Objective: This case report highlights the clinical dilemmas encountered in deciding the diagnostic status of persons with unipolar depression who develop hypomania during antidepressant/electroconvulsive therapy.
Methods: We report a case of a 52 year-old Chinese lady, diagnosed with unipolar depression, which developed hypomania after she was started on T. Fluvoxamine 100mg daily and completed 8 sessions of Electroconvulsive therapy.
Results: Her diagnosis was revised to Bipolar Disorder and she was treated with T. Sodium Valproate 400mg twice daily after which she improved.
Conclusion: Treatment-emergent hypomania is likely a subtype of bipolar spectrum disorder and patients with Treatment - emergent Hypomania should be treated as Bipolar Disorder.
The media can be a double-edged sword in suicide prevention
with the Werther and Papageno effect as risk and protective factors
respectively. Objective: This article provides a brief overview of the impact
of media suicide reporting on suicidal behaviour and suicide prevention.
Results: In the Malaysian context, current practices of media suicide
reporting, advocacy strategies for responsible media suicide reporting as
well as challenges in stakeholder awareness and engagement are highlighted.
A review of the literature suggested limited implementaton and adherence of
media guidelines locally. Conclusions: Future research is warranted to
establish the evidence base for effective strategies to improve stakeholder
awareness, engagement and implementation of responsible media reporting
of suicide.