Common mental health disorders linked with increased risk of violent reoffending in ex-prisoners


Ian Cummins considers the implications of a new cohort study of convicted prisoners in Sweden, which links psychiatric disorders with violent reoffending.

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School interventions for ADHD: new HTA report of four systematic reviews

Classroom teacher with pupils

A warm woodland welcome to Joff Jones who pens his debut Mental Elf blog today about this new HTA report of non-pharmacological interventions for ADHD delivered in school settings.

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Placebo effect in psychiatry: what do we really know?


David Steele summarises a review of systematic reviews and meta-analyses, which looks at the mediators and moderators of the placebo effect in psychiatry.

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Tricyclic antidepressants for ADHD in children and adolescents: Cochrane review finds no evidence to support prescribing


Helge Hasselman summarises a Cochrane review of tricyclic antidepressants for attention deficit hyperactivity disorder (ADHD) in children and adolescents, which finds low quality evidence and no justification for prescribing these drugs in this group of patients.

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Are autism and ADHD associated with antidepressants or maternal depression? The debate continues…


Amy Green summarises a retrospective observational study that finds prenatal antidepressant exposure is associated with risk for ADHD, but not autistic spectrum disorders. She considers this complex topic and works out what it all means for pregnant women with depression.

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Meta-review presents the risks of all-cause and suicide mortality in mental disorders


This recent and well-conducted meta-review concludes that the impact on mortality and suicide of mental disorders is substantial, and probably poorly appreciated as a public health problem. Raphael Underwood’s blog summarises the data for all-cause and suicide mortality in mental disorders.

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Children of older fathers have an increased risk of psychiatric and academic problems, says new cohort study


Research suggests that the risk of developing psychiatric problems (such as autism spectrum disorder, intellectual disability or schizophrenia) may be linked to increased paternal age at the time of conception. This seems quite plausible given that advancing age in men is associated with increased genetic mutations in sperm. However, studies so far have generally not [read the full story…]

Continued low rate of use of appropriate adults for detainees with learning disabilities and ADHD cause for concern


Background Last week we posted about the recent multi agency inspection of responses to people with learning disabilities in the criminal justice system which suggested that information was poorly shared and that significant improvements were possible. The researchers in this study worked in a large London metropolitan police station and were interested in looking at [read the full story…]

ADHD and the importance of healthy sleep

child sleeping on school books

Good sleep is a crucial part of our physical and mental well-being. We typically spend about a third of our lives asleep but when we miss out on sleep, we can feel fatigued and struggle to concentrate. Sleep problems are generally quite common and have been reported as one of the most common health conditions [read the full story…]

Atomoxetine for adult ADHD: the harms outweigh the benefits, according to new systematic review


Attention Deficit Hyperactivity Disorder (ADHD) is a developmental neurological condition affecting functioning in a number of domains, but in particular, the ability to focus and concentrate, and regulate activity levels.  This is a common disorder with 2.5-4.0% of adults meeting diagnostic criteria for ADHD (Fayyad et al, 2007), and this condition has significant impact on a persons [read the full story…]