Issue

Suicidal behaviour and attempted suicide occurring during assessment by the outreach psychiatric emergency service

R.F.P. de Winter, M.H. de Groot, M. van Dassen, M.L. Deen, D.P. de Beurs

background The outreach emergency psychiatric service plays an important role in recognising, arranging interventions and preventing suicide and suicidal behaviour. However, little is known about the assessments that members of the emergency team...

Comorbidity on axis I and treatment outcome

E. de Beurs, I.V.E. Carlier, E.H. Warmerdam

background Clinical practice shows that patients with complicated psychopathology are more difficult to treat than those with simple psychopathology. Comorbidity may be the complicating factor involved here. The prognostic value that comorbidity ...

Review article

Assessment of guideline adherence and quality of care with routine outcome monitoring data

E.M. van Fenema

background Treatment guidelines are widely used nowadays but it is not really clear whether or to what extent patients in routine care benefit from these guidelines.
aim To achieve a twofold objective: to measure in a routine clinical settin...

Essay

Clinical staging and early intervention for borderline personality disorder

J. Hutsebaut, C.J. Hessels

background Within the accumulating evidence for a life span perspective on borderline personality disorder (bpd), the key factor is a developmental perspective.
aim To demonstrate that the lessons learnt from early intervention in somatic med...

Short report

Clotiapine in the treatment of acutely agitated patients: hardly any evidence

J. Claeys, C. Bervoets, J. De Fruyt

background In Flemish emergency psychiatry, clotiapine is still one of the options available for the treatment of agitation. However, there is a lack of evidence concerning the efficacy of this practice.
aim To find out whether there is suffi...

Case report

A girl with self-harm treated with N-acetylcysteine (NAC)

C.P. Rus

Deliberate and recurrent self-harm could be regarded as addictive behaviour that can be treated with medication. In addiction, the dopaminergic mesolimbic reward system is activated. Pain caused by cutting stimulates the reward system through the...

Myelinisatie van GABAerge interneuronen bij schizofrenie

J. Stedehouder

Strikte behandeling van hart- en vaatziekten: geen effect op incidentie van dementie

W.A. van Gool

Psychiatry of the future

De belofte van pluripotente stamcellen in de psychiatrie

G. van Gelder, C. Vinkers

Letter to the editor

Reaction on ‘Hypernatremia caused by treatment with GHB obtained via a doctor’s prescription’

Assisted suicide/euthanasia: a thorn in the eye of the APA?

The bidirectional relationship between physical activity and sleep in depressed versus non-depressed individuals

N.A.M. Oude Oosterik, M.E.J. Bouwmans, I.W. de Groot, E.H. Bos, P. de Jonge

background Sleep and physical activity are related, but the direction of this relationship is unclear and it is not known whether the direction differs in depressed and non-depressed persons.
aim To study the bidirectional relationship between p...

Burn-out, commitment, personality and experiences during work and training; survey among psychiatry residents

R. Krebs, A.L. Ewalds, P.T. van der Heijden, E.J.M. Penterman, K.P. Grootens

background In the last few years international studies have reported on increase in burn-out and depressive symptoms among psychiatry residents. In the field of research, however, commitment and dedication are now being mentioned more frequently ...

Review article

The relationship between posttraumatic stress disorder and metabolic syndrome: an overview

S.M. Dieleman, J.P. de Jong

background In this article we discuss the relationship between posttraumatic stress disorder (ptsd) and metabolic syndrome (MbS).
aim To assess the prevalence of MbS in patients with ptsd, establish which factors are involved and to consider wha...

Essay

An ethical reflection on outreaching mental health care

A. Liégeois, M. Eneman

background Care providers have a conflicting societal role: on the one hand they must respect the autonomy of individuals with psychiatric problems, but on the other hand they often feel the need to offer these individuals outreaching care.
aim ...

Short report

Smoking policy in mental health care

P. Hopman, M. Blankers, G. Dom, R. Keet

background People with mental illnesses tend to smoke more often and more heavily than other members of the public and their addiction to tobacco also has harmful effects on their physical health. So far, however, limited priority was given to sm...

Case report

Wernicke encephalopathy and dry beriberi; late complications after bariatric surgery performed on a patient with a psychiatric history

G.E.M. Penders, I.M. Daey Ouwens, F.M.M.A. van der Heijden

A 38-year-old woman was admitted in a psychiatric hospital because of memory disorders. Dry beriberi and Korsakoff's syndrome, as a late neuropsychiatric manifestation of Wernicke's encephalopathy, were established. The beriberi symptoms decreased...

Depressie na stressvolle levensgebeurtenissen bij jongeren; effect van emotieregulatie

Y. Stikkelbroek

Langetermijneffecten van diepe hersenstimulatie voor obsessieve-compulsieve stoornis

H. Nijman, S. Lammers, M. Vrinten, E. Bulten

S. Raymaekers

Psychiatry of the future

Hyperthermie; een nieuwe behandeling van depressie?

The new standard for quality of care

The Journal in 2016

(Too) long in tbs? A study on patients receiving forensic psychiatric tbs-treatment for 15 years or longer

ISSUE 2017/1

10 januari 2017

background In 2013 in the Netherlands about 100 forensic psychiatric patients were treated in tbs-hospitals for 15 years or more.
aim To investigate the variables that characterise patients who have been receiving forensic psychiatric treatme...