open access

Vol 66, No 1 (2015)
MARITIME PSYCHOLOGY Case report
Published online: 2015-03-19
Submitted: 2015-03-19
Accepted: 2015-03-19
Get Citation

Telepsychiatric assessment of a mariner expressing suicidal ideation

Alexander Lee, Neal Sikka, Francis O’Connell, Allen Dyer, Keith Boniface, James Betz
DOI: 10.5603/IMH.2015.0012
·
Pubmed: 25792168
·
International Maritime Health 2015;66(1):49-51.

open access

Vol 66, No 1 (2015)
MARITIME PSYCHOLOGY Case report
Published online: 2015-03-19
Submitted: 2015-03-19
Accepted: 2015-03-19

Abstract

This case report highlights the successful use of telepsychiatric consultation by secure video chat to remotely assess a mariner expressing suicidal ideation. As a result of this intervention, telemedicine providers initiated psychiatric stabilisation while the mariner was still aboard the vessel, determined that he was safe for repatriation under the care of qualified medical escorts, and facilitated admission to a psychiatric facility near his home in the United States. Mental health emergencies are a significant cause of morbidity and mortality among mariners. Telepsychiatry is a validated method of establishing a psychiatric diagnosis and disposition as well as assessing risk of suicidality and the potential for violent decompensation. It has the potential to be a valuable adjunct to any traditional maritime telemedicine service.

Abstract

This case report highlights the successful use of telepsychiatric consultation by secure video chat to remotely assess a mariner expressing suicidal ideation. As a result of this intervention, telemedicine providers initiated psychiatric stabilisation while the mariner was still aboard the vessel, determined that he was safe for repatriation under the care of qualified medical escorts, and facilitated admission to a psychiatric facility near his home in the United States. Mental health emergencies are a significant cause of morbidity and mortality among mariners. Telepsychiatry is a validated method of establishing a psychiatric diagnosis and disposition as well as assessing risk of suicidality and the potential for violent decompensation. It has the potential to be a valuable adjunct to any traditional maritime telemedicine service.

Get Citation

Keywords

telepsychiatry, maritime medicine, telemedicine, suicidal ideation

About this article
Title

Telepsychiatric assessment of a mariner expressing suicidal ideation

Journal

International Maritime Health

Issue

Vol 66, No 1 (2015)

Pages

49-51

Published online

2015-03-19

DOI

10.5603/IMH.2015.0012

Pubmed

25792168

Bibliographic record

International Maritime Health 2015;66(1):49-51.

Keywords

telepsychiatry
maritime medicine
telemedicine
suicidal ideation

Authors

Alexander Lee
Neal Sikka
Francis O’Connell
Allen Dyer
Keith Boniface
James Betz

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