Abstract:
:National statistics for railway fatalities in England and Wales show a reduction of train crashes and a fluctuating level of deaths, of which an increasing proportion is from suicide. A closer examination of a two-year sample from the South of England revealed a large proportion of probable suicides and a small proportion of pure accidents. The remainder appeared to have medical, mainly psychiatric, contributions to their death, of which alcohol was an important factor in single young men. Rail suicides appear to be younger, the men less often married, the women more often married, and both sexes less often widowed than other suicides. They included more cases of major psychosis and neurosis, but fewer and less severe alcoholics. Characteristic patterns of this method of suicide are described with examples. Hypotheses to explain the choice of method suggest that it is not related to either volume of traffic, or residence in a rail-dense area or in an area with a high suicide rate, or the proximity of a psychiatric hospital.
journal_name
Psychol Medjournal_title
Psychological medicineauthors
Symonds RLdoi
10.1017/s0033291700031469subject
Has Abstractpub_date
1985-08-01 00:00:00pages
609-21issue
3eissn
0033-2917issn
1469-8978journal_volume
15pub_type
杂志文章abstract:BACKGROUND:There is evidence that cannabis use might be relevant to the aetiology of schizophrenia. We aimed to measure any change in cannabis use over time in those first presenting with schizophrenia in South-East London from 1965 to 1999, and compare this with change in use in those presenting with non-psychotic psy...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291706008440
更新日期:2006-10-01 00:00:00
abstract::Long-stay patients who were discharged from Friern and Claybury hospitals during the 6-year period between September 1985 and August 1991 were followed up for at least 1 year and the details of all readmissions were recorded. Of the 615 hospital leavers, some 178 (29%) were readmitted at some time during the follow-up...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700035595
更新日期:1996-05-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to evaluate a programme of lesion surgery carried out on patients with treatment-resistant depression (TRD). METHOD:This was a retrospective study looking at clinical and psychometric data from 45 patients with TRD who had undergone bilateral stereotactic anterior capsulotomy s...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291716003159
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Empirical data on the impact of personality pathology on acute treatment outcome for depression are mixed, in part because of challenges posed by assessing trait-like personality patterns while patients are in an active mood episode. To our knowledge, no previous study has examined the effect of personality ...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291703001661
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND:Various childhood social experiences have been reported to predict adult outcomes. However, it is unclear how different social contexts may influence each other's effects in the long run. This study examined the joint contribution of adolescent family and peer experiences to young adult wellbeing and functio...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291718001976
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Emotional Stroop tasks have shown attention biases of clinical populations towards stimuli related to their condition. Asperger Syndrome (AS) is a neuropsychiatric condition with social and communication deficits, repetitive behaviours and narrow interests. Social deficits are particularly striking, includin...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291706007203
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Previous studies have highlighted the role of the brain reward and cognitive control systems in the etiology of anorexia nervosa (AN). In an attempt to disentangle the relative contribution of these systems to the disorder, we used functional magnetic resonance imaging (fMRI) to investigate hemodynamic respo...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291717002161
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Aggressive behaviour is increased among those with schizophrenia but less is known about those with affective psychoses. Similarly, little is known about aggressive behaviour occurring at the onset of illness. METHOD:The main reasons for presentation to services were examined among those recruited to a UK-b...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291706008920
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Differences between verbal and non-verbal cognitive development from childhood to adulthood may differentiate between those with and without psychotic symptoms and affective symptoms in later life. However, there has been no study exploring this in a population-based cohort. METHOD:The sample was drawn from...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291717000393
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Somatoform disorders are costly for society in terms of increased healthcare expenditure. Patients' illness perceptions have been found to play a role in somatoform disorders. However, it is unclear whether illness perceptions predict higher health costs in these patients. METHOD:A total of 1785 primary car...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S003329171400035X
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:The neurodevelopmental model of psychosis was established over 30 years ago; however, the developmental influence on psychotic symptom expression - how age affects clinical presentation in first-episode psychosis - has not been thoroughly investigated. METHODS:Using generalized additive modeling, which allo...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720003463
更新日期:2020-10-06 00:00:00
abstract:BACKGROUND:Discriminating Alzheimer's disease (AD) and mild cognitive impairment (MCI) from depression is a challenge in psychogeriatric medicine. A study was set up to ascertain whether cued recall could be useful in differentiating early AD and MCI from depression among elderly individuals. METHOD:The Visual Associa...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S003329170600955X
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Cannabis use is considered a component cause of psychotic illness, interacting with genetic and other environmental risk factors. Little is known, however, about these putative interactions. The present study investigated whether an urban environment plays a role in moderating the effects of adolescent canna...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291711000511
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:A few previous studies suggest that a large number of individuals do not present at hospital following a suicide attempt, complicating recurrence prevention and prevalence estimation. METHODS:Data were extracted from a regular phone survey in representative samples of the French population aged 18-75 years ...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720002305
更新日期:2020-07-03 00:00:00
abstract:BACKGROUND:Electroconvulsive therapy (ECT) is widely applied to treat severe depression resistant to standard treatment. Results from previous studies comparing the cost-effectiveness of this technique with treatment alternatives such as repetitive transcranial magnetic stimulation (rTMS) are conflicting. METHOD:We co...
journal_title:Psychological medicine
pub_type: 杂志文章,meta分析
doi:10.1017/S0033291714002554
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Few epidemiological studies have examined the temporal relationship between chronic pain and depression using longitudinal data. In the present study, we examined major depression as both an antecedent risk factor and consequence of chronic back pain (CBP) in the general population. METHOD:Data on 9909 pain...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291705004952
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Abnormalities in the anterior inter-hemispheric connectivity have previously been implicated in major depressive disorder. Disruptions in fractional anisotropy in the callosum and fornix have been reported in schizophrenia and major depressive disorder. Oligodendrocyte density and overall size of the callosu...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291715000136
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Social cognition has been associated with functional outcome in patients with first episode psychosis (FEP). Social cognition has also been associated with neurocognition and cognitive reserve. Although cognitive reserve, neurocognitive functioning, social cognition, and functional outcome are related, the d...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291719002794
更新日期:2020-12-01 00:00:00
abstract::91 women were assessed early in pregnancy and again 3 and 6 months postpartum. Women who persisted in breastfeeding were less neurotic on the EPI but did not differ from artificial feeders in psychiatric history or sexuality before pregnancy. Breast feeders showed greater impairment of sexuality and slightly more depr...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700007935
更新日期:1988-05-01 00:00:00
abstract:BACKGROUND:Multiple studies have found Conscientiousness to be protective against dementia. The purpose of this study is to identify which specific aspects, or facets, of Conscientiousness are most protective against cognitive impairment and whether these associations are moderated by demographic factors and/or genetic...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291717002306
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Prior studies have suggested that major depressive disorder (MDD) with pre-adult onset represents a distinct subtype with greater symptom severity and higher rates of suicidal ideation. Whether these patients have poorer response to various types of antidepressant treatment than those with adult-onset MDD is...
journal_title:Psychological medicine
pub_type: 杂志文章,随机对照试验
doi:10.1017/S0033291712001742
更新日期:2013-05-01 00:00:00
abstract::The theory that many diseases were produced by focal infection or chronic sepsis enjoyed a brief vogue in general medicine in the first quarter of the twentieth century. This paper explores its practical applications in psychiatry, which extended well into the 1930s. The analysis focuses particularly closely on the ac...
journal_title:Psychological medicine
pub_type: 历史文章,杂志文章,评审
doi:10.1017/s0033291700025824
更新日期:1987-08-01 00:00:00
abstract:BACKGROUND:Several studies during recent years have reported an increased occurrence of schizophrenia in selected immigrant groups. However, difficulties in establishing the population denominator for immigrant rates of mental disorder, selective referral for treatment, and other problems may have influenced such resul...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291797004741
更新日期:1997-07-01 00:00:00
abstract:BACKGROUND:Most evidence in the UK on the effectiveness of brief therapy for depression concerns cognitive behaviour therapy (CBT). In a trial published in 2000, we showed that non-directive counselling and CBT were equally effective in general practice for patients with depression and mixed anxiety and depression. Our...
journal_title:Psychological medicine
pub_type: 杂志文章,随机对照试验
doi:10.1017/S0033291713002377
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:There is still a relative paucity of information about the long-term course of depression. METHODS:Consecutive patients admitted to a teaching hospital psychiatry unit with symptoms of depression, previously assessed at 6 months and 2, 5 and 15 years after index admission, were reviewed at 25 years (N = 49,...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291701004743
更新日期:2001-11-01 00:00:00
abstract::Hypothalamic-pituitary-adrenal axis function was investigated in 72 patients with primary depression. Forty-four per cent of the patients demonstrated abnormal suppression of their cortisol levels after a 1 mg overnight dexamethasone suppression test. Patients with abnormal suppression ('non-suppressors') were not cle...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700019711
更新日期:1984-11-01 00:00:00
abstract::There have been numerous exhortations for more 'translational research'. A selective review of historical examples of research leading to health benefits is used to consider the various forms of successful interplay between basic science and clinical applications. This is followed by a consideration of key neuroscienc...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S003329170800398X
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Civilian suicide rates vary by occupation in ways related to occupational stress exposure. Comparable military research finds suicide rates elevated in combat arms occupations. However, no research has evaluated variation in this pattern by deployment history, the indicator of occupation stress widely consid...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291715001294
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:For DSM - 5, the American Psychiatric Association Board of Trustees established a robust vetting and review process that included two review committees that did not exist in the development of prior DSMs, the Scientific Review Committee (SRC) and the Clinical and Public Health Committee (CPHC). The CPHC was ...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720001415
更新日期:2020-08-25 00:00:00
abstract:BACKGROUND:Previous studies have provided initial evidence that people at risk for psychosis (PR) suffer from stigma and discrimination related to their condition. However, no study has systematically reviewed stigma and discrimination associated with being at PR and the potential underlying mechanisms. METHODS:This w...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720000148
更新日期:2020-04-01 00:00:00