Alexander C R Burnett, Quincy Wong, Stephanie Zeritis, Mark Deady, Michelle Torok
BACKGROUND: Previous research showed that the Global Financial Crisis (GFC) was associated with a widening disparity in suicide rates between lower-class occupations and the highest-class occupations in Australia. There has been no research investigating whether this trend continued post-GFC. AIMS: This study aimed to investigate suicide rates by occupational class among employed Australians aged 15 years and over, between 2007 and 2018. METHOD: A population-level retrospective mortality study was conducted using data from the National Coronial Information System...
March 17, 2023: British Journal of Psychiatry
Manne Sjöstrand, Nir Eyal
Governments and non-governmental organisations are increasingly adopting a 'zero-suicide' goal, but what such a goal precisely involves is unclear. Ostensibly it strongly prioritises the prevention and elimination of all suicide. We argue that, so understood, a societal goal of zero suicide risks contravening several ethical principles. In terms of beneficence and non-maleficence, a 'zero-suicide' goal risks being inefficient and may burden or harm many people. Autonomy-wise, a blanket ban on all suicide is excessive...
March 15, 2023: British Journal of Psychiatry
Isabel Morales-Muñoz, Pavan K Mallikarjun, Joht S Chandan, Rasiah Thayakaran, Rachel Upthegrove, Steven Marwaha
BACKGROUND: Little is still known about the long-term impact of childhood and adolescent persistent depression and anxiety in adulthood. AIMS: To investigate the impact of persistent anxiety, depression, and comorbid anxiety and depression across childhood and adolescence on the development of multiple adverse outcomes in young adulthood. METHOD: This study used data from 8122 participants in the Avon Longitudinal Study of Parents and Children cohort...
March 15, 2023: British Journal of Psychiatry
Matteo Cella, Safina Roberts, Matthias Pillny, Marcel Riehle, Brian O'Donoghue, John Lyne, Paul Tomlin, Lucia Valmaggia, Antonio Preti
BACKGROUND: Currently there is no first-line treatment recommended for the negative symptoms of schizophrenia. Psychosocial and behavioural interventions are widely used to reduce the burden of negative symptoms. Meta-analytic studies have summarised the evidence for specific approaches but not compared evidence quality and benefit. AIM: To review and evaluate the evidence from meta-analytic studies of psychosocial and behavioural interventions for the negative symptoms of schizophrenia...
March 15, 2023: British Journal of Psychiatry
Thole H Hoppen, Richard Meiser-Stedman, Tine K Jensen, Marianne Skogbrott Birkeland, Nexhmedin Morina
BACKGROUND: Previous meta-analyses of psychotherapies for children and adolescents with post-traumatic stress disorder (PTSD) did not investigate whether treatment efficacy is diminished when patients report multiple (versus single) traumas. AIMS: To examine whether efficacy of psychological interventions for paediatric PTSD is diminished when patients report multiple (versus single) traumas. METHOD: We systematically searched PsycInfo, MEDLINE, Web of Science and PTSDpubs on 21 April 2022 and included randomised controlled trials (RCTs) meeting the following criteria: (a) random allocation; (b) all participants presented with partial or full PTSD; (c) PTSD is the primary treatment focus; (d) sample mean age <19 years; (e) sample size n ≥ 20...
March 1, 2023: British Journal of Psychiatry
Manuel Canal-Rivero, Miguel Ruiz-Veguilla, Victor Ortiz-García de la Foz, Alvaro López-Díaz, Nathalia Garrido-Torres, Rosa Ayesa-Arriola, Javier Vazquez-Bourgon, Jacqueline Mayoral-van Son, Paolo Brambilla, Tilo Kircher, Rafael Romero-García, Benedicto Crespo-Facorro
BACKGROUND: Understanding the evolution of negative symptoms in first-episode psychosis (FEP) requires long-term longitudinal study designs that capture the progression of this condition and the associated brain changes. AIMS: To explore the factors underlying negative symptoms and their association with long-term abnormal brain trajectories. METHOD: We followed up 357 people with FEP over a 10-year period. Factor analyses were conducted to explore negative symptom dimensionality...
February 21, 2023: British Journal of Psychiatry
Mayura Deshpande, Julia M A Sinclair, David S Baldwin
Root cause analysis (RCA), imported from high-reliability industries into health two decades ago, is the mandated methodology to investigate adverse events in most health systems. In this analysis, we argue that the validity of RCA in health and in psychiatry must be established, given the impact of these investigations on mental health policy and practice.
February 16, 2023: British Journal of Psychiatry
Pim Cuijpers, Afzal Javed, Kamaldeep Bhui
The World Health Organization's World Mental Health Report is a call for action and reminds all of the huge personal and societal impact of mental illnesses. Significant effort is required to engage, inform and motivate policymakers to act. We must develop more effective, context-sensitive and structurally competent care models.
February 16, 2023: British Journal of Psychiatry
David Branford, James J Sun, Rohit Shankar
Antiseizure medications (ASMs) are the second most widely prescribed psychotropic for people with intellectual disabilities in England. Multiple psychotropic prescribing is prevalent in almost half of people with intellectual disabilities on ASMs. This analysis identifies limited evidence of ASM benefit in challenging behaviour management and suggests improvements needed to inform clinical practice.
February 14, 2023: British Journal of Psychiatry
Samuel Tromans, Kamaldeep Bhui, Indermeet Sawhney, Mahesh Odiyoor, Ken Courtenay, Ashok Roy, Harm Boer, Regi Alexander, Asit Biswas, Jane McCarthy, Gautam Gulati, Richard Laugharne, Rohit Shankar
The draft Mental Health Bill, which amends the Mental Health Act 1983 for England and Wales, proposes protections for people with intellectual disability and/or autism (ID/A) to prevent detention in hospital in the absence of mental illness. This editorial critically appraises the positive impact and unintended consequences of the proposed reforms for people with ID/A.
February 7, 2023: British Journal of Psychiatry
Sarah Baumeister, Carolin Moessnang, Nico Bast, Sarah Hohmann, Pascal Aggensteiner, Anna Kaiser, Julian Tillmann, David Goyard, Tony Charman, Sara Ambrosino, Simon Baron-Cohen, Christian Beckmann, Sven Bölte, Thomas Bourgeron, Annika Rausch, Daisy Crawley, Flavio Dell'Acqua, Guillaume Dumas, Sarah Durston, Christine Ecker, Dorothea L Floris, Vincent Frouin, Hannah Hayward, Rosemary Holt, Mark H Johnson, Emily J H Jones, Meng-Chuan Lai, Michael V Lombardo, Luke Mason, Bethany Oakley, Marianne Oldehinkel, Antonio M Persico, Antonia San José Cáceres, Thomas Wolfers, Eva Loth, Declan G M Murphy, Jan K Buitelaar, Heike Tost, Andreas Meyer-Lindenberg, Tobias Banaschewski, Daniel Brandeis
BACKGROUND: Reward processing has been proposed to underpin the atypical social feature of autism spectrum disorder (ASD). However, previous neuroimaging studies have yielded inconsistent results regarding the specificity of atypicalities for social reward processing in ASD. AIMS: Utilising a large sample, we aimed to assess reward processing in response to reward type (social, monetary) and reward phase (anticipation, delivery) in ASD. METHOD: Functional magnetic resonance imaging during social and monetary reward anticipation and delivery was performed in 212 individuals with ASD (7...
January 26, 2023: British Journal of Psychiatry
Emily Peckham, Ben Lorimer, Panagiotis Spanakis, Paul Heron, Suzanne Crosland, Lauren Walker, Simon Gilbody
BACKGROUND: People with severe mental ill health (SMI) experience some of the largest health inequalities of any sector within society. For these inequalities to be reduced, an understanding of the behavioural determinants of health in this population is needed. AIMS: Utilising data from the Closing the Gap Health Study, we aimed to assess the extent to which people with SMI report health-risk factors and behaviours, their interest in modifying them, and the factors associated with being motivated to modify these behaviours...
January 18, 2023: British Journal of Psychiatry
Annette Erlangsen, Ping Qin, Trine Madsen, Keith Hawton, Merete Osler, Carsten Hjorthøj, Michael E Benros, Steen Ethelberg, Kåre Mølbak, Thomas Munk Laursen, Merete Nordentoft, Sandra Feodor Nilsson
BACKGROUND: Case studies have linked SARS-CoV-2 infection to suicidal behaviour. However, conclusive evidence is lacking. AIMS: To examine whether a history of SARS-CoV-2 infection or SARS-CoV-2-related hospital admission was associated with self-harm in the general population and in high-risk groups. METHOD: A cohort design was applied to nationwide data on all people aged ≥15 years and living in Denmark between 27 February 2020 and 15 October 2021...
January 13, 2023: British Journal of Psychiatry
Ian Kelleher
Existing approaches to psychosis prediction capture only a small minority of future cases. Recent research shows that specialist child and adolescent mental health services (CAMHS) offer a (previously unrecognised) high-risk and high-capacity approach for psychosis early identification, prediction and, ultimately, prevention.
January 12, 2023: British Journal of Psychiatry
Noham Wolpe, Shanquan Chen, Brian Kirkpatrick, Peter B Jones, Christopher Jenkins, Rudolf N Cardinal, Emilio Fernandez-Egea
Negative symptoms of schizophrenia manifest as reduced motivation and pleasure (MAP) and impaired emotional expressivity (EXP). These can occur as primary phenomena, but have also been suggested to occur secondary to other clinical factors, including antipsychotic-induced sedation. However, this relationship has not been established formally. Here, we examined the effect of antipsychotic-induced sedation (assessed via the proxy of total daily sleep duration) on MAP and EXP in a cohort of 187 clozapine-treated patients with schizophrenia followed for over 2 years on average, using multilevel regression and mediation models...
January 10, 2023: British Journal of Psychiatry
Kathleen J O'Brien, Arielle Ered, Stephanie A Korenic, Thomas M Olino, Jason Schiffman, Vijay A Mittal, Lauren M Ellman
BACKGROUND: Evidence suggests that both childhood trauma and perceived stress are risk factors for the development of psychosis, as well as negative symptoms such as anhedonia. Previous findings link increases in perceived stress to anhedonia in individuals at clinical high risk for psychosis (CHR) and depression; however, the role of childhood trauma in this relationship has not yet been explored, despite consistent evidence that it is associated with sensitisation to later stress. AIMS: To examine whether perceived stress mediates the relationship between childhood trauma and anhedonia in a group of youth at CHR as well as in controls (groups with depression and with no diagnosed mental health concerns)...
January 5, 2023: British Journal of Psychiatry
Marie-Louise H Rasmussen, Gry J Poulsen, Poul Videbech, Jan Wohlfahrt, Mads Melbye
BACKGROUND: Previous research has suggested that some women are at increased risk of postpartum depression (PPD) because of an extra sensitivity to fluctuating hormones before and after parturition. This may particularly apply to women with endocrine disease, characterised by a less than optimal capability to self-regulate the hormonal feedback system. AIMS: To investigate if women with endocrine disease history are at increased risk of developing PPD. METHOD: Based on information from Danish national registers, this nationwide cohort study included 888 989 deliveries (1995-2018)...
December 21, 2022: British Journal of Psychiatry
C V Haldipur
No abstract text is available yet for this article.
March 2023: British Journal of Psychiatry
Derek K Tracy, Dawn N Albertson, Anna Sri, Sukhwinder S Shergill
No abstract text is available yet for this article.
March 2023: British Journal of Psychiatry
Alexander Smith, Michael Liebrenz
No abstract text is available yet for this article.
March 2023: British Journal of Psychiatry
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