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Depression is a major public health problem as a leading predictor of functional disability and mortality.
Optimal depression treatment improves outcome for most patients.
Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
A non?psychiatric physician 50% of times misses the diagnosis of the depression.
All depressed patients must be enquired specifically about suicidal ideations.
Suicidal ideation is a medical emergency
Risk factors for suicide are psychiatric known disorders, medical illness, prior history of suicidal attempts or family history of attempted suicide.
The demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
About 1 million people commit suicide every year globally.
Around 79% of patients who commit suicide contact their primary care provider in the last one year before their death and only one-third contact their mental health service provider.
Twice as many suicidal victims had contacted their primary care provider as against the mental health provider in the last month before suicide.
Suicide is the 10th leading cause of death worldwide and accounts for 1.2% of all deaths.
The suicide rate in the US is 10.5 per 100,000 people.
In the US, suicide is increasing in middle aged adults.
There are 10?40 non?fatal suicide attempts for every one completed suicide.
The majority of suicides completed in US are accomplished with fire arm (57%), the second leading method of suicide in US is hanging for men and poisoning in women.
Patients with prior history of attempted suicide are 5?6 times more likely to make another attempt.
Fifty percent of successful victims have made prior attempts.
One of every 100 suicidal attempt survivors will die by suicide within one year of the first attempt.
The risk of suicide increases with increase in age; however, young adults and adolescents attempt suicide more than the older.
Females attempt suicide more frequently than males but males are successful three times more often.
The highest suicidal rate is amongst those individuals who are unmarried followed by those who are widowed, separated, divorced, married without children and married with children in descending order.
Living alone increases the risk of suicide.
Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
A recent sense of failure may lead to higher risk.
Clinicians are at higher risk of suicide.
The suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27.
Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
Major risk for suicidal attempts is in psychiatric disorder, hopelessness and prior suicidal attempts or threats.
High impulsivity or alcohol or other substance abuse increase the risk.
My wife 35 year is suffering in migraine problem since last 25 years. At headache time she felt one side headache and continue vomiting she is in trouble please suggest something.
I am suffering from alopecia from last 5 months on beard area. I have taken medicines but they not able control this. please help me out.
I am suffering from frequent attacks of mouth ulcers. Very often it is preceded by constipation but occurs even when there is no constipation. I have been advised to take more fibers but am confused about soluble and insoluble fibres. Please guide me on types and sources of fiber.
I work night shifts- 5: 30 pm to 2: 30 am. I have been working nights for over 5 years. After work I travel home which takes 1 hr approx. After reaching home I eat light snack and then I do light work out like brisk walking, jogging and stretching exercises. I am in bed by 6 am. I wake up at 2: 30 pm and I feel tired as though I have not slept. I fight my self at work to stay awake. On my day off, I would wake up bg 3: 30 pm and by 6 pm I am completely exhausted and sleepy. Do I I have a problem.
I m 26 year old male My hair is getting white from left and right side of my head. How can I stop it from getting white.
Hi sir. Sir my problem is mujhe shave ni aaarahi h face pe so what the problem and give me some medicines for that.
It is not uncommon for us to feel sleepy at work every once in a while. You need to get an important assignment done, but all that you want to do is curl up and take a nap. We all have our days of drowsiness. But when it becomes a daily habit and begins to interfere with productivity, it is a cause for concern. Chronic fatigue and drowsiness can almost always be traced back to underlying medical conditions, such as low blood sugar levels or depression. There are many simple remedies for this issue that you can resort to, if you wish to kick off your work days with a bang.
Here are a few tips for those days when you just can’t seem to make it through work:
- Meditate: A few minutes of meditation before work in the morning can effectively make you more alert and engaged for the rest of the day. The point of meditation is not only to bring calmness and relaxation into your life but also to make you more mindful and active. Be sure to be sitting upright and breathing properly while you meditate.
- Eat right: Having poor eating habits could be making you drowsy at work. It is important that you eat just the right quantity of food for every meal because overeating will surely make you sleepy and lethargic. Avoid oily and rich foods and eat just as much as you need.
- Sleep well: Your night time sleeping habits are probably at the root of your day time drowsiness. Staying up late or not getting undisturbed sleep can leave you feeling agonizingly exhausted at work. It is of utmost importance that you get enough sleep every night.
- Peppermint it: Peppermint is a natural stimulant and will surely leave you feeling fresh in the morning. Brush your teeth with peppermint toothpaste and sip on a cup of peppermint tea in the morning to knock the drowsiness right out of yourself.
- Move around: When you feel sleepy, your first impulse is to take a nap. But often the solution to that problem is to engage in physical activity. Pace around and do some stretching exercises in the morning to get your blood circulating and you will be amazed at how refreshed you feel.
Follow these simple methods and in no time, your productivity levels at work will shoot right up. If you wish to discuss about any specific problem, you can consult a doctor.