Yokohama City University medical center suicide prevention"Formulation care Shite of medicine"
Kokoro is saved: Yokohama City University medical center suicide prevention. "Formulation care Shite of medicine"
- To emergency patient's attending physician
"Could try to think about the formulation of the medicine. "Yokohama City University attachment citizens General Hospital (same city Minamiku) is pressing care to the destination of going to hospital regularly of the patient to whom it attempts suicide by taking medicine the overamount about the psychotropic drug and the emergency is transported by the document. If the same formulation is repeated, it is because the fear connected with Fcashi of the suicide already becomes strong, and "Discontinuance of the formulation" might be requested unusually. The psychiatrist at the same center is alerting though such suicide prevention is unusual also in the whole country, "The doctor who doesn't know the side reaction when the overamount is taken is the majority". 【 Esashi Sanoyomis ]
The same center is the third emergency hospital of the severely ill person specialty. The psychiatrist besides the surgeon and the physician resides, and it undertakes treatment and caring after lifesaving. There are several Lifesaving First Aid Center that leaves the psychiatrist on the site of the emergency also in the whole country. The purpose is to think that a prompt attempted person caring by the psychiatrist is effective to the suicide prevention. The psychiatrist catches whether to have attempted suicide in the modality, the amount, and the past of the taken medicine after patient's restitution. It informs the medical institution to which the patient went of such information with the document, and it uses it to treat afterwards.
In this case, to the attending physician at the destination of going to hospital regularly when judging that the low medicine is comparatively formulated to safety or the possibility of attempting suicide again by taking medicine the overamount is high「When the same medicine is drunk too much again, the possibility that the hazard reaches the life is high. It will be able to ask for the reconsideration of the formulation. 」With the report. It is requested that it take account to the modality and the amount of the prescribed drug. Still, when the patient is transported formulate of the same medicine being repeated, requesting, "Could you discontinue the formulation of this medicine?" is Iu unusually when it is.
Doctor Tomoki Yamada at the center「The psychiatrist is studying the side reaction when the usage and the dose are defended and the medicine is taken. However, there is not so much knowledge because the hazard when the overamount is taken is hardly being taught by the university. 」With the indication. It proposes, "It is necessary to teach first of all more neatly in Department of Medicine".
There were a lot of men and women and an overamount taking medicine (man 36% and woman 57%) when having brought it together about 320 people corresponding to doctor's interview in the patient who attempted suicide from 03 to 05 years the same center and was transported according to the means.
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