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The Hidden Crisis
A major nationwide cohort study conducted in Sweden has shed critical light on the severe, yet often overlooked, risk of suicide among individuals who have been discharged from involuntary psychiatric care (IPC) . The research, which analyzed data from 72,275 patients treated in IPC between 2010 and 2020, aimed to provide the first comprehensive description of this vulnerable population. The findings underscore the fact that involuntary treatment, while necessary in acute sit
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Adjunctive Valproic Acid for Delirium and/or Agitation on a Consultation-Liaison Service
The clinical and research report details the adjunctive use of valproic acid (VPA) in six patients seen by a consultation-liaison service (CLS) for managing delirium and/or psychotic agitation. All six patients had suboptimal responses or concerning side effects when treated with conventional therapies like benzodiazepines and/or antipsychotics. In all cases, the addition of valproic acid to the conventional antidelirium medications led to improved control of behavioral sympt
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Taking back control: maintaining professional autonomy as psychiatrists
Psychiatrists today face increasing pressures that threaten their professional autonomy—pressures driven by resource constraints, managerial structures, and the growing distance between clinicians and decision-making environments.  As highlighted in the article’s opening discussion (page 1), autonomy and a sense of mastery are essential for motivation, work satisfaction, and protection against burnout. Yet recent decades have seen a steady decline in physicians’ joy in clinic
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Nowhere to go: An overview of maternity care access across the U.S․
The Growing Crisis of Maternity Care Deserts The United States is currently facing a severe gap in maternal healthcare, with over 35% of counties designated as "maternity care deserts"—areas that completely lack obstetric clinicians and birthing facilities. These "no-access" counties are home to more than 2.3 million reproductive-aged women and account for over 150,000 births annually. The impact of this shortage is largely geographic; residents in rural counties are signifi
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