VTechWorks staff will be away for the winter holidays starting Tuesday, December 24, 2024, through Wednesday, January 1, 2025, and will not be replying to requests during this time. Thank you for your patience, and happy holidays!

Browsing by Author "Sun, Ching-Fang"

Now showing 1 - 5 of 5
  • Thumbnail Image
    Homicidal ideation and psychiatric comorbidities in the inpatient adolescents aged 12-17
    Sun, Ching-Fang; Mansuri, Zeeshan; Trivedi, Chintan; Vadukapuram, Ramu; Reddy, Abhishek (Frontiers, 2022-11-16)
    Objectives: Adolescents with a homicidal tendency is a growing concern in the United States. Studies in the past have showcased the relationship between homicidal ideation (HI) and psychiatric illnesses, but very limited information is available on the adolescent and inpatient population. We aim to evaluate the prevalence of demographic characteristics and psychiatric disorders in adolescents with and without HI. Materials and methods: Adolescent (age 12–17) population admitted to the hospital with the diagnosis of homicidal ideation was identified from the 2016–2018 National Inpatient Sample Dataset (NISD). Patients without HI were defined as the control group. The prevalence of psychiatric comorbidities between the groups was compared by applying the Rao-Scott adjusted chi-square test. We used multivariable logistic regression to generate odds ratio (OR) of homicidal ideation as an outcome; we adjusted age, sex, race, socioeconomic status, substance use disorders, alcohol use disorders, and psychiatric comorbidities. Results: A total of 18,935 patients (mean age: 14.5) with HI diagnosis were identified in this study. Majority of the patients were male subjects in the HI group compared to the control group (58.7 vs. 41.2%, p < 0.001). Racially, HI was more prevalent in white race (56.0 vs. 52.6%, p < 0.001) and black race (22.3 vs. 17.8%, p < 0.001), compared to Hispanic race (14.9 vs. 21.3%, p < 0.001). Major depression (Odds ratio [OR]: 2.66, p < 0.001), bipolar disorder (OR: 3.52, p < 0.001), anxiety disorder (OR: 1.85, p < 0.001), ADHD, and other conduct disorders (OR: 4.01, p < 0.001), schizophrenia (OR: 4.35, p < 0.001) are strong predictors of HI. Suicidality was prevalent in 66.9% of patients with HI. Conclusion: We found a higher prevalence of psychiatric illnesses such as depression, anxiety, and bipolar disorder in adolescents with homicidal ideation in the inpatient setting. White and black races were more prevalent in patients with homicidal ideation. Further large-scale longitudinal research studies are warranted to establish the correlation between psychiatric disorders and homicidal ideation among adolescents.
  • Thumbnail Image
    Increasing prevalence of eating disorders in female adolescents compared with children and young adults: an analysis of real-time administrative data
    Lin, Binx Yezhe; Moog, Dominic; Xie, Hui; Sun, Ching-Fang; Deng, Wisteria Yushan; McDaid, Erin; Liebesny, Katherine V.; Kablinger, Anita S.; Xu, Kevin Young (BMJ, 2024-08)
  • Thumbnail Image
    Low availability, long wait times, and high geographic disparity of psychiatric outpatient care in the US
    Sun, Ching-Fang; Correll, Christoph U.; Trestman, Robert L.; Lin, Yezhe; Xie, Hui; Hankey, Maria Stack; Uymatiao, Raymond Paglinawan; Patel, Riya T.; Metsutnan, Vemmy L.; McDaid, Erin Corinne; Saha, Atreyi; Kuo, Chin; Lewis, Paula; Bhatt, Shyam H.; Lipphard, Lauren Elizabeth; Kablinger, Anita S. (Elsevier, 2023-09-01)
    Objective: To identify potential barriers to care, this study examined the general psychiatry outpatient new appointment availability in the US, including in-person and telepsychiatry appointments, comparing results between insurance types (Medicaid vs. private insurance), states, and urbanization levels. Method: This mystery shopper study investigated 5 US states selected according to Mental Health America Adult Ranking and geography to represent the US mental health care system. Clinics across five selected states were stratified sampled by county urbanization levels. Calls were made during 05/2022–07/2022. Collected data included contact information accuracy, appointment availability, wait time (days), and related information. Results: Altogether, 948 psychiatrists were sampled in New York, California, North Dakota, Virginia, and Wyoming. Overall contact information accuracy averaged 85.3%. Altogether, 18.5% of psychiatrists were available to see new patients with a significantly longer wait time for in-person than telepsychiatry appointments (median = 67.0 days vs median = 43.0 days, p < 0.01). The most frequent reason for unavailability was provider not taking new patients (53.9%). Mental health resources were unevenly distributed, favoring urban areas. Conclusion: Psychiatric care has been severely restricted in the US with low accessibility and long wait times. Transitioning to telepsychiatry represents a potential solution for rural disparities in access.
  • Thumbnail Image
    The mean age of gender dysphoria diagnosis is decreasing
    Sun, Ching-Fang; Xie, Hui; Metsutnan, Vemmy; Draeger, John H.; Lin, Yezhe; Hankey, Maria Stack; Kablinger, Anita S. (BMJ, 2023-06-26)
    Gender dysphoria (GD), or gender identity disorder, is defined as persistent distress stemming from the incongruence between one’s assigned sex at birth and gender identity. GD has traditionally been introduced as a rare condition predominant in assigned males at birth (AMABs). However, recent studies have shown an upward trend in assigned females at birth (AFABs) with a dramatic reversal of the AMAB:AFAB ratio. The actual AMAB:AFAB ratio varies by age group and study population. Questions have been raised concerning the increasing number of youth who seek professional care for GD, especially adolescent AFABs. Current GD studies are significantly limited by small sample sizes, short follow-up periods, or out-of-date data sets. In this study, we analysed data from multiple healthcare organisations between 2017 and 2021. Our aims were to uniquely illustrate an updated epidemiological trend by providing an estimated prevalence of GD and explore how sex assigned at birth and age influence GD.
  • Thumbnail Image
    New-Onset Psychotic Symptoms Following Abrupt Buprenorphine/Naloxone Discontinuation in a Female Patient with Bipolar Disorder: A Case Report
    Lin, Yezhe; Zhang, Alexander D.; Sun, Ching-Fang; White, Justin B.; Qi, Ansi; Farrell, Jessica A.; Trestman, Robert L.; Martin, Rachel K.; Kablinger, Anita S. (2022)
    Buprenorphine and naloxone (Suboxone) is a combination medication-assisted treatment (MAT) for opioid use disorder. MAT withdrawal-induced psychosis is a rare clinical presentation. To our best knowledge, only three reports have summarized the characteristic manifestations of buprenorphine withdrawal psychosis, yet all of them were male. In this case report, we present a 41-year-old female patient with bipolar disorder and comorbid substance use disorder who developed new-onset psychosis and relapse of manic symptoms following abrupt discontinuation of Suboxone. Manic and psychotic symptoms remitted after a short-term hospitalization with the treatment of an antipsychotic and a mood stabilizer. In addition to discussing this case presentation and treatment approach, we review existing literature and discuss possible underlying mechanisms to enhance understanding of this clinical phenomenon. Psychopharmacology Bulletin.