BJPsych Bulletin最新文献_第9页

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 2.2

BJPsych Bulletin Pub Date : 2024-12-02 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":"https://doi.org/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":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765898","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

Professor Thaddeus Ulzen. 萨德斯-乌尔善教授

IF 2.2

BJPsych Bulletin Pub Date : 2024-11-08 DOI: 10.1192/bjb.2024.87

Abdi Sanati

引用次数: 0

Evolution and suicide: critique of the pain and brain model. 进化与自杀：对疼痛与大脑模式的批判。

IF 2.2

BJPsych Bulletin Pub Date : 2024-11-05 DOI: 10.1192/bjb.2024.93

Riadh Abed, Paul St John-Smith

引用次数: 0

Mental disorders may prevent, not cause, suicide. 精神障碍可能会预防自杀，而不是导致自杀。

IF 2.2

BJPsych Bulletin Pub Date : 2024-11-05 DOI: 10.1192/bjb.2024.50

Annie Swanepoel, C A Soper

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 2.2

BJPsych Bulletin Pub Date : 2024-10-14 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":"https://doi.org/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":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142457109","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

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 2.2

BJPsych Bulletin Pub Date : 2024-10-11 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":"https://doi.org/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":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399224","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

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 2.2

BJPsych Bulletin Pub Date : 2024-10-11 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":"https://doi.org/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":"1-8"},"PeriodicalIF":2.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399226","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

Functional neurological disorder in pregnancy, labour and the postpartum period: systematic review. 妊娠、分娩和产后功能性神经紊乱：系统性综述。

IF 2.2

BJPsych Bulletin Pub Date : 2024-10-11 DOI: 10.1192/bjb.2024.70

Verónica Cabreira, Caoimhe McLoughlin, Natasha Shivji, Alexandra Lodge, Sanne Van Rhijn, Roxanne C Keynejad, Jan Coebergh, Alan Carson, Jon Stone, Alex Lehn, Ingrid Hoeritzauer

{"title":"Functional neurological disorder in pregnancy, labour and the postpartum period: systematic review.","authors":"Verónica Cabreira, Caoimhe McLoughlin, Natasha Shivji, Alexandra Lodge, Sanne Van Rhijn, Roxanne C Keynejad, Jan Coebergh, Alan Carson, Jon Stone, Alex Lehn, Ingrid Hoeritzauer","doi":"10.1192/bjb.2024.70","DOIUrl":"https://doi.org/10.1192/bjb.2024.70","url":null,"abstract":"Aims and method: Functional neurological disorder (FND) most often presents in women of childbearing age, but little is known about its course and outcomes during pregnancy, labour and postpartum (the perinatal period). We searched MEDLINE, PsycInfo and Embase combining search terms for FND and the perinatal period. We extracted data on patient demographics, subtype of FND, timing of symptom onset, comorbidities, medications, type of delivery, investigations, treatment, pregnancy outcomes and FND symptoms at follow-up.Results: We included 36 studies (34 case reports and 2 case series) describing 43 patients. Six subtypes of FND were identified: functional (dissociative) seizures, motor weakness, movement disorder, dissociative amnesia, speech disorders and visual symptoms. New onset of perinatal FND was more common in the third trimester and onwards. Some women with functional seizures were exposed to unnecessary anti-seizure prescriptions and intensive care admissions.Clinical implications: Prospective studies are urgently needed to explore how FND interacts with women's health in the perinatal period.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399225","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

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 2.2

BJPsych Bulletin Pub Date : 2024-10-08 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":"https://doi.org/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":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387580","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

Quantifying the experiences of Black and Dual Heritage young people in a forensic child and adolescent mental health service. 量化黑人和双重遗产青少年在法医儿童和青少年心理健康服务中的经历。

IF 2.2

BJPsych Bulletin Pub Date : 2024-10-08 DOI: 10.1192/bjb.2024.74

Michelle A Sandiford, David Moran, Jared G Smith, Heidi Hales

{"title":"Quantifying the experiences of Black and Dual Heritage young people in a forensic child and adolescent mental health service.","authors":"Michelle A Sandiford, David Moran, Jared G Smith, Heidi Hales","doi":"10.1192/bjb.2024.74","DOIUrl":"https://doi.org/10.1192/bjb.2024.74","url":null,"abstract":"Background: Young people from racialised backgrounds are overrepresented in justice services. This study explored differences in community support offered to young people from racialised groups referred to a forensic child and adolescent mental health service.Method: We compared support offered to 427 young people, according to five ethnic groups.Results: Over 20% of young people referred were Black (compared with 14% of the local population) and 15.8% were Dual White and Black Heritage (compared with 4% of the local population). Odds ratios showed that Black and Dual Heritage groups were more frequently involved with youth offending services (Black: 2.59, Dual Heritage: 2.88), gangs services (Black: 4.31, Dual Heritage: 7.13) and have a national referral mechanism (Black: 3.61, Dual Heritage: 4.01) than their White peers, but were less often in mainstream education compared with their Asian peers (Black: 0.26, Dual Heritage: 0.29). Black (odds ratio 0.35) and Dual Heritage (odds ratio 0.40) young people were less frequently diagnosed with a neurodevelopmental disorder than their White peers.Conclusions: Those from Black and Dual Heritage backgrounds were disproportionately disadvantaged.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387583","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