It is generally thought that schizophrenia does not predispose subjects to homicidal behavior However; many previous studies have suffered from notable methodological weaknesses. In particular, obtaining comprehensive study groups of violent offenders has been difficult. Iraqi police have been able to solve increasingly percentage of homicides during the last few years with gradual rebuilding of infrastructure of police and judicial system; these bodies are totally collapsed after fall down of previous regime.

To study the sociodemographic characteristics of schizophrenic charge patients with homicidal accusation, and to find out the characteristic of victims of patients admitted in the secure unit.

file system In Ibin-AL-Hiatham Secure unit where examined for various socio demographic data, the 118homicidal admitted consequently in the secure unit were examined between July 2003, and July 2008.

The files were systematically checked for DSM-IV schizophrenia criteria.

The study revealed that the number of males dominant females, simply because males more liable to break the law than females, higher number of urban living offenders is over represented mainly because psychiatric services are more accessible to them than rural residents.

Victims are mostly of first degree relatives of the offenders. In an Arab culture however as Iraq is one of them, issues related to honor killing and male jealousy which are assumed to be of delusional nature in this study, are relatively frequent.

The Objective of the present study was to examine the clinical, demographic and neuropsychological correlations of insight in patients with schizophrenia.

We assessed insight level, clinical symptoms, demographic data and neuropsychological functions in 30 schizophrenic patients.

The patients with schizophrenia were significantly different in insight quality. From clinical variables, only positive symptoms and depression were significantly correlated with insight levels. There was no significant correlation between demographic data and neuropsychological functions with insight levels. But investigation of insight dimensions with all variables in schizophrenic patients separately, show different results.

The results show that quality of insight is different in schizophrenic patients. Subcomponents of insight are correlated with different factors (such as positive symptoms and depression) emphasizing the need to consider insight as multidimensional.

Although perceived social support (PSS) is purported to enhance young adults' mental health, it has been under investigated among college students in Kuwait. This study attempted to determine its association to a host of correlates.

A sample comprised of 468 subjects drawn from introductory courses at Kuwait University (50.6% females, Mean of age=20,90, 72.8% singles) was utilized to administer the questionnaire. The questionnaires were completed by students who consented to participate in the study.

Multiple Perceived Social Support (Zimet et al., 1988) showed high alph coefficients. They were as follows: Total .929, Family .871, Friends .852, and Significant Others .894. Concerning its association to study variables, gender revealed different patterns. For males MPSS was correlated to family income, nonsuicidal self injury, and borderline personality disorder. For females, MPSS was correlated to school year, internet use, and smoking.

MPSS seems to function differently with respect to gender. Some of findings of this study were consistent with previous research. Others, showed correlations in reverse directions. Both will be discussed theoretically and culturally.

Lithium has been used in the treatment of pregnant women with bipolar disorder for many decades but information on the effects of its exposure on perinatal variables is scarce.

To determine the effects of in-utero exposure to lithium on neonatal outcomes among infants born to women with treatment with lithium during pregnancy.

Prospective and observational study including all consecutive cases of pregnant women with bipolar disorder type I or II (N = 22) and maintenance treatment with lithium monotherapy (n=13) or polytherapy (n=9), attended at the PERINATAL PSYCHIATRY PROGRAM CLÍNIC-BARCELONA between 2005 and 2012. We evaluated sociodemographic data, lithium plasma concentrations in maternal blood and umbilical cord, obstetric and neonatal variables.

No statistically significant differences were found regarding sociodemographic data between both groups. Rates for umbilical cord:maternal plasma lithium levels were higher in women treated with polytherapy than in women who received lithium alone (1.08 vs. 1.05). Neonates exposed to polytherapy had a higher weight percentile at birth (p70 vs p50) and greater gestational age (39.72 vs. 38.28 weeks), than those exposed to lithium alone. Acute neonatal complications were more frequently observed in infants that were exposed to lithium monotherapy (33.3% vs. 38.50), being all complications transitory and not severe.

The infants exposed to lithium polytherapy presented a higher weight at birth compared to those who received lithium monotherapy. However, no statistically significant differences were found between treatment groups. Further research is needed to better clarify safety of lithium and its effect on neonatal outcomes.

Three community groups were compared: resilient adolescents – with low risk of mental disorder despite high exposure to lifetime stress, adolescents at risk of mental disorder exposed to the same level of stress, and controls. Personality was assessed by NEO Five Factor Inventory (NEO-FFI) and cognitive function by a battery of tests. Voxelwise statistics of DTI values in CC were obtained using Tract-Based Spatial Statistic. Regional projections were identified by probabilistic tractography.

Higher FA values were detected in the anterior CC of resilient compared with both non-resilient and control adolescents. FA values varied according to resilience capacity. Regional changes in CC were in regions that project onto anterior cingulated and frontal cortex. Neuroticism and three other personality factors differentiated at risk adolescents from the other two groups.

High FA was detected in resilient adolescents in an anterior CC region projecting to frontal areas subserving cognitive resources. Psychiatric risk in adolescents was associated with personality characteristics. Resilience in adolescence may be a dimension embedding white matter features.

There is a long controversial history between schizophrenia and autism.

To detail the history of the relationship between autism and schizophrenia.

Literature review.

The overlap phenomology genetics will be discussed.

Adult autism can easily be confused with schizophrenia. There are very significant overlaps and differences between autism and schizophrenia.

Community psychiatry serves as a tool to bridge the mental health gap that exists in many developing countries. Poverty in rural areas of such nations may hamper the quality of mental health services delivered to these populations. The study aims to describe the Sociodemographic Profile, Presentations, and Therapeutic Interventions in a Community Psychiatry Service in South-West, Nigeria.

A retrospective study of data collated over a 20-month period in a community psychiatry service of LUTH Primary Care Center in Pakoto, Ifo Local Government, Ogun State, Nigeria. Data were extracted from the register opened at the commencement of the posting over the stated period. The psychiatric assessments were conducted by mental health professionals and diagnosis made based on ICD-10 criteria.

A total of 155 patients were seen (N=155). 54.2% were male. Majority (49.6%) was between the age ranges of 16-30 years.68.7% were unmarried and 71% were unemployed. 28.4% had Poor sleep, Hallucination-25.2%, Aggression-23.9%, Autistic behaviour-18.1%, Delusions-15.5% and 15.0% had mood changes. Typical antipsychotics were more prescribed than the Atypicals (89.5: 5.9%).

The study brings to light the importance of integrating community psychiatry into the primary care as many of the subjects had low socioeconomic profile and may have difficulty assessing adequate medical intervention. There is a need for government's intervention in areas of employment and subsidy of medication as most of the subjects with psychotic symptoms were placed on conventional antipsychotics due to inability to afford the cost of atypical alternatives.

Delirium is common but often under-diagnosed. Early detection and diagnosis are vital for better prognosis, placing emphasis on the quality of the admission clerking. NICE recommends using the Confusion Assessment Method (CAM) when assessing such patients. For a delirium diagnosis patients have to fulfill the CAM criteria.

To establish if the CAM is a useful tool in clerking patients presenting with confusion.

1. Assess uptake of the CAM

2. Identify how many patients presenting with confusion fulfill diagnosis criteria

3. Determine if the CAM results in a lower number of amended diagnoses

4. Describe associations between clinical findings and diagnosis

5. Evaluate junior doctor knowledge about the CAM

A prospective audit was performed to assess the quality of clerking in fifty patients presenting with “confusion’. The second phase involved a qualitative questionnaire to assess junior doctor knowledge of the CAM.

CAM was not used to make any diagnosis. Only 4% of clerkings fulfilled diagnosis criteria. Patients diagnosed with delirium, who then had their diagnosis amended, did not fulfill CAM criteria on admission. Junior doctor knowledge of delirium diagnosis was poor.

The CAM is a useful and valuable tool, resulting in fewer unnecessary investigations and a reduced hospital stay. Junior doctor knowledge of it is inadequate explaining why it is not currently being used in practice. We recommend that the CAM should be included in the teaching curriculum. This study shows that further investigation of the aim, and its objective, is warranted and justified.

The literature has found that eating disorders patients usually have a depression and anxiety diagnosis. However, not many investigations have studied the relationship between ED and subjective well-being.

For this reason in this study it is analyzed if women with an eating disorder diagnosis have less subjective well-being than a control group.

104 participants (35 with anorexia nervosa, 28 with bulimia nervosa, 16 with eating disorder not otherwise specified and 25 controls) were selected to conduct the study.

It was found that women with eating disorders reported less satisfaction with life and positive affect than the control group, but there were not statically significant differences in negative affect.

Reports of hedonic or subjective well-being problems were much more common in participants with eating disorders than in the control group (female individuals without clinical problems).

To obtain the estimates of the national prevalence of ADHD and ODD of Thai children.

The study was used three-stage stratified sampling to represent most population of each level. 7,118 Thai students graded 1-5 in primary school were recruited in the study and were screened by the SNAP-IV Thai version with the sensitivity 82%. The subjects, whose scores were positive for any subtypes of ADHD or ODD, were interviewed by child and adolescent psychiatrists using DSM-IV criteria. The percentage and 95% Confidence Intervals were used to represent the results.

521 subjects and 200 subjects were diagnosed ADHD and ODD, making a national prevalence of Thai students equals 8.1% (95%CI=7.5-8.7). The prevalencein boy 12% (95%CI=10.9-13.0) was substantially higher than girl 4.2% (95%CI=3.6-4.9), the ratio was 3:1. Considering the difference in regions were found southern region was highest at 11.7% (95%CI=10.0-13.4) and northern region was lowest prevalence equals 5.1% (95%CI=4.0-6.2). The prevalence of ADHD with comorbidity of ODD was 2.1% (95%CI=0.8-2.4). Prevalence of ODD was 3.1% (95%CI=2.7-3.5), which was found highest 5.5% (95%CI=3.7-7.2) in Bangkok.

ADHD prevalence in Thailand is higher, thus an early intervention to prevent the mental health problems and loss of quality population is needed. The health services and education system require changes in attitudes and development of resources. All who care for children including families, schools, communities, health care agencies, the government, and children themselves are required to participate and develop the solution and programs in community.

The Metabolic Syndrome (MetS) is defined as a cluster of cardiometabolic risk factors affecting the same subject, when three out of the following five criteria are present: abdominal obesity, hypertriglyceridemia, low HDL cholesterol, hypertension, impaired glucose tolerance (or diagnosis of Type 2 Diabetes). Recent studies on the association between the MetS, depression and anxiety have reported conflicting findings; yet, clinically they are very frequently present in the same patient.

To review findings supporting the opportunity of considering the presence of depressive/anxiety symtoms as the “sixth criterion” of the Metabolic Syndrome.

Systematic review. A Medline search of the literature conducted on September 12th, 2012 (key words: metabolic syndrome, anxiety, depression) provided 148 references. A further temporal-limit of the search, taking into account only papers published in the last five years, provided 90 references. Finally, 16 studies were retained eligible for the present study.

Of 16 papers, 3 reported absolutely no association between MetS, depression and anxiety; 5 reported a significant correlation. As far as depression is concerned, 5 papers reported a correlation with MetS, 1 reported no correlation between MetS and the Major Depressive Disorder. As far as anxiety is concerned, 4 papers reported a significant correlation with MetS, 2 reported no correlation. The most reproducible finding was the correlation between anxious/depressive symptoms and the MetS (especially large waist circumference), when affecting women.

The presence of depression and/or anxiety could be considered the sixth criterion to diagnose the MetS in females with large waist circumference.