BJPsych Bulletin最新文献_第8页

Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review. 老年精神疾病住院患者静脉血栓形成和肺栓塞的风险：系统评价。

IF 2.9

BJPsych Bulletin Pub Date : 2026-02-01 DOI: 10.1192/bjb.2025.9

Damodar Chari, Tamara Chithiramohan, Ina Sawhney, Elizabeta B Mukaetova-Ladinska, Lucy Beishon, Hari Subramaniam

{"title":"Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review.","authors":"Damodar Chari, Tamara Chithiramohan, Ina Sawhney, Elizabeta B Mukaetova-Ladinska, Lucy Beishon, Hari Subramaniam","doi":"10.1192/bjb.2025.9","DOIUrl":"10.1192/bjb.2025.9","url":null,"abstract":"Aims and method: Venous thromboembolism (VTE) is a fatal condition affecting older people. This study aims to identify specific risk factors for VTE in older psychiatric in-patients within mental hospital settings. Using predefined search terms, we searched five databases to capture studies evaluating risk factors associated with the occurrence of deep vein thrombosis and pulmonary embolism in older psychiatric in-patients.Results: Thirteen studies were identified, and a narrative synthesis performed. Increasing age was a consistent risk factor for VTE. Diagnosis and psychotropic medication use were inconsistent. Depression, catatonia and use of restraint in people with dementia were associated with higher risks.Clinical implications: Older psychiatric in-patients differ from medical and surgical in-patients in their risk profiles. Screening tools used in general hospital patients are of limited use among older adults in psychiatric hospital settings. An exclusive screening tool to identify VTE risk factors in older psychiatric in-patients is needed.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"36-48"},"PeriodicalIF":2.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596031","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

Use of outcome measures in psychiatry: Royal College of Psychiatrists' survey of members. 结果测量在精神病学中的使用：皇家精神科医学院对成员的调查。

IF 2

BJPsych Bulletin Pub Date : 2026-01-26 DOI: 10.1192/bjb.2025.10210

Howard Ryland, Rahul Bhattacharya, Jonathan Richardson

{"title":"Use of outcome measures in psychiatry: Royal College of Psychiatrists' survey of members.","authors":"Howard Ryland, Rahul Bhattacharya, Jonathan Richardson","doi":"10.1192/bjb.2025.10210","DOIUrl":"https://doi.org/10.1192/bjb.2025.10210","url":null,"abstract":"Aims and method: This study sought to obtain the views of doctors associated with the Royal College of Psychiatrists on the use of outcome measures in mental health services. An online survey was developed by the College's working group on outcome measures and widely disseminated to psychiatrists through College channels.Results: In total, 339 completed responses were received. Respondents were mostly consultant psychiatrists; based in England; and working in the National Health Service with working-age adults. Almost half said they used outcome measures routinely, with almost half finding outcome measures clinically useful. Lack of time and inadequate information technology systems were identified as the top barriers to using outcome measures.Clinical implications: Based on our results, psychiatrists are generally keen to use outcome measures, but are often prevented from doing so effectively by pressures on services and lack of appropriate support. The Royal College of Psychiatrists and other relevant organisations could enhance the use of outcome measures in mental health services through improved guidance, providing additional resources and integration of measures into electronic patient records.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-8"},"PeriodicalIF":2.0,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146045900","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 and validation of a predictive model for high-intensity mental health service use using electronic health record data. 开发和验证使用电子健康记录数据的高强度精神卫生服务的预测模型。

IF 2

BJPsych Bulletin Pub Date : 2026-01-20 DOI: 10.1192/bjb.2025.10205

Bharadwaj V Chada, Robert Stewart, James Lai

{"title":"Development and validation of a predictive model for high-intensity mental health service use using electronic health record data.","authors":"Bharadwaj V Chada, Robert Stewart, James Lai","doi":"10.1192/bjb.2025.10205","DOIUrl":"https://doi.org/10.1192/bjb.2025.10205","url":null,"abstract":"Aims and method: This study aimed to develop and evaluate a predictive model using electronic health record (EHR) data from a large south London mental health service, in order to identify patients 3 months following first referral who are at risk of subsequent high-intensity service use over the subsequent 12 months. Early identification of such patients may support proactive and personalised care planning, reducing the need for high-cost episodes of care. Predictive models were developed using information from 18 869 patients newly referred between 2007 and 2011. High-intensity use was defined as the top 10% of estimated mental healthcare expenditure. The model was developed using demographic, clinical and service use variables, and was validated on data from the periods 2012-2017 and 2018-2023.Results: A logistic regression model achieved an area under the receiver operating characteristic (AUROC) of 0.79 in development (sensitivity 0.82, specificity 0.54), with robust performance in validation sets (AUROC 0.81, 0.83, respectively). Key predictors included first 3 months service use, schizophrenia or eating disorder diagnoses and living alone. Natural language processing-derived features did not improve performance.Clinical implications: Routine EHR data performed well in predicting the risk of high-cost care, potentially enabling targeted interventions and more efficient resource allocation.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.0,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146002924","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 validity of borderline personality disorder: Robins and Guze applied. 边缘型人格障碍的效度：Robins和Guze的应用。

IF 2

BJPsych Bulletin Pub Date : 2026-01-20 DOI: 10.1192/bjb.2025.10206

Mark L Ruffalo

引用次数: 0

Serendipity in psychiatric discoveries: historical lessons and future imperatives for clinical observation. 精神病学发现的偶然性：临床观察的历史教训和未来的必要性。

IF 2

BJPsych Bulletin Pub Date : 2026-01-15 DOI: 10.1192/bjb.2025.10209

Stanley Lyndon, Vineeth P John

{"title":"Serendipity in psychiatric discoveries: historical lessons and future imperatives for clinical observation.","authors":"Stanley Lyndon, Vineeth P John","doi":"10.1192/bjb.2025.10209","DOIUrl":"https://doi.org/10.1192/bjb.2025.10209","url":null,"abstract":"Aims and method: Serendipity has driven many of psychiatry's most important treatments, yet contemporary systems may undermine clinicians' ability to notice and develop unexpected therapeutic effects. This selective narrative review synthesises landmark discovery stories, conceptual accounts of serendipity and contemporary case examples to clarify how chance observations become robust advances.Results: Across historical and modern examples, serendipitous discoveries consistently reflected the interaction of unexpected events with prepared observers working in supportive institutional and research systems. We identify current barriers created by standardised care, funding and trial structures, and professional fragmentation, and outline a multi-level framework for cultivating serendipity through phenomenological training, technology-enabled detection of anomalous responses, flexible funding and innovative designs such as adaptive platform and rapid-fail proof-of-concept trials.Clinical implications: Deliberately creating pathways that move rare, surprising responses from bedside observation to formal evaluation could accelerate more precise, personalised treatments while preserving rigor in psychiatric care.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145970527","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

Psychiatry is not the science of unhappiness. 精神病学不是研究不快乐的科学。

IF 2.9

BJPsych Bulletin Pub Date : 2026-01-15 DOI: 10.1192/bjb.2025.10211

Carlos De Las Cuevas

引用次数: 0

Personality pathology needs adaptation, not treatment. 人格病理学需要适应，而不是治疗。

IF 2

BJPsych Bulletin Pub Date : 2026-01-08 DOI: 10.1192/bjb.2025.10197

Peter Tyrer

引用次数: 0

The price of brilliance: vulnerability triad and systemic failures in the '27 Club' mortality phenomenon. 辉煌的代价：“27俱乐部”死亡现象中的脆弱性三合一和系统性失灵。