Biomedical subjects

C Haasen

Publications and source records attributed to C Haasen.

23 records · Page 2Linked to original sources

PubMed1996

Opioid addiction and suicidality.

The prevalence of suicide attempts among opioid addicts is reported to lie between 8% and 17%, with some studies reporting an even higher rate among special groups of addicts. Yet there is insufficient knowledge about which addicts have a higher risk of suicide and which other factors seem to be involved in the constellation leading to the suicide attempt; the study of different subgroups of addicts is thus necessary. This paper reports a study on suicide attempts among a sample population in a detoxification unit and another group undergoing codeine maintenance treatment. There was a high rate of suicide attempts among both groups (23% of those in the detoxification unit and 28% of those maintained on codeine), but treating physicians tended to underestimate suicidality. The results lead to the conclusion that among a subgroup of addicts suicidality plays a larger role; a greater emphasis should thus be placed on the underlying psychopathology and the treatment needed.

Adult↗

PubMed1996

Psychopathology in patients with schizophrenia and substance abuse: a comparative clinical study.

In a 3-month epidemiologic survey at the Psychiatric Clinic of the University Hospital Hamburg-Eppendorf, a total of 372 patients between 18 and 60 years of age were screened with a variety of clinical psychiatric tests. Of the entire group, a subgroup of 180 patients was placed into one of four index groups: schizophrenics with first-rank symptoms and with (n=47) or without (n=52) concomitant past or acute use of psychotropic substances; alcoholics (n=63), and patients with alcoholic psychosis (n=18). In almost all areas examined, the group of schizophrenics with substance abuse was revealed to be a severely disturbed subgroup of schizophrenics with a long history of disease. Particularly with respect to psychopathology, there was an increase in depressive and suicidal tendencies.

Adolescent↗

PubMed1995

Suicide among schizophrenic adolescents in the long-term course of illness.

The significance of the suicide problem for patients showing first symptoms of schizophrenic disorders between 14 and 18 years of age is presented in a long-term follow-up study including two follow-up periods after a minimum of 5 and 11 years. The suicide rate of 13.1% is significantly higher than in other studies with patients who developed a schizophrenic psychosis in a later period of life. In addition, there is a significant sex difference in the rate of suicide--21.5% of the men and 6% of the women--although the latter made more attempts at suicide.

Adolescent↗

PubMed1993

[Management of depressed patients by family physicians. Questionnaire study in Hamburg].

METHOD: With the aid of a questionnaire specially developed for the purpose, general practitioners were questioned about their management of depressed patients attending their offices. A number of physician-related aspects that might have been the cause of the differences in prevalence and management of the patients, were investigated. RESULTS: Estimations on the part of the physicians that patients with psychological problems accounted for some 20% of their total case load were in agreement with figures obtained from other studies. Those specifically with depression accounted for 8.6%. The practitioners' assessment of their own competence in caring for depressed patients, and their cooperation with other institutions play a key role in the incidence of the diagnosis and the nature of medical treatment--by means of drugs, psychotherapy, referral, yes or no. The results obtained suggest a need to improve the psychiatric training of general practitioners and for closer cooperation with neurologists, psychologists, and hospitals.

Adult↗

PubMedDate not supplied

Schizophrenic disorders among Turkish migrants in Germany. A controlled clinical study.

Several studies have implied cultural differences in the psychopathology of schizophrenia between migrants and natives. In a diagnostically strictly controlled study, including comparison of diagnosis with a Turkish-speaking psychiatrist, 74 patients of Turkish and 48 of German origin, all with a diagnosis of schizophrenic disorder, were compared using PANSS and HAM-D. The Turkish sample showed higher depression and hostile excitement, even in the subsample of those with paranoid schizophrenia, and no differences in positive, negative or cognitive symptoms. The similarities especially concerning core symptoms reflect evidence from cross-cultural studies on schizophrenia. In conclusion this study shows main differences in psychopathology between psychotic migrants and natives, as discussed in the literature, may be mainly due to diagnostic differences.

Adult↗