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The influence of type of consultation and patient characteristics on non-attendence at adult ADHD consultation. 成人ADHD会诊类型及患者特征对未出席率的影响。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-05 DOI: 10.1192/bjb.2025.35
Paul Stephenson, Marianne Durand, Matthew Humphreys, Alex Stewart
{"title":"The influence of type of consultation and patient characteristics on non-attendence at adult ADHD consultation.","authors":"Paul Stephenson, Marianne Durand, Matthew Humphreys, Alex Stewart","doi":"10.1192/bjb.2025.35","DOIUrl":"https://doi.org/10.1192/bjb.2025.35","url":null,"abstract":"<p><strong>Aims and method: </strong>Non-attendance at out-patient appointments of adult attention-deficit hyperactivity disorder (ADHD) services incurs significant costs and contributes to lost service provision and unmet clinical needs. This cross-sectional study of clinical contacts, between 1 July 2022 and 30 June 2023 in a specialist adult ADHD service, aimed to identify factors, including type of consultation, associated with non-attendance.</p><p><strong>Results: </strong>Of 3673 organised clinic appointments, 2815 (77%) were attended: 2314 (82%) by telephone and 501 (18%) as in-person appointments; non-attendance rates were 17 and 42%, respectively. Patient characteristics associated with improved attendance included: female gender, age >30 years and presence of other psychiatric diagnoses.</p><p><strong>Clinical implications: </strong>This study will assist adult ADHD service providers to maximise patient attendance. The role of telephone (or virtual) clinics must be considered. Enhanced appointment reminders and improving access to services targeting at-risk groups could also improve attendance rates.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224180","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
A national survey of neuropsychiatry training experiences. 一项全国神经精神病学培训经验调查。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-04 DOI: 10.1192/bjb.2025.34
Harry Costello, Matthew Baum, Cameron Watson, James B Badenoch, Ella Burchill, Jonathan P Rogers, Rachel Thomasson, David Okai, Timothy R Nicholson, Anthony David, Eileen M Joyce, Michael Dilley, Graham Blackman
{"title":"A national survey of neuropsychiatry training experiences.","authors":"Harry Costello, Matthew Baum, Cameron Watson, James B Badenoch, Ella Burchill, Jonathan P Rogers, Rachel Thomasson, David Okai, Timothy R Nicholson, Anthony David, Eileen M Joyce, Michael Dilley, Graham Blackman","doi":"10.1192/bjb.2025.34","DOIUrl":"https://doi.org/10.1192/bjb.2025.34","url":null,"abstract":"<p><strong>Aims and method: </strong>Neuropsychiatry training in the UK currently lacks a formal scheme or qualification, and its demand and availability have not been systematically explored. We conducted the largest UK-wide survey of psychiatry trainees to examine their experiences in neuropsychiatry training.</p><p><strong>Results: </strong>In total, 185 trainees from all UK training regions completed the survey. Although 43.6% expressed interest in a neuropsychiatry career, only 10% felt they would gain sufficient experience by the end of training. Insufficient access to clinical rotations was the most common barrier, with significantly better access in London compared with other regions. Most respondents were in favour of additional neurology training (83%) and a formal accreditation in neuropsychiatry (90%).</p><p><strong>Clinical implications: </strong>Strong trainee interest in neuropsychiatry contrasts with the limited training opportunities currently available nationally. Our survey highlights the need for increased neuropsychiatry training opportunities, development of a formalised training programme and a clinical accreditation pathway for neuropsychiatry in the UK.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214722","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
Reimagining psychosis prevention: responding to the accessibility issues of At-Risk Mental State (ARMS) services through a selective public health approach. 重新设想精神病预防：通过选择性公共卫生方法应对高危精神状态（ARMS）服务的可及性问题。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 DOI: 10.1192/bjb.2024.112
Luke Brown, Siân Lowri Griffiths
{"title":"Reimagining psychosis prevention: responding to the accessibility issues of At-Risk Mental State (ARMS) services through a selective public health approach.","authors":"Luke Brown, Siân Lowri Griffiths","doi":"10.1192/bjb.2024.112","DOIUrl":"10.1192/bjb.2024.112","url":null,"abstract":"<p><p>At-Risk Mental State (ARMS) services aim to prevent the onset of first-episode psychosis (FEP) in those with specific clinical or genetic risk markers. In England, ARMS services are currently expanding, but the accessibility of this preventative approach remains questionable, especially for a subgroup of FEP patients and those from specific ethnic minority communities. This commentary outlines the key debates about why a complimentary approach to psychosis prevention is necessary, and gives details for an innovative public health strategy, drawing on existing research and health prevention theory.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"147-151"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982477","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
Author's Reply: Extending section 12 approval under the Mental Health Act to professions other than medicine. 提交人答复：将《精神卫生法》第12条的批准扩展到医学以外的职业。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 Epub Date: 2025-06-17 DOI: 10.1192/bjb.2025.30
John L Taylor
{"title":"Author's Reply: Extending section 12 approval under the Mental Health Act to professions other than medicine.","authors":"John L Taylor","doi":"10.1192/bjb.2025.30","DOIUrl":"10.1192/bjb.2025.30","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"49 3","pages":"212"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309498","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
RE: Extending section 12 approval under the Mental Health Act to professions other than medicine. 将《精神卫生法》第12条的批准范围扩大到医学以外的职业。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 Epub Date: 2025-06-17 DOI: 10.1192/bjb.2025.33
Claire Hilton, Alan Cohen
{"title":"RE: Extending section 12 approval under the Mental Health Act to professions other than medicine.","authors":"Claire Hilton, Alan Cohen","doi":"10.1192/bjb.2025.33","DOIUrl":"10.1192/bjb.2025.33","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"49 3","pages":"211"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309500","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
Moving from psychiatric practice in the UK to Australia: some personal reflections. 从英国精神科转到澳大利亚：一些个人思考。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 DOI: 10.1192/bjb.2024.69
Graham Walker, Andrew Carroll
{"title":"Moving from psychiatric practice in the UK to Australia: some personal reflections.","authors":"Graham Walker, Andrew Carroll","doi":"10.1192/bjb.2024.69","DOIUrl":"10.1192/bjb.2024.69","url":null,"abstract":"<p><p>In this article, we reflect on factors which may tempt psychiatrists to move from working in the UK to Australia. A comparison between the UK and Australian healthcare systems is presented. Following this, G.W. offers personal reflections on his transition between working in the UK and Australia, including an experience of being a patient, the benefits of working and training in the respective countries, and personal sacrifices which must be considered. We conclude that individual clinicians must weigh up the positives and negatives of the system which they want to work within, with the best option for each person being specifically individual to them.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"174-177"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280054","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
The benefits and hazards of psychodrama in the management of mental illness: qualitative study linked to nidotherapy. 心理剧在精神疾病治疗中的益处和危害：与尼迪疗法相关的定性研究。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 DOI: 10.1192/bjb.2024.57
Zenab Ahmed, Peter Tyrer
{"title":"The benefits and hazards of psychodrama in the management of mental illness: qualitative study linked to nidotherapy.","authors":"Zenab Ahmed, Peter Tyrer","doi":"10.1192/bjb.2024.57","DOIUrl":"10.1192/bjb.2024.57","url":null,"abstract":"<p><p>Drama therapy is a popular form of management in mental illness, as it reaches out beyond many other therapies. Few studies have examined both the advantages and disadvantages of this medium. This qualitative study examines both, and finds gains and hazards.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"152-156"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905798","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
Understanding clozapine-related blood dyscrasias. Developments, genetics, ethnicity and disparity: it's a CIN. 了解氯氮平相关血液病。发展、遗传、种族和差异：这是一种 CIN。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 DOI: 10.1192/bjb.2024.38
Edward Silva, Sophie Legge, Cecilia Casetta, Eromona Whiskey, Ebenezer Oloyede, Siobhan Gee
{"title":"Understanding clozapine-related blood dyscrasias. Developments, genetics, ethnicity and disparity: it's a CIN.","authors":"Edward Silva, Sophie Legge, Cecilia Casetta, Eromona Whiskey, Ebenezer Oloyede, Siobhan Gee","doi":"10.1192/bjb.2024.38","DOIUrl":"10.1192/bjb.2024.38","url":null,"abstract":"<p><p>Clozapine remains the gold standard intervention for treatment-resistant schizophrenia; however, it remains underused, especially for some minority groups. A significant impediment is concern about propensity to neutropenia. The aim of this article is to provide an update on current knowledge relating to: the pattern and incidence of severe blood dyscrasias; the effectiveness of current monitoring regimes in reducing harm; the mechanisms of and the distinctions between clozapine-induced neutropenia and agranulocytosis; benign ethnic neutropenia; and changes to the monitoring thresholds in the USA and other international variations. These all have implications for the practical use of clozapine; specifically, how barriers to initiating, maintaining and restarting clozapine can be understood and in many cases overcome, especially for patients from minority groups, potentially with simpler approaches than the use of lithium or G-CSF.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"163-168"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199082","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
Assessing and managing the suicidal patient: forget the Reverend Bayes and try game theory. 评估和管理有自杀倾向的病人：忘掉贝叶斯牧师，尝试博弈论。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 DOI: 10.1192/bjb.2024.76
Olav Nielssen
{"title":"Assessing and managing the suicidal patient: forget the Reverend Bayes and try game theory.","authors":"Olav Nielssen","doi":"10.1192/bjb.2024.76","DOIUrl":"10.1192/bjb.2024.76","url":null,"abstract":"<p><p>Probability-based estimates of the future suicide of psychiatric patients are of little assistance in clinical practice. This article proposes strategic management of the interaction between the clinician and the patient in the assessment of potentially suicidal patients, using principles derived from game theory, to achieve a therapeutic outcome that minimises the likelihood of suicide. Further developments in the applications of large language models could allow us to quantify the basis for clinical decisions in individual patients. Documenting the basis of those decisions would help to demonstrate an adequate standard of care in every interaction.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"169-173"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280053","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
Mapping the pathway and support offered to children with an intellectual disability referred to specialist mental health services in the UK. 绘制英国智障儿童转诊至专科心理健康服务机构的路径图，并为其提供支持。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 DOI: 10.1192/bjb.2024.63
Vaso Totsika, Zhixing Yang, Lauren Turner, Charmaine Kohn, Angela Hassiotis, Eilis Kennedy, Michael Absoud, Rachel McNamara, Elizabeth Randell, Sophie Levitt, Gemma Grant, Angela Casbard, Lauris Jacobs, Cristina Di Santo, Claire Buckley, Emma Hignett, Ashley Liew
{"title":"Mapping the pathway and support offered to children with an intellectual disability referred to specialist mental health services in the UK.","authors":"Vaso Totsika, Zhixing Yang, Lauren Turner, Charmaine Kohn, Angela Hassiotis, Eilis Kennedy, Michael Absoud, Rachel McNamara, Elizabeth Randell, Sophie Levitt, Gemma Grant, Angela Casbard, Lauris Jacobs, Cristina Di Santo, Claire Buckley, Emma Hignett, Ashley Liew","doi":"10.1192/bjb.2024.63","DOIUrl":"10.1192/bjb.2024.63","url":null,"abstract":"<p><strong>Aims and method: </strong>This survey of 66 specialist mental health services aimed to provide an up-to-date description of pathways of care and interventions available to children with an intellectual disability referred for behaviours that challenge or with suspected mental health problems.</p><p><strong>Results: </strong>Overall, 24% of services made contact with a family at referral stage, whereas 29% contacted families at least once during the waiting list phase. Only two in ten services offered any therapeutic input during the referral or waiting list stages. During the active caseload phase, services offered mostly psychoeducation (52-59%), followed by applied behaviour analytic approaches for behaviours that challenge (52%) and cognitive-behavioural therapy (41%). Thirty-six per cent of services had not offered any packaged or named intervention in the past 12 months.</p><p><strong>Clinical implications: </strong>With increasing waiting times for specialist mental health support, services need to consider increasing the amount of contact and therapeutic input on offer throughout all stages of a child's journey with the service.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"157-162"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387582","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
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