Coercion and power in psychiatry #MHQT

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Ian Cummins explores a Belgian qualitative study looking at the experiences of people who have been subject to compulsory mental health legislation and admitted to hospital against their will.

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How should we assess suicide risk in mental health services, or should we stop doing it?

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Vishal Bhavsar reports on the development and validation of a new clinical prediction rule (the OxMIS tool), which has been developed by the Forensic Psychiatry and Psychology group at the University of Oxford to help predict the risk of suicide in people with severe mental illness.

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Suicide risk assessment among psychiatric inpatients: pessimism around predictive power

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Alex Langford appraises a systematic review that looks at high-risk categories for suicide risk assessment among psychiatric inpatients.

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Bridging the gap between mental and physical healthcare in general hospitals #TreatAsOne

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Kirsten Lawson presents the findings and recommendations of the recent National Confidential Enquiry into Patient Outcome and Death #TreatAsOne report.

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#PreventableHarm discussion 20/7/16: Can risk assessment in mental health be evidence-based?

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Can risk assessment in mental health be evidence-based? Join us for the #PreventableHarm discussion in London on Wed 20th July 2016. This free open ‘question time’ style debate is being organised by the UCL Division of Psychiatry, The Lancet Psychiatry and the National Elf Service.

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Risk, relationships and moral work

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Diana Rose publishes her debut Mental Elf blog on a new qualitative study, which explores how contrasting and competing priorities work in mental health risk assessment and care planning.

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Method switching in self-harm has implications for service design and risk management

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Katrina Witt publishes her debut blog on a new cohort study from the Multi-Centre Monitoring of Self-Harm Project, which investigates switching methods of self-harm at repeat episodes.

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Are there any effective interventions for preventing falls in older people with mental health problems?

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Falls are estimated to cost the NHS more than £2.3 billion per year (College of Optometrists, 2011) and are associated with significant morbidity and mortality. This fact alone should be giving us the drive to look for ways to prevent falls in healthcare settings. A systematic review recently published in BMC Nursing (Bunn et al, 2014) is [read the full story…]

Development of leave/abscond risk assessment in clinical practice needs evaluation and validation

Individuals more likely to be arrested or taken to ED if living indpependently or with family

The authors of this study, based at the South London and Maudsley Trust, were interested in the way in which leave for patients in secure settings is managed and in particular ways in which the risks associated with managing leave could be assessed. They point out that the number of patients who breach leave conditions [read the full story…]

Risk assessment tool in acute hospitals reported to contribute to improvement in health outcomes for people with learning disabilities

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We recently posted about the publication of the final report of the confidential inquiry into premature deaths in people with learning disabilities. The Inquiry found 43% of the deaths of people with learning disabilities were unexpected and for a substantial number, there was significant difficulty or delay in diagnosis, investigation or specialist referral. The Inquiry [read the full story…]