BJPsych Open最新文献

{"title":"Mental health outcomes and associated factors among Myanmar refugees: systematic review.","authors":"Myo Chit, Samuel Mayeden, Ildiko Hoffmann, Valérie R Louis, Michael Lowery Wilson, Olaf Horstick, Peter Dambach, Andreas Deckert","doi":"10.1192/bjo.2026.12080","DOIUrl":"https://doi.org/10.1192/bjo.2026.12080","url":null,"abstract":"<p><strong>Background: </strong>Over 1.6 million refugees and asylum seekers from Myanmar reside in neighbouring countries. These populations face substantial mental health challenges, yet existing evidence remains fragmented, making a comprehensive review essential.</p><p><strong>Aims: </strong>To synthesise evidence on common mental disorders among Myanmar refugees, examine associated factors and explore challenges across host countries and refugee subgroups.</p><p><strong>Method: </strong>A systematic search of PubMed, PsycINFO, Web of Science, Embase, Scopus and grey literature was conducted through July 2025. Eligible studies reported on common mental disorders among Myanmar refugees of any age in regional host countries. Two reviewers independently screened studies and extracted data dually, assessed risk of bias with Joanna Briggs Institute checklists and synthesised findings narratively.</p><p><strong>Results: </strong>Of 1614 records, 14 studies met inclusion criteria, covering >10 800 refugees in Bangladesh (<i>n</i> = 9), Thailand (<i>n</i> = 3) and Malaysia (<i>n</i> = 2). Reported prevalence was high for depression (30.0-89.0%), anxiety (39.3-41.8%) and post-traumatic stress disorder (3.7-61.2%). Risk factors associated with poorer mental health included potentially traumatic events, female gender, older age, family dependency, post-migration difficulties, lack of social support, food insecurity and pre-existing health conditions. Employment and income were identified as protective factors. Mental health challenges varied by country. Barriers to care included limited service access, lack of culturally appropriate interventions and stigma.</p><p><strong>Conclusions: </strong>Myanmar refugees experience a high burden of mental disorders shaped by both potentially traumatic events and post-migration stressors. Effective interventions should be context-specific, focusing on person-centred care tailored to the refugee experience, improved living conditions, strengthened social support and enhanced economic opportunities.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e230"},"PeriodicalIF":4.0,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900440","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 case of late-onset anorexia nervosa with behavioural dysregulation in a 72-year-old woman, precipitated after olanzapine discontinuation.","authors":"Prabin Gautam, Manahil Baig, Efiong Ephraim, Samrana Khan, Tia Hamilton","doi":"10.1192/bjo.2026.12083","DOIUrl":"https://doi.org/10.1192/bjo.2026.12083","url":null,"abstract":"<p><p>This report details the case of a 72-year-old woman with a 5-year history of anorexia nervosa, whose presentation challenges the conventional presentation of anorexia nervosa. She was admitted under the Mental Health Act (MHA) of England and Wales because of escalating behavioural disturbance, including aggression and disinhibition, together with a long-standing pattern of restrictive eating and distorted body image. She presented with a markedly low body mass index, compulsive exercise and profound lack of insight, complicated by dilutional hyponatraemia, a less commonly reported but potentially life-threatening compensatory behaviour. Particularly noteworthy was the close temporal association between olanzapine discontinuation and the recurrence of severe weight loss and behavioural disturbance. Further complicating her assessment was the presence of encopresis and enuresis. Treatment involved multidisciplinary collaboration, thorough investigation to rule out age-related differentials, structured refeeding and cautious medication management, including olanzapine titration. This case highlights the diagnostic and therapeutic challenges of anorexia nervosa in older adults.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e228"},"PeriodicalIF":4.0,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900494","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":"Beyond psychiatric diagnosis: detection-gap perspective on suicide decedents in a population-based cohort.","authors":"Minha Hong, Ah Rah Lee, Su Kang Kim, Won Sub Kang, Sang Min Lee, Miae Oh, Younggyun Lim, Hee Jae Lee, Jin Kyung Park","doi":"10.1192/bjo.2026.12084","DOIUrl":"https://doi.org/10.1192/bjo.2026.12084","url":null,"abstract":"<p><strong>Background: </strong>A considerable proportion of individuals who die by suicide have no recorded psychiatric diagnosis, yet their psychosocial and clinical profiles remain poorly understood.</p><p><strong>Aims: </strong>To examine whether conventional demographic, physical health, psychosocial and mental health characteristics distinguish suicide decedents with, versus without, psychiatric diagnoses in a population-based cohort.</p><p><strong>Method: </strong>This retrospective case-control study used UK Biobank baseline data linked with national mortality records. Suicide decedents were classified as having a recorded psychiatric diagnosis prior to death (PtD) or no recorded diagnosis (NPD). Group comparisons and logistic regression analyses examined associations between psychosocial variables and diagnostic status, including domain-specific multivariable models adjusted for age and gender.</p><p><strong>Results: </strong>Among suicide decedents, 44% had no recorded psychiatric diagnosis. There were no significant differences between groups in smoking-related variables, diabetes, hyperlipidaemia, body mass index, social support or social connectedness. Hypertension, as well as the use of immunosuppressants and anti-inflammatory agents, were more prevalent in the PtD group. PtD individuals exhibited higher levels of anxiety-related traits, neuroticism and healthcare utilisation. In multivariable analyses, several unadjusted comparisons were attenuated. Neuroticism, 'suffering from nerves', healthcare utilisation and lower risk-taking remained significantly associated with PtD status whereas mood-related variables, including depressed mood and anhedonia, were no longer statistically significant following adjustment.</p><p><strong>Conclusions: </strong>Nearly half of suicide decedents had no recorded psychiatric diagnosis, and conventional psychosocial markers demonstrated limited discriminative value under current measurement conditions. These findings support a detection-gap framework and highlight the need for suicide prevention strategies extending beyond diagnosis-based approaches towards broader, population-level detection.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e226"},"PeriodicalIF":4.0,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148879071","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":"Audit: Review of 72-Hour Formulation Meetings on Adult Mental Health Ward - CORRIGENDUM.","authors":"Omeno Ohene, Mubeena Sirajudeen, Ijeoma Akuma-Akpu, Onuwabhagbe Daniel Omomhenle","doi":"10.1192/bjo.2026.12102","DOIUrl":"https://doi.org/10.1192/bjo.2026.12102","url":null,"abstract":"","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e221"},"PeriodicalIF":4.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863530","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":"Patient preferences in in-patient psychiatry: structural elements for optimal care.","authors":"Robert Davidson, Timur Liwinski, Rainer Gaupp, Lukas Imfeld, Annette B Brühl, Marc Vogel, Christian G Huber, Undine E Lang","doi":"10.1192/bjo.2026.12078","DOIUrl":"https://doi.org/10.1192/bjo.2026.12078","url":null,"abstract":"<p><strong>Background: </strong>The physical environment of psychiatric in-patient facilities plays a significant role in patient well-being, treatment satisfaction and recovery. Despite growing evidence that architectural design influences clinical outcomes, systematic data on patient preferences regarding hospital structure remain scarce.</p><p><strong>Aims: </strong>To identify structural and architectural requirements for psychiatric hospital design, from the patient perspective.</p><p><strong>Method: </strong>A cross-sectional, hybrid questionnaire survey incorporating closed- and open-ended questions was administered to former psychiatric in-patients from all wards of a tertiary care centre (University Psychiatric Clinics Basel, Switzerland) who had been treated before September 2023. The survey assessed patient-reported disturbances related to room conditions, preferences for structural and environmental design elements, importance ratings of specific architectural features (measured using Likert scales) and preferred treatment settings.</p><p><strong>Results: </strong>A total of 604 participants completed the survey (response rate 19.1%). Room-related disturbances were reported by 49% of respondents (<i>n</i> = 282), with key concerns including insufficient privacy, limited withdrawal opportunities and impaired sleep quality. Single-occupancy rooms were rated as very important (10/10) by 64% of respondents. Access to a surrounding park environment (74%) and direct outdoor access (75%) were among the most highly valued features. In-patient treatment was the preferred modality for 54.1% of respondents, followed by out-patient care (17.8%) and day clinics (15.9%).</p><p><strong>Conclusions: </strong>Psychiatric patients strongly prioritise in-patient settings offering single-occupancy rooms, privacy and access to green spaces and outdoor areas. These findings underscore the importance of systematically incorporating patient perspectives into the architectural and structural planning of psychiatric facilities.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e224"},"PeriodicalIF":4.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863474","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":"Women's lived experiences of first-episode psychosis care: implications for gender-responsive care.","authors":"Grainne McGinty, Sean Naughton, Keith Gaynor, Roisin Farrelly, Philip O'Donnell, Anja Stano, Mary Clarke","doi":"10.1192/bjo.2026.12085","DOIUrl":"https://doi.org/10.1192/bjo.2026.12085","url":null,"abstract":"<p><strong>Background: </strong>Women with first-episode psychosis (FEP) may experience distinct clinical, reproductive and social challenges, yet their experiences of psychosis care remain underexplored. Greater understanding of women's perspectives is needed to inform gender-responsive service provision.</p><p><strong>Aims: </strong>To explore how women make sense of their experience of psychosis care, to identify areas where gender-specific needs were unmet and to highlight priorities for improving care for women experiencing FEP.</p><p><strong>Method: </strong>This qualitative study employed semi-structured interviews with women who had experienced FEP and received care through early intervention in psychosis and adult community mental health services (<i>N</i> = 15). Data were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Four overarching themes were identified: (a) violations of personhood and bodily integrity; (b) invisible menstrual and reproductive health in mental healthcare; (c) women-specific barriers to accessing and sustaining care; and (d) moving towards better care for women with FEP. Women described feeling unsafe in mixed-gender in-patient settings, experiencing unmet reproductive and menstrual health needs and navigating caregiving responsibilities that complicated engagement with care. Findings informed a framework of recommendations for improving gender-responsive psychosis care.</p><p><strong>Conclusions: </strong>This study provides one of the first in-depth qualitative examinations of women's experiences of FEP care. Women described how their experiences were shaped by issues of safety, autonomy, reproductive health and gendered expectations that remain insufficiently recognised within current service models. These findings highlight persistent gaps in sex- and gender-responsive psychosis care, and support the development of services that more effectively address women's safety, reproductive health and caregiving needs.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e225"},"PeriodicalIF":4.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863489","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 systematic review of the impact of Mental Health First Aid on medical, nursing and allied healthcare professional students.","authors":"Su Ying Yeoh, Sharna Bennett, Helen Bintley, Joanne Rodda","doi":"10.1192/bjo.2026.12062","DOIUrl":"https://doi.org/10.1192/bjo.2026.12062","url":null,"abstract":"<p><strong>Background: </strong>Healthcare professional (HCP) students are at high risk of mental health problems, but stigma and fear of career repercussions often deter them from seeking help. Mental Health First Aid (MHFA) is a globally disseminated course teaching the public to identify and respond to people experiencing mental health problems. MHFA training may address some of the challenges faced by HCP students, by improving mental health knowledge and by enhancing well-being and peer support.</p><p><strong>Aims: </strong>To systematically review the available literature regarding the impact of MHFA training on HCP students' mental health literacy, confidence and intentions to provide help, stigma, peer support and self-care.</p><p><strong>Method: </strong>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (International Prospective Register of Systematic Reviews ID: CRD42024589509), five databases were searched. Primary studies evaluating the above outcome measures in HCP students were included. Two authors independently screened references and extracted data. Quality was assessed using the Modified Medical Education Research Study Quality Instrument and Cochrane Risk of Bias tools. A narrative synthesis was performed.</p><p><strong>Results: </strong>Of 2367 records screened, 26 met inclusion criteria. Confidence in supporting others and mental health literacy showed the most consistent improvements following MHFA training, whereas evidence for changes in stigma was mixed. Peer support, self-care and student well-being were infrequently examined, although qualitative data suggested that MHFA had improved openness to help-seeking.</p><p><strong>Conclusions: </strong>MHFA shows promise in enhancing mental health literacy, confidence and intentions, and in reducing stigma, particularly when supplemented with experiential learning. HCP students may benefit from tailoring of such courses to their specific needs, fostering a culture of peer support, enhancing well-being and introducing basic concepts in mental health.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e222"},"PeriodicalIF":4.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863508","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":"Detecting short-term post-traumatic stress disorder symptom increases among veterans: machine-learning analysis integrating wearable sensor and daily self-report data.","authors":"Daniel Leightley, John Prindle, Shaddy Saba, Bistra Dilkina, Eric R Pedersen, Emily Dworkin, Esther Howe, Praneeth Thota, Sriram Nuthi, Angeles Sedano, Jordan P Davis","doi":"10.1192/bjo.2026.12055","DOIUrl":"https://doi.org/10.1192/bjo.2026.12055","url":null,"abstract":"<p><strong>Background: </strong>Post-traumatic stress disorder (PTSD) symptoms can fluctuate substantially over short periods, yet routine screening typically relies on infrequent self-report. Wearable sensors provide continuous behavioural and physiological signals that may help identify periods of elevated risk.</p><p><strong>Aims: </strong>This study aimed to evaluate whether combining wearable sensor features with daily self-report data could identify short-term PTSD symptom increases among recently discharged veterans.</p><p><strong>Method: </strong>Seventy-four veterans wore commercial activity trackers and completed brief daily questionnaires over 87 days. For each participant, we defined an individual baseline by using the first 14 days of PTSD scores. Wearable variables were transformed into baseline-referenced deviation features to capture departures from personal norms. Missing data were addressed with multiple imputation by chained equations. Candidate predictors were prioritised with least absolute shrinkage and selection operator regression, and a set of machine-learning classifiers was evaluated. Primary performance was assessed by using the area under the precision-recall curve (PR AUC).</p><p><strong>Results: </strong>Across feature set sizes (<i>k</i> = 1-25), performance peaked at <i>k</i> = 17. At this iteration, LightGBM achieved the strongest discrimination (PR AUC 0.86 (s.d. 0.07); area under the receiver-operating characteristic curve 0.89 (s.d. 0.04)) with a precision of 0.67 (s.d. 0.08), recall of 0.64 (s.d. 0.08) and F1 of 0.65 (s.d. 0.07). Key predictors reflected a multimodal profile, combining self-reported affect and perceived stress with wearable indicators of sleep continuity, activity variability and autonomic regulation.</p><p><strong>Conclusions: </strong>Baseline-referenced wearable features combined with daily self-report may help identify near-term PTSD symptom increases among recently discharged veterans with elevated PTSD symptoms and problematic cannabis use. Future work should validate performance in broader PTSD populations, including samples without problematic cannabis use.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e223"},"PeriodicalIF":4.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863494","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":"Housing status and emergency mental health outcomes in an inner-city emergency department: retrospective cohort study.","authors":"Ailbhe Brennan, Ajinkya Mehta, Maia Springael, Kevin Kilbride, Anne M Doherty","doi":"10.1192/bjo.2026.12071","DOIUrl":"https://doi.org/10.1192/bjo.2026.12071","url":null,"abstract":"<p><strong>Background: </strong>People experiencing homelessness (PEH) attend emergency departments, often presenting with complex needs. The relationship between housing status and access to mental healthcare is not well established.</p><p><strong>Aims: </strong>To compare characteristics, clinical severity and admission rates by housing status, and to examine whether homelessness is associated with admission after adjusting for severity.</p><p><strong>Method: </strong>We conducted a retrospective cohort study of patients referred to psychiatry at an inner-city emergency department between 1 January and 31 December 2020. Housing status was recorded at presentation. Severity was rated using the Threshold Assessment Grid (TAG, range 0-24). The primary outcome was hospital admission. Group differences were examined using <i>t</i>-tests and <i>χ</i>² tests. Multivariable logistic regression models assessed variables associated with admission, adjusting for TAG total, age and gender, and then for individual TAG domains.</p><p><strong>Results: </strong>Of 771 referrals, 282 (36.6%) were PEH. PEH had higher severity (mean TAG 12.3 <i>v</i>. 8.1, <i>p</i> < 0.001) but lower admission rates (10.6 <i>v</i>. 18.0%, <i>p</i> = 0.006). All TAG domains were elevated among PEH, with the largest differences in survival, risk from others and social functioning. Each one-point TAG increase was associated with higher odds of admission (adjusted odds ratio (aOR) 1.34, <i>p</i> < 0.001), as was older age (aOR 1.04 per year, <i>p</i> < 0.001). PEH had lower odds of admission (aOR 0.16, <i>p</i> < 0.001), which persisted following domain-level adjustment (aOR 0.45, <i>p</i> = 0.039).</p><p><strong>Conclusions: </strong>Despite greater severity, admission rates among PEH were lower following emergency psychiatric assessment. These findings highlight the need for better understanding of how emergency mental health services respond to the complex needs of this population.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e218"},"PeriodicalIF":4.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839214","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":"Impact of social isolation and loneliness on the risk of functional bowel disorders: findings from a large-scale cohort study.","authors":"Yan Ran, Jian Lei, Lianli Wang, Yan Zhuang, Laifu Li, Jiamiao Chen, Zhuoya Sun, Lin Mei, Fei Dai","doi":"10.1192/bjo.2026.12065","DOIUrl":"https://doi.org/10.1192/bjo.2026.12065","url":null,"abstract":"<p><strong>Background: </strong>Social isolation and loneliness are recognised as important risk factors for various health outcomes. However, their impact on functional bowel disorders (FBDs) remains underexplored.</p><p><strong>Aims: </strong>To explore the associations of social isolation and loneliness with the risk of FBDs in a large prospective cohort.</p><p><strong>Method: </strong>We included 396 009 participants from UK Biobank who were free of cancer and FBDs at baseline. Social isolation and loneliness were assessed using validated self-reported questionnaires. Incident FBDs were ascertained during follow-up. Cox proportional hazards models were used to estimate hazard ratios and 95% CIs. Mediation, subgroup and sensitivity analyses were conducted.</p><p><strong>Results: </strong>Over a mean follow-up of 15.2 years, 31 877 incident FBDs cases were recorded. Compared with the least isolated, the most isolated had a higher risk of FBDs (hazard ratio 1.15, 95% CI 1.11-1.20). Loneliness was also associated with higher risk (hazard ratio 1.28, 95% CI 1.21-1.35). The highest risk was observed among participants who were most isolated and lonely (hazard ratio 1.46, 95% CI 1.33-1.60). Depression, anxiety and low physical activity partially mediated the associations between social isolation/loneliness and FBDs. The association between social isolation and FBDs risk appeared stronger among male, overweight and unemployed individuals, whereas middle-aged adults were more susceptible to loneliness-related risk.</p><p><strong>Conclusions: </strong>Social isolation and loneliness were associated with a higher risk of FBDs, particularly when co-occurring. These findings underscore the potential relevance of social disconnection to FBDs and suggest that it may represent a target for future preventive strategies.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e217"},"PeriodicalIF":4.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839170","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}