Kidney transplantation among patients with severe mental illness

[...]people with SMI with comorbid CKD have compounded risk of having cardiovascular diseases, resulting in premature mortality. [3] Furthermore, a family history of mental illness, controlled schizophrenia, current affective disorder, a history of affective disorder, a recent suicide attempt, histo...

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Bibliographic Details
Published in:Saudi journal of kidney diseases and transplantation 2019-11, Vol.30 (6), p.1492-1494
Main Authors: Uvais, N, Hafeeq, Benil, Aziz, Feroz
Format: Article
Language:English
Subjects:
Chronic kidney failure
Comorbidity
Health aspects
Kidney transplantation
Kidney transplants
Lithium
Medical screening
Mental disorders
Mental health care
Mentally ill persons
Mortality
Patients
Psychosis
Quality of life
Schizophrenia
Suicides & suicide attempts
Transplants & implants
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Summary:[...]people with SMI with comorbid CKD have compounded risk of having cardiovascular diseases, resulting in premature mortality. [3] Furthermore, a family history of mental illness, controlled schizophrenia, current affective disorder, a history of affective disorder, a recent suicide attempt, history of one or more suicide attempts, poor social support, and medical noncompliance were listed as relative contraindications for transplantation across various kidney transplant programs. [...]a model was described by Zimbrean and Emre in 2015 which consists of the following steps; initial social worker evaluation, psychiatric evaluation in patients with history or active psychiatric symptoms or disorders, decision by the psychiatrist regarding fitness for transplant surgery based on the risk assessment of symptoms with regard to risk to self or interference with medical care and history of adherence to various treatments, pretransplant psycho education, and counseling to increase insight into their illness, periodic psychiatric reassessments while the candidates are on the waiting list, psychiatric evaluation as soon as the patient can cooperate with assessment following transplant surgery, a regular schedule of psychiatric follow-up following discharge and the involvement of the local community mental health providers for taking care of recurrence as early as possible in the community.
ISSN:1319-2442
2320-3838
DOI:10.4103/1319-2442.275502