Lithium for bipolar disorder: the best maintenance mood stabiliser protection against self-harm and suicide?

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Michael Ostacher provides a robust appraisal of a recent UK cohort study that suggests bipolar disorder patients taking lithium had reduced self-harm and unintentional injury rates, when compared with patients taking valproate, olanzapine or quetiapine.

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Alcohol use disorder and increased mortality

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Matt Field summarises a recent Swedish longitudinal cohort study of alcohol use disorder and mortality across the lifespan. This study quantifies the environmental and genetic risk factors that contribute to increased mortality in people with alcohol use disorder.

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Self-harm on the rise, but many denied mental health assessments

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Katrina Witt explores a recently published paper that draws on the Multicentre Study of Self-Harm in England. The cohort study found that around one-half of self-harm patients do not receive psychosocial assessment, despite 2004 NICE guidance that recommends everyone who has self-harmed should have a comprehensive assessment of needs and risk.

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Outcomes in first episode manic psychosis

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Matthew Broome writes his debut Mental Elf blog on a three-year clinical and functional outcome comparison between first episode manic psychosis and first-episode schizophrenia.

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Is email good for your health?

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Epica the Dog and her human friends from the Equator Publication School sniff out a novel study about the effectiveness of email-based exercises in promoting psychological wellbeing and healthy lifestyle.

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IAPT: does improved access lead to increased complexity?

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Mark Smith presents the early findings of the PROMPT naturalistic cohort study, which looks at the clinical characteristics of patients assessed within an Improving Access to Psychological Therapies (IAPT) service.

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Antipsychotic overprescribing in people with learning disabilities #UCLJournalClub

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Tayla McCloud from the #UCLJournalClub presents the findings of a cohort study showing that antipsychotics are being over-prescribed in people with learning disabilities.

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Psychotropic medication in pregnancy: new evidence may help achieve a safe balance

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Joanne Wallace considers a recent health technology assessment on the risks and benefits of psychotropic medication in pregnancy, which supports previous associations between valproate and adverse child outcomes.

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Mental illness, challenging behaviour and psychotropic drugs #UCLJournalClub

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Join us at 2-3pm on Wednesday 18th May for the #UCLJournalClub, which will be live broadcasted on YouTube and live tweeted by the @LearningDisElf

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