Percentages, ratios etc

Question 1

Proportions of europeans with psychiatric issues attending GP in last year?

attending psychiatrist last year?

Answer 1

According to ESEMeD, the first major multicentre European psychiatric epidemiological study conducted as a part of World Mental health survey initiative of WHO, only one-third of identified cases have consulted their general practitioner in preceding 12 months while 21% cases have seen a psychiatrist. Nearly one-third of those who sought help, have never seen any mental health professional.

Question 2

AESOP findings for increased incidence of psychosis in:

• Afro caribbeans
• Black africans

Answer 2

After adjusting for age the incidence of schizophrenia was 9 times higher in African-Caribbean and 6 times higher in Black African compared to the White British group.

Question 3

Proportion of people in primary care settings with depression?

Answer 3

5-10

Question 4

Mean lag between depressive symptoms and treatment?

Answer 4

3 years

Question 5

Number of adults experiencing at least one mental health problem in their lifetime

Answer 5

1 in 4

Question 6

Number of patients with a depressive episode that develop a chronic course of the illness.

Answer 6

1 in 10

Question 7

Number of persons aged >65 living in the community that have depression at any given time

Answer 7

1 in 7

Question 8

Number of people living with a mental health problem at any given time in the UK.

Answer 8

1 in 6

Question 9

Post natal depression
Total risk?
Risk with h/o depression?
Risk with h/o PND?

Answer 9

10%
25%
50%

Question 10

Post partum psychosis
Total risk?
Risk with h/o BPAD?
Risk with h/o PPP?

Answer 10

1 in 1000
50%
50-90%

Question 11

Risk for any birth defect in valproate?

Neural tube defect?

Answer 11

10%

1%

Question 12

Relapse rates depression in pregnancy

Answer 12

26% if continue meds

68% if stop meds

Question 13

M:F ratios for 
Reading disorder
ASD
Aspergers
Tourettes
ADHD (Kids) 
ADHD (adults)
Major depressipn
BP1
Panic with agoraphobia
Panic without agoraphobia
GAD
OCD
Specific phobia 
Conversion disorder
Anorexia
Bulimia
BPD

Answer 13

Condition	Sex ratio M:F
Reading disorder	3-4:1
Autistic spectrum disorder	4-5:1
Asperger's	5:1
Tourette's syndrome	2-5:1
ADHD (children)	2:1
ADHD (adults)	1.6-1
Major depression	1:2
Bipolar type 1	1:1
Panic with agoraphobia	1:3
Panic without agoraphobia	1:2
Generalised anxiety disorder	1:2
Obsessive compulsive disorder	1:1
Specific phobia	1:2
Conversion disorder	1:2-10
Anorexia nervosa	1:9
Bulimia nervosa	1:9
Borderline personality disorder	1:3

Question 14

Risk of foetal abnormality if lithium continued through first trimester?

Answer 14

10%
Max risk at 2-6 weeks
Screen for Ebsteins with US at 6 and 18 weeks

Question 15

Risk of depression in pregnancy?

Answer 15

10%

Question 16

How much more likely is a pregnancy women to have a relapse of depression if she stops antidepressants?

Answer 16

5x

Question 17

12 month risk anorexia

Answer 17

0.4%

Question 18

Prevalence bulimia

Answer 18

2-3%

Question 19

OCD Prevalence

Answer 19

up to 2-3% NICE

Question 20

BDD prevalence

Answer 20

0.5-0.7%

Question 21

Epilepsy comorbidity
depression
anxiety

Answer 21

30-50% (particulary TLE)

20%

Question 22

Post stroke
depression
anxiety

Answer 22

35% (left frontal lobe)

25%

Question 23

Downs and dementia
Under 30
30-39
40-49
50-59
60-69

Answer 23

Under 30 - 0-4%
30-39 years - 2-33%
40-49 years - 8-55%
50-59 years - 20-55%
60-69 years - 29-75%

Question 24

Aetiology of mental retardation

Answer 24

No definite etiology – 30-40%
Environmental influences – 15-20%
Pregnancy-related and perinatal problems – 10%
Acquired general medical conditions – 5%
Genetic inheritance – 5%

Question 25

LD Severity and how much

Answer 25

Mild LD has IQ in the range 50-69 - 85%
Moderate with a range 35-49 - 10%
Severe in the range 20-34 - 3-4%
Profound being below 20. 1-2%

Question 26

1 year prevalence BP1 and 2

Answer 26

BP1 1.5%

BP2 0.8%

Question 27

Gottesman data for schizophrenia

Answer 27

MZ Twins 47%
Both parents 46%
DZ Twins 17%
Child 13%
Sibling 9%
Half sibling 6%
Parent 6%
Grandchild 5%
Nephew/enice 4%
Uncle/aunt 2%
First cousin 2%
Gen pop 1%

Question 28

Percentage epilepsy patients commit suicide

Answer 28

10%

even w/o diagnosable depression that is inc risk

Question 29

Lifetime suicide prevalence schizophrenia

Answer 29

6%

previously thought to be 10%

Question 30

most frequent MH disorders associated with suicide (what is (1) and (2)?)

Answer 30

1. Depression 30-31%

2. Alcohol dependence 17-24%

Question 31

lifetime prevalence DSH in psychotic patients

Answer 31

25%

Question 32

Suicide rates in BPAD?
How much more than gen pop?
What phase the worst?

Answer 32

10-19%
15x gen pop
worst in depressive phase

Question 33

Suicidal ideation in British school going public?

Answer 33

15%

Question 34

% of people who commit suicide that have a diagnosable mental health disorder?

Answer 34

90%

Question 35

When do DTs come on

Answer 35

48-72h after stopping

Question 36

In week preceding suciide, how many gen adults contact GP? old age?

Answer 36

40%

50%

Question 37

In England how many suicides preventable?

Answer 37

1 in 4

Question 38

Suciide rates for BPI vs BPII?

Answer 38

worse in BPII

24% vs 17%

Question 39

What % of global mortality do suicidal rates account for?

Answer 39

1-2%

Question 40

what % of progression from suicdial thoughts to plans occur in 1 year of onset

Answer 40

60%