ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Psychiatric Emergencies: Health Significance Of Suicide, Anxiety, Panic And Psychotic Excitement

Updated on March 3, 2014

Psychiatric Emergencies

Suicide is the attempt to kill oneself. This action may be successfully carried out (suicide). Sometimes, this may remain as an unsuccessful attempt (attempted suicide or parasuicide, deliberate self-harm). The intent to kill himself may not be prese
Suicide is the attempt to kill oneself. This action may be successfully carried out (suicide). Sometimes, this may remain as an unsuccessful attempt (attempted suicide or parasuicide, deliberate self-harm). The intent to kill himself may not be prese | Source

Introduction

These are situations demanding urgent psychiatric intervention to avoid danger to the individual or to others. Suicide, acute psychotic excitement, acute intoxication, acute anxiety and panic reactions are the common psychiatric emergencies. In suicide, anxiety and panic reactions, the risk is confined to the patient but in psychotic excitement and intoxication, the patient may injure himself as well as others and destroy property.

suicide

Suicide is the attempt to kill oneself. This action may be successfully carried out (suicide). Sometimes, this may remain as an unsuccessful attempt (attempted suicide or parasuicide, deliberate self-harm). The intent to kill himself may not be prese
Suicide is the attempt to kill oneself. This action may be successfully carried out (suicide). Sometimes, this may remain as an unsuccessful attempt (attempted suicide or parasuicide, deliberate self-harm). The intent to kill himself may not be prese | Source

Suicide

Suicide is the attempt to kill oneself. This action may be successfully carried out (suicide). Sometimes, this may remain as an unsuccessful attempt (attempted suicide or parasuicide, deliberate self-harm). The intent to kill himself may not be present in attempted suicide, but may be a call for attention and help.

Causes:

  1. Psychiatric disorders: In the majority of cases, suicides result from psychological disturbances, suicidal tendency is seen in depression, schizophrenia, epilepsy, personality disorders, hysteria and alcoholism, the commonest being depression.
  2. Chronic debilitating illnesses
  3. Social factors: Suicide rates are high among persons who are socially isolated and with poor social integration. Administrators, executives and professionals run a higher risk compared to skilled and semiskilled workers. Suicide is more common among adolescents and old people.
  4. Personality crisis: The risk of suicide is high during periods of personality crisis, bereavement, and maladjustment in the family.

Management: This consists of hospitalization, detection of the underlying causes, and proper couselling.

Psychiatric Emergencies

Acute Psychotic Excitement: The American Psycho

These patients show overactivity, aggressive, destructive and violent behaviours, irrelevant delusions and hallucinations. They may commit homicide during their attacks. Such patients lack insight and they may refuse to take medication. They should b
These patients show overactivity, aggressive, destructive and violent behaviours, irrelevant delusions and hallucinations. They may commit homicide during their attacks. Such patients lack insight and they may refuse to take medication. They should b | Source

Acute Anxiety And Psychotic Excitement

Acute Anxiety And Panice

These are situations in which there is intense fear of impending danger or catastrophy. These subjects show the features of concomitant anxiety. Several physical illnesses may be mimicked. For example, epigastric pain, palpitation and profuse sweating may resemble acute myocardial infarction.

Treatment: This acute reaction can be overcome by the intravenous administration of drugs such as diazepam 10 mg. Further management consists of reassuring the patient and his family. The underlying cause should be treated.

Acute Psychotic Excitement

These patients show overactivity, aggressive, destructive and violent behaviours, irrelevant delusions and hallucinations. They may commit homicide during their attacks. Such patients lack insight and they may refuse to take medication. They should be tactfully dealt with. Physical force may have to be used when the patient is violent. Injection of haloperidol in doses of 10 mg intramuscularly or intravenously or chlorpromazine hydrochloride 100 mg intramuscularly are used to control the excitement.

© 2014 Funom Theophilus Makama

Comments

    0 of 8192 characters used
    Post Comment

    No comments yet.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: "https://hubpages.com/privacy-policy#gdpr"

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)