Homelessness and mental illness in children and young people

shutterstock_177426335

This study explores the prevalence of psychiatric disorder and comorbidity among a UK sample of young people with experience of homelessness. It finds an extremely high prevalence of mental illness, combined with low levels of mental health service use.

[read the full story...]

Childhood abuse and adverse life events interact synergistically to produce a high risk for psychotic experiences

shutterstock_126856253

This recent study concludes that childhood abuse creates an enduring vulnerability to psychosis that is realised in the event of exposure to further stressors and risk factors, such as separation, bereavement, or being involved in an accident or physical attack.

[read the full story...]

Antipsychotics and mood stabilisers may reduce violent crime

shutterstock_150668030

John Baker reports on the first population based report of the positive effects of antipsychotic medication and mood stabilisers on reducing the risk of a conviction for violent crime, published in the Lancet in May.

[read the full story...]

Art therapy for schizophrenia: an effective add-on treatment?

matisse

The MATISSE trial in 2012 concluded that group art therapy did no better than standard care at improving symptoms for people with schizophrenia. A new critique of that RCT from the British Association of Art Therapists says the therapy can be more useful.

[read the full story...]

Acute and transient psychotic disorders: the ‘third psychosis’ and its relation to schizophrenia

shutterstock_167909384

Raphael Underwood reports on routinely collected data from the Scottish Morbidity Record, which suggests that 1 in 8 people with first-ever diagnosed acute and transient psychotic disorders will develop schizophrenia within 3–5 years. Researchers conclude that those at high risk of transition may benefit from monitoring for possible diagnostic change.

[read the full story...]

We don’t know if general health advice improves physical health for patients with serious mental illness

shutterstock_112862074

For me, one of the most infuriating aspects of health care is the relegation of mental health problems, and mental health services, as secondary to physical health. There are a myriad of examples of this, from the classic stigma that people with mental health problems receive compared to those with physical health problems (fantastically illustrated [read the full story...]

A new model for schizophrenia?

shutterstock_131011337

Schizophrenia is a complex disorder (or, more likely, group of disorders) that has reality distortion at its core. Efforts to establish the cause of schizophrenia have been ongoing for more than a century, and many models have come and gone in that time (not for nothing has schizophrenia been called ‘the graveyard of neuropathologists’ (Plum, [read the full story...]

“Psychokiller, qu’est-ce que c’est”. The risk of violent re-offending among prisoners with psychotic experiences

shutterstock_124193854

In England and Wales, the Mental Health Act (1983, revised 2007) allows for the detention of individuals to hospital for a period of assessment (Section 2) or treatment (Section 3) if it is deemed that they suffer with a mental disorder of a nature or degree sufficient to warrant admission to hospital and it is necessary [read the full story...]

Cannabis, cigarette smoking and psychosis: do we need a rethink?

shutterstock_135959453

The relationship between cannabis and psychosis has been one of the hottest topics in psychiatry over the last decade, and with good reason. Policy-makers still disagree on whether cannabis should be legalised or how it should be classified, with Uruguay being the most recent country to legalise it. Drawing broadly from work initiated by Robin [read the full story...]

Rates of psychosis in epilepsy may not be as high as previously reported, says new systematic review

cogs in outline of head

For many years, psychiatry has highlighted that people with epilepsy appear to have an elevated risk for psychosis.  However, studies exploring this relationship (of which there are many) seem to disagree on just what the prevalence of psychosis is in this group.  For example, Gudmundsson (1966) interviewed every patient with epilepsy in Iceland and concluded [read the full story...]