Tamargo R, Moschenross D, Clark T, Novoa K, Gopalan P. C-L Case Conference: Psychiatric Evaluation and Management Following Gunshot Injury.
J Acad Consult Liaison Psychiatry 2022;
63:426-433. [PMID:
35301160 DOI:
10.1016/j.jaclp.2022.02.009]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 02/18/2022] [Accepted: 02/28/2022] [Indexed: 11/28/2022]
Abstract
We present the case of a 23-year-old female presenting to CL Psychiatry after admission for multiple gunshot wounds. Top experts in the CL field provide guidance for this commonly encountered clinical case based on their experience and a review of the available literature. Key teaching topics include risk factors for gun violence victimization, assessment of psychiatric diagnoses associated with gunshot injury, and management challenges including access to psychiatric care. Specifically, we highlight the high prevalence of trauma-related disorders, substance use disorders, and functional impairment after gunshot injury. We also provide practical guidance on issues of lethality assessment, trauma-informed care, psychiatric management, and community resources that support recovery.
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