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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 : 2024-09-18 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":"https://doi.org/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":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280053","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 community-based treatment and rehabilitation pathway for people with mental disorders recently convicted of an offence. 为最近被判定有罪的精神失常者提供基于社区的治疗和康复途径。
IF 2.2
BJPsych Bulletin Pub Date : 2024-09-18 DOI: 10.1192/bjb.2024.71
Lara Arsuffi, Kerry Ozcelik, Clare Bingham, Pamela J Taylor, Mignon French
{"title":"A community-based treatment and rehabilitation pathway for people with mental disorders recently convicted of an offence.","authors":"Lara Arsuffi, Kerry Ozcelik, Clare Bingham, Pamela J Taylor, Mignon French","doi":"10.1192/bjb.2024.71","DOIUrl":"10.1192/bjb.2024.71","url":null,"abstract":"<p><p>People with mental disorders can receive treatment in the community. Some, however, fall out of services and into the criminal justice system, running the risk of imprisonment and a deteriorating mental health cycle. This editorial describes Mental Health Treatment Requirements (MHTRs), that is court-imposed sentences that enable people in the UK to access treatment in the community and divert them from short custodial sentences. MHTRs have proven successful for people with primary care mental health needs. It remains difficult to secure these sentences for people with secondary care mental health needs. Three new 'proof of concept' sites for secondary care MHTRs may help understand barriers and find solutions.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280052","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
A step-by-step guide for remote working in the NHS: evaluation of a virtual consultant psychiatrist hiring scheme. 国家医疗服务系统远程工作分步指南：虚拟精神科顾问聘用计划评估。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-27 DOI: 10.1192/bjb.2024.56
Megan Havard, Nyembezi Faith Ndebele, Suyog Dhakras, Gemma Johns, Ian McCafferty, Alka Ahuja
{"title":"A step-by-step guide for remote working in the NHS: evaluation of a virtual consultant psychiatrist hiring scheme.","authors":"Megan Havard, Nyembezi Faith Ndebele, Suyog Dhakras, Gemma Johns, Ian McCafferty, Alka Ahuja","doi":"10.1192/bjb.2024.56","DOIUrl":"https://doi.org/10.1192/bjb.2024.56","url":null,"abstract":"<p><strong>Aims and method: </strong>In 2021, Solent NHS Trust advertised for a fully remote consultant psychiatrist to meet increasing clinical demand. This pilot scheme was evaluated to determine its success. The job applications underwent content analysis, recruitment and support staff were interviewed, and in-depth rolling interviews were conducted with the three now-employed virtual psychiatrists.</p><p><strong>Results: </strong>We have gained an objective understanding of this new and innovative way of working and, overall, shown that fully remote working in the National Health Service (NHS) is feasible.</p><p><strong>Implications: </strong>The findings were used to create a step-by-step guide for the remote hiring process, which outlines the necessary steps for conducting it in a safe, swift and successful way. This guide could help other NHS organisations to advertise, recruit and manage fully remote employees.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142071930","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
Social psychiatry in Oxford and its ecological niche, 1959-1988. 牛津的社会精神病学及其生态位，1959-1988 年。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-15 DOI: 10.1192/bjb.2024.44
Rob Poole
{"title":"Social psychiatry in Oxford and its ecological niche, 1959-1988.","authors":"Rob Poole","doi":"10.1192/bjb.2024.44","DOIUrl":"10.1192/bjb.2024.44","url":null,"abstract":"<p><p>This paper reflects on a special edition of the journal <i>History of Psychiatry</i> and a related symposium held at Somerville College, Oxford, exploring the innovations in mental healthcare in Oxfordshire led by Dr Bertram Mandelbrote between 1959 and 1988. I draw on clinical culture, biography, mental health policy and my lived experience to understand Mandelbrote's life and work, and his legacy and lessons for contemporary psychiatrists. I explore the ecological niche that Mandelbrote created and conclude with the probable importance of his relationship with Professor Michael Gelder, who led the University of Oxford Department of Psychiatry at the time.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141981571","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
Good character: the implications of personality development and psychopathology for citizenship. 良好品格：人格发展和心理病理学对公民身份的影响。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-14 DOI: 10.1192/bjb.2024.60
Stephen Attard, Solange Valdez-Symonds, Steve Valdez-Symonds, Andrew Iles, Frances Maclennan
{"title":"Good character: the implications of personality development and psychopathology for citizenship.","authors":"Stephen Attard, Solange Valdez-Symonds, Steve Valdez-Symonds, Andrew Iles, Frances Maclennan","doi":"10.1192/bjb.2024.60","DOIUrl":"https://doi.org/10.1192/bjb.2024.60","url":null,"abstract":"<p><p>The introduction of new legislation in 2006 brought about changes to the way citizenship applications were considered in the UK. Over the intervening years, several hundred children born in the UK have been denied British citizenship as a result of changes to the 'good character' requirement in the legislation - namely its extension to cover all those aged 10 years or older applying for citizenship, including individuals who were born in the UK. As a result of the formulaic way in which this requirement is assessed, citizenship can be denied on the basis of historical patterns of behaviour or offending from childhood. This article will consider whether the current approach to assessment of character in the context of applications for British citizenship is meaningful or appropriate, given developments in our understanding of normative psychological and neurological development and also the impact of psychosocial adversity, trauma, and broader psychopathological or neurodevelopmental conditions.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975027","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 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 : 2024-08-09 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":"https://doi.org/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":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905798","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 local review of section 17 leave forms in conjunction with the Mental Health Act Code of Practice: recommendations for future practice. 结合《精神健康法实施细则》对第 17 条休假表格进行地方审查：对未来做法的建议。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-09 DOI: 10.1192/bjb.2024.54
Shayanthan Pathmanathan, Georgina Edgerley Harris, Giles Townsend
{"title":"A local review of section 17 leave forms in conjunction with the Mental Health Act Code of Practice: recommendations for future practice.","authors":"Shayanthan Pathmanathan, Georgina Edgerley Harris, Giles Townsend","doi":"10.1192/bjb.2024.54","DOIUrl":"10.1192/bjb.2024.54","url":null,"abstract":"<p><strong>Aims and method: </strong>The aim of this project was to set out recommendations for the section 17 leave form to reflect guidance provided in the Mental Health Act 1983: Code of Practice, following local Care Quality Commission feedback. We reviewed guidance in the Code and publicly available leave forms to identify items to include in the leave form. Then, we determined which publicly available leave forms included each item and reviewed whether the item should be included in the leave form and whether any reformulation was needed.</p><p><strong>Results: </strong>Using the method described, we identified a list of items that should be included in the leave form. When comparing the leave forms of different trusts, there was considerable variation with respect to which items were included in each form.</p><p><strong>Clinical implications: </strong>We provide some recommendations for future practice regarding section 17 leave forms to facilitate consistency with the Code and between different trusts.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905797","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
Eating Disorder and Autism Collaborative project outline: promoting eating disorder research embedded in a neurodiversity-affirming culture. 饮食失调症与自闭症合作项目纲要：促进饮食失调症研究与神经多样性文化的结合。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-08 DOI: 10.1192/bjb.2024.61
Fiona Duffy, Karri Gillespie-Smith, Helen Sharpe, Kyle Buchan, Emy Nimbley, Ellen Maloney, Michelle Sader, Sarah Kettley, Jess Kerr-Gaffney, Gordon Waiter, Kate Tchanturia
{"title":"Eating Disorder and Autism Collaborative project outline: promoting eating disorder research embedded in a neurodiversity-affirming culture.","authors":"Fiona Duffy, Karri Gillespie-Smith, Helen Sharpe, Kyle Buchan, Emy Nimbley, Ellen Maloney, Michelle Sader, Sarah Kettley, Jess Kerr-Gaffney, Gordon Waiter, Kate Tchanturia","doi":"10.1192/bjb.2024.61","DOIUrl":"https://doi.org/10.1192/bjb.2024.61","url":null,"abstract":"<p><p>EDAC (Eating Disorders and Autism Collaborative) is an innovative project aiming to increase research capacity by supporting collaboration in the fields of eating disorders and autism. EDAC comprises four integrated workstreams to co-produce interdisciplinary research, directed by Autistic individuals with lived experience of eating disorders. Workstream 1 will outline best collaborative practices, informing the research network. Workstream 2 will use arts-based methodologies to set research priorities, with emphasis on the perspectives of underrepresented groups. Workstream 3 will support interdisciplinary collaborations to develop innovative research. Finally, workstream 4 will maximise knowledge mobilisation with the aim of reducing barriers to rapid incorporation of research into policy and clinical practice. A core aim of EDAC is to embed a neurodiversity-affirming culture within eating disorder research and to support the development of a new generation of researchers conducting innovative and meaningful research with the potential to improve clinical outcomes.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900851","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
Rethinking professional boundaries: the climate crisis and brain health. 重新思考专业界限：气候危机与大脑健康。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-08 DOI: 10.1192/bjb.2024.30
Ronán M Conroy, Jeannette Golden, Conor Malone
{"title":"Rethinking professional boundaries: the climate crisis and brain health.","authors":"Ronán M Conroy, Jeannette Golden, Conor Malone","doi":"10.1192/bjb.2024.30","DOIUrl":"10.1192/bjb.2024.30","url":null,"abstract":"<p><p>Since climate change affects psychiatric, neurological and neuropsychological disorders, as well as brain development, the Irish Doctors for the Environment working group on mental health has changed its title and remit to brain health. Mental health professionals need to respond coherently and effectively to the climate crisis. This need challenges traditional professional, disciplinary and academic boundaries and demands a holistic, person-centred approach. We propose that meeting this challenge is vital if the public, policy-makers and legislators are to grasp the full extent of the significance of climate's impact on brain health.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900852","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
Challenges to the real-world delivery of brief alcohol interventions in the custody suite: qualitative study. 在监护室实际开展简短酒精干预所面临的挑战：定性研究。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-08 DOI: 10.1192/bjb.2024.48
Manuela Jarrett, Thomas Mills, Jaimee Mallion, Susie Sykes, Jane Wills, Eddie Chaplin
{"title":"Challenges to the real-world delivery of brief alcohol interventions in the custody suite: qualitative study.","authors":"Manuela Jarrett, Thomas Mills, Jaimee Mallion, Susie Sykes, Jane Wills, Eddie Chaplin","doi":"10.1192/bjb.2024.48","DOIUrl":"10.1192/bjb.2024.48","url":null,"abstract":"<p><strong>Aims and method: </strong>The aim was to evaluate an innovative pathway in police custody suites that aimed to specifically address alcohol-related health needs through screening and brief interventions by police custody staff. This paper presents a qualitative investigation of challenges involved in implementing the pathway. Qualitative interviews were carried out with 22 staff involved with commissioning and delivering the pathway; thematic analysis of interview data was then undertaken.</p><p><strong>Results: </strong>An overarching theme highlights the challenges and uncertainties of delivering brief alcohol interventions in the custody suite. These include challenges related to the setting, the confidence and competence of the staff, identifying for whom a brief intervention would be of benefit and the nature of the brief intervention.</p><p><strong>Clinical implications: </strong>Our findings show that there is a lack of clarity over how alcohol-related offending can be identified in police custody, whose role it is to do that and how to intervene.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900850","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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