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Development and evaluation of a personalised sleep care plan on child and adolescent in-patient mental health wards. 儿童和青少年精神疾病住院病房个性化睡眠护理计划的开发和评估。
IF 2.6
BJPsych Bulletin Pub Date : 2024-05-20 DOI: 10.1192/bjb.2024.41
Kirstie N Anderson, Rod Bowles, Christine Fyfe, Ron Weddle, Patrick Keown
{"title":"Development and evaluation of a personalised sleep care plan on child and adolescent in-patient mental health wards.","authors":"Kirstie N Anderson, Rod Bowles, Christine Fyfe, Ron Weddle, Patrick Keown","doi":"10.1192/bjb.2024.41","DOIUrl":"https://doi.org/10.1192/bjb.2024.41","url":null,"abstract":"<p><strong>Aims and method: </strong>The study evaluated a package of measures to improve sleep on psychiatric wards admitting patients from children and young people's services (CYPS). Sleep disturbance has significant impact on adolescent mental health, and in-patient wards can directly cause sleep disturbance, independent of the problem that led to admission. We developed a CYPS-specific package (TeenSleepWell) that promoted a better sleep environment, enhanced staff education about sleep, screened for sleep disorders, and raised awareness of benefits and side-effects of hypnotics. This included personalised sleep care plans that allowed a protected 8 h sleep period when safe.</p><p><strong>Results: </strong>Evaluation over 2 years showed enhanced in-patient care: 57% of patients were able to have a protected sleep period. There was no increase in adverse events and there was a decrease in hypnotics issued.</p><p><strong>Clinical implications: </strong>Improving sleep during in-patient CYPS admissions is possible and personalised sleep care plan should be a care standard.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.6,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064260","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
Someone is to blame: the impact of suicide on the mind of the bereaved (including clinicians). 有人要承担责任：自杀对失去亲人者（包括临床医生）心理的影响。
IF 2.6
BJPsych Bulletin Pub Date : 2024-05-20 DOI: 10.1192/bjb.2024.37
Rachel Gibbons
{"title":"Someone is to blame: the impact of suicide on the mind of the bereaved (including clinicians).","authors":"Rachel Gibbons","doi":"10.1192/bjb.2024.37","DOIUrl":"https://doi.org/10.1192/bjb.2024.37","url":null,"abstract":"<p><p>This paper presents an emerging understanding of the psychodynamics of suicide loss, derived from over 1500 accounts of suicide bereavement shared by families, friends and clinicians. It identifies clear patterns in the responses of the bereaved, particularly the formation of delusional narratives that often place them at the centre of blame for the death. These narratives have a profound impact on well-being, increase the risk of mental illness and elevate the likelihood of death by suicide. They not only cause harm to the bereaved but also permeate and distort our systemic and societal responses. Understanding why suicide unleashes such painful and dangerous forces helps mitigate the widespread harm and distress that often follows such a death. This knowledge also enables us to effectively and compassionately support those bereaved.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.6,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064330","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
Factors associated with domestic violence in pregnant women during the COVID-19 pandemic: Araraquara Cohort study. COVID-19 大流行期间孕妇遭受家庭暴力的相关因素：阿拉瓜拉队列研究。
IF 2.6
BJPsych Bulletin Pub Date : 2024-05-17 DOI: 10.1192/bjb.2024.43
Leonardo Domingos Biagio, Delanjathan Devakumar, Leticia Falcão de Carvalho, Natália Pinheiro de Castro, Rossana Verónica Mendoza López, Liania Alves Luzia, Perla Pizzi Argentato, Patrícia Helen Carvalho Rondó
{"title":"Factors associated with domestic violence in pregnant women during the COVID-19 pandemic: Araraquara Cohort study.","authors":"Leonardo Domingos Biagio, Delanjathan Devakumar, Leticia Falcão de Carvalho, Natália Pinheiro de Castro, Rossana Verónica Mendoza López, Liania Alves Luzia, Perla Pizzi Argentato, Patrícia Helen Carvalho Rondó","doi":"10.1192/bjb.2024.43","DOIUrl":"https://doi.org/10.1192/bjb.2024.43","url":null,"abstract":"<p><strong>Aims and method: </strong>This cross-sectional study, carried out from 2021 to 2022, investigated the factors associated with domestic violence in 400 Brazilian pregnant women during the COVID-19 pandemic. Violence was assessed with the World Health Organization's Violence Against Women questionnaire and the Abuse Assessment Screen. Demographic, socioeconomic, obstetric, lifestyle and mental health data were collected.</p><p><strong>Results: </strong>Violence at any time in their lives was reported by 52.2% of the women, and psychological violence was the most prevalent type (19.5%). Violence was associated with being single and mental health changes. Pregnant women exposed to any lifetime violence and psychological violence were, respectively, 4.67 and 5.93 times more likely to show mental health changes compared with women with no reported violence.</p><p><strong>Clinical implications: </strong>Training health professionals involved in prenatal care in the early detection of single women and women with mental health changes could be important in preventing domestic violence.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.6,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140955633","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 care: effectiveness of modifying an adolescent eating disorder intensive service. 重新认识护理：修改青少年饮食失调强化服务的有效性。
IF 2.6
BJPsych Bulletin Pub Date : 2024-05-16 DOI: 10.1192/bjb.2024.45
Ellen Hayes, Nicola Tweedy, Victoria Chapman
{"title":"Reimagining care: effectiveness of modifying an adolescent eating disorder intensive service.","authors":"Ellen Hayes, Nicola Tweedy, Victoria Chapman","doi":"10.1192/bjb.2024.45","DOIUrl":"https://doi.org/10.1192/bjb.2024.45","url":null,"abstract":"<p><strong>Aims and method: </strong>The COVID-19 pandemic prompted a surge in adolescent eating disorders and rapid changes in the delivery of intensive community treatments. This study investigates the modification from a group-based day programme to an intensive family treatment approach. A retrospective chart review was performed on data from 190 patients who accessed the intensive service for anorexia nervosa in the past 6 years. Outcomes from the traditional model were compared with the new intensive family model, namely length of admission, percentage median body mass index difference and transfers to in-patient services.</p><p><strong>Results: </strong>There was a significant reduction in the length of intensive treatment (from 143.19 to 97.20 days). The number of transfers to specialist eating disorder in-patient services also significantly reduced, and is decreasing year on year.</p><p><strong>Clinical implications: </strong>The findings hold particular relevance as intensive services for adolescent eating disorders continue to be established within health services, with no clear unified approach to treatment.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.6,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943901","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
Analysis and evaluation of peer group support for doctors in postgraduate training following workplace violence and aggression. 分析和评估对遭受工作场所暴力和侵犯的研究生培训医生的同伴小组支持。
IF 2.2
BJPsych Bulletin Pub Date : 2024-05-16 DOI: 10.1192/bjb.2024.32
Rowena Carter, Sharli Paphitis, Sian Oram, Isabel McMullen, Vivienne Curtis
{"title":"Analysis and evaluation of peer group support for doctors in postgraduate training following workplace violence and aggression.","authors":"Rowena Carter, Sharli Paphitis, Sian Oram, Isabel McMullen, Vivienne Curtis","doi":"10.1192/bjb.2024.32","DOIUrl":"10.1192/bjb.2024.32","url":null,"abstract":"<p><strong>Aims and method: </strong>Workplace violence and aggression toward healthcare staff has a significant impact on the individual, causing self-blame, isolation and burnout. Timely and appropriate support can mitigate harm, but there is little research into how this should be delivered. We conducted multi-speciality peer groups for London doctors in postgraduate training (DPT), held over a 6-week period. Pre- and post-group burnout questionnaires and semi-structured interviews were used to evaluate peer support. Thematic analysis and descriptive statistical methods were used to describe the data.</p><p><strong>Results: </strong>We found four themes: (a) the experience and impact of workplace violence and aggression on DPT, (b) the experience of support following incidents of workplace violence and aggression, (c) the impact and experience of the peer groups and (d) future improvements to support. DPTs showed a reduction in burnout scores.</p><p><strong>Clinical implications: </strong>Peer groups are effective support for DPT following workplace violence and aggression. Embedding support within postgraduate training programmes would improve access and availability.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-8"},"PeriodicalIF":2.2,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943900","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
Development of the Prevention of Suicide Behaviour in Prisons: Enhancing Access to Therapy (PROSPECT) logic model and implementation strategies. 开发 "预防监狱自杀行为"：PROSPECT 逻辑模型和实施战略。
IF 2.2
BJPsych Bulletin Pub Date : 2024-05-06 DOI: 10.1192/bjb.2024.22
Rebecca Crook, Charlotte Lennox, Yvonne Awenat, Dawn Edge, Sarah Knowles, David Honeywell, Patricia Gooding, Gillian Haddock, Helen Brooks, Daniel Pratt
{"title":"Development of the Prevention of Suicide Behaviour in Prisons: Enhancing Access to Therapy (PROSPECT) logic model and implementation strategies.","authors":"Rebecca Crook, Charlotte Lennox, Yvonne Awenat, Dawn Edge, Sarah Knowles, David Honeywell, Patricia Gooding, Gillian Haddock, Helen Brooks, Daniel Pratt","doi":"10.1192/bjb.2024.22","DOIUrl":"10.1192/bjb.2024.22","url":null,"abstract":"<p><strong>Aims and method: </strong>This study aimed to develop and articulate a logic model and programme theories for implementing a new cognitive-behavioural suicide prevention intervention for men in prison who are perceived to be at risk of death by suicide. Semi-structured one-to-one interviews with key stakeholders and a combination of qualitative analysis techniques were used to develop programme theories.</p><p><strong>Results: </strong>Interviews with 28 stakeholders resulted in five programme theories, focusing on: trust, willingness and engagement; readiness and ability; assessment and formulation; practitioner delivering the 'change work' stage of the intervention face-to-face in a prison environment; and practitioner training, integrating the intervention and onward care. Each theory provides details of what contextual factors need to be considered at each stage, and what activities can facilitate achieving the intended outcomes of the intervention, both intermediate and long term.</p><p><strong>Clinical implications: </strong>The PROSPECT implementation strategy developed from the five theories can be adapted to different situations and environments.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847092","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
Assisted death for prisoners and forensic patients: complexity and controversy illustrated by four recent cases. 囚犯和法医病人的辅助死亡：最近四个案例说明的复杂性和争议。
IF 2.2
BJPsych Bulletin Pub Date : 2024-05-06 DOI: 10.1192/bjb.2024.23
Roland M Jones, Alexander I F Simpson
{"title":"Assisted death for prisoners and forensic patients: complexity and controversy illustrated by four recent cases.","authors":"Roland M Jones, Alexander I F Simpson","doi":"10.1192/bjb.2024.23","DOIUrl":"10.1192/bjb.2024.23","url":null,"abstract":"<p><p>Medical assistance in dying (MAiD) (which includes euthanasia and assisted suicide) is available in an increasing number of countries. In Belgium, The Netherlands and Switzerland (and was due to be implemented in Canada from 2024) eligibility includes mental suffering in the absence of any physical disorder. There are particular ethical and legal issues when considering MAiD for those involuntarily detained in prisons and hospitals. We describe four recent cases that illustrate these complexities, and highlight issues of equivalence of healthcare and self-determination against concerns about the criteria for determining eligibility of those with non-terminal conditions as well as the objections raised by victims and families and the demands for justice.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847959","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
Integration of neuroscience into psychiatric training and practice: suggestions for implementation. 将神经科学纳入精神病学培训和实践：实施建议。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-29 DOI: 10.1192/bjb.2024.24
Isabel Mark, Norman Poole, Niruj Agrawal
{"title":"Integration of neuroscience into psychiatric training and practice: suggestions for implementation.","authors":"Isabel Mark, Norman Poole, Niruj Agrawal","doi":"10.1192/bjb.2024.24","DOIUrl":"https://doi.org/10.1192/bjb.2024.24","url":null,"abstract":"<p><p>Mainstream psychiatric practice requires a solid grounding in neuroscience, an important part of the biopsychosocial model, allowing for holistic person-centred care. There have been repeated calls for better integration of neuroscience into training, although so far with less focus on implementation for life-long learning. We suggest that such training should be accessible and utilised by all psychiatrists, not solely those with a special interest in neuropsychiatry. By considering recent positive developments within the general psychiatry curricula and neuropsychiatric resource implementation, we propose strategies for how this can be progressed, minimising regional disparities within the growing world of virtual learning.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.6,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861898","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
Conceptual competence in psychiatric training: building a culture of conceptual inquiry. 精神病学培训中的概念能力：建立概念探究文化。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-02 DOI: 10.1192/bjb.2024.12
Awais Aftab, John Z Sadler, Brent M Kious, G Scott Waterman
{"title":"Conceptual competence in psychiatric training: building a culture of conceptual inquiry.","authors":"Awais Aftab, John Z Sadler, Brent M Kious, G Scott Waterman","doi":"10.1192/bjb.2024.12","DOIUrl":"https://doi.org/10.1192/bjb.2024.12","url":null,"abstract":"<p><p>Building a culture of conceptual inquiry in psychiatric training requires the development of conceptual competence: the ability to identify and examine assumptions that constitute the philosophical foundations of clinical care and scientific investigation in psychiatry. In this article, we argue for the importance of such competence and illustrate approaches to instilling it through examples drawn from our collective experiences as psychiatric educators.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.6,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334612","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 service use and costs associated with complex emotional needs and a diagnosis of personality disorder: analysis of routine data. 与复杂情感需求和人格障碍诊断相关的精神健康服务使用情况和成本：常规数据分析。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.41
Joseph Botham, Alan Simpson, Paul McCrone
{"title":"Mental health service use and costs associated with complex emotional needs and a diagnosis of personality disorder: analysis of routine data.","authors":"Joseph Botham, Alan Simpson, Paul McCrone","doi":"10.1192/bjb.2023.41","DOIUrl":"10.1192/bjb.2023.41","url":null,"abstract":"<p><strong>Aims and method: </strong>We aimed to estimate the costs of care for people with a personality disorder diagnosis and compare service use and costs for those receiving specialist input and those receiving generic care. Service use data were obtained from records and costs calculated. Comparisons were made between those who received care from specialist personality disorder teams and those who did not. Demographic and clinical predictors of costs were identified with regression modelling.</p><p><strong>Results: </strong>Mean total costs before diagnosis were £10 156 for the specialist group and £11 531 for the non-specialist group. Post-diagnosis costs were £24 017 and £22 266 respectively. Costs were associated with specialist care, comorbid conditions and living outside of London.</p><p><strong>Clinical implications: </strong>Receiving increased support from a specialist service may reduce the need for in-patient care. This may be clinically appropriate and results in a distribution of costs.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"85-92"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9613375","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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