scholarly journals Suicide Attempts in US Veterans with Chronic Headache Disorders: A 10-Year Retrospective Cohort Study

2021 ◽  
Vol Volume 14 ◽  
pp. 2629-2639
Author(s):  
X Michelle Androulakis ◽  
Siyuan Guo ◽  
Jiajia Zhang ◽  
Jason Sico ◽  
Peter Warren ◽  
...  
2021 ◽  
Author(s):  
Gerardo Collazo ◽  
Alejandro Ruiz ◽  
Marimer Rivera ◽  
Cristina Diaz-Marty ◽  
Alessandro Avila ◽  
...  

Abstract Background: The rate of suicide attempts among people with substance abuse disorders in the U.S. is six times higher than in the general population. The prevalence of suicidal ideations and attempts continues to increase in Puerto Rico, with a significant incidence in substance-abusing populations. Methods: This retrospective cohort study evaluate the suicide profile of 4,347 opioid-dependent participants in ASSMCA's methadone center in San Juan, PR, from 2015 to 2018 using questions related to suicidal ideation and attempts included in the admission questionnaire. Results: Participants reporting suicide ideation increase from 8.5% in 2015 to 17.0% in 2018. In 2015 only 7.0% claimed to have had a history of a suicide attempt, increasing to 12.4% in 2018. Discussion: Our data support the need for screening for suicide risk among substance-abusing populations to identify targeted interventions. The identification of high-risk populations for suicide can help during rehabilitation and finding the adequate resources needed.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Han-Ting Lin ◽  
Chi-Huang Lai ◽  
Huey-Jen Perng ◽  
Chi-Hsiang Chung ◽  
Chung-Ching Wang ◽  
...  

Cephalalgia ◽  
2021 ◽  
pp. 033310242098172
Author(s):  
David García-Azorín ◽  
Nuria González-García ◽  
Jaime Abelaira-Freire ◽  
Alberto Marcos-Dolado ◽  
Ángel Luis Guerrero ◽  
...  

Introduction The evaluation of red flags is crucial for the accurate the diagnosis of headache disorders, especially for thunderclap headache. We analysed if secondary headache disorders were adequately ruled out in patients that presented to the emergency room with thunderclap headache. Methods In this retrospective cohort study, we screened all patients that visited the emergency room for headache, including those that described thunderclap headache. We measured the frequency with which secondary causes were not adequately ruled out. We analysed the order of the exams, the final diagnosis, and the time elapsed between arrival, initial request for imaging, and the completion of the imaging. Results We screened 2132 patients, and 42 (1.9%) fulfilled eligibility criteria. Mean age was 43.1 ± 17.1 years, and 57% of patients were female. For 22 (52.4%) patients, the work-up was incomplete. Vascular study was missing in 16 (38.1%) patients, cerebrospinal fluid evaluation in nine (21.4%), and magnetic resonance imaging in seven (16.7%), with multiple assessments missing in six (14.3%). There were ten different combinations in which the exams were performed, with the most frequent being the second exam’s cerebral spinal fluid evaluation in 18 (52.9%) and the computed tomography angiogram in 10 (29.4%). A secondary cause of thunderclap headache was found in 16 (38.1%) patients, and four (9.5%) had a primary headache diagnosis after an adequate and complete study. Conclusions Thunderclap onset was described in one of every 50 patients that visited the emergency room for headache. More than half of these patients were not adequately managed. More than a third of thunderclap headache patients had a secondary cause.


Author(s):  
Meredith S Duncan ◽  
Charles W Alcorn ◽  
Matthew S Freiberg ◽  
Kaku So-Armah ◽  
Olga V Patterson ◽  
...  

2020 ◽  
Vol 53 (5) ◽  
pp. 728-735 ◽  
Author(s):  
Charlotte Cliffe ◽  
Hitesh Shetty ◽  
Hubertus Himmerich ◽  
Ulrike Schmidt ◽  
Robert Stewart ◽  
...  

Author(s):  
Anja Eskilsson ◽  
Eva Ageberg ◽  
Hans Ericson ◽  
Niklas Marklund ◽  
Leif Anderberg

Abstract Background Compression of the greater occipital nerve (GON) may contribute to chronic headache, neck pain, and migraine in a subset of patients. We aimed to evaluate whether GON decompression could reduce pain and improve quality of life in patients with occipital neuralgia and chronic headache and neck pain. Methods In this retrospective cohort study, selected patients with neck pain and headache referred to a single neurosurgical center were analyzed. Patients (n = 22) with suspected GON neuralgia based on nerve block or clinical criteria were included. All patients presented with occipital pain spreading frontally and to the neck in various degree. Surgical decompression was performed under local anesthesia. Follow-up was made by an assessor not involved in the treatment of the patients, by telephone 2–5 years after the surgical procedure and an interview protocol was used to collect information. The data from the follow-up protocols were then analyzed and reported. Results When analyzing the follow-up protocols, decreased headache/migraine was reported in 77% and neck pain was reduced in 55% of the patients. Conclusions Decompression of GON(s) may reduce neck pain and headache in selected patients with persistent headache, neck pain, and clinical signs of GON neuralgia. Based on the limitations of the present retrospective study, the results should be considered with caution.


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