What impact do guidelines actually have on patient outcomes for people with schizophrenia?

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Using research findings to improve care in mental health should be easy. Notice an understudied area, do a study on it, write a guideline based on your results and watch mental health professionals modify their practice accordingly. Hooray for science. But in reality, this process is convoluted and murky. Though we’re fairly good at churning out [read the full story…]

Interventions for drug using offenders: What works in reducing drug use and criminal activity?

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It is estimated that between 10% (Gunn 1991) and 39% (Brooke 1996) of prisoners in the UK are dependent on illicit drugs; and that 14.5% of male and 31% of female prisoners have serious mental health problems (Steadman 2009). Drug use can be associated with many health, social and criminological consequences; and when mental health [read the full story…]

Missing heritability: the final piece?

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Uncovering the genetic component to common disease has been challenging. Whilst we now have more reliable heritability estimates (the proportion of susceptibility to disease which is accounted for by genetics), we are far from finding all genetic variants contributing to heritability. That is to say that if a disease is 80% heritable, we may have [read the full story…]

Physical health monitoring in serious mental illness is a priority in psychiatry, but where is the evidence that it works?

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It is widely acknowledged that individuals with serious mental illnesses (SMI) such as schizophrenia, bipolar disorder and severe depression have increased rates of mortality, due to poor physical health. As well as reducing quality of life and function and decreasing life expectancy, physical illness can worsen these mental illnesses. The reasons for this include lifestyle [read the full story…]

People who died by suicide are more likely to have been last discharged from a general hospital

Restraint is used widely in inpatient mental health settings both in the UK and internationally, but is linked with multiple adverse outcomes.

Suicide is a significant public health concern in the UK and globally. Recently it was reported that the UK male suicide rate in 2012 was 3.5 times that of women (Siddique, 2014). In 1981, when the data series these reports were based on began, the male suicide rate was 1.9 times that for women. However, overall [read the full story…]

Is treatment for depression cost-effective in people with diabetes?

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There is evidence to suggest that people with diabetes are twice as likely to suffer from depression. It’s therefore important that the cost-effectiveness of treatments for comorbid depression be indentified. The elves have already reported on a review of the effectiveness of collaborative care for people with diabetes and depression, suggesting that the intervention might be effective. While [read the full story…]

Adults with mental illness have lower rate of decline in smoking

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It’s well known that individuals with mental illness smoke nearly twice as much as those without a psychiatric disorder (Gfroerer et al, 2013; Lasser et al, 2000), and are more addicted to nicotine, smoke more cigarettes per day, and find it more difficult to quit (Lasser et al, 2000). However, studies have shown that  individuals [read the full story…]

Bullying is bad for your mental health, even if you are the bully

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Clinicians and mental health researchers have long recognised that there is a link between traumatic experiences in childhood and symptoms of psychosis or non-clinical psychotic experiences presenting in adolescence or adulthood. One type of traumatic experience is the experience of abuse, whether physical, emotional or social in nature.  When it comes to bullying, any or [read the full story…]

Meditation programmes may improve anxiety, depression and pain but better quality research is needed, says systematic review

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There’s little doubt about it – meditation is in vogue. In fairness, it probably always has been. However, clinical and research interest in the effects of meditation programmes on psychological wellbeing has grown considerably in recent years. The development of mindfulness-based interventions has no doubt driven much of this interest. For example, running a PubMed keyword [read the full story…]

Psychosis and schizophrenia in adults: updated NICE guidance for 2014

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While the organisation’s name may change frequently, currently National Institute for Health and Care Excellence (NICE), its role remains constant – to provide clear published guidance on the role of treatment options within the NHS. The publication of new NICE guidance represents a significant event as clinical recommendations shape the nature of provided care nationally [read the full story…]