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


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


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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#PreventableHarm discussion 20/7/16: Can risk assessment in mental health be evidence-based?


Can risk assessment in mental health be evidence-based? Join us for the #PreventableHarm discussion in London on Wed 20th July 2016. This free open ‘question time’ style debate is being organised by the UCL Division of Psychiatry, The Lancet Psychiatry and the National Elf Service.

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Self-harm in primary care: more prescribing than referrals

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Olivia Kirtley and Alys Cole-King present a major new cohort study, which includes worrying evidence about the clinical management of patients in primary care following self-harm.

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Self-harm in young people: how can we support parents and families?


Olivia Kirtley summarises an important new qualitative study that explores the impact of self-harm in young people on their parents and families.

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Psychotic-like experiences associated with self-harm, according to new systematic review, but further research is needed


Katrina Witt critiques a recent systematic review of psychotic-like experiences and the risk of self-harm and suicide in the general population.

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Psychosocial suicide prevention in youth: is the evidence strong enough?


Rachel Upthegrove appraises a recent systematic review of psychosocial suicide prevention for youth, which leaves her calling for better evidence to support investment in universal school-based interventions.

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Method switching in self-harm has implications for service design and risk management


Katrina Witt publishes her debut blog on a new cohort study from the Multi-Centre Monitoring of Self-Harm Project, which investigates switching methods of self-harm at repeat episodes.

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Can psychotherapy reduce suicide and self-harm in young people?

A young woman suffering from depression is consoled by her friend.

Mark Smith presents the findings of a recent systematic review and meta analysis of therapeutic interventions for suicide and self-harm in young people.

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Medication for self-harm: new Cochrane review finds very limited evidence to support its use


Dochka Hristova reports on a new Cochrane review of pharmacological interventions for self-harm in adults, which looks at the treatment effect on repetition of self-harm of antidepressants, antipsychotics, mood stabilisers and dietary supplements.

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