Spotting teen depression: what Brazil, Nepal and Nigeria can teach us

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A cross-cultural study explores why depressed adolescents in Brazil, Nepal and Nigeria often slip through the net, and what we can do about it.

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Spotting bipolar and psychosis risk earlier using routine clinical records

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A 28-predictor model using routine mental health records correctly identified risk for psychotic or bipolar disorders around 80% of the time, outperforming existing assessment tools in a study of 127,000 people.

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Recovery, relapse, and genetic risk: what 10,000 Danes taught us about eating disorder trajectories

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How often do people with eating disorders switch diagnoses, recover, or relapse? This large Danish study follows more than 10,000 people over nearly a decade, uncovering patterns of remission and genetic vulnerability that could help shape more personalised care.

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Predicting psychiatric hospitalisation using routinely-collected measures

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Psychiatric hospitalisation can save lives, but it also carries major personal and economic costs. Could early warning scores help predict who’s most at risk, allowing for earlier, more targeted support? This new BMJ Mental Health study by Taquet and colleagues explores the potential.

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Inside the diagnostic grey zone: using machine learning to separate bipolar and major depression

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High misdiagnosis rates between bipolar and major depressive disorder cause real harm to patients and services. This new neuroimaging study tested whether brain connectivity and machine learning could do a better job of telling the two apart, with interesting but limited results.

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Will standardised questionnaires improve CAMHS care? New trial says: not necessarily

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Referrals to CAMHS have skyrocketed, but are we getting any better at diagnosing youth mental health problems? Could standardised diagnostic tools like the DAWBA help? A new RCT suggests the answer is more complicated than expected.

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“They referred to one of the consumers as a BPD c**t”: uncomfortable narratives of borderline personality disorder

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Keir Harding looks at an Australian qualitative study that reveals difficult and harmful narratives around people given a diagnosis of ‘borderline personality disorder’.

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“Life-changing”: adults receiving an autism diagnosis after BPD (mis)diagnosis

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Amanda Sabo reviews a study on experiences of stigma, misdiagnosis, care and advocacy, for autistic adults previously diagnosed with borderline personality disorder – and identifies the need for diagnostic training for mental healthcare providers.

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The diagnostic journey of autistic people: identity, relationships, adaptation and assimilation

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Jack Wainwright summarises a qualitative review which explores the impact of receiving a diagnosis of autism in adulthood.

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Not all people who make a suicide attempt have a psychiatric diagnosis

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In her debut blog, Emma Wallace explores a recent US cross-sectional study, which suggests an exclusive focus on the mental health antecedents of suicide will exclude around 20% of people who attempt to take their own lives.

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