Psychogenic nonepileptic seizures and suicidal behavior on a video/EEG telemetry unit: The need for psychiatric assessment and screening for suicide risk

Kenneth Kaufman, Peter J. Struck

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Patients with epilepsy and psychogenic nonepileptic seizures (PNES) have an increased prevalence of psychiatric illness and risk for suicidal ideation/suicidal behavior/suicide compared with the general population. Recent literature suggests that antiepileptic drugs (AEDs) used to treat epilepsy, pain, and psychiatric disorders increase the risk of suicide and that this increased risk may be AED selective. This case analyzes a suicide attempt on a video/EEG telemetry unit. Specific risk factors associated with increased risk of suicidal behaviors pertinent to this case are reviewed: epilepsy, multiple psychiatric diagnoses including affective disorder, AEDs, PNES, prior medically serious suicide attempt, and suicide attempt within the past month. Specific psychometric rating scales to screen for both psychiatric illness and suicide risk and psychiatric assessment should be integral components of the evaluation and treatment of patients on video/EEG telemetry units.

Original languageEnglish (US)
Pages (from-to)656-659
Number of pages4
JournalEpilepsy and Behavior
Volume19
Issue number4
DOIs
StatePublished - Dec 1 2010

Fingerprint

Telemetry
Needs Assessment
Suicide
Psychiatry
Electroencephalography
Seizures
Anticonvulsants
Epilepsy
Suicidal Ideation
Somatoform Disorders
Risk-Taking
Mood Disorders
Psychometrics
Mental Disorders
Population

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Neurology
  • Behavioral Neuroscience

Keywords

  • Antiepileptic drugs
  • Depression
  • Education
  • Epilepsy
  • Obsessive-compulsive disorder
  • Pain
  • Panic disorder
  • Posttraumatic stress disorder
  • Prevalence
  • Psychiatric comorbidity
  • Psychogenic nonepileptic seizures
  • Psychometric rating scales
  • Safety
  • Suicidal behavior
  • Video EEG telemetry unit

Cite this

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abstract = "Patients with epilepsy and psychogenic nonepileptic seizures (PNES) have an increased prevalence of psychiatric illness and risk for suicidal ideation/suicidal behavior/suicide compared with the general population. Recent literature suggests that antiepileptic drugs (AEDs) used to treat epilepsy, pain, and psychiatric disorders increase the risk of suicide and that this increased risk may be AED selective. This case analyzes a suicide attempt on a video/EEG telemetry unit. Specific risk factors associated with increased risk of suicidal behaviors pertinent to this case are reviewed: epilepsy, multiple psychiatric diagnoses including affective disorder, AEDs, PNES, prior medically serious suicide attempt, and suicide attempt within the past month. Specific psychometric rating scales to screen for both psychiatric illness and suicide risk and psychiatric assessment should be integral components of the evaluation and treatment of patients on video/EEG telemetry units.",
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