RESUMO
Self-harm of the skin is a complex problem encountered mainly in adolescents and young adults. The aim of the study was to assess the prevalence of deliberate cutaneous self-harm without suicidal intent among secondary school teenagers of the Lodz region. A self-administered specially designed anonymous questionnaire was delivered to 1,448 secondary school teenagers, aged 12-19 years. The lifetime prevalence of self-reported deliberate self-harm was 19.5%, out of which 14.4% confirmed isolated cutaneous self-injury (self-cutting in the vast majority of cases), 1.7% ingested a substance or drug in excessive amounts and 3.5% declared both behaviours. Our results indicate that skin is the organ most commonly involved in deliberate self-harm. Dermatologists, especially those focussed on dermatosurgery and aesthetic dermatology, should understand the special issues relating to such patients before taking decisions concerning performing any procedures on these individuals, since deliberate self-harm has been recognised as one of the main risk factors of suicide.
Assuntos
Comportamento do Adolescente , Comportamentos Relacionados com a Saúde , Comportamento Autodestrutivo/epidemiologia , Pele/lesões , Adolescente , Fatores Etários , Criança , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Polônia/epidemiologia , Prevalência , Fatores de Risco , Comportamento Autodestrutivo/diagnóstico , Comportamento Autodestrutivo/psicologia , Inquéritos e Questionários , Adulto JovemRESUMO
The authors presents the state of knowledge on the prevalence and proposed mechanisms leading to weight gain during treatment with atypical antipsychotics. A short review on the therapeutic approaches is also supplied.
Assuntos
Antipsicóticos/efeitos adversos , Peso Corporal/efeitos dos fármacos , Aumento de Peso/efeitos dos fármacos , Clozapina/efeitos adversos , Dibenzotiazepinas/efeitos adversos , Humanos , Hiperlipidemias/induzido quimicamente , Leptina/metabolismo , Piperazinas/efeitos adversos , Transtornos Psicóticos/tratamento farmacológico , Fumarato de Quetiapina , Risperidona/efeitos adversos , Tiazóis/efeitos adversosRESUMO
The functioning of Hypothalamic-Pituitary-Gonadal axis is commonly affected during a course of antipsychotic therapy. This paper presents epidemiology, possible cause and management of hormonal disturbances during antipsychotic treatment in patients with schizophrenia.