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Mental health social care: scoping and developing new and necessary health and care research system. 心理健康社会关怀：范围界定和发展新的和必要的健康和护理研究体系。
IF 2.2
BJPsych Bulletin Pub Date : 2025-05-16 DOI: 10.1192/bjb.2025.25
Adam O'Neill, Catherine A Robinson, Duncan Tree, Michael Clark
{"title":"Mental health social care: scoping and developing new and necessary health and care research system.","authors":"Adam O'Neill, Catherine A Robinson, Duncan Tree, Michael Clark","doi":"10.1192/bjb.2025.25","DOIUrl":"https://doi.org/10.1192/bjb.2025.25","url":null,"abstract":"<p><p>Mental health social care is an emerging and evolving field of practice and research within mental health care in the UK. It recognises the significant role played by social determinants in the development of mental illness and distress, and in recovery and well-being. By considering mental health social care as a distinct health and care research system, this paper outlines key priorities for research, funding and capacity building. It argues that mental health social care should be an essential component of mental health service delivery, and calls for a move towards holistic, person-centred care that addresses the social determinants of mental health, alongside biological and psychological factors.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075605","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
Speaking and thinking in Latin: some dead languages are alive and thriving in some very modern disorders. 用拉丁语说话和思考：在一些非常现代的混乱中，一些死亡的语言还活着，并蓬勃发展。
IF 2.2
BJPsych Bulletin Pub Date : 2025-05-13 DOI: 10.1192/bjb.2025.20
Jane Whittaker
{"title":"Speaking and thinking in Latin: some dead languages are alive and thriving in some very modern disorders.","authors":"Jane Whittaker","doi":"10.1192/bjb.2025.20","DOIUrl":"https://doi.org/10.1192/bjb.2025.20","url":null,"abstract":"<p><p>As psychiatrists, we are hopefully especially attuned to the power of language, especially the words we use when discussing sensations, thoughts and bodies. This article explores some of the heritage of medical language of today, drawing on classical Latin and how this interfaces with our day-to-day practice, with special reference to eating disorders.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974672","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
Transcending the brain disease versus disorder dichotomy: a critical realist perspective on psychiatric disorders. 超越脑部疾病与精神障碍的二分法：精神障碍的批判现实主义观点。
IF 2.2
BJPsych Bulletin Pub Date : 2025-04-15 DOI: 10.1192/bjb.2025.8
Mohammed Al Alawi, Abdullah Al Ghailani, Hamed Al Sinawi
{"title":"Transcending the brain disease versus disorder dichotomy: a critical realist perspective on psychiatric disorders.","authors":"Mohammed Al Alawi, Abdullah Al Ghailani, Hamed Al Sinawi","doi":"10.1192/bjb.2025.8","DOIUrl":"https://doi.org/10.1192/bjb.2025.8","url":null,"abstract":"<p><p>In this opinion article, we discuss the application of critical realism as an alternative model to the biopsychosocial model in the understanding of psychiatric disorders. Critical realism presents a stratified view of reality and recognises mental disorders as emergent phenomena; that is, their full explanation cannot be reduced to explanations at any lower level of biological processes alone. It thus underscores the significance of the depth of ontology, the interaction between agency and structure, and the context dependency and complex nature of causality. Critical realism provides the conceptual and epistemological basis for a more subtle understanding of the aetiology of psychiatric conditions, which is polyfactorial and includes biological, psychological and social dimensions. Through the realisation of the conceptual and applicative shortcomings in the biopsychosocial model, critical realism promises to advance the understanding of mental disorders and enable a more holistic approach to the problem of people with mental disorders.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964157","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
Engage? Disengage? Discharge? Ethical approaches to fraught questions. 参与?解除?放电?伦理的方法来解决棘手的问题。
IF 2.2
BJPsych Bulletin Pub Date : 2025-04-15 DOI: 10.1192/bjb.2025.4
Josephine Fielding, Rachel Swain, Jo Emmanuel, Graham Behr
{"title":"Engage? Disengage? Discharge? Ethical approaches to fraught questions.","authors":"Josephine Fielding, Rachel Swain, Jo Emmanuel, Graham Behr","doi":"10.1192/bjb.2025.4","DOIUrl":"https://doi.org/10.1192/bjb.2025.4","url":null,"abstract":"<p><p>This article presents a framework to assist with the making of often challenging decisions about engagement and disengagement with patients across mental health services. The framework is based on Beauchamp & Childress's four principles of clinical ethics. We pose practical questions, illustrated by a clinical vignette, around these four principles in order to aid implementation of ethics-based decision-making. The framework is useful in both complex and seemingly straightforward issues. It can be used as a means of communicating what are often controversial decisions to fellow clinicians and patients.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969930","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
The menopause transition: a call for a holistic approach. 更年期的过渡：呼吁一个整体的方法。
IF 2.2
BJPsych Bulletin Pub Date : 2025-03-25 DOI: 10.1192/bjb.2025.17
Rachel Gibbons
{"title":"The menopause transition: a call for a holistic approach.","authors":"Rachel Gibbons","doi":"10.1192/bjb.2025.17","DOIUrl":"https://doi.org/10.1192/bjb.2025.17","url":null,"abstract":"<p><strong>Summary: </strong>This paper advocates for a holistic approach to the menopause transition and challenges the current dominant narrative that frames this transition primarily in biological terms. It examines the psychological, social and cultural dimensions, addresses the stigma faced by older women and advocates for the vital role psychiatrists have to play in supporting postmenopausal women.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-3"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699225","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
An overview of a 4-year period of admissions of young people with eating difficulties to a general admissions unit. 概述了4年期间的招生青少年有饮食困难的一般招生单位。
IF 2.2
BJPsych Bulletin Pub Date : 2025-03-18 DOI: 10.1192/bjb.2025.6
Victoria Thomas, Amy Wright, Jessica Jobling, David O'Sullivan
{"title":"An overview of a 4-year period of admissions of young people with eating difficulties to a general admissions unit.","authors":"Victoria Thomas, Amy Wright, Jessica Jobling, David O'Sullivan","doi":"10.1192/bjb.2025.6","DOIUrl":"https://doi.org/10.1192/bjb.2025.6","url":null,"abstract":"<p><strong>Aims and method: </strong>To review and explore the eating disorder admissions to an in-patient child and adolescent mental health hospital which had restarted taking such presentations. This was done by conducting three audits using RiO (an electronic patient records system) and including all young people with eating disorders or related difficulties admitted between 1 February 2019 and 30 June 2023. As part of this, relevant practice standards were identified using the baseline assessment tool in UK national guidelines.</p><p><strong>Results: </strong>The audits identified 46 completed admissions, detailing demographic information, nasogastric and restraint feeding, therapeutic interventions and medication, admission and discharge routes, length of admission and more.</p><p><strong>Clinical implications: </strong>The review highlighted the apparent overall success of a general admission unit in treating eating disorders and related difficulties and identified key areas of importance and development in terms of clinical practice.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647088","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
Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England. 英国精神卫生服务每月统计中关于口服化学约束的报告。
IF 2.2
BJPsych Bulletin Pub Date : 2025-03-17 DOI: 10.1192/bjb.2025.10
Thomas Cranshaw, Harry Matchette-Downes, Keith Reid
{"title":"Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England.","authors":"Thomas Cranshaw, Harry Matchette-Downes, Keith Reid","doi":"10.1192/bjb.2025.10","DOIUrl":"https://doi.org/10.1192/bjb.2025.10","url":null,"abstract":"<p><strong>Aims and method: </strong>This study examines more than 5.8 million bed days of data from private and National Health Service care providers who contribute to the Mental Health Services Monthly Statistics in the UK. The use of oral chemical restraint is compared with provider size, and the relative use of oral chemical restraint as opposed to seclusion is investigated.</p><p><strong>Results: </strong>The data-set has large amounts of missing data. The use of oral chemical restraint is proportional to provider size in terms of bed days. Analysis of those providers who reliably submit data demonstrates patterns of reported use of oral chemical restraint versus use of seclusion.</p><p><strong>Clinical implications: </strong>Further research is required into the institutional characteristics that are correlated with increased use of oral chemical restraint. Efforts to investigate the use of restrictive interventions in mental health settings are frustrated by inconsistent reporting.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647092","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
What the next generation of doctors want from a career in psychiatry: longitudinal survey of UK trainees and medical students. 下一代医生想从精神病学事业中得到什么：对英国实习生和医学院学生的纵向调查。
IF 2.2
BJPsych Bulletin Pub Date : 2025-03-14 DOI: 10.1192/bjb.2025.5
Nagore Penades, Brooke Marron, Darragh Hamilton
{"title":"What the next generation of doctors want from a career in psychiatry: longitudinal survey of UK trainees and medical students.","authors":"Nagore Penades, Brooke Marron, Darragh Hamilton","doi":"10.1192/bjb.2025.5","DOIUrl":"https://doi.org/10.1192/bjb.2025.5","url":null,"abstract":"<p><p>Workforce planning aims to model and predict supply and demand in medical specialties. In Scotland it is undertaken jointly by the Scottish Government and the Royal College of Psychiatrists in Scotland to ensure workforce sustainability. The survey described in this paper aimed to ascertain why doctors continue to choose to take a break from/delay training programmes or pursue alternative jobs and career pathways. Career breaks, time out of training, less than full-time working patterns, dual training and non-clinical careers need to be taken into account during workforce planning not only to make psychiatry an attractive specialty to work in, but to ensure robust future sustainability in the psychiatric workforce in Scotland and the UK.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623354","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
Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review. 老年精神疾病住院患者静脉血栓形成和肺栓塞的风险：系统评价。
IF 2.2
BJPsych Bulletin Pub Date : 2025-03-11 DOI: 10.1192/bjb.2025.9
Damodar Chari, Tamara Chithiramohan, Ina Sawhney, Elizabeta B Mukaetova-Ladinska, Lucy Beishon, Hari Subramaniam
{"title":"Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review.","authors":"Damodar Chari, Tamara Chithiramohan, Ina Sawhney, Elizabeta B Mukaetova-Ladinska, Lucy Beishon, Hari Subramaniam","doi":"10.1192/bjb.2025.9","DOIUrl":"https://doi.org/10.1192/bjb.2025.9","url":null,"abstract":"<p><strong>Aims and method: </strong>Venous thromboembolism (VTE) is a fatal condition affecting older people. This study aims to identify specific risk factors for VTE in older psychiatric in-patients within mental hospital settings. Using predefined search terms, we searched five databases to capture studies evaluating risk factors associated with the occurrence of deep vein thrombosis and pulmonary embolism in older psychiatric in-patients.</p><p><strong>Results: </strong>Thirteen studies were identified, and a narrative synthesis performed. Increasing age was a consistent risk factor for VTE. Diagnosis and psychotropic medication use were inconsistent. Depression, catatonia and use of restraint in people with dementia were associated with higher risks.</p><p><strong>Clinical implications: </strong>Older psychiatric in-patients differ from medical and surgical in-patients in their risk profiles. Screening tools used in general hospital patients are of limited use among older adults in psychiatric hospital settings. An exclusive screening tool to identify VTE risk factors in older psychiatric in-patients is needed.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596031","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
Black psychiatrists' experience of discrimination and related behaviours in the workplace: UK survey. 黑人精神科医生在工作场所遭受歧视和相关行为的经历：英国调查。
IF 2.2
BJPsych Bulletin Pub Date : 2025-02-26 DOI: 10.1192/bjb.2025.7
Jade Hombo, Lovita Owusu-Mensah, Martin Orrell, Mona-Lisa Kwentoh
{"title":"Black psychiatrists' experience of discrimination and related behaviours in the workplace: UK survey.","authors":"Jade Hombo, Lovita Owusu-Mensah, Martin Orrell, Mona-Lisa Kwentoh","doi":"10.1192/bjb.2025.7","DOIUrl":"https://doi.org/10.1192/bjb.2025.7","url":null,"abstract":"<p><strong>Aims and method: </strong>In the UK, Black doctors experience higher levels of discrimination, bullying and harassment compared with other doctors. This study aims to explore the impact of this on perceived well-being and mental health. A UK survey of 109 Black psychiatrists asked about racism, othering, microaggressions, bullying and harassment, plus any links to career progression or mental well-being.</p><p><strong>Results: </strong>Sixty-three survey participants (57.8%) had faced workplace microaggressions, 44 (40.4%) had experienced workplace bullying and 41 (37.6%) had faced workplace harassment. Forty-seven (43.1%) participants reported a detrimental impact on their mental health, with 35 (32.1%) considering quitting and 24 (22%) reporting a poorer work performance.</p><p><strong>Clinical implications: </strong>These experiences are unacceptable and can be traumatic. The impact of racism and discrimination can also undermine effective service delivery. Barriers to reporting can prolong mistreatment and deter professional aspirations among Black psychiatrists. Collective action is needed to drastically improve the workplace environment, including the widespread institutional adoption of an anti-discriminatory stance.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498521","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
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