Attempted Suicide in a Woman With Steroid-responsive Encephalopathy Associated With Autoimmune Thyroiditis: A Case Report.

Steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT) is a rare phenomenon that manifests with nonspecific psychiatric and neurological signs and symptoms, an elevated serum thyroid peroxidase antibody level, and a positive treatment response to corticosteroids. Current literature describes highly varied presentations of the disease, which makes its diagnosis a challenging endeavor. The psychiatric symptoms of SREAT, in particular, are very difficult to ascribe to the correct diagnosis, as there are few laboratory or imaging modalities available to workup these manifestations. As a result, authors have attempted to compose rough guidelines that would help clinicians more easily recognize SREAT, which is important given the wide accessibility and efficacy of the main treatment for this condition. We present the case of a young woman diagnosed with SREAT who presented after a suicide attempt. Although signs and symptoms of depression, psychosis, and mania have been well described as potential manifestations of the disorder, attempted suicide as a primary presentation of SREAT has not been well captured in the current literature. In fact, it appears that suicidal thoughts and attempts are not nearly as prevalent as would be expected given the high prevalence of psychiatric signs and symptoms in the disorder, but rather, they appear to be quite rare phenomena. In this case report, we identify other articles in the literature that address suicidal thoughts or attempts in association with SREAT. The patient described in our report is one of the only cases of a suicide attempt in the context of a primarily depressed state as a result of SREAT.

Premenstrual Psychosis in an Adolescent: A Case Report.

Premenstrual psychosis is a rare phenomenon initiating during or preceding menses, often lasting one to two weeks after the onset of menses. Previous literature shows links between the estrogen decline of the menstrual cycle's late luteal phase and the worsening of preexisting symptomatology in psychosis. There is thought to be a similar etiology in premenstrual psychosis. Current literature describes mostly clinical cases showing successful treatment using oral contraceptives and/or atypical antipsychotics. We present an adolescent who suffered from a new episode of psychosis beginning just before the onset of menses. Her symptoms abated after the completion of menses and with the initiation of combined oral contraceptives and olanzapine.

Themes Associated With Top-Grossing Films Released From 2005 to 2015.

Films continue to be a popular form of entertainment among children. The objective of this study was to determine the most common themes found in the top-grossing films released from 2005 to 2015. Forty-five films were independently viewed and analyzed by 5 reviewers. The most common positive themes were "importance of helping others," "working as a team," and "standing up for what you believe in" (5.71, 4.08, and 3.78 mean events per hour, respectively). The most common negative themes were "use of guns/knives/lethal weapons," "acts of violence/fighting," and "demonstrating excessive anger" (5.78, 5.64, and 3.09 mean events per hour, respectively). In conclusion, the most common positive themes in our sample were associated with service, collaboration, and courage, and the most common negative themes were associated with violence. We encourage co-viewing and active mediation, focusing on the positive and negative themes found in film, as a method to guide children through their development process.