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RE: Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services. 回复：异丙嗪不是帮助睡眠质量的好选择，特别是对于那些接受精神治疗的人。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 Epub Date: 2025-06-17 DOI: 10.1192/bjb.2025.31
Marta Corti, Aized Raza Shahbaz, Mai Elsawaf, Alice Roberts, Sophie Flood
{"title":"RE: Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services.","authors":"Marta Corti, Aized Raza Shahbaz, Mai Elsawaf, Alice Roberts, Sophie Flood","doi":"10.1192/bjb.2025.31","DOIUrl":"10.1192/bjb.2025.31","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"49 3","pages":"209"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309501","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
Disentangling the role of sedation from improving sleep quality in crisis care. 在危机护理中，镇静与改善睡眠质量的关系。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 Epub Date: 2025-06-17 DOI: 10.1192/bjb.2025.32
Jacob D King
{"title":"Disentangling the role of sedation from improving sleep quality in crisis care.","authors":"Jacob D King","doi":"10.1192/bjb.2025.32","DOIUrl":"10.1192/bjb.2025.32","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"49 3","pages":"210"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309499","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
David Abrahamson, MBE, FRCPI, FRCPsych - ERRATUM. David Abrahamson， MBE， FRCPI， FRCPsych -勘误。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 DOI: 10.1192/bjb.2024.109
Alan Eppel
{"title":"David Abrahamson, MBE, FRCPI, FRCPsych - ERRATUM.","authors":"Alan Eppel","doi":"10.1192/bjb.2024.109","DOIUrl":"10.1192/bjb.2024.109","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"214"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806016","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
Why regulation hurts: balancing the need to maintain standards with the mental health impact on public sector professionals. 为什么监管会造成伤害：在保持标准的必要性与对公共部门专业人员心理健康的影响之间取得平衡。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-01 DOI: 10.1192/bjb.2024.90
Hester Mannion, Darren Minshall, Mark Tarn, Derek K Tracy, Samantha K Brooks, Neil Greenberg
{"title":"Why regulation hurts: balancing the need to maintain standards with the mental health impact on public sector professionals.","authors":"Hester Mannion, Darren Minshall, Mark Tarn, Derek K Tracy, Samantha K Brooks, Neil Greenberg","doi":"10.1192/bjb.2024.90","DOIUrl":"10.1192/bjb.2024.90","url":null,"abstract":"<p><p>Robust regulatory scrutiny is an unavoidable and necessary part of professional life for public sector professionals. Inspection and investigation can lead to poor mental health for individuals already working under pressure owing to increased workload and anticipation of poor outcomes. Although good regulation maintains standards and provides accountability to government and the public, regulators must face their obligation to understand the wider impact of their practices on the mental health of those they evaluate. This article discusses how regulation affects public sector culture and the potential risks and negative impact of regulatory practices and highlights how clinicians, working in occupational practice, are well placed to recognise 'regulatory stress' among public sector workers and offer vital support, guidance and advocacy.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"178-181"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142457110","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
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 : 2025-06-01 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":"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":"187-191"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647088","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
Natural language processing application to identify covert administration of medicines: development and pilot audit. 自然语言处理应用于识别药物的秘密管理：开发和试点审计。
IF 2.2
BJPsych Bulletin Pub Date : 2025-05-23 DOI: 10.1192/bjb.2025.28
Ninoslav Majkic, Jyoti Sanyal, Robert Stewart, Nicola Funnell, Delia Bishara
{"title":"Natural language processing application to identify covert administration of medicines: development and pilot audit.","authors":"Ninoslav Majkic, Jyoti Sanyal, Robert Stewart, Nicola Funnell, Delia Bishara","doi":"10.1192/bjb.2025.28","DOIUrl":"https://doi.org/10.1192/bjb.2025.28","url":null,"abstract":"<p><strong>Aims and method: </strong>The covert administration of medicines is associated with multiple legal and ethical issues. We aimed to develop a natural language processing (NLP) methodology to identify instances of covert administration from electronic mental health records. We used this NLP method to pilot an audit of the use of covert administration.</p><p><strong>Results: </strong>We developed a method that was able to identify covert administration through free-text searching with a precision of 72%. Pilot audit results showed that 95% of patients receiving covert administration (<i>n</i> = 41/43) had evidence of a completed mental capacity assessment and best interests meeting. Pharmacy was contacted for information about administration for 77% of patients.</p><p><strong>Clinical implications: </strong>We demonstrate a simple, readily deployable NLP method that has potential wider applicability to other areas. This method also has potential to be applied via real-time health record processing to prompt and facilitate active monitoring of covert administration of medicines.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126488","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
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
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