BJPsych Bulletin最新文献_第10页

Experiences and support needs of consultant psychiatrists following a patient-perpetrated homicide. 精神科顾问医生在病人行凶后的经历和支持需求。

IF 2.2

BJPsych Bulletin Pub Date : 2024-02-01 DOI: 10.1192/bjb.2023.15

Qamar Hussain, Helen Killaspy, Peter McPherson, Rachel Gibbons

{"title":"Experiences and support needs of consultant psychiatrists following a patient-perpetrated homicide.","authors":"Qamar Hussain, Helen Killaspy, Peter McPherson, Rachel Gibbons","doi":"10.1192/bjb.2023.15","DOIUrl":"10.1192/bjb.2023.15","url":null,"abstract":"Aims and method: To investigate the experiences and support needs of consultant psychiatrists following a patient-perpetrated homicide, an anonymous online survey was sent to all consultant psychiatrists registered as members of the UK's Royal College of Psychiatrists.Results: Of the 497 psychiatrists who responded, 165 (33%) had experienced a homicide by a patient under their consultant care. Most respondents reported negative impacts on their clinical work (83%), mental and/or physical health (78%) or personal relationships (59%), and for some (9-12%) these were severe and long lasting. Formal processes such as serious incident inquiries were commonly experienced as distressing. Support was mainly provided by friends, family and colleagues rather than the employing organisation.Clinical implications: Mental health service providers need to provide support and guidance to psychiatrists following a patient-perpetrated homicide to help them manage the personal and professional impact. Further research into the needs of other mental health professionals is needed.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9284552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stakeholder views on the design of National Health Service perinatal mental health services: 360-degree survey. 利益相关者对国民健康服务围产期心理健康服务设计的看法：360 度调查。

IF 2.2

BJPsych Bulletin Pub Date : 2024-02-01 DOI: 10.1192/bjb.2023.26

John Scott, Christopher Mcdonald, Sarah McRobbie, Blair Watt, Judith Young, Jane Morris

{"title":"Stakeholder views on the design of National Health Service perinatal mental health services: 360-degree survey.","authors":"John Scott, Christopher Mcdonald, Sarah McRobbie, Blair Watt, Judith Young, Jane Morris","doi":"10.1192/bjb.2023.26","DOIUrl":"10.1192/bjb.2023.26","url":null,"abstract":"Aims and method: At the start of a new community perinatal mental health service in Scotland we sought the opinions and aspirations of professional and lay stakeholders. A student elective project supported the creation of an anonymous 360-degree online survey of a variety of staff and people with lived experience of suffering from or managing perinatal mental health problems. The survey was designed and piloted with trainees and volunteer patients.Results: A rich variety of opinions was gathered from the 60 responses, which came from a reasonably representative sample. Respondents provided specific answers to key questions and wrote free-text recommendations and concerns to inform service development.Clinical implications: There is clear demand for the new expanded service, with strong support for provision of a mother and baby unit in the North of Scotland. The digital survey method could be adapted to generate future surveys to review satisfaction with service development and generate ideas for further change.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9480662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Co-design of 'Ways of Being', a web-based experience to optimise online arts and culture for mental health in young people. 共同设计 "存在方式"，这是一种基于网络的体验，旨在优化促进青少年心理健康的在线艺术和文化。

IF 2.6

BJPsych Bulletin Pub Date : 2024-02-01 DOI: 10.1192/bjb.2023.102

Rebecca J Syed Sheriff, Eloise Sinclair, Jen Young, Sophia Bhamra, Louise Chandler, Tharuka Arachchige, Helen Adams, Laura Bonsaver, Evgenia Riga, Laura Bergin, Negin Mirtorabi, Leenah Abuelgasim, Hadassah Beuchner, John Geddes

{"title":"Co-design of 'Ways of Being', a web-based experience to optimise online arts and culture for mental health in young people.","authors":"Rebecca J Syed Sheriff, Eloise Sinclair, Jen Young, Sophia Bhamra, Louise Chandler, Tharuka Arachchige, Helen Adams, Laura Bonsaver, Evgenia Riga, Laura Bergin, Negin Mirtorabi, Leenah Abuelgasim, Hadassah Beuchner, John Geddes","doi":"10.1192/bjb.2023.102","DOIUrl":"https://doi.org/10.1192/bjb.2023.102","url":null,"abstract":"Aims and method: We aimed to co-design an intervention optimising the benefits of online arts and culture for mental health in young people for subsequent testing in a trial. Co-design followed the double diamond phases of design, discover, define, develop and deliver.Results: Navigating the views of all co-designers to produce a testable resource demanded in-depth understanding, and frequent iterations in multiple modalities of the theoretical basis of the intervention, amplification of youth voice and commitment to a common goal.Clinical implications: Co-design with a broad range of collaborators with a shared vision was valued by young co-designers and produced an effective intervention. Co-design allowed the theoretical basis to be followed and refined to create an engaging, practical and testable web experience, aiming to optimise the mental health benefits of online arts and culture for young people in a randomised controlled trial.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139650234","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

Cut-off scores for mild and moderate dementia on the Addenbrooke's Cognitive Examination-III and the Mini-Addenbrooke's Cognitive Examination compared with the Mini-Mental State Examination. Addenbrooke's Cognitive Examination-III 和 Mini-Addenbrooke's Cognitive Examination 与 Mini-Mental State Examination 的轻度和中度痴呆症临界值比较。

IF 2.2

BJPsych Bulletin Pub Date : 2024-02-01 DOI: 10.1192/bjb.2023.27

Louise McCarthy, Judy Rubinsztein, Ellen Lowry, Emma Flanagan, Vandana Menon, Silvia Vearncombe, Eneida Mioshi, Michael Hornberger

{"title":"Cut-off scores for mild and moderate dementia on the Addenbrooke's Cognitive Examination-III and the Mini-Addenbrooke's Cognitive Examination compared with the Mini-Mental State Examination.","authors":"Louise McCarthy, Judy Rubinsztein, Ellen Lowry, Emma Flanagan, Vandana Menon, Silvia Vearncombe, Eneida Mioshi, Michael Hornberger","doi":"10.1192/bjb.2023.27","DOIUrl":"10.1192/bjb.2023.27","url":null,"abstract":"Aims and method: We aimed to establish cut-off scores to stage dementia on the Addenbrooke's Cognitive Examination-III (ACE-III) and the Mini-Addenbrooke's Cognitive Examination (M-ACE) compared with scores traditionally used with the Mini-Mental State Examination (MMSE). Our cross-sectional study recruited 80 patients and carers from secondary care services in the UK.Results: A score ≤76 on the ACE-III and ≤19 on the M-ACE correlated well with MMSE cut-offs for mild dementia, with a good fit on the receiver operating characteristic analysis for both the ACE-III and M-ACE. The cut-off for moderate dementia had lower sensitivity and specificity. There were low to moderate correlations between the cognitive scales and scales for everyday functioning and behaviour.Clinical implications: Our findings allow an objective interpretation of scores on the ACE-III and the M-ACE relative to the MMSE, which may be helpful for clinical services and research trials.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9946245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perinatal mental health in medical school curricula: a national scoping survey of British universities and student psychiatry societies. 医学院课程中的围产期心理健康：对英国大学和学生精神病学协会的全国范围调查。

IF 2.2

BJPsych Bulletin Pub Date : 2024-02-01 DOI: 10.1192/bjb.2022.91

Jacob D King, Grace Crowley, Manal El-Maraghy, William Davis, Archana Jauhari, Charlotte Wilson-Jones

{"title":"Perinatal mental health in medical school curricula: a national scoping survey of British universities and student psychiatry societies.","authors":"Jacob D King, Grace Crowley, Manal El-Maraghy, William Davis, Archana Jauhari, Charlotte Wilson-Jones","doi":"10.1192/bjb.2022.91","DOIUrl":"10.1192/bjb.2022.91","url":null,"abstract":"Aims and method: With increasing recognition of the prevalence and impact of perinatal mental health (PMH) disorders comes a responsibility to ensure that tomorrow's doctors can support families during the perinatal period. Online surveys seeking information about the inclusion of PMH education in undergraduate curricula were sent to psychiatry curriculum leads and student psychiatry societies from each university medical school in the UK between April and September 2021.Results: Responses were received from 32/35 (91.4%) medical schools. Two-thirds reported specific inclusion of PMH content in the core curriculum, typically integrated into general adult psychiatry or obstetric teaching. Students at the remaining schools were all likely to be examined on the topic or see perinatal cases during at least one clinical attachment.Clinical implications: PMH education offers an opportunity for collaboration between psychiatry and other disciplines. Future work looking at educational case examples with objective outcomes would be valuable.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Images of depression in Charles Baudelaire: clinical understanding in the context of poetry and social history. 查尔斯-波德莱尔笔下的抑郁症形象：从诗歌和社会历史的角度进行临床理解。

IF 2.2

BJPsych Bulletin Pub Date : 2024-02-01 DOI: 10.1192/bjb.2022.84

Giovanni Stanghellini, George Ikkos

引用次数: 0

Brook House immigration removal centre. 布鲁克之家移民遣送中心。

IF 2.6

BJPsych Bulletin Pub Date : 2024-02-01 Epub Date: 2024-01-22 DOI: 10.1192/bjb.2023.97

Giuseppe Spoto

引用次数: 0

Reflective practice and psychotherapy case experience of Specialty Doctors and Associate Specialists (SAS) working in psychiatry: UK-wide survey. 从事精神病学工作的专科医生和副专科医生（SAS）的反思实践和心理治疗案例经验：英国范围内的调查。

IF 2.2

BJPsych Bulletin Pub Date : 2024-02-01 DOI: 10.1192/bjb.2022.96

Alina Vaida, Masud Awal

{"title":"Reflective practice and psychotherapy case experience of Specialty Doctors and Associate Specialists (SAS) working in psychiatry: UK-wide survey.","authors":"Alina Vaida, Masud Awal","doi":"10.1192/bjb.2022.96","DOIUrl":"10.1192/bjb.2022.96","url":null,"abstract":"Aims and method: To survey nationwide opportunities for Balint-type and reflective support group participation and psychotherapy training among doctors classified as Specialty Doctors and Associate Specialists in psychiatry ('SAS psychiatrists') and the professional benefits and barriers to access.Results: Approximately 9% of SAS psychiatrists responded, from all UK regions. A minority reported participating in a Balint-type group (27.3%) or reflective practice/support group (30.9%), and only 6.5% were not interested in participating. Although 44.8% planned to see a psychotherapy case, most reported barriers, particularly time constraints, job plans and lack of support. The 22.1% who reported already gaining psychotherapy case experience reported many benefits, including becoming a better listener (84.8%), more empathetic (81.2%), enjoying work more (78.8%) and overall becoming a better psychiatrist (90.9%).Clinical implications: The reported interest in Balint group and psychotherapy training opportunities exceeded existing provision; psychotherapy case experience benefited professional development and self-reported clinical capabilities. Healthcare trusts and boards need to consider more actively supporting SAS psychotherapy training and reflective practice.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10615766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social prescribing: an inadequate response to the degradation of social care in mental health. 社会处方：对心理健康中社会关怀退化的不当回应。

IF 2.2

BJPsych Bulletin Pub Date : 2024-02-01 DOI: 10.1192/bjb.2023.61

Rob Poole, Peter Huxley

引用次数: 0

Antipsychotic-induced weight gain: exploring the role of psychiatrists in managing patients' physical health - challenges, current options and direction for future care. 抗精神病药物引起的体重增加：探讨精神科医生在管理患者身体健康方面的作用--挑战、当前选择和未来护理方向。

IF 2.2

BJPsych Bulletin Pub Date : 2024-02-01 DOI: 10.1192/bjb.2023.29

Kenn Lee, Adeola Akinola, Seri Abraham

{"title":"Antipsychotic-induced weight gain: exploring the role of psychiatrists in managing patients' physical health - challenges, current options and direction for future care.","authors":"Kenn Lee, Adeola Akinola, Seri Abraham","doi":"10.1192/bjb.2023.29","DOIUrl":"10.1192/bjb.2023.29","url":null,"abstract":"Antipsychotics and severe mental illness (SMI) are associated with weight gain, and obesity increases the risks of cardiometabolic disease and premature death. These present management and liability issues for psychiatrists. Physical healthcare for people with SMI is poor, and this may partly be owing to training limitations and lack of proactiveness by psychiatrists. Ethically and legally, psychiatrists have a duty to avoid unnecessary harm and to maintain an acceptable standard of care. This would apply particularly to patients receiving compulsory treatment for their SMI owing to their vulnerability. Discrepancy between psychiatric and non-psychiatric approaches to pharmacological treatment creates ambiguity, and weight gain could demotivate antipsychotic adherence. This article explores how the Mental Health Act could be used to address these issues, and the ethical considerations, and proposes how long-acting glucagon-like peptide-1 receptor agonists could be introduced into existing psychiatric practice as a treatment option for antipsychotic-induced weight gain and obesity in SMI.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9436897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0