More and more research is telling us about the long-term negative consequences of trauma and adversity in childhood with correlations between childhood trauma and poor mental and physical health outcomes across the lifespan. So, it makes sense that there should be a good evidence base for treating the effects of childhood trauma. In February this [read the full story…]
The NHS has entered the era of GP-led commissioning of services, and providers will be required to submit data on key indicators such as quality of care and survival rates. This echoes some aspects of a 2001 report by the Institute of Medicine in the USA Crossing the Quality Chasm, which emphasised the need to [read the full story…]
The Healthy Active Lives (HeAL) international consensus statement aims to reverse the trend of people with severe mental illness dying early by tackling risks for future physical illnesses pro-actively and much earlier. The statement is being launched today by the Royal College of Psychiatrists, at a special event focusing on achieving parity between mental and [read the full story…]
Disruptive behaviour problems (DPB) such as conduct problems or being oppositional and defiant affect a large proportion of young children. For example, one in eleven pre-schoolers may show these behaviours to a degree that would warrant a formal diagnosis of disruptive behaviour disorder. Because these early ‘externalising’ behavioural problems are stable across time, and eventually [read the full story…]
Clinical depression is unfortunately relatively common in adolescence with a prevalence of about 5%. The rates of suicide per 100,000 are around 12.0 for females and 14.2 for males aged 15-24 years with suicidality (thoughts or uncompleted attempts at suicide) likely to be higher. Research and clinical experience suggests issues relating to suicide and depression [read the full story…]
Childhood trauma and abuse is the smoking of psychiatry. As a risk factor for mental illness it is comparable to how smoking a pack of cigarettes per day increases the risk of lung cancer and heart disease. As an adult psychiatrist I see the consequences of poor starts to life and do my best to [read the full story…]
When you were young(er), did you also engage in personality predictions with your peers based on order in the family? For example, that the oldest of three siblings would be the bossiest and the youngest the most spoiled? Almost everyone (90% of us) have one or more siblings. And we know they play an important role [read the full story…]
According to the World Health Organisation (WHO), somewhere between 25 and 50% of people may have been physically abused at some point during their childhood, an experience defined as the use of physical force that harms the child’s health, survival, development, or dignity. Childhood maltreatment does not stop at physical abuse, however – children may [read the full story…]
Stigma can be described as a sign of disgrace setting a person apart from others. Erving Goffman, defined stigma as “the process by which the actions of others spoils normal identity.” For those with mental illness the stigma experienced can result in a lack of funding for services, difficulty gaining employment, a mortgage or holiday [read the full story…]
The WISQARS Leading Causes of Death website is a mine of information for researchers and bloggers alike. I searched it to find out what the leading causes of death are for people (all races, both sexes) in the US aged 10-24 years. The top three in 2010 were: Unintentional injury (e.g. road traffic accidents, poisoning, [read the full story…]
