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Happy times, careers and happenstance in UK psychiatry: time, timeliness, timelessness, eternity and contemporality. 英国精神病学的快乐时光、职业和偶然性：时间、及时性、永恒性和当代性。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-07 DOI: 10.1192/bjb.2024.52
George Ikkos, Nick Bouras
{"title":"Happy times, careers and happenstance in UK psychiatry: time, timeliness, timelessness, eternity and contemporality.","authors":"George Ikkos, Nick Bouras","doi":"10.1192/bjb.2024.52","DOIUrl":"10.1192/bjb.2024.52","url":null,"abstract":"<p><p>To address some challenges facing psychiatrists today we discuss issues of happenstance and fulfilment in psychiatric careers through some of the record and reflections of four psychiatrists since the 1950s. We trace the changes in psychiatry attendant to the transition from the welfare to the neoliberal state and=its contemporary postmodern culture. We highlight the crucial importance of political-cultural as well as technological developments in determining psychiatric service management and provision, and clinical practice and career outcomes. In the light of this impact, in a global era that some highly respected authorities consider in apocalyptic terms, we advocate for the incorporation of training in political awareness and activism in the psychiatric curriculum and practice. We suggest that this is necessary for social justice and patient welfare and that it will help safeguard psychiatric professionalism, conscience and self-esteem.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-3"},"PeriodicalIF":2.2,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141896656","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
Interview with Lord Jonathan Sumption. 采访乔纳森-萨姆佩斯勋爵
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-01 DOI: 10.1192/bjb.2024.47
Abdi Sanati
{"title":"Interview with Lord Jonathan Sumption.","authors":"Abdi Sanati","doi":"10.1192/bjb.2024.47","DOIUrl":"10.1192/bjb.2024.47","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-3"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141858866","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
Analysis of clozapine prescribing in the over-65s: 5-year retrospective study. 65 岁以上人群氯氮平处方分析：5 年回顾性研究。
IF 2.2
BJPsych Bulletin Pub Date : 2024-07-31 DOI: 10.1192/bjb.2024.55
James Barclay, Rahul Tomar, Tim Gale
{"title":"Analysis of clozapine prescribing in the over-65s: 5-year retrospective study.","authors":"James Barclay, Rahul Tomar, Tim Gale","doi":"10.1192/bjb.2024.55","DOIUrl":"https://doi.org/10.1192/bjb.2024.55","url":null,"abstract":"<p><strong>Aims and method: </strong>Patients prescribed clozapine are increasingly living into old age. However, there is a lack of studies to guide prescribing in this age group. We sought to identify all clozapine patients in Hertfordshire Partnership NHS Foundation Trust over a 5-year period and review side-effect burden and co-prescribing in all patients aged over 65 years.</p><p><strong>Results: </strong>We identified 69 patients. The majority (61%) were stable in terms of mental state; 94% of cases had experienced a side-effect within the past year, with constipation occurring most commonly (65% of cases).</p><p><strong>Clinical implications: </strong>Our findings reveal a significant side-effect burden, particularly in relation to constipation. Clozapine-induced gastrointestinal hypomotility (CIGH) can be fatal; however, increasing age has not been a recognised risk factor for constipation in clozapine patients to date. This raises questions about increasing risk to physical health as patients age and adds to concerns about the lack of monitoring for CIGH.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854626","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
Coping strategies in young people during the COVID-19 pandemic: rapid review. COVID-19 大流行期间青少年的应对策略：快速回顾。
IF 2.2
BJPsych Bulletin Pub Date : 2024-07-30 DOI: 10.1192/bjb.2024.49
Ranjita Howard, Harshini Manohar, Shekhar Seshadri, Aditya Sharma
{"title":"Coping strategies in young people during the COVID-19 pandemic: rapid review.","authors":"Ranjita Howard, Harshini Manohar, Shekhar Seshadri, Aditya Sharma","doi":"10.1192/bjb.2024.49","DOIUrl":"https://doi.org/10.1192/bjb.2024.49","url":null,"abstract":"<p><strong>Aims and method: </strong>To better understand factors supporting young people's (age <18 years) mental health during pandemic-type conditions, we aimed to identify whether coping strategies adopted during the COVID-19 pandemic could be dichotomised according to manifesting positive or negative psychological outcomes. Medline, EMBASE, CINAHL, PsycINFO, Scopus and ASSIA databases were used to identify empirical studies that examined coping strategies used by young people experiencing psychological challenges during COVID-19.</p><p><strong>Results: </strong>Twenty-five international studies were included, identifying that coping strategies adopted could be significantly dichotomised according to reducing or exacerbating psychological challenges. Positive coping strategies were proactive and solutions-oriented, whereas negative coping strategies were more avoidant and emotion-oriented.</p><p><strong>Clinical implications: </strong>An internal locus of control may account for why adolescents exercised more proactive coping compared with their younger counterparts, although parents of younger children may offset the impact of stressors by drawing on a proposed coping framework emphasising proactivity and engagement. This would be an invaluable addition to future pandemic preparedness planning cycles.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141791803","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
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
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