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Biomedical subjects

F E Crumley

Publications and source records attributed to F E Crumley.

At least 19 recordsLinked to original sources
PubMed1990

Substance abuse and adolescent suicidal behavior.

Evidence suggests a significant association between use of psychoactive substances among adolescents and suicidal behavior among adolescents during the past two decades. Accumulating evidence, although not unanimous, supports the hypothesis of psychoactive substance abuse among adolescents as a risk factor for a range of suicidal behavior--ideation, attempted suicide, and completed suicide. With increasing rates of psychoactive substance abuse for the adolescent population during the past 20 years, this appears to be an increasingly important factor. It is not known if the association is causal. Psychoactive substance abuse appears to be associated with a greater frequency and repetitiveness of suicide attempts, more medically lethal attempts, a measured seriousness of intention, and greater suicidal ideation. Additional data support a specific association between alcohol intoxication and suicide by firearms among adolescents. Adolescents who abuse psychoactive substances, particularly those with any type of depressive disorder, appear to be at higher risk for suicidal behavior and may need appropriate psychiatric treatment.

Adolescent↗
PubMed1990

Pitfalls of diagnosis in the early stages of Wilson's disease.

Diagnosis of Wilson's Disease in the early stages may be elusive in patients presenting without neurological symptoms. A case history is presented which demonstrates the pitfalls in making the diagnosis. Presenting psychiatric symptoms were nonspecific. Ceruloplasmin level was initially elevated to normal range. Liver biopsy showed early nonspecific cirrhosis; staining for copper did not show the dramatic effects expected with Wilson's Disease. Neurological examination, including NMR, was within normal limits. Kayser-Fleischer rings are no longer considered pathognomic. Urinary copper excretion helped to establish the diagnosis.

Adolescent↗
PubMed1990

More on ECT.

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Adolescent↗
PubMed1989

The hyperactive child: an update.

The physician is uniquely qualified to manage the multiple facets of attention-deficit hyperactivity disorder. This clinically oriented update reviews the current state of the art regarding diagnosis and management of hyperactive children. Three case reports emphasize the wide variation of clinical problems presented by this frequently occurring disorder of childhood. Epidemiology, differential diagnosis, associated features, neurobiologic mechanisms, treatment, long-term outcome, and attention-deficit disorder in adults are addressed. Although medication is an important tool in the treatment of this condition, follow-up studies confirm the importance of a multimodal treatment approach.

Adolescent↗
PubMed1987

Suicide and stress.

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Adaptation, Psychological↗
PubMed1982

The adolescent suicide attempt: a cardinal symptom of a serious psychiatric disorder.

The rate of adolescent suicides has been increasing over the past decade. This article is a review of the literature regarding the adolescent who attempts suicide with emphasis on the underlying pathology and shows that a true adolescent suicide attempt should be viewed as a cardinal symptom in establishing the identity of a serious psychiatric disorder. This seriousness is reflected in terms of increased lethality, degree of internal pain, decreased reality testing, and evidence of underlying long-standing pathology. Most often there is evidence of a depressive syndrome and also underlying personality disorders.

Adolescent↗