ABSTRACT
The aim of this cross-sectional 1-year study was to estimate the prevalence and to identify the risk factors for suicidal and self-injurious behaviours among patients with depression. A convenience sample of 557 out- and inpatients diagnosed with mood disorders was selected from 3 treatment settings in Riyadh, Saudi Arabia. Eligible patients completed data on sociodemographic variables and the Columbia suicide severity rating scale risk assessment version. The reported prevalence of attempted suicide in the previous week was 36.6%, interrupted suicide attempt 29.8%, aborted suicide attempt 34.6% and self-injurious behaviour without suicide intent 7.7%. Concerning suicide ideation, 47.2% reported suicidal thoughts, 36.6% suicidal thoughts with methods but without a specific plan and 35.4% suicidal intent without a specific plan. Male sex, joint family type, literate education, being in employment, smoking and physical co-morbidities were significantly associated with all types of suicide behaviour.
Subject(s)
Depressive Disorder/epidemiology , Self-Injurious Behavior/epidemiology , Smoking/epidemiology , Suicidal Ideation , Suicide, Attempted/statistics & numerical data , Adolescent , Adult , Comorbidity , Cross-Sectional Studies , Depressive Disorder/psychology , Educational Status , Employment , Family Characteristics , Female , Humans , Male , Middle Aged , Prevalence , Risk Assessment , Saudi Arabia/epidemiology , Self-Injurious Behavior/psychology , Sex Distribution , Smoking/psychology , Suicide, Attempted/psychology , Young AdultSubject(s)
Fasciitis/pathology , Actins/metabolism , Biomarkers/metabolism , Fasciitis/metabolism , Head , Humans , Neck , Retrospective StudiesABSTRACT
The aim of this cross-sectional 1-year study was to estimate the prevalence and to identify the risk factors for suicidal and self-injurious behaviours among patients with depression. A convenience sample of 557 out- and inpatients diagnosed with mood disorders was selected from 3 treatment settings in Riyadh, Saudi Arabia. Eligible patients completed data on sociodemographic variables and the Columbia suicide severity rating scale risk assessment version. The reported prevalence of attempted suicide in the previous week was 36.6%, interrupted suicide attempt 29.8%, aborted suicide attempt 34.6% and self-injurious behaviour without suicide intent 7.7%. Concerning suicide ideation, 47.2% reported suicidal thoughts, 36.6% suicidal thoughts with methods but without a specific plan and 35.4% suicidal intent without a specific plan. Male sex, joint family type, literate education, being in employment, smoking and physical co-morbidities were significantly associated with all types of suicide behavior
Subject(s)
Self-Injurious Behavior , Depression , Cross-Sectional Studies , Prevalence , Risk Factors , Suicidal Ideation , Suicide, Attempted , SuicideABSTRACT
Data about psychiatric problems among young people are scarce in the Gulf countries. This retrospective review of records describes the pattern of child and adolescent psychiatric disorders among patients consulting 3 child psychiatric clinics in Saudi Arabia during the year 2008. Most patients were referred from the public health sector (92.8%). Psychotropic drugs were prescribed for 86.2% of patients and psychotherapy for 55.2%. Maternal perinatal complications and other psychosocial stressors were noted in almost 45.8% of cases. Family history of psychiatric disorder was reported in 31.5% of patients. Psychiatric comorbidity was noted in 40.5% of cases while physical diseases were noted in 29.9%. The outcome was classified as unstable at the last consultation in 17.9% of cases. In a linear regression analysis the only factors significantly associated with unstable outcome were a higher load of symptoms (OR 2.64) and perinatal complications (OR 2.84).
Subject(s)
Mental Disorders , Adolescent , Child , Child, Preschool , Comorbidity , Family , Female , Humans , Infant , Male , Medical Records , Mental Disorders/diagnosis , Mental Disorders/epidemiology , Mental Disorders/etiology , Mental Disorders/therapy , Obstetric Labor Complications , Pregnancy , Pregnancy Complications , Retrospective Studies , Risk Factors , Saudi Arabia/epidemiology , Young AdultABSTRACT
Data about psychiatric problems among young people are scarce in the Gulf countries. This retrospective review of records describes the pattern of child and adolescent psychiatric disorders among patients consulting 3 child psychiatric clinics in Saudi Arabia during the year 2008. Most patients were referred from the public health sector [92.8%]. Psychotropic drugs were prescribed for 86.2% of patients and psychotherapy for 55.2%. Maternal perinatal complications and other psychosocial stressors were noted in almost 45.8% of cases. Family history of psychiatric disorder was reported in 31.5% of patients. Psychiatric comorbidity was noted in 40.5% of cases while physical diseases were noted in 29.9%. The outcome was classified as unstable at the last consultation in 17.9% of cases. In a linear regression analysis the only factors significantly associated with unstable outcome were a higher load of symptoms [OR 2.64] and perinatal complications [OR 2.84]
Subject(s)
Psychiatry , Child , Adolescent , Retrospective Studies , Psychotropic Drugs , Psychotherapy , Linear Models , Comorbidity , Mental DisordersABSTRACT
BACKGROUND: Syringoid eccrine carcinoma (SEC) is a rare malignant adnexal tumour with variable presentations. AIM: To examine the clinicopathological and immunohistochemical features of SEC. METHODS: Four cases were reviewed by three dermatopathologists and the immunohistochemical profile was examined using antibodies against CK5/6, CK7, CK14, CK20, LMWK, HMWK, EMA, mCEA, p63, ER, PR, AR, S-100 and Ber-EP4. RESULTS: The cases occurred in two men and two women, ranging in age from 61 to 87 years (mean 68.5). Two of the lesions were from the face and two from the trunk. All four lesions were composed of an atypical infiltrative mass with syringoma-like tadpole morphology with ductular differentiation and prominent desmoplasia. Three cases demonstrated perineural invasion and two had positive lymph node metastases. Immunostaining was variable. Immunohistochemistry positivity was as follows: three out of four cases were positive for CK5/6, CK7 (2/4), CK14 (1/3), CK20 (0/2), HMWK (0/2), LMWK (1/2), EMA (3/4), mCEA (4/4), p63 (2/3), ER (2/3), PR (1/2), AR (0/3), S-100 (0/3) and Ber-EP4 (2/2). CONCLUSION: SEC can present on the trunk and are not limited to the head and neck region. In addition to syringoma-like tadpole structures and glandular differentiation, these tumours can also exhibit squamoid and cribriform growth patterns. Immunostaining in SEC is variable and this variability is believed to stem from this tumour's ability to differentiate along multiple routes, including sweat secretory and/or ductal differentiation.
Subject(s)
Adenoma, Sweat Gland/diagnosis , Carcinoma, Skin Appendage/diagnosis , Eccrine Glands/pathology , Sweat Gland Neoplasms/pathology , Adenoma, Sweat Gland/metabolism , Aged , Aged, 80 and over , Biomarkers, Tumor/metabolism , Carcinoma, Skin Appendage/metabolism , Carcinoma, Skin Appendage/secondary , Eccrine Glands/metabolism , Female , Humans , Male , Middle Aged , Neoplasm Invasiveness , Sweat Gland Neoplasms/metabolismABSTRACT
Based on the World Health Organization's Mental Health Atlas, the first Mental and Social Health Atlas in Saudi Arabia describes the historical background of mental health and social services in the country and identifies several deficiencies in the system including infrastructure and logistics and lack of epidemiological data. There is now great progress in strategic planning for developing and improving mental health care services across the nation, with suggestions to develop psychiatric services for identified special populations, to establish community mental health care services, to improve research and training in mental health, and to update mental health annual information systems using advanced information technology.
Subject(s)
Atlases as Topic , Health Planning/organization & administration , Health Services Research/organization & administration , Mental Health Services/organization & administration , Social Work/organization & administration , Budgets/organization & administration , Day Care, Medical/organization & administration , Forecasting , Health Policy , Hospitals, General/organization & administration , Hospitals, Psychiatric/organization & administration , Humans , Information Systems/organization & administration , Mental Disorders/epidemiology , Mental Disorders/therapy , National Health Programs/organization & administration , Needs Assessment/organization & administration , Primary Health Care/organization & administration , Psychiatry/organization & administration , Saudi Arabia/epidemiology , World Health OrganizationABSTRACT
Based on the World Health Organization's Mental Health Atlas, the first Mental and Social Health Atlas in Saudi Arabia describes the historical background of mental health and social services in the country and identifies several deficiencies in the system including infrastructure and logistics and lack of epidemiological data. There is now great progress in strategic planning for developing and improving mental health care services across the nation, with suggestions to develop psychiatric services for identified special populations, to establish community mental health care services, to improve research and training in mental health, and to update mental health annual information systems using advanced information technology
Subject(s)
Atlases as Topic , Data Collection , Mental Health Services , Community Mental Health Centers , Mental HealthABSTRACT
Primitive non-neural granular cell tumour (PNGCT) is a rare tumour of uncertain lineage. This report describes a case of PGNCT with lymph node metastasis. This is thought to be only the second reported case with lymph node involvement.
Subject(s)
Granular Cell Tumor/pathology , Granular Cell Tumor/secondary , Skin Neoplasms/pathology , Buttocks , Female , Humans , Lymphatic Metastasis , Pregnancy , Pregnancy Complications, Neoplastic/pathology , Young AdultABSTRACT
Intradermal melanoma diagnosis poses a great deal of confusion on many occasions since it can mimic almost any tumour within the dermis. In part I, the different features of intraepidermal mimics were discussed. In this part, there is discussion of the clinical, cytomorphological and immunohistochemical features of intradermal mimics of melanoma and how to distinguish these conditions from melanoma. There is also a description of the ultrastructural features of some of these conditions that may help to distinguish melanoma from its mimics. It is hoped that this approach, together with part I of the non-melanocytic mimics of melanoma, will aid in better overall understanding of melanoma and its mimics.
