Background: Suicide is a major public health hazard, and there were no reports from the new state of Telangana.
Aim: To analyze the suicides of Telangana from its formation year.
Meterials and methods: Information relating to suicides was obtained from sources and under the RTI Act from the office of Director General of Police, Telangana state. The data obtained relates to a total number of suicides, age-wise, sex-wise, mode, reason, education, profession, socioeconomic status, community, and caste for Telangana and Hyderabad city separately for the years 2014 to 2016. The data were analyzed comparing various parameters between Hyderabad and Core Telangana using basic statistics.
Results: The rates were above in Telangana and below in Hyderabad in comparison to the national average. There was a decline in the third-year. There was a preponderance of men, married, educated, and quick, sure and violent methods used. Open category (OC) castes and other than OC castes were over-represented in Hyderabad and Telangana, respectively.
Conclusion: There is an urgent need to analyze suicides at micro-level-Mandal and district.
BRIEF RESEARCH COMMUNICATION
Aruna G Yadihal,
How to cite this article:
Padma K, Hegde S, Yadihal AG, Shetty S. Dermatological Disorders in Patients with Alcohol Dependence Syndrome: An Observational Clinical Study. Ind J Priv Psychiatry 2019; 13 (1):4-6.
Background: Alcohol dependence syndrome is associated with many health problems especially skin change. There are various psychosocial implications in patients who have comorbid skin disorders. Nutritional deficiency due to malabsorption in alcohol dependence syndrome leads to nonhealing skin lesions. This study aimed to evaluate the frequency and spectrum of dermatological disorders in patients with alcohol dependence syndrome.
Materials and methods: Population for the study consisted of patients diagnosed of alcohol dependence syndrome admitted in deaddiction ward. Thirty consecutive patients with diagnosis of alcohol dependence syndrome formed the sample of the study. Thorough clinical examination was done for diagnosis of dermatological disorders with the help of a dermatologist.
Results: Majority of patients attending were in the age group of 31–40 years. Most of them were Christians, educated up to primary from a nuclear population. Higher significance was found in patients in joint families and with an income of less than 5,000. The findings of this study revealed higher prevalence of tinea versicolor (13%), seborrheic dermatitis (11%), and scabies (2%) in patients with alcohol dependence syndrome.
Literature highlights that globally, female sexual dysfunction (FSD) is highly prevalent and has relevant interface with psychiatric disorders and women’s mental health. It is described to have complex biopsychosocial etiopathogenesis. Psychiatric disorders such as mood disorders, schizophrenia, substance use disorders, anxiety disorders, eating disorders, and personality disorders in women are described to have high comorbidity with FSD. Certain medical conditions have also been linked to FSD. Neurobiological and genetic studies have highlighted novel mechanisms for FSD. The clinical assessment of FSD needs detailed evaluation and special diagnostic and interview techniques. Management of FSD poses unique challenges with currently limited evidence base for psychopharmacological and psychotherapy management.
International classification of diseases (ICD)-11 is expected to be operative on the first day of January 2022. The key principle in this revision is simplification of the coding structure, electronic tooling, along with incorporation of advancements that occurred over past 30 years, since the publication of ICD-10. For a classification of mental disorders, development of the ICD-11 has been the most global, multilingual, multidisciplinary, and participative revision process by far. Adoption of a life-span approach, incorporation of a dimensional approach, provision of consistent and systematically characterized information as per recent evidence, and culture-related guidance along with effort for destigmatization are the salient features of this revision. In this review, we highlighted the process of developing the clinical description and diagnostic guidelines (CDDG), discussed the new disorders that were added with rationale, and last described the salient features of disorder grouping, pointing the key changes from ICD-10.
Tuberous sclerosis (TS) is a rare disorder of genetic origin, caused by mutations in the genes TSC1 and TSC2. It is characterized by benign tumors with multisystem involvement resulting in dermatological, nephrological, neurological and psychiatric manifestations. We are presenting a case of a 21 years old male with tuberous sclerosis presenting with dermatological manifestations, seizures, intellectual disability and psychiatric manifestations including delusions and hallucinations, developing extrapyramidal symptoms after antipsychotic administration. Neuroimaging showed characteristic subependymal calcified nodules. With appropriate anticonvulsant and antipsychotic medications he showed clinical improvement.
The presentation of mental illness and understanding of the patient’s experience with regard to psychopathology is quite unique and cannot be generalized due to the diverse etiological factors. In understanding and managing psychopathology, cultural knowledge plays a vital role. It has been seen that most of the interventions, in a similar fashion, need an understanding of historical roots in the specific cultural background and they also shape the psychotherapy models. The current case shows us the development of psychopathology with regard to cultural belief as well as discerning the symptom profile associated with it. Mr X, a 41-year-old gentleman from a rural area of Assam, presented with complaints about a “living thing” inhabiting his abdomen for the last 2 years and has been growing ever since. He claims that an enraged faith healer with incredible powers had done so to him. He was diagnosed with persistent delusional disorder at LGBRIMH and was managed with both pharmacological and nonpharmacological interventions. In nonpharmacological interventions, coping strategies and insight-oriented psychotherapy in context to his cultural beliefs were given. Significant improvement was seen after 2 months and at 3 months his socio-occupational functioning improved as well.
Descriptive methods of record keeping and studies have traditionally been the cornerstone of research into the study of human behavior. Quantitative research has been more prominent in current academic journals. Nevertheless, there has been a resurgence in the interest in qualitative research and the field of psychiatry provides ample opportunities for it. Qualitative research is ideally suited for research into psychological and social domains. Mental disorders are influenced by an interplay of psychological, social and anthropological elements. A qualitative approach to studying metal health conditions can thus have a wide-ranging repercussion, ranging for improving treatment methods, improving care delivery and affecting policy changes.