{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T14:45:15Z","timestamp":1783694715289,"version":"3.55.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2003,9,1]],"date-time":"2003-09-01T00:00:00Z","timestamp":1062374400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Geriatr Psychiatry Neurol"],"published-print":{"date-parts":[[2003,9]]},"abstract":"<jats:p>Pica has rarely been reported in patients with geriatric mental illness. The authors describe 3 male patients with pica in the geriatric unit of a state mental hospital. Two of these patients had a diagnosis of developmental delay with concomitant diagnoses of schizophrenia and schizoaffective disorder, respectively. The third patient was diagnosed with paranoid schizophrenia. In all 3 cases, pica started late in life and was unrelenting and unresponsive to psychotropic medications, with limited to no response to behavioral interventions. In the 2 patients who died, pica was implicated as the direct cause of death in 1 and the likely cause of death in the other. When pica occurs in elderly patients with mental illness, the risk of mortality should be taken into account in clinical management. ( J Geriatr Psychiatry Neurol 2003; 16:189-191).<\/jats:p>","DOI":"10.1177\/0891988703256049","type":"journal-article","created":{"date-parts":[[2003,9,6]],"date-time":"2003-09-06T02:43:32Z","timestamp":1062816212000},"page":"189-191","source":"Crossref","is-referenced-by-count":19,"title":["Pica in the Geriatric Mentally Ill: Unrelenting and Potentially Fatal"],"prefix":"10.1177","volume":"16","author":[{"given":"Noel I.","family":"Dumaguing","sequence":"first","affiliation":[{"name":"Columbia University-Binghamton Psychiatric Center, Geriatric Psychiatry Fellowship Program, and the Department of Biological Psychiatry, New York State Psychiatric Institute, College of Physicians and Surgeons of Columbia University, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indra","family":"Singh","sequence":"additional","affiliation":[{"name":"Columbia University-Binghamton Psychiatric Center, Geriatric Psychiatry Fellowship Program, and the Department of Biological Psychiatry, New York State Psychiatric Institute, College of Physicians and Surgeons of Columbia University, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Sethi","sequence":"additional","affiliation":[{"name":"Columbia University-Binghamton Psychiatric Center, Geriatric Psychiatry Fellowship Program, and the Department of Biological Psychiatry, New York State Psychiatric Institute, College of Physicians and Surgeons of Columbia University, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. P.","family":"Devanand","sequence":"additional","affiliation":[{"name":"Columbia University-Binghamton Psychiatric Center, Geriatric Psychiatry Fellowship Program, and the Department of Biological Psychiatry, New York State Psychiatric Institute, College of Physicians and Surgeons of Columbia University, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2003,9,1]]},"reference":[{"key":"atypb1","unstructured":"1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association, 1994:95."},{"key":"atypb2","unstructured":"2. Federman D, Kirsner R, Federman G. Pica: are you hungry for the facts? Conn Med 1997; 61(4):207-209."},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(98)71309-X"},{"key":"atypb4","unstructured":"4. Decker C. Pica in the mentally-handicapped: a 15 year surgical perspective. Can J Surg 1993; 6:551-554."},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.160.3.341"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.152.6.842"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.147.1.80"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1166(199809)13:9<638::AID-GPS837>3.0.CO;2-N"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(96)82613-9"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1177\/070674379103600111"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.147.3.312"},{"key":"atypb12","unstructured":"12. Danford DE, Huber AM. Pica among mentally retarded adults. Am J Ment Defic 1982; 87(2):141-146."},{"key":"atypb13","doi-asserted-by":"crossref","unstructured":"13. McAlpine L, Singh NN. Pica in the institutionalized, mentally retarded persons. J Ment Defic Res 1986; 30:171-178.","DOI":"10.1111\/j.1365-2788.1986.tb01309.x"},{"key":"atypb14","unstructured":"14. Arieti S. Interpretation of schizophrenia. 2nd ed. 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