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The New England Journal of Medicine: Search Results in Psychiatry
The New England Journal of Medicine (NEJM) RSS feed -- Search Results in Psychiatry. NEJM ( is a weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics of importance to biomedical science and clinical practice.

Suicide: A Silent Contributor to Opioid-Overdose Deaths
01/01/70 - As the toll of opioid-overdose deaths in the United States rises, we face an urgent need for prevention. But preventing such deaths will require a better understanding of the diverse trajectories by which overdoses occur, including the distinction between intentional (suicide) and unintentional…

Strategies for Reducing Opioid-Overdose Deaths ? Lessons from Canada
01/01/70 - North America is in the midst of its most serious drug-overdose crisis in history. From 1999 through 2015, drug-overdose deaths approximately tripled in the United States, and the majority of such deaths now involve an opioid. In 2016 alone, there were 64,000 drug-overdose deaths in the United…

Case 12-2018: A 30-Year-Old Woman with Cardiac Arrest
01/01/70 - Presentation of Case. Dr. Emily C. Cleveland (Emergency Medicine): A 30-year-old woman was brought to the emergency department of this hospital because of cardiac arrest. On the morning of this presentation, the patient was found unresponsive in her bedroom. Her mother called emergency medical…

Cousin Pam
01/01/70 - "Cousin Pam! Here, Cousin Pam!" "Good morning. I?m your doctor. How do you feel today?" "Cousin Pam, you?re my doctor?" He looks puzzled. "You are in the hospital, and I?m your doctor. May I have a look at your leg?" "Not today, Cousin Pam. But you call Uncle Andy and we will have a meeting, and he…

SIGECAPS, SSRIs, and Silence ? Life as a Depressed Med Student
01/01/70 - SIGECAPS is the mnemonic we medical students memorize to learn the core symptoms of depression: sleep, interest, guilt, energy, concentration, appetite, psychomotor retardation, and suicidality. The practice questions we spend hours answering in preparation for Step 1 of the U.S. Medical Licensing…

Acute Amnestic Syndrome Associated with Fentanyl Overdose
01/01/70 - To the Editor: Between 2012 and 2016, a total of 14 patients in Massachusetts with a history of substance use had an acute anterograde amnestic syndrome that lasted for months (or longer in some patients); this amnestic syndrome was characterized by a hyperintense signal involving both hippocampi…

Lithium-Induced Nephropathy
01/01/70 - A 59-year-old man with a history of bipolar disorder was admitted to the hospital after a fall. He received a diagnosis of multiple fractures of the head and spine; the fractures were managed nonoperatively. During the hospitalization, his urine output was noted to range from 4 to 6 liters per day.…

Potential Public Health Effects of Reducing Nicotine Levels in Cigarettes in the United States
01/01/70 - Tobacco is addictive, primarily because of the presence of nicotine. Although nicotine itself is not the direct cause of most smoking-related diseases, addiction to nicotine in tobacco is the proximate cause of these diseases because it sustains smoking behavior. Thus, the magnitude of public…

Physician-Assisted Suicide and Psychiatric Illness
01/01/70 - The large majority of suicides result from the psychopathological skewing of thoughts and emotions. Physicians have a duty to do whatever they can to prevent these suicides. However, in exceptional cases, suicide might be considered a rational choice of a competent person. "Rational suicidality," I…

Physician-Assisted Death for Psychiatric Patients ? Misguided Public Policy
01/01/70 - Should physician-assisted death be available to people with psychiatric disorders? Although it was once unthinkable, physicians, primarily in the Netherlands and Belgium, have helped a small but growing number of patients with mental illness but no terminal condition to end their lives. Such…

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