Suicidal Ideation Induced by Episodic Cannabis Use

The report describes a patient who presented suicidal ideation only in two different occasions, immediately after acute cannabis intoxication. He used cannabis only in these two circumstances. Although a definite association between cannabis use and suicidal ideation or behavior has been already reported in the literature, the described case presents two original clinical aspects that deserve consideration. First, episodic assumption of cannabis induced suicidal ideation abruptly. Second, suicidal ideation appeared independent of mood depression, stressors, or life events, suggesting that suicidality may be not a direct consequence of depression and appears to be a relatively independent psychopathological dimension. There seems to be no linear relation between the severity of depression and the risk of suicide

Hostility and violence of acute psychiatric inpatients

OBJECTIVE: The aim of the present study was to find out the extent of hostility and violence and the factors that are associated with such hostility and violence in a psychiatric intensive care unit. METHODS: Retrospective analysis of data prospectively collected in a 6-year period. RESULTS: No hostility was observed in 56.1%, hostility in 40.9%, and violence in 3.0% of the admitted cases. Seclusion was never used. Six cases (2,5‰) required physical restraint. Risk factors associated with violence were younger age, suicidal risk, and diagnosis of schizophrenia. Risk factors associated with hostile and violent behavior were younger age at the onset of the disorder, being single, having no children, lower GAF scores, higher BPRS hostility, SAPS, and CGI scores, lower BPRS anxiety-depression score, higher doses of psychoactive drugs, more frequent use of neuroleptics, diagnosis of mania, personality disorder, substance and alcohol related disorders, no diagnosis of depression. CONCLUSION: The study confirms the low rate of violence among Italian psychiatric in-patients, the major relevance of clinical rather than socio-demographic factors in respect of aggressive behavior, the possibility of a no seclusion-no physical restraint policy, not associated either with higher rates of hostility or violence or with more severe drug side effects

Characteristics of HCV positive patients in an Italian urban psychiatric unit

OBJECTIVES: 1) to assess the prevalence of hepatitis C virus (HCV) infection in a population of acute psychiatric in-patients; 2) to find out relationships between HCV comorbidity and clinical features of psychiatric patients. METHODS: Prospective observational study in a 6-year period. RESULTS: 2396 cases (1492 patients) were admitted in the considered period. Forty-two patients (2.8%) were affected by HCV infection. HCV infection was more frequent in patients with less years of education, lower social class, lower last year best Global Assessment of Functioning score, more hostile or violent behavior in hospital, with a lifetime history of previous suicide attempt, and with substance-related disorders. CONCLUSION: HCV infection in psychiatric patients constitutes a major threat to the health of psychiatric patients and is related with unfavorable social background, worse global functioning, hostile or violent behavior, substance-related disorders. It appears also to be a significant risk of suicidal behavior

AUTISM Spectrum Disorders and Suicidality

The paper describes the suicidal ideation and behavior in a series of 26 adult psychiatric patients affected by Autism Spectrum Disorders (ASDs), the clinical features and the psychiatric comorbidity of patients presenting suicidal behavior, and the history of suicide or suicide attempt in their relatives. Two (7,7%) patients committed suicide. One (3.8%) patient attempted suicide twice, and one (3.8%) patient self-harmed by cutting his face and one finger of his hand with a razor. Eight (30.8%) patients presented suicidal ideation. Two (7.7%) patients had one relative who had attempted suicide, and two (7.7%) patients had one or more relatives who had committed suicide. Most patients with suicidal behavior or ideation presented psychotic symptoms. Although it is not clear whether the high suicidal risk is related with ASDs per se or with psychotic symptoms, a high index of suspicion is warranted in evaluating suicidal risk in patients affected by ASDs, whatever is their age, psychiatric comorbidity, and setting of visit

Variations of Lys Glacier (Monte Rosa Massif, Italy) from the Little Ice Age to the Present from Historical and Remote Sensing Datasets

Alpine glaciers respond to climate imbalance by adjusting their mass and length. In turn, these changes modify the glacial and periglacial environment, leading to increased supraglacial debris cover, the development of glacial lakes and glacier fragmentation. In this research, we investigated the evolution of Lys Glacier (Monte Rosa Group), by studying length, area and volume changes, and evolution of its supraglacial debris cover and proglacial lakes by means of historical sources and high-resolution aerial and satellite orthophotos. Lys Glacier retreated almost continuously, by nearly 2 km, from its maximum Little Ice Age position. More recently, the glacier lost 11.91% of its area between 1975 and 2014 and underwent fragmentation in 2009. Over the same period, glacier fragmentation and tongue stagnation affected the formation and rapid growth of a series of ice-contact lakes and led to a non-linear debris cover evolution. The glacier was also subjected to strong volume losses, with more than 135 m thinning on the ablation tongue from 1991 to 2014. Analysis of the meteorological records (1927–present) from the closest weather station reveals a considerable increase in average annual temperatures by more than 1°C from the mean of 1971–1989 to the mean of 1990–2017

Snow data intercomparison on remote and glacierized high elevation areas (Forni Glacier, Italy)

Abstract. We present and compare 11 years of snow data (snowfall, snow depth and snow water equivalent (SWE)) measured by an Automatic Weather Station and by some field campaigns on the Forni Glacier. The data have been acquired by means of (i) a Campbell SR50 sonic ranger from October 2005 (snow depth data), (ii) manual snow pits from January 2006 (snow depth and SWE data), (iii) a Sommer USH8 sonic ranger from May 2014 (snow depth data), (iv) a Park Mechanical SS-6048 snow pillow from May 2014 (SWE data), (v) a manual snow weighting tube (Enel-Valtecne©) from May 2014 (snow depth and SWE data). The aim of the analyses is to assess the mean value of fresh snow density and the most appropriate method to evaluate SWE for this measuring site. The results indicate that the daily SR50 sonic ranger measures allow a rather good estimation of the SWE, and the provided snow pit data are available for defining the site mean value of fresh snow density. For the Forni Glacier measuring site, this value turned out to be 140 kg m−3. The SWE derived from sonic ranger data is rather sensitive to this value: a change in fresh snow density of 20 kg m−3 causes a mean variation in SWE of ±0.093 m w.e. for each hydrological year, ranging from ±0.050 m w.e. to ±0.115 m w.e

Inventory of glaciers and glacial lakes of the Central Karakoram National Park (CKNP – Pakistan)

This study presents a map reporting valuable information on the cryosphere of the Central Karakoram National Park (CKNP, the largest protected area of Pakistan and the highest park in the world). All the information is provided considering the CKNP as a whole, and in detail by dividing it into five basins (i.e. Shigar, Hunza, Shyok, Upper Indus, and Gilgit). The glacier inventory reports 608 ice bodies covering 3680 km2 ( 3c35% of the CKNP area), with a total glacier volume of ca. 532 km3. In addition, we modeled the meltwater from glacier ice ablation over the period 23 July to 9 August 2011. The total melt amount is ca. 1.5 km3. Finally, we considered glacial lakes (202 water-bodies, covering 4 km2). For these latter glacier features, we also analyzed their potentially dangerous conditions and two lakes were found having such conditions

Inventory of glaciers and glacial lakes of the central Karakoram National Park (Pakistan) as a contribution to know and manage mountain freshwater resource.

In this study, we reported valuable information on the cryosphere of the Central Karakoram National Park (CKNP, the largest protected area of Pakistan and the highest park all over the world). In fact, in addition to the glacier inventory, we also estimated the glacier volume and we modeled the amount of meltwater derived from glacier ice ablation during a 18-day summer period (23 July–9 August 2011, time window where also field melt measurements were performed thus enabling a crosscheck of the obtained results). Moreover, glacial lakes were considered as well; for these latter glacier features we also analyzed their potentially dangerous conditions. All these information are given considering the CKNP as a whole and in detail by dividing it into five basins (i.e. Shigar, Hunza, Shyok, Upper Indus and Gilgit). As regards the CKNP as a whole, 608 glaciers are found with a total area of 3682.1 ± 61.0 km2, ~35% of the CKNP area. Analyzing in detail the five basins included in the CKNP area, they reflect the overall conditions regarding glacier distribution per size class, terminus elevation, length, and thickness. The widest basin (for number of ice bodies, glacier extent and ice volume) is the Shigar basin, where the largest glaciers are present (among which Baltoro Glacier), and the smallest one is the Gilgit basin. Finally, the highest number of debris-covered glaciers is located in the Shyok basin (62 glaciers). During 18 days in summer 2011, we quantified a total water magnitude of 1.54 km3 derived from ice melting. Even if we considered a relatively short period, this water volume equals ~11% of the reservoir capacity of the Tarbela Dam. In addition to glacier information, we provided glacial lake occurrence, as these ephemeral water bodies can develop into actual glacial risk conditions, which makes it important to list them and to survey them over time. The information reported in this study would provide base for future monitoring of glacial lakes and GLOFs and for planning and prioritizing disaster mitigation efforts in the park. In fact, even if the Potentially Dangerous Glacial Lakes (PDGLs) identified in the park territory are only 2, they are located in a high vulnerable and fragile area and the recent history suggests us to survey over time these water bodies to avoid losses of human lives and destructions of villages and communities. Moreover, many other supraglacial lakes identified in the park area could develop into conditions of PDGLs thus suggesting to prosecute the lake monitoring and to develop early strategies for risk mitigations and disaster management