The Effects of Prescribing Minimal Barbiturates in an Acute Psychiatric Ward

1966 ◽  
Vol 112 (488) ◽  
pp. 733-735 ◽  
Author(s):  
Neil Mitchell ◽  
Christopher Turton

The deleterious effects of barbiturates on the vulnerable addictive personality have been well recognized for some years. The first warning came as far back as sixty-one years ago (Clarke, 1904) only a year after the introduction of the first barbiturate drug. Goodman and Gilman (1956) state that habituation to the barbiturates in the sense of psychic dependence is not infrequent, and point out the important fact that most persons addicted to barbiturates have some basic character disorder or psychoneurosis. These authors even go on to say that barbiturate addiction is a more serious public health and mental health problem than morphine addiction because it produces greater mental, emotional and neurological impairment, and because withdrawal entails real hazards.

Crisis ◽  
1999 ◽  
Vol 20 (3) ◽  
pp. 132-142 ◽  
Author(s):  
Antoon A Leenaars ◽  
Susanne Wenckstern

Suicide is a major mental health problem and public health problem worldwide. Schools and their communities must respond in a comprehensive fashion. Caplan's model of primary, secondary, and tertiary prevention—or prevention, intervention, and postvention—is proposed as a comprehensive response to suicide in youths. Current myths and facts about these fabrications are discussed for each mode of response. Research, clinical suggestions, and a call for further discussion are presented.


2020 ◽  
pp. 103985622097005
Author(s):  
Oliver Smith ◽  
Jessica Bergmann ◽  
Ulrich Schall

Objective: General practitioners (GPs) are key health professionals for referrals to mental health specialists. Youth mental health issues are particularly challenging, requiring a competent assessment and understanding of appropriate referral pathways. We surveyed local GPs about their understanding of youth mental health problems and needs to competently look after young patients. Methods: GPs working in the Hunter region were contacted via email, fax and post over a 6-month period in 2019. Results: Seventy-five GPs participated. They reported 577 of 1698 (34%) of young people seen 2 weeks prior to being surveyed presented with a mental health problem. Predominantly, referrals were to private practice psychologists and Headspace. Almost a third (31%) reported having limited understanding of ‘at-risk mental state’ and are ‘not always comfortable’ when facing a young person with a mental health problem. Nearly all (95%) expressed interest in attending specialised training. GPs identified treatment costs, scarce access to psychiatrists and limited patient engagement as the main obstacles to help young people. Conclusions: Effective treatment of a mental health problem relies on early identification. GPs are seeing young people on a regular basis but don’t feel well equipped for this task and are keen to up-skill, which needs to be addressed by targeted training.


Psychiatry ◽  
2004 ◽  
Vol 67 (2) ◽  
pp. 153-157 ◽  
Author(s):  
Simon Wessely

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