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The impact of mental health stigma in a young Malaysian lady with recurrent suicidal ideations and moribund presentations to the Emergency Department: a case report

INTRODUCTION: Mental health stigma (MHS) has been a pervasive social issue and a significant barrier to treatment seeking behavior. The treatment pathways and outcomes for people with mental illness, specifically those with recurrent suicidal ideations and attempts have been influenced by how MHS wa...

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Autores principales: Petrus, Chiara Francine, Mohd Salleh Sahimi, Hajar, Midin, Marhani, Lim, Jane Tze Yn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626432/
https://www.ncbi.nlm.nih.gov/pubmed/37937231
http://dx.doi.org/10.3389/fpsyt.2023.1243015
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author Petrus, Chiara Francine
Mohd Salleh Sahimi, Hajar
Midin, Marhani
Lim, Jane Tze Yn
author_facet Petrus, Chiara Francine
Mohd Salleh Sahimi, Hajar
Midin, Marhani
Lim, Jane Tze Yn
author_sort Petrus, Chiara Francine
collection PubMed
description INTRODUCTION: Mental health stigma (MHS) has been a pervasive social issue and a significant barrier to treatment seeking behavior. The treatment pathways and outcomes for people with mental illness, specifically those with recurrent suicidal ideations and attempts have been influenced by how MHS was experienced in clinical practice. METHODS: We reported a case of a young lady diagnosed with bipolar II disorder, obsessive-compulsive disorder and borderline personality disorder who had recurrent visits to various emergency departments (ED) of tertiary hospitals in Malaysia for suicidality; each time presenting with increased mortality risk and escalating near-lethal outcomes. Among the multiple ED visits after her alleged overdoses of psychotropic medications, thrice she was near-unconscious and had to be intubated for airway protection, subsequently requiring ventilatory support and ICU care. These near-lethal presentations in ED were due to her delays in seeking treatment for fear of re-experiencing the stigmatizing environment among healthcare staff and professionals in the ED. DISCUSSION: The impact of MHS is detrimental. Effective interventions at various levels in the clinical setting is of utmost importance to prevent the negative consequences of suicidality against MHS.
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spelling pubmed-106264322023-11-07 The impact of mental health stigma in a young Malaysian lady with recurrent suicidal ideations and moribund presentations to the Emergency Department: a case report Petrus, Chiara Francine Mohd Salleh Sahimi, Hajar Midin, Marhani Lim, Jane Tze Yn Front Psychiatry Psychiatry INTRODUCTION: Mental health stigma (MHS) has been a pervasive social issue and a significant barrier to treatment seeking behavior. The treatment pathways and outcomes for people with mental illness, specifically those with recurrent suicidal ideations and attempts have been influenced by how MHS was experienced in clinical practice. METHODS: We reported a case of a young lady diagnosed with bipolar II disorder, obsessive-compulsive disorder and borderline personality disorder who had recurrent visits to various emergency departments (ED) of tertiary hospitals in Malaysia for suicidality; each time presenting with increased mortality risk and escalating near-lethal outcomes. Among the multiple ED visits after her alleged overdoses of psychotropic medications, thrice she was near-unconscious and had to be intubated for airway protection, subsequently requiring ventilatory support and ICU care. These near-lethal presentations in ED were due to her delays in seeking treatment for fear of re-experiencing the stigmatizing environment among healthcare staff and professionals in the ED. DISCUSSION: The impact of MHS is detrimental. Effective interventions at various levels in the clinical setting is of utmost importance to prevent the negative consequences of suicidality against MHS. Frontiers Media S.A. 2023-10-23 /pmc/articles/PMC10626432/ /pubmed/37937231 http://dx.doi.org/10.3389/fpsyt.2023.1243015 Text en Copyright © 2023 Petrus, Mohd Salleh Sahimi, Midin and Lim. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Petrus, Chiara Francine
Mohd Salleh Sahimi, Hajar
Midin, Marhani
Lim, Jane Tze Yn
The impact of mental health stigma in a young Malaysian lady with recurrent suicidal ideations and moribund presentations to the Emergency Department: a case report
title The impact of mental health stigma in a young Malaysian lady with recurrent suicidal ideations and moribund presentations to the Emergency Department: a case report
title_full The impact of mental health stigma in a young Malaysian lady with recurrent suicidal ideations and moribund presentations to the Emergency Department: a case report
title_fullStr The impact of mental health stigma in a young Malaysian lady with recurrent suicidal ideations and moribund presentations to the Emergency Department: a case report
title_full_unstemmed The impact of mental health stigma in a young Malaysian lady with recurrent suicidal ideations and moribund presentations to the Emergency Department: a case report
title_short The impact of mental health stigma in a young Malaysian lady with recurrent suicidal ideations and moribund presentations to the Emergency Department: a case report
title_sort impact of mental health stigma in a young malaysian lady with recurrent suicidal ideations and moribund presentations to the emergency department: a case report
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626432/
https://www.ncbi.nlm.nih.gov/pubmed/37937231
http://dx.doi.org/10.3389/fpsyt.2023.1243015
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