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Biomedical subjects

P Kettl

Publications and source records attributed to P Kettl.

10 recordsLinked to original sources
PubMed1998

Alaska native suicide: lessons for elder suicide.

Suicide rates in Alaska Native elders are studied to further explore cultural factors in elderly suicide. Data for the 1960s and 1970s are reviewed, and new data on Alaska Native suicide rates are presented for the 10-year period of 1985 through 1994. In many areas throughout the world, suicide rates are the highest for the elderly. During the Alaska "oil boom," suicide rates more than tripled for the general population but decreased to zero for Alaska Native elders. Cultural teachings from the society's elders were more important during this time of culture upheaval. During the study period, the cultural changes dissipated, and suicide rates for Alaska Native elders, although lower than those of White Alaskans, increased. This provides further evidence that suicide rates for elders can be influenced by social factors--both to raise to lower rates.

Adolescent↗
PubMed1998

Incidence of asystole in electroconvulsive therapy in elderly patients.

The authors prospectively investigated the incidence of asystole (absence of heartbeat for 5 seconds) in elderly patients receiving electroconvulsive therapy (ECT) at a university-based geriatric psychiatry unit. In all, 65.8% of patients experienced asystole at some time during their course of ECT. Those who experienced asystole were significantly younger (average age, 72.2) than those without asystole (average age, 77.0; P = 0.026) and were also less likely to have cardiac rhythm disturbances on electrocardiogram (P = 0.024). Medical history, history of cardiac disease, electrode placement, energy level, and number of ECT treatments did not predict asystole. Asystole is a common side effect of ECT in elderly patients. It was not associated with any untoward outcome. The fact that "old-old" patients and those with cardiac disease are less likely to experience asystole than younger, healthier patients is reassuring to practitioners of ECT.

Age Factors↗
PubMed1993

Sexual harassment of health care students by patients.

1. Forty percent of the 158 nursing and occupational therapy students surveyed reported being victims of sexual harassment. 2. When confronted with sexual advances or assaults, students used previously learned coping strategies. Thirty-nine percent ignored the behavior or joked about it. 3. A training program was designed and implemented to make students feel better able--and more empowered--to handle sexual harassment.

Adolescent↗
PubMed1993

Alcohol and suicide in Alaska Natives.

A retrospective review of hospital records from the Alaska Native Medical Center, controlled for age, sex, and race, is presented for 33 Alaska Native suicide completers who died between 1980 and 1984. Suicide rates for Alaska Natives were twice the national average during the study period. The only significant differences between the suicide and control groups was the history of a prior suicide attempt (p 0.003). Alcohol abuse was diagnosed more often than any other psychiatric disorder in the suicide group and appears to be the most important antecedent of suicide in this study.

Alaska↗