Prescribing antipsychotics in primary care: new study highlights frequent off-label use

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Josephine Neale reports on a recent cohort study that finds less than half of UK prescriptions for antipsychotics are issued for main licensed conditions (e.g. psychosis or bipolar disorder). The research provides a reminder about the dangers of prescribing antipsychotics to people with dementia.

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Childhood adversity linked to psychotropic drug use in later life

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Andrew Jones summarises a large Finnish population-based cohort study, which finds that childhood adversities strongly predict the use of psychotropic drugs (such as antidepressants and antipsychotics) in adulthood.

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Long working hours are associated with increased alcohol use

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Sally Adams summarises a new BMJ systematic review and meta-analysis of working hours and alcohol use, which finds a link between longer working hours and risky alcohol consumption.

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E-therapy for eating disorders: review finds lack of evidence for digital treatment or prevention

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Helen Bould summarises a new systematic review that finds a lack of evidence for the digital treatment or prevention of eating disorders. With so many new websites and apps popping up every week, why is there no reliable evidence of positive effect?

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Reducing alcohol consumption in illicit drug users: new Cochrane review on psychotherapies

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Olivia Maynard reports on a recent Cochrane review that investigates talking therapies for reducing alcohol consumption in illicit drug users. The reviewers found no differences in the effectiveness of different psychotherapies (motivational interviewing, brief interventions, CBT) and insufficient evidence to draw any meaningful conclusions.

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Helping people with depression return to work

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Meg Fluharty reports on a new Cochrane review of interventions to improve return to work in depressed people. The review finds moderate quality evidence for a range of work-directed and clinical interventions that can help people with depression return to work.

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We don’t know how to improve medicine adherence, says new Cochrane review

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Helge Hasselmann reports on a new Cochrane systematic review of interventions for enhancing medication adherence, which finds insufficient evidence to draw any conclusions. The full health benefits of medicines will not be realised until better interventions and better studies are conducted in this area.

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Social determinants of mental health: how our societies are making us mentally unwell and what we can do about it

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Mark Horowitz summarises the new WHO and UCL Institute of Health Equity (Michael Marmot) report and research paper on social determinants of mental health. He concludes that it’s time to focus on the root causes of mental distress, namely poverty, unemployment, poor education and social isolation.

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Do British newspapers breach suicide reporting guidelines?

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Caroline Tomes highlights a new study that explores suicide reporting in the arts sections of British newspapers. The study concludes that there is poor compliance with suicide reporting guidelines in British newspapers, but further research is needed before we can generalise these findings.

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