IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE最新文献

Clinical features of patients who are admitted under different criteria of the Irish Mental Health Act 2001: a retrospective cohort study.

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2025-02-05 DOI: 10.1017/ipm.2024.60

B W O'Mahony, P Aylward, P Cevikel, B Hallahan, C McDonald

{"title":"Clinical features of patients who are admitted under different criteria of the Irish Mental Health Act 2001: a retrospective cohort study.","authors":"B W O'Mahony, P Aylward, P Cevikel, B Hallahan, C McDonald","doi":"10.1017/ipm.2024.60","DOIUrl":"https://doi.org/10.1017/ipm.2024.60","url":null,"abstract":"Objectives: To examine the criteria utilised for detaining individuals under the Irish Mental Health Act 2001 (MHA 2001) and their association with clinical features.Methods: Demographic and clinical data of 505 involuntary admissions under the MHA 2001 between 2013 and 2023 were attained. Data included criteria utilised for detention and renewal, sociodemographic and clinical features associated with these criteria, and the use of coercive practices, such as seclusion and restraint.Results: The majority of patients who were involuntarily admitted (61.4%), or had their admission order affirmed by tribunal (78.2%), were not judged to pose an immediate risk to themselves or others. Patients admitted under the \"impaired judgement criterion\" were less likely to be secluded (χ2 = 15.8, p < 0.001) or restrained (χ2 = 11.6, p < 0.01). Patients admitted under the \"risk criterion\" were younger (KW = 12.7, p = 0.02), and less likely to have a psychotic disorder (χ2 = 5.9, p = <0.001) or have a previous involuntary admission (χ2 = 7.7, p = 0.02). Patients who were subject to coercive care were younger (U = 12739, p < 0.001), more likely to be male (χ2 = 4.6, p = 0.03), and have prolonged involuntary admissions (U = 18412, p = 0.02).Conclusions: Currently, the majority of the involuntary care provided for patients under the MHA 2001 is not related to the risk criterion of causing immediate and serious harm to themselves or others, but rather to the criterion of impaired judgement. Patients admitted under the risk criterion are more often subjected to restrictive practices, but are less likely to suffer from psychosis, than those receiving involuntary care due to their impaired judgement.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical Health in Psychosis: a Perspective on the Recovery Paradigm.

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2025-02-04 DOI: 10.1017/ipm.2025.1

Anna Zierotin, Michael John Norton, Brian O'Donoghue, Karen O'Connor, Mary Clarke

引用次数: 0

National analysis of hospital-presenting suicidal ideation and self-harm among males.

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2025-01-30 DOI: 10.1017/ipm.2024.71

Michael J Wilson, Sadhbh J Byrne, Krista Fisher, Zac E Seidler, Katerina Kavalidou

{"title":"National analysis of hospital-presenting suicidal ideation and self-harm among males.","authors":"Michael J Wilson, Sadhbh J Byrne, Krista Fisher, Zac E Seidler, Katerina Kavalidou","doi":"10.1017/ipm.2024.71","DOIUrl":"https://doi.org/10.1017/ipm.2024.71","url":null,"abstract":"Objectives: There is evidence of increasing rates of hospital presentations for suicidal crisis, and emergency departments (EDs) are described as an intervention point for suicide prevention. Males account for three in every four suicides in Ireland and are up to twice as likely as females to eventually die by suicide following a hospital presentation for suicidal crisis. This study therefore aimed to profile the characteristics of ED presentations for suicidal ideation and self-harm acts among males in Ireland, using clinical data collected by self-harm nurses within a dedicated national service for crisis presentations to EDs.Methods: Using ED data from 2018-2021, variability in the sociodemographic characteristics of male presentations was examined, followed by age-based diversity in the characteristics of presentations and interventions delivered. Finally, likelihood of onward referral to subsequent care was examined according to presentation characteristics.Results: Across 45,729 presentations, males more commonly presented with suicidal ideation than females (56% v. 44%) and less often with self-harm (42% v. 58%). Drug- and alcohol-related overdose was the most common method of self-harm observed. A majority of males presenting to ED reported no existing linkage with mental health services.Conclusions: Emergency clinicians have an opportunity to ensure subsequent linkage to mental health services for males post-crisis, with the aim of prevention of suicides.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How does stigma impact acts of compassion among people with borderline personality disorder.

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2025-01-30 DOI: 10.1017/ipm.2024.72

Catrin Street-Mattox, Matthew R Broome, Fiona Ng, Lowri Griffiths, Gerald Jordan

{"title":"How does stigma impact acts of compassion among people with borderline personality disorder.","authors":"Catrin Street-Mattox, Matthew R Broome, Fiona Ng, Lowri Griffiths, Gerald Jordan","doi":"10.1017/ipm.2024.72","DOIUrl":"https://doi.org/10.1017/ipm.2024.72","url":null,"abstract":"Borderline personality disorder (BPD) is a highly stigmatised mental disorder. A variety of research exists highlighting the stigma experienced by individuals with BPD and the impacts of such prejudices on their lives. Similarly, much research exists on the benefits of engaging in compassionate acts, including improved mental health recovery. However, there is a notable gap in understanding how stigma experienced by people with BPD acts as a barrier to compassion and by extension recovery. This paper synthesises these perspectives, examining common barriers to compassionate acts, the impact of stigma on people with BPD, and how these barriers are exacerbated for individuals with BPD due to the stigma they face. The synthesis of perspectives in the article highlights the critical role of compassion in supporting the recovery of individuals with BPD, while also revealing the significant barriers posed by stigma. Addressing these challenges requires a comprehensive understanding of the intersection between compassion and stigma, informing the development of targeted interventions to promote well-being and recovery for individuals with BPD.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of a psychiatry of later life consult liaison integration initiative.

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2025-01-30 DOI: 10.1017/ipm.2025.2

Seán Crowley, Mary Russell, Niamh McCarthy

引用次数: 0

Using digital psychometric tests in an Irish Child and Adolescent Mental Health Service (CAMHS): an examination of the acceptability of Q-interactive for service users and clinicians.

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2025-01-24 DOI: 10.1017/ipm.2024.41

Niall Torris, Marta Pinto-Grau, Fay Murphy

引用次数: 0

Eating disorders: clinical update.

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2025-01-23 DOI: 10.1017/ipm.2024.47

D Lynch, H Ogutlu, O Gundogdu-Ogutlu, E Barrett, F McNicholas

{"title":"Eating disorders: clinical update.","authors":"D Lynch, H Ogutlu, O Gundogdu-Ogutlu, E Barrett, F McNicholas","doi":"10.1017/ipm.2024.47","DOIUrl":"https://doi.org/10.1017/ipm.2024.47","url":null,"abstract":"Variation exists in our attitude and behaviour towards food and exercise, resulting in different degrees of health and ill health. Cultural and economic factors contribute to this, alongside personal choices, leading to a spectrum from normative eating, through disordered eating to the extremes of eating disorders (EDs). Understanding the intricate interplay between biological, psychological, and sociocultural factors to eating, exercise and body image is paramount to understand the current state regarding EDs and to deliver/develop multifaceted and individualised treatments. Significant service developments have occurred following the launch of the Irish Health Service Executive Model of Care for EDs in 2018. However, incomplete roll out and surge in EDs referrals post Covid-19 require generic child and adolescent mental health services (CAMHS) to be competent in assessment of EDs, and to keep abreast of clinical updates in order to offer effective treatment.This review provides an evidenced based update on eating related difficulties, outlines a useful assessment framework, offers information on appropriate clinical management, and highlights exciting clinically relevant research developments.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-5"},"PeriodicalIF":1.8,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychiatric boarding: what is it, how do we recognise it, and what are the implications? 精神科寄宿：它是什么，我们如何识别它，它的含义是什么？

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-12-27 DOI: 10.1017/ipm.2024.62

Éamon Jones, Clodagh O'Gorman, Fiona McNicholas, Elizabeth Barrett

引用次数: 0

Risk and protective factors for cannabis use in adolescence: a population-based survey in schools. 青少年使用大麻的风险和保护因素：学校人口调查。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-12-26 DOI: 10.1017/ipm.2024.28

Teresa M O'Dowd, Ronan Fleury, Emmet Power, Niamh Dooley, Laura Quinn, Stephen Petropoulos, Colm Healy, Bobby Smyth, Mary Cannon

{"title":"Risk and protective factors for cannabis use in adolescence: a population-based survey in schools.","authors":"Teresa M O'Dowd, Ronan Fleury, Emmet Power, Niamh Dooley, Laura Quinn, Stephen Petropoulos, Colm Healy, Bobby Smyth, Mary Cannon","doi":"10.1017/ipm.2024.28","DOIUrl":"https://doi.org/10.1017/ipm.2024.28","url":null,"abstract":"Background: Cannabis is the most commonly used illicit substance in Ireland and globally. It is most likely to be used in adolescence, a period of biopsychosocial vulnerability to maladaptive behaviours. This study aims to investigate the risk and protective factors for cannabis use among adolescents.Methods: This study is a secondary analysis of the cross-sectional Planet Youth survey (2021). The sample comprised 4,404 adolescents aged 15-16 from one urban and two rural areas in Ireland. The outcome of interest was current cannabis use, defined as cannabis use within the last 30 days. Independent variables i.e., risk and protective factors, were selected a priori following a literature review. Associations between cannabis use and the independent variables were explored using mixed-effects logistic regressions.Results: The prevalence of current cannabis use was 7.3% and did not differ significantly between males and females. In fully-adjusted models, significant risk factors for cannabis use were: Having peers that used cannabis (Adjusted Odds Ration (aOR) 10.17, 95% CI: 5.96-17.35); Parental ambivalence towards cannabis use (aOR 3.69, 95% CI: 2.41-5.66); Perception of cannabis as non-harmful (aOR 2.32,95% CI 1.56-£.45): Other substance use (aORs ranging from 2-67-3.15); Peer pressure to use cannabis (aOR 1.85,95% CI 1.05-3.26), and Low parental supervision (aOR 1.11, 95% CI: 1.01-1.22).Conclusions: This study identified key individual, peer-to-peer and parental risk factors associated with adolescent cannabis use, several of which have the potential to be modified through drug prevention strategies.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience and attitudes in relation to telepsychiatry use among non-consultant doctors. 非会诊医生使用远程精神病学的经验和态度。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-12-26 DOI: 10.1017/ipm.2024.64

R Rowntree, C Behan

{"title":"Experience and attitudes in relation to telepsychiatry use among non-consultant doctors.","authors":"R Rowntree, C Behan","doi":"10.1017/ipm.2024.64","DOIUrl":"https://doi.org/10.1017/ipm.2024.64","url":null,"abstract":"Introduction: In order to minimise physical interaction during the COVID-19 pandemic, telepsychiatry became a key part of clinical practice for many psychiatrists.Methods: This study involved an exploratory, cross-sectional, opt-in online survey circulated to non-consultant doctors in psychiatry working in Ireland. It assessed experience and attitudes in relation to telepsychiatry use.Discussion: The response rate was 11.6% (n = 61). Forty-eight individuals (78.6%) had delivered clinical care using telepsychiatry. Fifty-nine individuals (96.7%) were unfamiliar with telepsychiatry prior to the pandemic. Most respondents had not received specific training around use of a telepsychiatry platform (86.9%, n = 63) and were unaware of published guidelines around its optimal use (54.1%, n = 33). Respondents' concerns included issues around connectivity, medico-legal uncertainty and clinical effectiveness.Conclusion: Conclusions drawn are limited by the potential for selection bias in this study. Nonetheless the paper has highlighted important issues including the need for more research assessing telepsychiatry clinical and curricular experience. Additional curricular interventions during training could build skillset and confidence in telepsychiatry.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-6"},"PeriodicalIF":1.8,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0