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Biomedical subjects

J L Barton

Publications and source records attributed to J L Barton.

11 recordsLinked to original sources

Suicidal patients in the emergency room: a guide for evaluation and disposition.

The inexperienced emergency room clinician can find it difficult and frustrating to make decisions about patients who have threatened or attempted suicide. A review of the literature suggests two approaches to the evaluation of suicide-attempters: awareness of demographic and social characteristics that identify patients at high risk of another attempt, and simple numerical rating scales focusing on suicide predictors that help the clinician determine level of risk. The authors discuss how to choose the most appropriate disposition for the suicidal patient and emphasize the need for adequate documentation of the decision in the medical record.

Commitment of Persons with Psychiatric Disorders

Hyponatremic seizures in psychiatric patients.

Thirty-four cases of hyponatremic seizures occurring in psychiatric patients as a result of self-induced water intoxication are reviewed. Clinical and pathophysiological correlates of the condition are outlined.

Adult

"Application for voluntary hospitalization" form: possible aid to diagnosis of mania.

"Application for Voluntary Hospitalization" signed by 13 manics (33 forms) and 13 paranoid schizophrenics (37 forms) at the time of their admissions were examined to test the validity of the hypothesis that one who writes anything more than his first name, middle name, or initial, and last name is likely to be manic. A physician and a nurse who were blind to the diagnosis were able to differentiate, at a significant level, mania from paranoid schizophrenia, using this criterion.

Adult

A study of the effect of computer feedback on polypharmacy.

Between July 1973 and February 1976, clinicians in the DMH Institutions of a midwestern state received regular, computer generated information about those of their patients who had been prescribed more than 4 psychotropic drugs during the preceding month. The effect of this feedback on prescribing habits was assessed, using information derived from monthly itemized billing record returns. The results showed that, while a highly significant reduction in polypharmacy did take place, it antedated the circulation of the specific feedback, coinciding instead with the discussions between the computer project staff and institution superintendents at the planning stage of the project.

Community Mental Health Services