BJPsych Open最新文献

{"title":"Long-acting injectable antipsychotics in schizophrenia management: population-based epidemiological study of longitudinal prescribing practices in Ireland (2014-2024).","authors":"Ita Fitzgerald, Siobhán Nolan, Edel Burton, Ciara Ní Dhubhlaing, Sarah O'Dwyer, Laura J Sahm","doi":"10.1192/bjo.2026.12133","DOIUrl":"https://doi.org/10.1192/bjo.2026.12133","url":null,"abstract":"<p><strong>Background: </strong>International guidance recommends that long-acting injectable (LAI) antipsychotics be considered for routine management of first-episode schizophrenia. Reliable national estimates of utilisation are lacking for most countries, including Ireland.</p><p><strong>Aims: </strong>To determine the prevalence of LAI antipsychotic prescribing in Ireland between 2014 and 2024 and explore the effects of age, sex and socioeconomic status on prescribing trends.</p><p><strong>Method: </strong>The annual prescribing prevalence was calculated per 1000 individuals with schizophrenia aged 15-69 using the national pharmacy claims database. The effects of year, age, sex, socioeconomic class and antipsychotic medication on LAI antipsychotic prescribing trends were examined using log-linear regression.</p><p><strong>Results: </strong>The prevalence of LAI antipsychotic prescribing decreased from 327/1000 in 2014 to 281/1000 in 2024, with an average annual change in prescribing rate of -1.49% [95% CI -1.98, -0.79]. In 2024, paliperidone LAIs were most commonly prescribed (40.2%). Prescribing prevalence increased with age, with the lowest prescribing prevalence occurring among those aged 15-24 years (79/1000) and the highest among those aged 65-69 years (434/1000). The prescribing prevalence increased significantly among those aged 25-34 years only (+2.7% [95% CI 1.7, 4.3]). Prescribing rates decreased across all ages between 45 and 69 years; the largest decrease occurred among those aged 65-69 years (-4.3% [95% CI -5.7, -2.9]). Higher rates of prescribing were seen in male compared with female patients across all age bands, with the highest male-to-female ratio (2.94) occurring among those aged 25-34 years.</p><p><strong>Conclusions: </strong>Approximately 28% of Irish individuals with schizophrenia are prescribed an LAI antipsychotic. Prescribing rates have decreased by 14% since 2014. Priorities for future research include implementation science studies to identify strategies that can effectively increase LAI antipsychotic prescribing.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e269"},"PeriodicalIF":4.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute behavioural disturbance in the context of substance use: case series analysis of coroner reports.","authors":"Margarita Kousteni, Nicola J Kalk, Caroline S Copeland","doi":"10.1192/bjo.2026.12121","DOIUrl":"https://doi.org/10.1192/bjo.2026.12121","url":null,"abstract":"<p><strong>Background: </strong>Acute behavioural disturbance (ABD) is a contested term describing severe agitation and behavioural dysregulation, often preceding sudden death. Concerns regarding diagnostic clarity, racial bias and law enforcement restraint have been raised, and its clinical and forensic utility have been questioned.</p><p><strong>Aims: </strong>To characterise fatal ABD cases following substance use to inform clinical management, forensic interpretation and policy.</p><p><strong>Method: </strong>Fifty-one deaths consistent with ABD were identified from the National Programme on Substance Use Mortality (NPSUM) using textual screening and Royal College of Emergency Medicine and Faculty of Forensic & Legal Medicine criteria.</p><p><strong>Results: </strong>All cases met Royal College of Emergency Medicine criteria and most met Faculty of Forensic & Legal Medicine (84.3%) criteria. Agitation was the most frequently observed sign (86.3% of cases). Stimulants, particularly cocaine and amphetamines, were also detected in 86.3% of cases, but not necessarily in the same cases, and the rate of stimulant detection was almost three times higher than that in in the broader NPSUM cohort (32.1%). Cocaine concentrations were higher in ABD cases than in all NPSUM cocaine-related deaths (0.848 mg/L <i>v</i>. 0.105 mg/L). Compared with the NPSUM cohort, ABD decedents were significantly younger (30.2 ± 7.5 <i>v</i>. 40.5 ± 13.4) and more likely to be male (92.2 <i>v</i>. 73.4%), from racially minoritised backgrounds (21.7 <i>v</i>. 3.9%) and living in deprived areas (87.0 <i>v</i>. 75.9%).</p><p><strong>Conclusions: </strong>Variability in diagnostic criteria highlights a need for clearer ABD definitions. Toxicology testing may assist in refining the ABD construct, but its results must be interpreted within broader clinical and social contexts. These findings support avoiding use of ABD as a stand-alone cause of death but retaining it as a clinical descriptor prompting urgent treatment, monitoring and reduced reliance on prolonged restraint.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e267"},"PeriodicalIF":4.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnic disparities in time to bipolar disorder diagnosis: retrospective cohort study.","authors":"Maria Richards-Brown, Violeta Perez-Rodriguez, Emma Butler, Sophie M Allan, Rashmi Patel, Rebecca Strawbridge, Katherine Beck, Oliver D Howes, Allan Hunter Young, Sameer Jauhar","doi":"10.1192/bjo.2026.12132","DOIUrl":"https://doi.org/10.1192/bjo.2026.12132","url":null,"abstract":"<p><p>Lithium is a first-line maintenance treatment for bipolar disorder yet delays in diagnosis and lithium initiation remain common. This retrospective cohort study examined whether time to bipolar disorder diagnosis and lithium initiation differ by ethnicity, gender or age among 88 patients at South London and Maudsley National Health Service Foundation Trust. Delay outcomes were non-normally distributed and log-transformed before analysis. No demographic characteristic was significantly associated with time to lithium initiation. Ethnicity was significantly associated with diagnostic delay, with individuals from minority ethnic groups experiencing longer delays than White individuals (median 556 <i>v</i>. 50.5 days; IQR [89.8, 1342] <i>v</i>. [6.25, 222]), which persisted after adjustment for age, gender, substance use and illness severity, and remained robust to outlier removal. Although social deprivation was not accounted for, these findings suggest possible systematic diagnostic inequities in bipolar disorder, calling for culturally informed diagnostic practices and further investigation in larger, multi-site samples.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e268"},"PeriodicalIF":4.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A randomised controlled feasibility trial of FREED-Mobile, a smartphone-friendly decision-making tool, designed to facilitate help-seeking in young people with eating disorders.","authors":"Helen Sharpe, Karina L Allen, Kimberley A Goldsmith, Vanessa Lawrence, Sarah Byford, Dina Monssen, Molly R Davies, Luiza Grycuk, Vibhore Prasad, Rachel Potterton, Priya Popat, Victoria A Mountford, Sheryllin McNeil, Nina Grant, Danielle Glennon, Amy Brown, Ulrike Schmidt","doi":"10.1192/bjo.2026.12113","DOIUrl":"https://doi.org/10.1192/bjo.2026.12113","url":null,"abstract":"<p><strong>Background: </strong>Early intervention increases the likelihood of eating disorder recovery but many young people delay help-seeking. We developed a smartphone-friendly, online decision-making tool to address this gap (FREED-Mobile (FREED-M)).</p><p><strong>Aims: </strong>To conduct a randomised controlled feasibility trial of the FREED-M decision-making tool with 16- to 25-year-olds with a suspected eating disorder and no previous treatment for this.</p><p><strong>Method: </strong>Participants were randomly allocated to FREED-M or an active control in a parallel group, two-arm trial. Outcomes were measured at weeks 0 (baseline), 4 (post-intervention) and 12 (follow-up). The primary feasibility outcome was attrition at follow-up. Other outcomes included motivational, clinical and economic measures.</p><p><strong>Results: </strong>We over-recruited with 204 randomised participants (including 20 fraudulent participants). Main analyses were conducted with 184 genuine responders (FREED-M: <i>n</i> = 91, control: <i>n</i> = 93). At baseline, participants' mean age was 21.0 (s.d. 2.0) years, 89% identified as female and 64% as White. Mean body mass index was 23.1 kg/m² (6.3). <i>N</i> = 83 participants had an anorexia nervosa-like disorder, 101 had another eating disorder or high eating disorder risk. Attrition at week 12 was <i>n</i> = 112 (61%). Of the <i>n</i> = 42 FREED-M participants who provided acceptability ratings, 79% liked the intervention and 66% found it useful. Between-group effect sizes for motivation and readiness to change were small to medium at 4 weeks (<i>d</i> = 0.27 and <i>d</i> = 0.15, respectively) favouring FREED-M, but differences were not sustained at follow-up (<i>d</i> = -0.02 and <i>d</i> = -0.12, respectively).</p><p><strong>Discussions: </strong>Although the attrition rate was high, recruitment exceeded expectations. Acceptability of FREED-M was high among participants who provided acceptability ratings. Motivation/readiness to change and help-seeking are candidates for primary outcomes in a future randomised controlled trial.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e266"},"PeriodicalIF":4.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decades of national health strategy in England on intellectual disability and the drift from evidence-based practice.","authors":"Rohit Shankar, Samuel J Tromans, Jana DeVilliers, Bhathika Perera, Rory Sheehan, Indermeet Sawhney, Raja Anindya Sekhar Mukherjee, Jane McCarthy, Kiran Purandare, Satheesh Kumar Gangadharan, Ashok Roy, Kenneth R Kaufman, Andre Strydom, Regi T Alexander, Richard A Laugharne, Angela Hassiotis","doi":"10.1192/bjo.2026.12131","DOIUrl":"https://doi.org/10.1192/bjo.2026.12131","url":null,"abstract":"<p><p>Over the past few decades, English health policy for people with intellectual disability has been shaped by legitimate concerns regarding care standards and the need for an inclusive health agenda. However, policies may be driven more by ideology than by empirical evidence. This editorial critically examines this premise using seven topical examples: (a) reduction of specialist in-patient beds, (b) mainstreaming healthcare, (c) specialist services challenges exemplified by children and forensic pathways for intellectual disability, (d) absence of application of outcome measures, (e) lack of a coordinated research agenda, (f) changes to mental health legislation and (g) the conflation of autism and intellectual disability. We highlight the risks of implementing large-scale system transformation without adequate evidence or evaluation of the impact of policy initiatives. We argue and provide recommendations for a rebalancing of policy towards evidence-based service design, investment in research and maintenance and development of specialist expertise.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e265"},"PeriodicalIF":4.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential effectiveness of war-adapted brief prolonged exposure for PTSD prevention: preliminary study among Nova Festival survivors during ongoing conflict.","authors":"Nitsa Nacasch, Hadas Afgin, Netta Shoenfeld, Ilanit Wul, Gay Meschiany, Edna B Foa, Raz Gross, Nadav Goldental, Gal Levi, Joseph Zohar, Mark Weiser, Hagit Cohen","doi":"10.1192/bjo.2026.12116","DOIUrl":"https://doi.org/10.1192/bjo.2026.12116","url":null,"abstract":"<p><strong>Background: </strong>The 7 October 2023, terrorist attack at the Nova Festival in southern Israel caused deaths, injuries, hostage-taking and prolonged life-threatening exposure, creating an urgent need for early interventions to reduce post-traumatic morbidity. Although prolonged exposure is an established post-traumatic stress disorder (PTSD) treatment, its feasibility and benefit during ongoing threat remain unclear.</p><p><strong>Aims: </strong>This preliminary study evaluated a war-adapted brief prolonged exposure protocol (WBPE) delivered shortly after trauma in Nova Festival survivors with acute stress disorder.</p><p><strong>Method: </strong>Forty survivors completed the WBPE and were assessed at baseline and immediately post treatment. A subsample of 27 WBPE completers and 18 untreated wait-list controls was reassessed after 5 months. Outcomes were PTSD (PDS-5), depression (PHQ-9) and anxiety (GAD-7) symptom severity.</p><p><strong>Results: </strong>WBPE was associated with significant reductions in PTSD, depression and anxiety immediately after treatment. At 5 months, WBPE participants showed greater reductions in PTSD and depressive symptom severity and lower PTSD and depression symptom scores than controls, with large effect sizes. Anxiety symptoms improved in both groups, consistent with possible natural recovery. Clinically significant depressive symptoms (48.15 <i>v</i>. 77.78%) and anxiety symptoms (37.04 <i>v</i>. 72.22%) were less frequent in WBPE participants than controls, whereas probable PTSD rates did not differ significantly. Substance use during the study period was associated with poorer outcomes and smaller symptom reductions.</p><p><strong>Conclusions: </strong>WBPE appears feasible and potentially beneficial under wartime conditions, with meaningful improvements in PTSD and depression despite persistent threat. Substance use was linked to poorer recovery and should be systematically assessed in post-trauma care.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e264"},"PeriodicalIF":4.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a community intervention to increase help-seeking and adherence to depression care in India: mixed-methods study.","authors":"Miriam Sequeira, Yashi Gandhi, Richard Velleman, Daisy Radha Singla, Kedar Mirchandani, Luanna Fernandes, Helen A Weiss, Bijayalaxmi Biswal, Urvita Bhatia, Lalan Karapurkar, Lalan Madkaikar, Nikita Nalawade, Chunling Lu, Vikram Patel, Abhijit Nadkarni","doi":"10.1192/bjo.2026.12092","DOIUrl":"https://doi.org/10.1192/bjo.2026.12092","url":null,"abstract":"<p><strong>Background: </strong>Access to depression care can be improved by overcoming a combination of supply-side barriers and demand-side factors.</p><p><strong>Aims: </strong>To describe the systematic development of a community-based intervention to improve uptake of, and adherence to, a psychosocial treatment for depression delivered by trained primary healthcare staff in Goa, India.</p><p><strong>Method: </strong>This mixed-methods study included five steps: Step 1, Synthesis of existing evidence by conducting relevant systematic reviews and a review of public health programmes in India; Step 2, In-depth interviews with community stakeholders (<i>n</i> = 35); Step 3, Consultation workshops with community stakeholders (<i>n</i> = 19) and primary healthcare staff (<i>n</i> = 34); Step 4, Triangulation of findings from the preceding steps; and Step 5, Content development for the intervention (e-course for training and the community intervention toolkit for delivery).</p><p><strong>Results: </strong>Overall, 20 strategies to enhance help-seeking and 5 strategies to improve adherence were identified to constitute the intervention. The community-based intervention is organised into four domains (Learn, Inform, Engage and Follow-up), with self-care integrated throughout the intervention. This intervention is designed to be delivered by a community volunteer who is motivated to cater to the communities' needs. The community volunteer is trained to deliver the intervention via a blended approach, an e-course and in-person one-on-one learning support by a coach, who later acts as a facilitator during the intervention delivery phase.</p><p><strong>Conclusions: </strong>The systematic method enabled the development of a comprehensive intervention with contextually appropriate delivery strategies. The effectiveness of the intervention is presently being tested as part of a Hybrid Type II Implementation-Effectiveness randomised controlled trial. If found effective, the intervention has the potential to be a low-cost and sustainable opportunity to improve demand and adherence to depression treatment while also providing essential social, emotional and logistical support during the recovery process.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e241"},"PeriodicalIF":4.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Problem management plus with emotional processing module for refugee youth in the Netherlands: pilot trial of feasibility, acceptability and safety.","authors":"Cansu Alozkan Sever, Pim Cuijpers, Ellenor Mittendorfer-Rutz, Aemal Akhtar, Richard A Bryant, Katie S Dawson, Michael Matewos Abraham, Jolnar Makhous, Zainab Safar, Sonya Vasylieva, Ilse L Verhagen, Marit Sijbrandij","doi":"10.1192/bjo.2026.12122","DOIUrl":"https://doi.org/10.1192/bjo.2026.12122","url":null,"abstract":"<p><strong>Background: </strong>Refugee youth are at elevated risk for post-traumatic stress disorder (PTSD) and other mental health disorders, yet systemic and cultural barriers limit access to care. Scalable, transdiagnostic interventions such as Problem Management Plus (PM+) are promising, but their impact on trauma symptoms is modest. Incorporating brief trauma-focused components may enhance effectiveness.</p><p><strong>Aims: </strong>To evaluate the feasibility and acceptability of PM+ with an emotional processing module (PM+EP) for refugee youth aged 16-25 years in the Netherlands.</p><p><strong>Method: </strong>Refugee youth with elevated psychological distress (K10 > 15) and impaired functioning (World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) > 16) were randomised into PM+EP, PM+ with supportive counselling (PM+SC), or care as usual (CAU). Feasibility and acceptability were assessed via recruitment, adherence, fidelity and qualitative interviews. Psychological distress, PTSD symptoms, functioning and self-identified problems were measured at baseline, post-intervention and follow-up. Registered in Overview of Medical Research in the Netherlands (OMON; Trial ID: NL-OMON56254).</p><p><strong>Results: </strong>Fifty-two participants were randomised (PM+EP: <i>n</i> = 17; PM+SC: <i>n</i> = 19; CAU: <i>n</i> = 16). Attendance and fidelity were high, and PM+ interventions were rated as acceptable and culturally appropriate. No significant between-group differences were observed in the primary analyses. Exploratory analyses suggested greater short-term symptom reduction for probable depression in PM+EP versus CAU (<i>b</i> = -0.79, s.e. = 0.38, <i>p</i> = 0.04). Effect size estimates ranged from small to large across outcomes (Hedges' <i>g</i> = -0.98 to 0.19).</p><p><strong>Conclusions: </strong>PM+ is feasible, acceptable and safe for refugee youth aged 16 years and older. The potential added value of the EP module remains unclear and warrants further investigation.</p><p><strong>Trial registration number: </strong>The trial was registered in the Dutch clinical trial registration: Overview of Medical Research in the Netherlands (OMON) (Trial ID: NL-OMON56254; https://onderzoekmetmensen.nl/en/trial/56254).</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e262"},"PeriodicalIF":4.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the difference between self-harm and suicidal ideation among older people who present to emergency departments: national cohort study.","authors":"Fiona Hoare, Geraldine McCarthy, Katerina Kavalidou, Vincent Russell, Michael John Norton, Anne M Doherty","doi":"10.1192/bjo.2026.12112","DOIUrl":"https://doi.org/10.1192/bjo.2026.12112","url":null,"abstract":"<p><strong>Background: </strong>Older people have higher rates of death by suicide, and both self-harm and suicidal ideation are major risk factors for suicide. There is limited data relating to this group internationally.</p><p><strong>Aims: </strong>The objective of this study was to identify the clinical and sociodemographic variables associated with psychiatric admissions for older people who present with self-harm and suicidal ideation to emergency departments in Ireland.</p><p><strong>Method: </strong>This is a cohort study of older people in Ireland, utilising data collected by the National Clinical Programme for Self-Harm and Suicide-Related Ideation (NCPSHI). It is a national data-set including anonymised data from all participating emergency departments in Ireland, comprising 72 810 presentations over 5 years (2018-2020). We examined the characteristics of people aged over 60 presenting with self-harm and suicidal ideation (<i>n</i> = 4866). The variables associated with suicidal ideation and behaviours were explored using multivariable analysis.</p><p><strong>Results: </strong>Nationally, 7% of the patients presenting were aged over 60 years. One-quarter (26.8%) of older people presenting with self-harm required psychiatric admission (16.3% all-ages). On multivariable analysis, the relationship between self-harm and psychiatric admission was not statistically significant (reference group was those with suicidal ideation), after controlling for gender, year of presentation, substance use and need for medical admission odds ratio 0.977 (CI0.936-1.020).</p><p><strong>Conclusions: </strong>Our results outline the characteristics of older people presenting to Irish emergency departments with self-harm and suicidal ideation, which are associated with psychiatric admission. Further research is needed to understand the factors driving these presentations and to tailor our services to meet the needs of older people.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e261"},"PeriodicalIF":4.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Zolpidem for Catatonia Refractory to Benzodiazepines in Resource-Limited Settings - CORRIGENDUM.","authors":"Holly Hodge, Shaikh Ullahansari, Blake Berry, Michelle Oyeka","doi":"10.1192/bjo.2026.12149","DOIUrl":"https://doi.org/10.1192/bjo.2026.12149","url":null,"abstract":"","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e260"},"PeriodicalIF":4.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}