoor setting, affecting 5-7% of school - aged children[1]. It is a neuro - developmental disorder that runs a chronic course and causes significant impairments across various domains of day to day functioning. The symptoms of ADHD are divided into two predominant categories: inattention and hyperactivity/impulsivity. Inattention is divided intwo subtypes i.e. focused and sustained/ Executive dysfunction.
{"title":"Behavioural Side Effects of Methyl Phenidate and Atomoxetine","authors":"Tamoghna Bandyopadhyay, Aratrika Sen","doi":"10.51332/bjp.2018.v23.i1.90","DOIUrl":"https://doi.org/10.51332/bjp.2018.v23.i1.90","url":null,"abstract":"Attention - Deficit Hyperactivity Disorder (ADHD) is one of the most common childhood behavioral disorders diagnosed in the psychiatry outdoor setting, affecting 5-7% of school - aged children[1]. It is a neuro - developmental disorder that runs a chronic course and causes significant impairments across various domains of day to day functioning. The symptoms of ADHD are divided into two predominant categories: inattention and hyperactivity/impulsivity. Inattention is divided intwo subtypes i.e. focused and sustained/ Executive dysfunction.","PeriodicalId":377938,"journal":{"name":"Bengal Journal of Psychiatry","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126876792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-27DOI: 10.51332/bjp.2018.v23.i1.91
Ranjan Bhattacharyya, Shubho Chowdhuri
A lady with early onset cognitive impairment with movement disorder and elevated mood, grandiosity, distractibility, flight of ideas, pressure of speech presented in outpatient department and initially diagnosed as Bipolar disorder with early onset parkinsonism and Frontotemporal dementia. She later developed vertical gaze palsy with slow saccadic movements and her diagnosis was confirmed as Progressive supranuclear palsy (PSP). The association of bipolar disorder indigenous to pathological laughter and crying is the pearl of this clinical case. Key words : PSP, Bipolar disorder, vertical gaze palsy, extrapyramidal symptoms
{"title":"A Case of Early onset Vertical Gaze Palsy with Bipolar Disorder","authors":"Ranjan Bhattacharyya, Shubho Chowdhuri","doi":"10.51332/bjp.2018.v23.i1.91","DOIUrl":"https://doi.org/10.51332/bjp.2018.v23.i1.91","url":null,"abstract":"A lady with early onset cognitive impairment with movement disorder and elevated mood, grandiosity, distractibility, flight of ideas, pressure of speech presented in outpatient department and initially diagnosed as Bipolar disorder with early onset parkinsonism and Frontotemporal dementia. She later developed vertical gaze palsy with slow saccadic movements and her diagnosis was confirmed as Progressive supranuclear palsy (PSP). The association of bipolar disorder indigenous to pathological laughter and crying is the pearl of this clinical case. \u0000Key words : PSP, Bipolar disorder, vertical gaze palsy, extrapyramidal symptoms","PeriodicalId":377938,"journal":{"name":"Bengal Journal of Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124324455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-17DOI: 10.51332/bjp.2018.v23.i1.72
Ranjan Bhattacharyya
Deutrabenazine is indicated in the management of chorea associated with Huntington’s disease and in the treatment of Tardive dyskinesia in adults by US FDA. However, it should be used with a pinch of salt, as it can raise the risk of depression and suicidal thoughts with unusual behavioural abnormalities specially in patients with Huntington’s disease. The family history is an added risk factor and close monitoring is required and the molecule is contraindicated in this group of patients. In hepatic impairment it is also not recommended. It shouldn’t be used with Reserpine. A window period of 3 weeks after discontinuation of reserpine and 2 weeks for MAO inhibitors and tetrabenazine or valbenazine is recommended. Keyword : Deutetrabenazine, VMAT2 inhibitor, Huntington’s disease, Tardive dyskinesia.
{"title":"Drug Watch Deutetrabenazine","authors":"Ranjan Bhattacharyya","doi":"10.51332/bjp.2018.v23.i1.72","DOIUrl":"https://doi.org/10.51332/bjp.2018.v23.i1.72","url":null,"abstract":"Deutrabenazine is indicated in the management of chorea associated with Huntington’s disease and in the treatment of Tardive dyskinesia in adults by US FDA. However, it should be used with a pinch of salt, as it can raise the risk of depression and suicidal thoughts with unusual behavioural abnormalities specially in patients with Huntington’s disease. The family history is an added risk factor and close monitoring is required and the molecule is contraindicated in this group of patients. In hepatic impairment it is also not recommended. It shouldn’t be used with Reserpine. A window period of 3 weeks after discontinuation of reserpine and 2 weeks for MAO inhibitors and tetrabenazine or valbenazine is recommended. \u0000Keyword : Deutetrabenazine, VMAT2 inhibitor, Huntington’s disease, Tardive dyskinesia.","PeriodicalId":377938,"journal":{"name":"Bengal Journal of Psychiatry","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115622199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-17DOI: 10.51332/bjp.2018.v23.i1.70
Megha Rathi, Bidita Bhattacharya
Context : Social factors related to an individual play a key role in the development of any mental illness. Dysthymia and Dissociative [Conversion] Disorder are two important psychiatric disorders precipitated by stressful social factors and life events. Prior research has indicated significant stressors associated with both the disorders, but, however, there is a lack of comparative studies assessing the two disorders.Aims : This study aims to explore the significant differences in socio-demographic factors among adults with Dysthymia, Dissociative [Conversion] Disorder and a group matched control group.Setting and design : The comparative study included 60 individuals aged 18-45 years. 20 individuals had Dysthymia, 20 individuals had Dissociative [Conversion] Disorder and 20 individuals were belonging to normal control group. Semi structured clinical data sheet was administered to each subject to elicit the social factors. Hamilton Rating Scale for Depression, General Health Questionnaire and M.I.N.I International Neuro-Psychiatric Interview was usedas a screening tool. All subjects were included in the study after obtaining their consent.Statistics : Chi-Square was done to see significant difference in socio-demographic variables. Result & Discussion : Results indicated significant difference within the three groups in terms of area, family type and marital status. Majority of patients with Conversion disorder belonged to rural area, were married and had extended families. Whereas, patients with Dysthymia mostly belonged to urban area, were unmarried or divorced and belonged to nuclear family.Conclusion : The results of the study are significant and can be used for planning intervention programs for both the groups. Keywords : Dysthymia, Dissociative [Conversion] Disorder, Socio-demographic factors
{"title":"Socio-demographic Factors in Dysthymia and D[C]D","authors":"Megha Rathi, Bidita Bhattacharya","doi":"10.51332/bjp.2018.v23.i1.70","DOIUrl":"https://doi.org/10.51332/bjp.2018.v23.i1.70","url":null,"abstract":"Context : Social factors related to an individual play a key role in the development of any mental illness. Dysthymia and Dissociative [Conversion] Disorder are two important psychiatric disorders precipitated by stressful social factors and life events. Prior research has indicated significant stressors associated with both the disorders, but, however, there is a lack of comparative studies assessing the two disorders.Aims : This study aims to explore the significant differences in socio-demographic factors among adults with Dysthymia, Dissociative [Conversion] Disorder and a group matched control group.Setting and design : The comparative study included 60 individuals aged 18-45 years. 20 individuals had Dysthymia, 20 individuals had Dissociative [Conversion] Disorder and 20 individuals were belonging to normal control group. Semi structured clinical data sheet was administered to each subject to elicit the social factors. Hamilton Rating Scale for Depression, General Health Questionnaire and M.I.N.I International Neuro-Psychiatric Interview was usedas a screening tool. All subjects were included in the study after obtaining their consent.Statistics : Chi-Square was done to see significant difference in socio-demographic variables. Result & Discussion : Results indicated significant difference within the three groups in terms of area, family type and marital status. Majority of patients with Conversion disorder belonged to rural area, were married and had extended families. Whereas, patients with Dysthymia mostly belonged to urban area, were unmarried or divorced and belonged to nuclear family.Conclusion : The results of the study are significant and can be used for planning intervention programs for both the groups. \u0000Keywords : Dysthymia, Dissociative [Conversion] Disorder, Socio-demographic factors","PeriodicalId":377938,"journal":{"name":"Bengal Journal of Psychiatry","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126558212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-17DOI: 10.51332/bjp.2018.v23.i1.71
Souvik Chakraborty
The brain’s “default mode network” is among the most rapidly growing neuroscientific topics of the new millennium. Since the appointment of its name in the turn of the millenium (Raichle and others 2001), the default network has garnered considerable interest for its high level of resting metabolic activity, which decreases in the face of externally-directed attention (Minoshima and others 1997; Gusnard and Raichle 2001). Though its presence was anticipated by some Neuro-scientists as early as late 1920s, it was a serendipitous discovery by a group of Neuroradiologists working on functional neuro-imaging at Washington University School of Medicine.
大脑的“默认模式网络”是新千年中发展最快的神经科学课题之一。自从在世纪之交被命名以来(Raichle等人2001年)，默认网络因其高水平的静息代谢活动而获得了相当大的兴趣，这种活动在面对外部定向注意力时减少(Minoshima等人1997年;Gusnard and Raichle 2001)。虽然早在20世纪20年代末，一些神经科学家就预料到了它的存在，但这是华盛顿大学医学院一群研究功能神经成像的神经放射学家偶然发现的。
{"title":"Default Mode Network : Its Implications in Psychiatry","authors":"Souvik Chakraborty","doi":"10.51332/bjp.2018.v23.i1.71","DOIUrl":"https://doi.org/10.51332/bjp.2018.v23.i1.71","url":null,"abstract":"The brain’s “default mode network” is among the most rapidly growing neuroscientific topics of the new millennium. Since the appointment of its name in the turn of the millenium (Raichle and others 2001), the default network has garnered considerable interest for its high level of resting metabolic activity, which decreases in the face of externally-directed attention (Minoshima and others 1997; Gusnard and Raichle 2001). Though its presence was anticipated by some Neuro-scientists as early as late 1920s, it was a serendipitous discovery by a group of Neuroradiologists working on functional neuro-imaging at Washington University School of Medicine.","PeriodicalId":377938,"journal":{"name":"Bengal Journal of Psychiatry","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125008111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.51332/bjp.2019.v24.i1.77
R. G. Thakurta
Self-injurious behavior or deliberate self-harm (DSH) in adolescents and young adults is an area of growing concern. Reports from clinics and emergency rooms are pointing to the increase in incidence. However, there are very few studies from India. Many of the people presenting with acts of self-harm do not have suicidal intent, and this has prompted the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)[1] to propose a category of Nonsuicidal Self-Injury (NSSI) as a “Condition for Further Study” to encourage further research in this area. DSM-5 Proposed Criteria for NSSI requires an individual to engage in intentional self-inflicted damage to the surface of his/her body, on 5 or more days in the last 1 year, with the expectation that the injury will lead to only mild or moderate physical harm. NSSI is defined as ‘intentional destruction of one’s body tissue without suicidal intent’.
{"title":"Non-Suicidal Self Injury: Indian Perspective","authors":"R. G. Thakurta","doi":"10.51332/bjp.2019.v24.i1.77","DOIUrl":"https://doi.org/10.51332/bjp.2019.v24.i1.77","url":null,"abstract":"Self-injurious behavior or deliberate self-harm (DSH) in adolescents and young adults is an area of growing concern. Reports from clinics and emergency rooms are pointing to the increase in incidence. However, there are very few studies from India. Many of the people presenting with acts of self-harm do not have suicidal intent, and this has prompted the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)[1] to propose a category of Nonsuicidal Self-Injury (NSSI) as a “Condition for Further Study” to encourage further research in this area. DSM-5 Proposed Criteria for NSSI requires an individual to engage in intentional self-inflicted damage to the surface of his/her body, on 5 or more days in the last 1 year, with the expectation that the injury will lead to only mild or moderate physical harm. NSSI is defined as ‘intentional destruction of one’s body tissue without suicidal intent’.","PeriodicalId":377938,"journal":{"name":"Bengal Journal of Psychiatry","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114751159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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