BJPsych Bulletin最新文献_第9页

An investigation into the critical ingredients of Intensive support teams for adults with intellectual disabilities who display challenging behaviour - ADDENDUM. 对表现出挑战性行为的智力残疾成人的强化支持小组的关键成分的调查-附录。

IF 2.9

BJPsych Bulletin Pub Date : 2025-12-02 DOI: 10.1192/bjb.2025.10196

Lucretia Thomas, Brynmor Lloyd-Evans, Louise Marston, Angela Hassiotis

引用次数: 0

Evaluating artificial intelligence ambient voice technology as a documentation assistant in psychiatry: proof-of-concept study. 评估人工智能环境语音技术作为精神病学文档助理：概念验证研究。

IF 2

BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2025.10186

Noah Stanton, Aadam Aziz, Salim Jakhra, Solomon Wong, Louise Morganstein, Paul Bassett, Mark Brewerton, Sirous Golchinheydari, Declan Brogan, Denusha Pushparajah

{"title":"Evaluating artificial intelligence ambient voice technology as a documentation assistant in psychiatry: proof-of-concept study.","authors":"Noah Stanton, Aadam Aziz, Salim Jakhra, Solomon Wong, Louise Morganstein, Paul Bassett, Mark Brewerton, Sirous Golchinheydari, Declan Brogan, Denusha Pushparajah","doi":"10.1192/bjb.2025.10186","DOIUrl":"https://doi.org/10.1192/bjb.2025.10186","url":null,"abstract":"Aims and method: Artificial intelligence ambient voice technology (AI AVT), which uses a large language model to summarise clinical dialogue into electronic notes and GP letters, has emerged. We conducted a mixed-methods, pre-post (manual versus AVT-assisted documentation) service development pilot to evaluate its use in a child and adolescent out-patient clinic.Results: The median administration time per clinical encounter reduced from 27 min (manual) to 10 min (AVT) (P < 0.001). On average, AVT-assisted documentation required only 45% of the time for manual documentation (P < 0.001). Clinician-rated accuracy, quality and efficiency were significantly higher for AVT-assisted documentation. Patient acceptance was high, with 97% reporting that clinicians were not distracted by note-taking. Thematic analysis from focus groups identified positive effects derived from AVT (improved productivity and clinician well-being), but was balanced by barriers (technological limitations).Clinical implications: Integration of AVT into clinical workflows can significantly alleviate documentation burden, reduce cognitive strain and free up clinical capacity.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-8"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647292","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

Leadership and Karma: doing good or doing well? 领导力与因果报应：做得好还是做得好？

IF 2.9

BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2024.107

Swaran P Singh

引用次数: 0

Remote consultations in mental health: collaborative evaluation applying learning health systems thinking. 心理健康远程会诊：应用学习卫生系统思维的协作评估。

IF 2.9

BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2024.102

Lucy Goulding, Julie Williams, Alison White, Aileen Jackson, Zoë Lelliott, Stuart Adams, Kia-Chong Chua, Noushig Nahabedian, Juliana Onwumere, James Woollard, Nick Sevdalis, Fiona Gaughran

{"title":"Remote consultations in mental health: collaborative evaluation applying learning health systems thinking.","authors":"Lucy Goulding, Julie Williams, Alison White, Aileen Jackson, Zoë Lelliott, Stuart Adams, Kia-Chong Chua, Noushig Nahabedian, Juliana Onwumere, James Woollard, Nick Sevdalis, Fiona Gaughran","doi":"10.1192/bjb.2024.102","DOIUrl":"10.1192/bjb.2024.102","url":null,"abstract":"Aims and method: A collaborative evaluation of remote consultations in mental health services was undertaken by mental health service providers, experts by experience, academic institutions and a Health Innovation Network in south London, UK. 'Learning healthcare systems' thinking was applied. Workstream 1 reviewed international published evidence; workstream 2 synthesised findings from three health provider surveys of the perceptions and experiences of staff, patients and carers; and workstream 3 comprised an electronic survey on local projects.Results: Remote consultations can be acceptable to patients and staff. They improve access for some while restricting access for others, with digital exclusion being a key concern. Providing tailored choice is key.Clinical implications: The collaboration generated learning to inform choices by healthcare providers to embed or adapt remote delivery. A key output was freely downloadable survey questions for assessing the quantity and quality of appointments undertaken by phone or video or face to face.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"391-400"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765898","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

Mental incapacity in high office: historical precedents and unresolved challenges for modern governance. 高级官员的精神无能：历史先例和现代治理的未解决挑战。

IF 2.9

BJPsych Bulletin Pub Date : 2025-12-01 Epub Date: 2025-11-27 DOI: 10.1192/bjb.2025.10169

Alexander Smith, Dinesh Bhugra, Juan Graña, Agustín Artese, Michael Liebrenz

引用次数: 0

Navigating the welfare system and mental health: clinical and ethical reflections on disability assessments. 导航福利制度和心理健康：对残疾评估的临床和伦理反思。

IF 2

BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2025.10190

Bahaa Hassan

引用次数: 0

Clinical characteristics and suicidal ideation as predictors of suicide: prospective study of 1000 referrals to general adult psychiatry. 作为自杀预测因素的临床特征和自杀意念：对普通成人精神科 1000 例转诊病例的前瞻性研究。

IF 2.9

BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2024.67

David Hayward, Blair Johnston, Donald J MacIntyre, Douglas Steele

{"title":"Clinical characteristics and suicidal ideation as predictors of suicide: prospective study of 1000 referrals to general adult psychiatry.","authors":"David Hayward, Blair Johnston, Donald J MacIntyre, Douglas Steele","doi":"10.1192/bjb.2024.67","DOIUrl":"10.1192/bjb.2024.67","url":null,"abstract":"Aims and method: Questions often follow the suicide of someone who presented to general adult psychiatry (GAP) when expressing suicidal thoughts: 'Why were they not admitted, or managed differently, when they said they were suicidal?' Answering these questions requires knowledge of the prevalence of suicidal ideation in patients presenting to GAP. Therefore, we determined the general clinical characteristics, including suicidal ideation, of a large sample of patients presenting to a GAP emergency assessment service or referred as non-emergencies to a GAP service.Results: Suicidal ideation was very common, being present in 76.4% of emergency presentations and 33.4% of non-emergency referrals. It was very weakly associated with suicide, varied between different diagnostic categories, and previous assessment by GAP did not appear to affect it. The suicide rate during the contingent episode of care was estimated as 66 per 100 000 episodes.Clinical implications: This, and other evidence, shows that suicide cannot be predicted with an accuracy that is useful for clinical decision-making. This is not widely appreciated but has serious consequences for patients and healthcare resources.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"379-384"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399224","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

Individual placement and support (IPS): duration of employment support and equity of access and outcome in routine clinical practice. 个人安置和支持（IPS）：就业支持的持续时间以及在常规临床实践中获得就业的机会和结果的公平性。

IF 2.9

BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2024.68

Miles Rinaldi, Rachel Perkins, Robert Baxter, Paul Dorrington, Kat Saville

{"title":"Individual placement and support (IPS): duration of employment support and equity of access and outcome in routine clinical practice.","authors":"Miles Rinaldi, Rachel Perkins, Robert Baxter, Paul Dorrington, Kat Saville","doi":"10.1192/bjb.2024.68","DOIUrl":"10.1192/bjb.2024.68","url":null,"abstract":"Aims and method: To explore the duration of support, reach, effectiveness and equity in access to and outcome of individual placement and support (IPS) in routine clinical practice. A retrospective analysis of routine cross-sectional administrative data was performed for people using the IPS service (N = 539).Results: A total of 46.2% gained or retained employment, or were supported in education. The median time to gaining employment was 132 days (4.3 months). Further, 84.7% did not require time-unlimited in-work support, and received in-work support for a median of 146 days (4.8 months). There was a significant overrepresentation of people from Black and minority ethnic communities accessing IPS, but no significant differences in outcomes by diagnosis, ethnicity, age or gender.Clinical implications: Most people using IPS services do not appear to need time-unlimited in-work support. Community teams with integrated IPS employment specialists can be optimistic when addressing people's recovery goals of gaining and retaining employment.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"371-378"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399226","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

Bridging early life trauma to difficult-to-treat depression: scoping review. 将早期生活创伤与难以治疗的抑郁症联系起来：范围界定综述。

IF 2.9

BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2024.75

Walter Paganin, Sabrina Signorini, Antonio Sciarretta

{"title":"Bridging early life trauma to difficult-to-treat depression: scoping review.","authors":"Walter Paganin, Sabrina Signorini, Antonio Sciarretta","doi":"10.1192/bjb.2024.75","DOIUrl":"10.1192/bjb.2024.75","url":null,"abstract":"Aims and method: Accumulating evidence suggests that early life trauma (ELT) initiates and perpetuates a cycle of depression, leading to challenges in management and achieving remission. This scoping review aimed to examine the intricate relationship between ELT and difficult-to-treat depression (DTD). An extensive literature search from 1 January 2013 to 21 October 2023 was conducted using the Cochrane Library, PubMed, Scopus, PsycINFO and OpenGrey.Results: Our review identified scientific literature illustrating the multifaceted link between ELT and DTD, highlighting the dual impact of ELT on therapeutic resistance and clinical complexity.Clinical implications: This complexity hampers management of patients with DTD, who are characterised by limited pharmacological responsiveness and heightened relapse risk. While exploring the ELT-DTD nexus, the review revealed a paucity of literature on the impact of ELT within DTD. Findings underscore the profound link between ELT and DTD, which is essential for comprehensive understanding and effective management. Tailoring treatments to address ELT could enhance therapeutic outcomes for patients with DTD. Future studies should use larger samples and well-defined diagnostic criteria and explore varied therapeutic approaches.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"412-423"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387580","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

Determining unmet need: clinical relevance of suspected neurodivergence in first-episode psychosis. 确定未满足的需求：首次发病精神病患者疑似神经分裂的临床相关性。

IF 2.9

BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2024.64

Nikola Nikolić, Catherine Sculthorpe, Jessica Stock, Dan Stevens, Jessica Eccles

{"title":"Determining unmet need: clinical relevance of suspected neurodivergence in first-episode psychosis.","authors":"Nikola Nikolić, Catherine Sculthorpe, Jessica Stock, Dan Stevens, Jessica Eccles","doi":"10.1192/bjb.2024.64","DOIUrl":"10.1192/bjb.2024.64","url":null,"abstract":"Aims and method: We explored the prevalence of autism and attention-deficit hyperactivity disorder in first-episode psychosis. Through service evaluation involving 509 individuals, detailed analyses were conducted on neurodevelopmental traits and patterns of service utilisation.Results: Prevalence of neurodivergence in first-episode psychosis was 37.7%. Neurodivergent individuals used urgent mental health services more frequently (Mann-Whitney U = 25925, Z = -2.832, P = 0.005) and had longer hospital stays (Mann-Whitney U = 22816, Z = -4.886, P ≤ 0.001) than non-neurodivergent people. Neurodivergent people spend more than twice as long in mental health hospitals at a time than the non-neurodivergent people (Mann-Whitney U = 22 909.5, Z = -4.826, P ≤ 0.001). Mediation analysis underscored indirect impact of neurodivergence on hospital stay durations through age at onset of psychosis and use of emergency services.Clinical implications: Prevalence of neurodevelopmental conditions in first-episode psychosis is underestimated. Neurodivergent individuals show increased utilisation of mental health services and experience psychosis earlier. Early assessment is crucial for optimising psychosis management and improving mental health outcomes.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"385-390"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142457109","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