Stratified care versus stepped care for depression: which is more effective?

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Sarah Watts reviews a cluster randomised clinical trial investigating the effectiveness of stratified care compared to stepped care for depression, which has implications for IAPT services.

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Maintenance or discontinuation of antidepressants for depression? Findings from the ANTLER trial

For every 6 people stopping their medication there was one additional relapse compared to those who maintained their antidepressant treatment, suggesting that stopping medication has an increased risk of relapse.

Raphael Rifkin-Zybutz and Sameer Jauhar summarise the recently published ANTLER trial, which explores whether antidepressant maintenance can reduce the risk of relapse in depression.

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Young people who self-harm: perspectives on primary care

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In her debut blog, Amelia Talbot summarises a qualitative study investigating young adult’s experiences and perspectives of general practice care for self-harm.

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Does the IAPT self-referral process work for people living in poverty?

London, UK 01/06/2020: NHS Homerton Hospital Flag Signes Inside Hospital Directions Thank You NHS Poll Flag Medical Clinic Pandemic Codid19 Coronavirus Information

In her debut blog, Alice Potter reviews a qualitative study exploring different perspectives on the accessibility of current IAPT self-referral processes for people with mental health problems living in poverty.

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Healthcare contact prior to suicide: key opportunities for suicide prevention

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In her debut blog, Su-Gwan Tham explores a Welsh population-based data linkage study, which finds that almost 3 in 4 people (73%) who died by suicide in Wales had contact with services in the month before their death.

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Enhancing primary care support for informal carers

An informal carer refers to someone who, “provides unpaid help and support to a partner, child, relative, friend or neighbour who could not manage without this help” (Beesley, 2006). Comparatively, people who choose to be carers have a higher quality of life than those who provide care as it is expected of them. Though health [read the full story…]

Could a decision support tool help to guide mental health treatment in primary care?

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Linda Gask reviews a recent randomised controlled trial on the clinical efficacy of a Decision Support Tool (Link-me) to “guide the intensity of mental health care in primary practice”.

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Living in anxious times? The rise of anxiety disorders in the UK

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Alice Grishkov and Derek Tracy explore a recent paper, which finds that generalised anxiety disorder is on the rise in the UK, especially in young women.

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Talking about self-harm and suicide in primary care: the views of young people

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In her debut blog, Jo Lockwood summarises a qualitative paper which finds that young people want GPs to initiate conversations about self-harm and suicide in primary care.

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One in four UK children exposed to maternal mental illness

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Francesca Bentivegna reviews a national retrospective cohort study which explores the prevalence of maternal mental illness among children and adolescents in the UK during 2005-2017.

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