Black patients’ first contact with mental health services is more likely to be coercive

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It is well documented that there are differences in how patients are treated, depending on their ethnicity. Previous inquiries in the UK have suggested that the NHS is institutionally racist (Blofeld et al, 2003). Some groups, for example those from African Caribbean or Aboriginal descent, experience more coercive care and poor outcomes, including higher doses of [read the full story...]

Moving to better neighbourhoods: bad for boys, good for girls?

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The link between external influences such as family and neighbourhood experiences and young people’s mental health outcomes has been extensively commented on in the literature. While it is more common for studies to focus on the individual or family level, looking at things from a wider perspective is interesting especially from a public mental health [read the full story...]

Children of older fathers have an increased risk of psychiatric and academic problems, says new cohort study

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Research suggests that the risk of developing psychiatric problems (such as autism spectrum disorder, intellectual disability or schizophrenia) may be linked to increased paternal age at the time of conception. This seems quite plausible given that advancing age in men is associated with increased genetic mutations in sperm. However, studies so far have generally not [read the full story...]

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...]

Longer adolescent duration of worry and low mood predicts problems in adulthood: suggests early intervention important

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Adolescent mental health problems are the cause of deep distress to hundreds of thousands of teenagers in the UK. Young Minds estimates that 850,000 children and young people in the UK have a diagnosed mental health problem, and many more may be suffering in silence.  Statistics on how likely it is that an adolescent with [read the full story...]

Suicide in primary care: findings of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness

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The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness was established in its current form at Manchester University in 1996. From 1991, prior to the move to Manchester, research in this area had been managed within the Royal College of Psychiatrists.  The NCISH has established an outstanding national and international reputation [read the full story...]

Bereavement during childhood, but not before birth, is associated with an increased risk of psychosis

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Psychotic disorders, such as schizophrenia, are often conceptualised as arising from a complex interplay of genetic and environmental influences (Tandon 2008). The impact of social influences on the risk of psychotic experience is undeniable. Recent reviews of this topic have called for a focus on maternal wellbeing as a means of primary prevention for mental [read the full story...]

Community treatment orders simply don’t work

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Community Treatment Orders (CTOs) were introduced in the UK in the last revisions of the Mental Health Act. They are highly controversial, and unpopular amongst the mental health community. They clearly impact on an individual’s Human Rights. Interestingly, they cannot enforce a treatment but can require an individual to return to hospital or a place of treatment. [read the full story...]

Is there ‘parity of esteem’ in shared decision making between physical and mental health?

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Current health and social care policies determine that people who use services should have choice and control over their care and support. This is particularly important for people with mental health problems who are managing their mental health and designing support in preventative ways to avoid crisis. One way for mental health service practitioners to [read the full story...]

Is the menopause depressing? Not necessarily

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Some of the lady Elves in the forest have been sharing their concerns about the menopause, and whilst keeping an eye out for hot flushes, night sweats and mood swings; what other changes will the menopause will bring?! Well, Freeman and colleagues have some good news and bad news for us. In November 2013, JAMA [read the full story...]