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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Mondays and New Year’s Day associated with peaks in suicide incidence

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Emily Stapley reports on a recent study of the timing of general population and patient suicide in England. She discovers that Springtime, Mondays and New Year’s Day are all associated with peaks in suicide incidence.

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What happens to people after discharge from secure psychiatric hospital?

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Laura Hemming considers a recent systematic review of patient outcomes following discharge from secure psychiatric hospitals. The review finds that patients from secure units have a higher chance of mortality and suicide following discharge, than people from other settings.

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Suicide during the perinatal period

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Katrina Witt reviews a new UK study, which finds that women who ended their own lives during the perinatal period were significantly more likely to have a recent onset of depression, and were less likely to be receiving active treatment, and particularly medication, at their time of their death.

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Eating disorders and suicide

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David Steele considers the implications of a Swedish population registry study, which finds that people with eating disorders and their close relations are at increased risk for attempting and/or completing suicide.

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Antidepressants: benefits and harms in children and adults

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Samei Huda discusses the findings of a recent review into suicidality and aggression during antidepressant treatment. The systematic review and meta-analyses were based on clinical study reports and included some important adverse effects of antidepressants in children and young people.

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

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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?

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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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Can social networking alleviate loneliness in later life?

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Farhana Mann appraises a cross-sectional survey of social networking site usage, loneliness and mental health in community-dwelling older adults.

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Suicide risk assessment and intervention: need for a new approach?

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Olivia Kirtley and Alys Cole-King consider the implications of a new BMJ review on suicide risk assessment and intervention in people with mental illness.

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