WEEKLY / September 17, 2014, VOL. 4, NO. 41   Send Feedback l View Online
Psychiatric News Update
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September Is Suicide Prevention Month

APA Joins in Recognizing National Suicide Prevention Month

Suicide prevention ribbonPerhaps one of the most devastating events that a psychiatrist can experience is a patient's suicide, but tragically, death by suicide is not uncommon. Every year, more than 800,000 people die by suicide throughout the world; this roughly corresponds to one death every 40 seconds. Suicide is the fifth-leading cause of death among those aged 30-49, and the second leading cause of death in the 15-29 age group.

"APA vigorously supports research to better identify the risk factors and predictors associated with suicide and the most effective treatments," said APA President Paul Summergrad, M.D. "And we join our friends and colleagues around the world in calling for access to scientifically informed evidence-based psychiatric treatment for those at risk of suicide everywhere."

One of the ways in which APA is observing National Suicide Prevention Month is by offering a number of personal accounts about suicide and resources on suicide and suicide prevention.

APA Offers Online Course Focusing on Recovery

Ben RushSeptember is also National Recovery Month, and in observance, APA recently released its free Recovery to Practice course, which is designed to help psychiatrists and mental health professionals foster a deeper relationship with patients centered on recovery-oriented care. The course, co-developed by APA and the American Association of Community Psychiatrists, consists of nine modules, each ranging from 20 to 40 minutes, that address specific aspects of recovery-oriented practice via narrated slides, video clips from experts, and case vignettes. APA has designated a maximum of 1 AMA PRA Category 1 credit per module. To access the course, click here and scroll down to "Recovery-Oriented Care in Psychiatry Series."

APA President to Interview Keris Myrick at IPS Conversations Event

Keris MyrickThe American Psychiatric Foundation will host a special "Conversations" event at the Institute on Psychiatric Services (IPS), which is being held October 30-November 2 in San Francisco. Keris Myrick, a national mental health leader and former president of the National Alliance on Mental Illness, will be interviewed by APA President Paul Summergrad on Saturday, November 1, from 5:30-6:30 p.m. For more information on this special "Conversations" event, click here. To register for the IPS, click here. Reduced advance registration rates end October 8.

APA Hosting Hispanic Mental Health Twitter Chat

Hispanic Hertiage MonthAPA's #YourMH Twitter chat series provides an opportunity for psychiatrists to lead conversations on current mental health issues and be engaged with key influencers, allied groups, and the public/patient community. In observance of National Hispanic Heritage Month, this Friday's #YourMH @twitter chat will be on Hispanic mental health. For more information on Hispanic mental health, click here.

#YourMH chat takes place every other Friday from noon to 1 p.m. ET. To join, use the #hashtag #YourMH (stands for "Your Mental Health") or @apapsychiatric. And during the chats, don't just sit on the sidelines—tweet your comments. Click here for a video introduction to the series.

Call for Papers for International Congress

WPA Dinesh Bhugra, M.B.B.S., and Eliot Sorel, M.D., invite APA members to submit their scientific proposals for the WPA 2015 Bucharest International Congress, which is being held June 24 to 27 in the Palace of the Parliament in Bucharest. Bhurga is president of this historic congress, and Sorel is the cochair of the congress's Scientific Committee. The theme of the congress is "Primary Care Mental Health: Innovation and Transdisciplinarity." APA President Paul Summergrad, M.D., will present one of the keynote addresses. For more information, click here.

Register for Free Webinar on Opioid Misuse and Abuse

Webinars"Addressing Opioid Misuse and Abuse: Office of National Drug Control Policy and SAMHSA Partnership to Reduce Risk of Overdose," presented by ONDCP Acting Director Michael Botticelli and SAMHSA Chief Medical Officer Elinore McCance-Katz, M.D., will review federal policy related to opioid misuse, abuse, and opioid overdose and provide an overview of the SAMHSA Opioid Overdose Prevention Toolkit. The etiology of opioid abuse and clinician interventions that can reduce the risk of misuse will be addressed. Register here.

Join Your Colleagues in APA's 'Engage 2014' and Make a Difference

2014 Since the launch of APA's Engage 2014 initiative earlier this month, more than 100 APA members have signed up to participate. Getting involved in the legislative and political process has never been easier: you can send an electronic message to your member of Congress; APA's Department of Government Relations (DGR) will help you schedule a meeting in your district with your representative; and DGR can provide you with talking points and tips for your activities. To obtain more information on Engage 2014 and to learn how you can get involved between now and Election Day, click here.


Strategies to Integrate Care for People With Behavioral Health Needs

Puzzle pieceIn response to concerns over the poor quality of care for individuals with mental health and substance use disorders, more states and communities are working to better integrate and coordinate care for people with behavioral health conditions. To learn more about some of the strategies that are effective, Mathematica Policy Research was engaged by the Department of Health and Human Services to conduct case studies of integrated care in Louisiana, North Carolina, Tennessee, and Vermont. Mathematica also conducted a case study of Behavioral Health Home Plus, a pilot program that trained behavioral health staff and integrated nurses to provide wellness services in two behavioral health agencies in rural Pennsylvania. For more information and links to the reports, click here.

Publications From American Psychiatric Publishing

Psychiatric Services
Chronic Care Management for Substance Dependence in Primary Care Among Patients With Co-Occurring Disorders

Psychiatric ServicesThis study demonstrates that access to health care and effective integration are imperative for positive patient outcomes. The intervention in this study was based in primary care for 563 patients with co-occurring mental and substance use disorders. They were randomly assigned to usual primary care or to a chronic care management (CCM) program to help them manage their addiction and mental illness (mostly depression and PTSD). The CCM team was trained in relapse prevention therapy and motivational therapy. Unfortunately, the intervention had no significant impact on outcomes (substance use, depression, and anxiety). For these patients, long-standing problems with access to health care and fragmentation of the health care system may have compromised the intervention's effectiveness, the authors concluded. Read more.


Valuable Resources Available for You on APA's Website

Building a Career in PsychiatryAPA has recently revamped the Residents and Fellows Section of its website. The section contains numerous resources along with information on meetings and key contacts at APA. One of the resources is the two-part guide "Building a Career in Psychiatry," which is designed to help trainees transition from training into practice. It covers important nonclinical topics that are infrequently included in undergraduate or graduate medical curricula. The Residents and Fellows Section can be accessed here.

Resident and Student Poster Competition—Call for Abstracts

PosterResidents, medical students, and fellows are invited to share their research projects and practice experiences in the 2015 APA annual meeting. Research projects are accepted for each of the following categories: patient-oriented and epidemiology projects, curriculum development and educational projects, community development and service projects, psychosocial and biomedical research, and clinical case studies.

All posters will undergo expert review from editors of Academic Psychiatry. An award will be given for the best poster within each category. The deadline for poster submissions is midnight Eastern time on September 30. Competition guidelines are posted here. Please visit the APA submission website and start your submission today!

Share Your Opinion

From Lara Cox, M.D., APA's resident-fellow member (RFM) trustee:

Lara Cox, M.D., M.S.As your RFM trustee, I oversee the Residents' Forum in Psychiatric News and would like to invite you to participate in this column. Columns reflect the perspective or opinions of RFMs on matters that are important to us as trainees and beginning clinicians and give you an opportunity to get published early in your career. The length of the column should be 500-600 words.

If you have any questions or would like to send a submission, please contact me at larajcox.apa@gmail.com. Also, I look forward to hearing from you about any RFM issues in general. Thank you!

Interested in Serving on APA's Board of Trustees?

CheckboxAPA is seeking nominations for the position of resident-fellow member (RFM) trustee-elect in APA's 2015 election. The RFM who holds this position on the Board of Trustees serves one year as the RFM trustee-elect and advances the next year to RFM trustee. The only requirements are that you are an APA member and that you will be in training (residency or fellowship) for the duration of the term. The deadline for nominations is Wednesday, October 1. As RFM trustee, you will have the privilege of serving as the voice for residents and fellows across the country. For more information, visit apa national elections or apa residents' leadership opportunities. Inquiries and nomination materials can be sent to election@psych.org. If you have any questions about the experience of being the RFM trustee, please email Lara Cox, M.D., at larajcox.apa@gmail.com.


Participate in AJP's Journal Club

AJP CoverThe goal of the Journal Club is to facilitate the study of a major article in an APA scholarly journal and discuss it with other psychiatrists. A series of questions following a description of the article will help readers focus on its main points.

>>Trajectories of Preschool Disorders to Full DSM Depression at School Age and Early Adolescence
Joan L. Luby, M.D. (July 2014)

Discussion Questions:

1. Preschool-age children display depression that is unique from childhood and adolescent depression in what way?
2. What was the best predictor of major depression at school age and early adolescence in a population of children with early-onset depression?
3. Children with conduct disorder also have a higher risk of later depression related to what?


• General News

• Integrated Care: What It Means to

• For Residents and Fellows

AJP Journal Club





>>Men Shouldn't Be Overlooked as Victims of Partner Violence

>>The Death of Robin Williams and Lessons for Psychiatry

>>Patients Score Parity Victories in Two States

>>Psychiatric Hospital Aesthetics Affect Seclusion, Restraint Use

>>Passing ABPN Exam to be Based on Total Test Score


>>ICD-10 Transition Postponed to October 2015

>>APA Urges Greater Recognition of Serious Mental Illness in SAMHSA Plan

>>President Uses Executive Actions to Advance Military MH

>>Changes Seen in Patterns, Rates of Some Childhood Disabilities

>>Prominent APA Members Call for Major MH System Reform




American Psychiatric Publishing
Book of the Week

Book of the Week

Fatal Pauses: Getting Unstuck Through the Power of No and the Power of Go

By Stuart C. Yudofsky, M.D.

>>description, contents and reviews

>>order the book


Job Hunting Made Easy: Here’s Help

Job CentralFor current job opportunities from the job board at APA Job Central, click here. In addition to searching the site for available positions, APA members may post their resume, set up email job alerts, and access a "job seeker" account.


Check out the latest issues of
APA’s major periodicals.

Psychiatric Services

Psychiatric Services

PS>>Has Language Assistance Improved Access to Care?
Rates of adequate mental health treatment among Spanish-speaking clients have changed little since California began providing mandatory language-access programming, including use of interpreters. In fact, low rates of treatment seeking among Spanish speakers may be a larger problem, the authors said.

PS>>A New Quality Indicator of Substance Use Treatment
Treatment outcomes among adolescents at 50 substance abuse treatment facilities were better at the facilities that provided mental health services. These services may be a meaningful quality indicator of substance abuse treatment and a useful guide to treatment in a field with few such measures.

PS>>Clinicians Put Smoking Cessation Training Into Practice
Assuming patients do not want to quit smoking, many clinicians avoid discussing treatment. In this study, psychiatrists and nurses were much more likely to prescribe smoking cessation treatment after they completed a two-day training about assessment and treatment of tobacco dependence in mental health settings.

American Journal of Psychiatry

American Journal of Psychiatry

AJP>>Weight Loss and Lifestyle Intervention for Individuals Taking Antipsychotics
Patients with serious mental illnesses face high risk for cardiac disease, but few treatments effectively target risk factors in such patients. The STRIDE Weight Loss and Lifestyle Intervention led to lifestyle changes in diet and activity as well as significant weight loss and improvement in other risk factors for cardiac disease over a one-year period.

AJP>>Early Intervention for Externalizing Psychopathology, Crime, and Well-Being
A treatment designed to enhance children's social competencies and parents' child-management skills that was introduced in kindergarten led to lower levels of psychopathology, lower rates of crime, and overall higher well-being at age 25. Interventions based on these same principles may have long-term benefits.

AJP>>Treatment-Resistant Bipolar Depression
The presence of treatment-refractory major depressive disorder in patients with bipolar disorder represents a particularly difficult problem, since many potentially efficacious treatments are poorly tolerated by such patients. In a randomized controlled trial, electroconvulsive therapy produced greater improvements in depression than an algorithm-based pharmacological approach.

AJP>>Uncovering the Hidden Risk Architecture of the Schizophrenias
New genomewide association study results on schizophrenia suggest that a larger proportion of underlying risk might be found by examining the ways in which specific genes interact as part of signaling pathways to create risk for particular constellations of clinical features.


Learn the Latest on the Sleep-Wake System and Earn Free CME Credit!

Neuroscience CMEParticipants in this neuroscienceCME Clinical Navigator, prepared by CME Outfitters, will learn about the neurobiology of the sleep-wake system, including the role of neurotransmitters and the nature of the hyperarousal state. The activity consists of reading the article, "new insights into the sleep-wake system: the neurobiology and pathophysiology of insomnia" and completing a post-test, credit request form, and activity evaluation. The article is the first of two that will explore new insights into the sleep-wake system, encompassing revisions in the nosology and nomenclature of insomnia, advances in the understanding that insomnia may be a result of hyperarousal, and how sleep and wake are regulated by classical neurotransmitters and the neuropeptides orexin-A and –B.


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