Higher doses of antidepressants “not optimal”, according to new review

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Jonathon Tomlinson considers his options as a GP supporting people with depression and complex needs, after reading a new systematic review and dose-response meta-analysis, which suggests that higher doses of antidepressants bring maximum side effects with only marginal gains.

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Serious about suicide prevention? Invest in primary care #SuicidePreventionPC

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André Tomlin summarises a new report out today by Centre for Mental Health and Samaritans: “Strengthening the frontline: Investing in primary care for effective suicide prevention”.

Follow the discussions on Twitter using the #SuicidePreventionPC hashtag.

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Physical health inequalities in primary care

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Andy Bell from Centre for Mental Health and the Equally Well UK collaborative, calls for action in response to the Public Health England briefing on severe mental illness and physical health inequalities.

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Behavioural and psychological symptoms of dementia: GPs’ perspective on management

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Marie Crabbe presents the findings of a mixed-methods systematic review, which looks at General Practitioners’ knowledge, attitudes and experiences of managing behavioural and psychological symptoms of dementia.

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Collaborative care for depression and physical multimorbidity: clinically and cost-effective over the long term

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Gemma Shields summarises the findings of a cluster RCT looking at the long-term clinical and cost-effectiveness of collaborative care (versus usual care) for people with mental-physical multimorbidity.

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Does co-locating welfare advice services improve mental health?

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Katie Evans from Money and Mental Health considers a recent study looking at the impact of co-located welfare advice in healthcare settings, which found significant improvements in financial outcomes, but less convincing results in terms of health benefits.

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A spotlight on student mental health in UK universities

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Nicky Lambert summarises the recent IPPR report on improving student mental health in the UK’s universities, which paints a stark picture that demands urgent attention.

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Off-label antidepressants: limited evidence to support their use

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John Baker reports on Canadian study looking at prescriptions of off-label antidepressants in primary care, which concludes that when antidepressants were used outside of their licence, there was usually not strong evidence supporting the respective indication.

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Depression in later life: who benefits most from antidepressants plus exercise?

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Linda Gask explores an RCT of physical exercise for depression in later life, which considers the best way to customise the intervention for primary care.

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