Review finds insufficient evidence base for the view that violence, sexual, or criminal risk can be predicted

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Normally, we at the Learning Disabilities Elf like to look at learning disability specific research, but we thought this review of the utility of risk assessment tools was interesting and relevant to people with learning disabilities who come into contact with psychiatric and criminal justice services. Risk assessment research stresses the dynamic nature of predictors [read the full story…]

Risk assessment tools do not accurately predict the risk of repeat offending, according to new systematic review

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Risk assessment tools are widely used in psychiatric hospitals and criminal justice systems to help predict violent behaviour and inform sentencing and release decisions. Yet their predictive accuracy remains uncertain and expert opinion is divided, according to a new systematic review published in the BMJ. An international team of researchers led by Seena Fazel from [read the full story…]

Social skills groups may help improve social competence for children and adolescents with autism

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People with autism spectrum disorders (ASD) often struggle to interact socially in the same way as everyone else. Recognising emotions and communicating can be very difficult for them. One approach that has grown in popularity is social skills groups, which aim to improve social competence, communication skills and quality of life for people with ASD. [read the full story…]

Citalopram outperforms all other antidepressants except escitalopram for acute phase depression, according to new review

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Citalopram (brand names: Cipramil and Celexa) is an antidepressant drug in the selective serotonin reuptake inhibitor (SSRI) class. It was one of the first SSRIs to come onto the market over 20 years ago and is available as tablets and as oral drops that are taken in a juice drink. There are lots of antidepressants [read the full story…]

New Cochrane review shows that exercise helps with depression, but more research is needed

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This is perfect timing from the chaps at the Cochrane Depression, Anxiety and Neurosis Group. After all the hubbub about exercise and depression a few weeks ago, it’s great to read an updated version of their systematic review that looks at the effectiveness of exercise in the treatment of depression. The review looked for randomised [read the full story…]

Paliperidone palmitate injections for schizophrenia: new Cochrane systematic review

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We know that people with schizophrenia who adhere to their treatment are more likely to experience sustained periods of time without psychotic symptoms. However, lots of patients find it hard to stick to the prescribed medication, so doctors sometimes recommend alternative treatments to try and encourage adherence. Long-acting intramuscular injections are one option available to [read the full story…]

Drug and talking treatments can reduce violent behaviour in mental health and criminal populations, but more research is needed

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Studies show that over 1.6 million people are killed as a result of violence each year and it is thought that this estimate is considerably less than the actual number who die from assaults. Violence in inpatient hospital settings and emergency departments is the subject of a NICE guideline that is currently being updated. A [read the full story…]

Insufficient evidence for low-intensity interventions to prevent depression relapse or recurrence

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Anyone who has ever been depressed knows that there is always a chance that the condition may return. We know that the more episodes of depression an individual has, the more likely they are to have further episodes, so it’s vital that we do all that we can to prevent relapse after depression. This feeling was [read the full story…]

How can we help people with borderline personality disorder who are in crisis? New Cochrane review is inconclusive

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Borderline personality disorder (BPD) affects our mood and our ability to interact with others. It’s one of the most common personality disorders, affecting around 2% of the population. People with BPD often have other mental health conditions such as substance misuse problems, anxiety, depression, bipolar disorder, eating disorders or other personality disorders. Many people with [read the full story…]

Mindfulness-based stress reduction programmes help reduce anxiety, depression and stress

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Mindfulness has become a popular self-management technique to relieve stress and cope with busy day-to-day lifestyles. This review defines mindfulness as the ability to “non-judgementally observe sensations, thoughts, emotions and the environment, while encouraging openness, curiosity and acceptance”. It looks specifically at a technique called Mindfulness-Based Stress Reduction (MBSR) programmes, which is a training programme [read the full story…]