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Adjustment Disorder and Suicidal Behaviours Presenting in the General Medical Setting: A Systematic Review

Department of Psychiatry, University Hospital Galway, H91 YR71 Galway, Ireland
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Int. J. Environ. Res. Public Health 2019, 16(16), 2967; https://doi.org/10.3390/ijerph16162967
Received: 28 June 2019 / Revised: 12 August 2019 / Accepted: 14 August 2019 / Published: 18 August 2019
(This article belongs to the Special Issue Adjustment Disorder in Liaison Psychiatry)
Background: Adjustment disorder (AD) is a condition commonly encountered by clinicians in emergency departments and liaison psychiatry settings and has been frequently reported among patients presenting with suicidal behaviours. A number of previous studies have noted the strong association between suicidal ideation and behaviours, and AD. In this paper, we aimed to explore this relationship, by establishing the incidence of AD in patients who present with self-harm and suicidal ideation, and the rates of self-harm among patients with a diagnosis of AD. Methods: We conducted a review of the literature of well-established databases using specific key words then synthesised the results into a descriptive narrative as well as representing it in table form. Results: Sample sizes and study methods varied significantly across the review. A majority of studies were retrospective chart-based reviews, and only three used structured diagnostic instruments. A high prevalence of AD (ranging from 9.8 to 100%) was found, with self-poisoning representing the most common form of suicide attempt in the majority of studies. Interpersonal difficulties were the main precipitant in studies which examined this. Conclusions: This study suggests there is a strong association between AD and suicidal behaviours. Given the paucity of research in the area, there is a need to build the evidence base for effective treatment strategies. View Full-Text
Keywords: adjustment disorder; depressive episode; self-injurious behaviour; liaison psychiatry; diagnosis; suicide/attempted adjustment disorder; depressive episode; self-injurious behaviour; liaison psychiatry; diagnosis; suicide/attempted
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MDPI and ACS Style

Fegan, J.; Doherty, A.M. Adjustment Disorder and Suicidal Behaviours Presenting in the General Medical Setting: A Systematic Review. Int. J. Environ. Res. Public Health 2019, 16, 2967. https://doi.org/10.3390/ijerph16162967

AMA Style

Fegan J, Doherty AM. Adjustment Disorder and Suicidal Behaviours Presenting in the General Medical Setting: A Systematic Review. International Journal of Environmental Research and Public Health. 2019; 16(16):2967. https://doi.org/10.3390/ijerph16162967

Chicago/Turabian Style

Fegan, Joanne; Doherty, Anne M. 2019. "Adjustment Disorder and Suicidal Behaviours Presenting in the General Medical Setting: A Systematic Review" Int. J. Environ. Res. Public Health 16, no. 16: 2967. https://doi.org/10.3390/ijerph16162967

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