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Guillermo Rivera: Cuídate de la justicia Boliviana. 吉列尔莫-里维拉：警惕玻利维亚的司法。
IF 2.2
BJPsych Bulletin Pub Date : 2024-07-26 DOI: 10.1192/bjb.2024.51
Claire Mckenna
{"title":"Guillermo Rivera: <i>Cuídate de la justicia Boliviana</i>.","authors":"Claire Mckenna","doi":"10.1192/bjb.2024.51","DOIUrl":"10.1192/bjb.2024.51","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756914","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
Dementia in-patient units in psychiatric hospitals: research priority setting. 精神病医院的痴呆症住院部：确定研究重点。
IF 2.2
BJPsych Bulletin Pub Date : 2024-07-01 DOI: 10.1192/bjb.2024.42
George Crowther, Rebecca Dunning, Gregor Russell, Emma Wolverson, Benjamin R Underwood
{"title":"Dementia in-patient units in psychiatric hospitals: research priority setting.","authors":"George Crowther, Rebecca Dunning, Gregor Russell, Emma Wolverson, Benjamin R Underwood","doi":"10.1192/bjb.2024.42","DOIUrl":"https://doi.org/10.1192/bjb.2024.42","url":null,"abstract":"<p><strong>Aims and method: </strong>Dementia in-patient units (DIU) are mental health wards that care for people living with dementia (PLWD) whose symptoms are causing severe distress or potential risk. DIUs look after some of the most vulnerable and unwell people in society, yet they are environments that are underresearched: a recent systematic review revealed only 36 articles worldwide relating to DIUs. To better understand research priorities in DIUs, we undertook a two-round online Delphi survey of PLWD with experience of DIUs, their carers and professionals who work in DIUs.</p><p><strong>Results: </strong>Ten research priorities were described and ranked. The top three were how to use non-pharmacological techniques to manage non-cognitive symptoms of dementia, supporting families and better understanding of how to discharge PLWD safely and healthily.</p><p><strong>Clinical implications: </strong>This is the first Delphi consensus to describe DIU research priorities. This paper will help researchers focus on the areas that matter most to people who use DIUs.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465930","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
Developing a coordinated response to chemsex across health, justice and social care settings: expert consensus statement. 在卫生、司法和社会护理领域制定协调一致的化性应对措施：专家共识声明。
IF 2.2
BJPsych Bulletin Pub Date : 2024-06-25 DOI: 10.1192/bjb.2024.46
Bradley Hillier, Eliott Carthy, Nicola Kalk, Monty Moncrieff, Mark Pakianathan, Derek Tracy, Owen Bowden-Jones, Ford Hickson, Andrew Forrester
{"title":"Developing a coordinated response to chemsex across health, justice and social care settings: expert consensus statement.","authors":"Bradley Hillier, Eliott Carthy, Nicola Kalk, Monty Moncrieff, Mark Pakianathan, Derek Tracy, Owen Bowden-Jones, Ford Hickson, Andrew Forrester","doi":"10.1192/bjb.2024.46","DOIUrl":"10.1192/bjb.2024.46","url":null,"abstract":"<p><strong>Summary: </strong>Chemsex occurs primarily among gay, bisexual and other men who have sex with men (GBMSM), and there is evidence of a subgroup of users who carry out chemsex-related criminal offences and experience harm. Challenges with chemsex can present to various settings; there are concerns that harm is increasing, including at interfaces between health, social care and criminal justice systems. The UK response to date has lacked a coordinated approach. An expert reference group was convened to share chemsex knowledge, articulate priorities for research and pathway development, and foster collaborative working between agencies. It made three key recommendations: develop and increase training and awareness across all services; implement a coordinated research programme with the development of a common data-set and assessment tool to fully characterise population-level needs; develop a professional network to share information, provide professional support and act as a knowledge hub. There was support for a unified multi-agency strategy incorporating the priorities identified as overarching principles.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-8"},"PeriodicalIF":2.2,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141445312","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 2.6
BJPsych Bulletin Pub Date : 2024-06-03 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":"https://doi.org/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":"1-6"},"PeriodicalIF":2.6,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199082","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 attitudes in Malta: a cross-sectional survey exploring the knowledge and perceptions of general practitioner trainees. 马耳他人对心理健康的态度：一项横断面调查，探讨全科实习医生的知识和看法。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 DOI: 10.1192/bjb.2023.56
Daniela Zammit, Jonathan Grech, Patrick Abela, David Mamo
{"title":"Mental health attitudes in Malta: a cross-sectional survey exploring the knowledge and perceptions of general practitioner trainees.","authors":"Daniela Zammit, Jonathan Grech, Patrick Abela, David Mamo","doi":"10.1192/bjb.2023.56","DOIUrl":"10.1192/bjb.2023.56","url":null,"abstract":"<p><strong>Aims and method: </strong>This study aimed to assess current levels of knowledge, opinions and attitudes regarding mental health among the local cohort of general practitioner trainees (<i>n</i> = 45) working in Malta. A questionnaire adapted from the Mental Health Literacy Scale was used. Data were analysed using one-way analysis of variance and Pearson correlation tests.</p><p><strong>Results: </strong>All participants had scores equal to or more than the mean score in their knowledge and confidence assessments; 51% of the participants achieved the maximum score for a very positive attitude towards mental health, with such scores found particularly among female trainees. Increased levels of knowledge are associated with a more positive attitude, which can in turn lead to greater acceptance and reduce stigma.</p><p><strong>Clinical implications: </strong>Knowledge is a powerful tool for reducing stigma and improving the doctor-patient relationship, indicating that regular training initiatives are necessary to equip budding general practitioner specialists with the necessary skills and confidence.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"168-172"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9937680","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
Authors' Reply: In the liminal spaces of mental health law - what to do when section 136 expires? 作者回复：精神卫生法的边缘空间--第 136 条到期后怎么办？
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI: 10.1192/bjb.2024.29
Khalil Hassanally, Judy Laing, Anupam Kishore
{"title":"Authors' Reply: In the liminal spaces of mental health law - what to do when section 136 expires?","authors":"Khalil Hassanally, Judy Laing, Anupam Kishore","doi":"10.1192/bjb.2024.29","DOIUrl":"10.1192/bjb.2024.29","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"48 3","pages":"207"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157285","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: Positive models of suffering and psychiatry. RE：痛苦与精神病学的积极模式。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI: 10.1192/bjb.2024.25
Om Prakash
{"title":"RE: Positive models of suffering and psychiatry.","authors":"Om Prakash","doi":"10.1192/bjb.2024.25","DOIUrl":"10.1192/bjb.2024.25","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"48 3","pages":"205"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157291","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
Care pathways for longstanding eating disorders must offer paths to recovery, not managed decline. 针对长期进食障碍的护理路径必须提供康复之路，而不是控制衰退。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 DOI: 10.1192/bjb.2023.38
James Downs
{"title":"Care pathways for longstanding eating disorders must offer paths to recovery, not managed decline.","authors":"James Downs","doi":"10.1192/bjb.2023.38","DOIUrl":"10.1192/bjb.2023.38","url":null,"abstract":"<p><p>Eating disorders are historically underserved in healthcare, but are increasingly prevalent and recognised for their high costs regarding mortality, quality of life and the economy. Those with longstanding eating disorders are commonly labelled 'severe and enduring' (SEED), which has been challenged for its conceptual vagueness and potential to discourage patients. Attempts to define individuals from this cohort as having 'terminal' illness have also gained traction in recent years. This paper is grounded in lived/living experience and relevant research. It challenges the logical coherence and utility of SEED, arguing that the word 'enduring' unhelpfully situates intractability of longstanding illness within patients themselves and the nature of their illness. This risks a sense of inevitability and overlooks the important role of contextual factors such as lacking resources and insufficient evidence for withholding active treatment. Recommendations suggest approaches to dismantling unhelpful binaries between early intervention and intensive support, recovery and decline.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"177-181"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583651","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
Nasogastric tube feeding under restraint: understanding the impact and improving care. 束缚下的鼻胃管喂食：了解影响并改善护理。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 DOI: 10.1192/bjb.2023.58
Sarah J Fuller, Jacinta Tan, Dasha Nicholls
{"title":"Nasogastric tube feeding under restraint: understanding the impact and improving care.","authors":"Sarah J Fuller, Jacinta Tan, Dasha Nicholls","doi":"10.1192/bjb.2023.58","DOIUrl":"10.1192/bjb.2023.58","url":null,"abstract":"<p><strong>Background: </strong>Nasogastric tube feeding under physical restraint is an intervention that clinicians working in specialist mental health in-patient units may need to implement.</p><p><strong>Aims: </strong>To examine the impact of this intervention on people with lived experience, carers and staff.</p><p><strong>Method: </strong>People with lived experience and parents and/or carers were recruited via UK eating disorder charity Beat. Clinicians were recruited via the British Eating Disorders Society's research forum. Qualitative semi-structured interviews were conducted and transcribed, and the results were thematically analysed.</p><p><strong>Results: </strong>Thirty-six participants took part, and overlapping themes were identified. All participants spoke in relation to four themes: (a) the short-term impact on the patient; (b) the impact on those around the patient; (c) the long-term impact; and (d) the positive impact. Subthemes were identified and explored.</p><p><strong>Conclusion: </strong>This lifesaving intervention can also negatively affect patients, parents and carers, peers and staff. Further research is needed to understand how interactions and environmental modifications can mitigate the negative impacts.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"163-167"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235772","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
Excluding autism or excluding everything? The problem of broad definitions in the England and Wales Draft Mental Health Bill. 排除自闭症还是排除一切？英格兰和威尔士精神健康法案草案中的宽泛定义问题。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 DOI: 10.1192/bjb.2023.60
Peter Beazley
{"title":"Excluding autism or excluding everything? The problem of broad definitions in the England and Wales Draft Mental Health Bill.","authors":"Peter Beazley","doi":"10.1192/bjb.2023.60","DOIUrl":"10.1192/bjb.2023.60","url":null,"abstract":"<p><p>The recent Draft Mental Health Bill for England and Wales proposes changes to the Mental Health Act 1983 which will include, for the first time, a legal definition of autism. This article explores the specific potential issue that the definition, owing to its breadth, potentially encompasses a number of conditions other than autism, consequently leaving the definitionally dependent concept of 'psychiatric disorder' significantly narrowed in scope. The potential implications of this - primarily the concern that a range of other conditions and presentations could be unintentionally excluded from the scope of the civil powers in the Mental Health Act - are discussed.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"187-191"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9755163","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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