4.5 Editorial Material

PRACTICE POINTER Assessing risk of suicide or self harm in adults

期刊

BMJ-BRITISH MEDICAL JOURNAL
卷 347, 期 -, 页码 -

出版社

BMJ PUBLISHING GROUP
DOI: 10.1136/bmj.f4572

关键词

-

向作者/读者索取更多资源

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Public, Environmental & Occupational Health

Mental health and other factors associated with work productivity after injury in the UK: multicentre cohort study

Blerina Kellezi, Paula Dhiman, Carol Coupland, Joanne Whitehead, Richard Morriss, Stephen Joseph, Kate Beckett, Jude Sleney, Jo Barnes, Denise Kendrick

Summary: This study found that post-injury productivity loss decreases over time and is significantly associated with pre-injury psychiatric conditions and post-traumatic stress avoidance symptoms. Factors such as gender, type of injury, and location of injury were also found to affect productivity loss.

INJURY PREVENTION (2022)

Article Psychology, Clinical

Risk of suicide in patients who present to hospital after self-cutting according to site of injury: findings from the Multicentre Study of Self-harm in England

Galit Geulayov, Deborah Casey, Elizabeth Bale, Fiona Brand, Caroline Clements, Bushra Farooq, Nav Kapur, Jennifer Ness, Keith Waters, Anita Patel, Keith Hawton

Summary: The risk of suicide following hospital presentation for self-harm varies depending on the site of self-cut/stab, with a greater risk associated with cutting/stabbing parts of the body other than the wrist or arm, especially the neck.

PSYCHOLOGICAL MEDICINE (2023)

Article Medicine, General & Internal

Primary care clinical management following self-harm during the first wave of COVID-19 in the UK: population-based cohort study

Sarah Steeg, Matthew Carr, Laszlo Trefan, Darren Ashcroft, Navneet Kapur, Emma Nielsen, Brian McMillan, Roger Webb

Summary: The impact of COVID-19 on clinical management of self-harm within three months remains unknown, but the study found that prescribing and consultation patterns following self-harm were broadly similar to levels seen before the pandemic. While digital exclusion did not appear to widen in terms of access to remote consultations, there was a reduced likelihood of referral to mental health services during the COVID-19 period, indicating a need for accessible outpatient and community services for individuals who engage in self-harm as the pandemic recedes and poses new challenges to mental health.

BMJ OPEN (2022)

Article Clinical Neurology

Bereavement and suicide bereavement as an antecedent of suicide in children and young people: Prevalence and characteristics

Cathryn Rodway, Saied Ibrahim, Su-Gwan Tham, Pauline Turnbull, Nay Kapur, Louis Appleby

Summary: Limited research has been conducted on the relationship between bereavement and suicide in young people. A study in the UK found that 25% of young people who died by suicide had previously or recently experienced bereavement, with 9% of these deaths being caused by the suicide of a friend or acquaintance. Bereavement added to existing adversities and young people who were bereaved were more likely to have other suicide antecedents. Lasting bereavement support needs to be readily available for young people, including those who have lost friends or acquaintances.

JOURNAL OF AFFECTIVE DISORDERS (2022)

Article Psychology, Clinical

The Development and Internal Evaluation of a Predictive Model to Identify for Whom Mindfulness-Based Cognitive Therapy Offers Superior Relapse Prevention for Recurrent Depression Versus Maintenance Antidepressant Medication

Zachary D. Cohen, Robert J. DeRubeis, Rachel Hayes, Edward R. Watkins, Glyn Lewis, Richard Byng, Sarah Byford, Catherine Crane, Willem Kuyken, Tim Dalgleish, Susanne Schweizer

Summary: Clinical prediction models can help adults with recurrent depression choose between antidepressant medication (ADM) maintenance or switching to mindfulness-based cognitive therapy (MBCT). The study found that individuals with the poorest ADM prognoses who switched to MBCT had better outcomes compared to those who continued with ADM. For individuals with moderate to good ADM prognoses, both treatments resulted in similar likelihood of relapse.

CLINICAL PSYCHOLOGICAL SCIENCE (2023)

Article Psychiatry

Evaluation of a complex intervention for prisoners with common mental health problems, near to and after release: the Engager randomised controlled trial

Richard Byng, Tim Kirkpatrick, Charlotte Lennox, Fiona C. Warren, Rob Anderson, Sarah Louise Brand, Lynne Callaghan, Lauren Carroll, Graham Durcan, Laura Gill, Sara Goodier, Jonathan Graham, Rebecca Greer, Mark Haddad, Tirril Harris, William Henley, Rachael Hunter, Sarah Leonard, Mike Maguire, Susan Michie, Christabel Owens, Mark Pearson, Cath Quinn, Sarah Rybczynska-Bunt, Caroline Stevenson, Amy Stewart, Alex Stirzaker, Roxanne Todd, Florian Walter, Lauren Weston, Nat Wright, Rod S. Taylor, Jenny Shaw

Summary: This study evaluates whether the Engager intervention improves mental health outcomes for male prisoners after their release. The results show that the Engager intervention was not effective in improving mental health outcomes based on standard measures. Further testing of different support strategies for prisoners with mental health problems is needed.

BRITISH JOURNAL OF PSYCHIATRY (2023)

Article Psychiatry

Absolute risks of self-harm and interpersonal violence by diagnostic category following first discharge from inpatient psychiatric care

P. L. H. Mok, F. Walter, M. J. Carr, S. Antonsen, N. Kapur, S. Steeg, J. Shaw, C. B. Pedersen, R. T. Webb

Summary: Discharged psychiatric patients, especially those with substance misuse disorders, personality disorders, and early onset behavioral and emotional disorders, face a significantly increased risk of self-harm and interpersonal violence. Enhanced care and support during the transition back to community life are crucial.

EUROPEAN PSYCHIATRY (2023)

Article Psychiatry

The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial

Richard Byng, Siobhan Creanor, Benjamin Jones, Joanne Hosking, Humera Plappert, Sheriden Bevan, Nicky Britten, Michael Clark, Linda Davies, Julia Frost, Linda Gask, Bliss Gibbons, John Gibson, Pollyanna Hardy, Charley Hobson-Merrett, Peter Huxley, Alison Jeffery, Steven Marwaha, Tim Rawcliffe, Siobhan Reilly, Debra Richards, Ruth Sayers, Lynsey Williams, Vanessa Pinfold, Maximillian Birchwood

Summary: This study aimed to test whether a primary care-based collaborative care model would improve the quality of life for individuals with severe mental illness. The results showed that the intervention did not have a significant impact on the participants' quality of life compared to usual care.

BRITISH JOURNAL OF PSYCHIATRY (2023)

Article Geriatrics & Gerontology

The characteristics, life problems and clinical management of older adults who self-harm: Findings from the multicentre study of self-harm in England

Anita Patel, Jennifer Ness, Samantha Kelly, Keith Waters, Ellen Townsend, Navneet Kapur, Caroline Clements, Bushra Farooq, Galit Geulayov, Deborah Casey, Keith Hawton

Summary: This study aimed to analyze the incidence of self-harm, sociodemographic and clinical characteristics, preceding life problems, and outcomes in individuals aged 60 years and over. The study found that self-harm rates have increased over time for men aged 60-74 years. The most common problems preceding self-harm were mental health and physical health concerns. Additionally, 10.8% of self-harmers presented to the hospital again within 12 months. Therefore, prevention and clinical management should involve a comprehensive psychosocial assessment to address common precipitants and may include support for physical and mental well-being and advice on safer alcohol use.

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY (2023)

Article Medicine, General & Internal

Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility study

Natasha Tyler, Ioannis Angelakis, Richard Neil Keers, Claire Planner, Alexander Hodkinson, Sally J. Giles, Andrew Grundy, Navneet Kapur, Chris Armitage, Tom Blakeman, Stephen M. Campbell, Catherine Robinson, Jessica Leather, Maria Panagioti

Summary: Through stakeholder engagement, we co-designed, developed and adapted two versions of a care bundle intervention, the SAFER Mental Health care bundle for adult and youth inpatient mental health settings (SAFER-MH and SAFER-YMH, respectively), that look to address safety risks and inadequate information sharing concerns in discharged patients.

BMJ OPEN (2023)

Article Psychiatry

Liaison psychiatry practitioners' views on accessing aftercare and psychological therapies for patients who present to hospital following self-harm: multi-site interview study

Leah Quinlivan, Louise Gorman, Stephen Marks, Elizabeth Monaghan, Sadika Asmal, Roger T. Webb, Nav Kapur

Summary: This study aimed to explore the barriers and facilitators to accessing aftercare and psychological therapies for patients presenting to hospital following self-harm, from the perspective of liaison psychiatry practitioners. The results showed that barriers to accessing services may increase the risk of further self-harm for patients and burnout for staff. Strategies to increase access to aftercare included improving assessments and care plans, supporting staff to focus on assessments as therapeutic intervention, probing boundaries and involving senior staff, and building relationships and integration across services. These findings are essential for optimizing patient safety and experience and staff well-being.

BJPSYCH OPEN (2023)

Article Psychiatry

Accessing psychological therapies following self-harm: qualitative survey of patient experiences and views on improving practice

Leah Quinlivan, Louise Gorman, Elizabeth Monaghan, Sadika Asmal, Roger T. Webb, Nav Kapur

Summary: This study explores patients' experience of accessing psychological therapies after self-harm and their recommendations for improvement. The findings highlight long waiting times, inadequate service provision, poor communication, and lack of tailored interventions as barriers to effective aftercare. Recommendations for improvement include compassionate and informed staff, timely access to aftercare, improved communication and support during waiting times, and greater information and choice of psychological interventions.

BJPSYCH OPEN (2023)

Article Medicine, General & Internal

Suicide among psychiatric patients who migrated to the UK: a national clinical survey

Su-Gwan Tham, Isabelle M. Hunt, Pauline Turnbull, Louis Appleby, Nav Kapur, Duleeka Knipe

Summary: This study examines the relationship between migration and suicide risk in the UK, finding that identifying the clinical profile and antecedents to suicide is crucial for tailoring mental health care to different migrant groups.

ECLINICALMEDICINE (2023)

Article Medicine, General & Internal

Brain connectivity-guided, Optimised theta burst transcranial magnetic stimulation to improve Central Pain Modulation in knee Osteoarthritis Pain (BoostCPM): protocol of a pilot randomised clinical trial in a secondary care setting in the UK

Marianne Drabek, Duncan Hodkinson, Suzanne Horvath, Bonnie Millar, Stefan Pszczolkowski Parraguez, Christopher R. Tench, Radu Tanasescu, Sudheer Lankappa, Richard Morriss, David Walsh, Dorothee P. Auer

Summary: This article discusses the common problem of chronic pain and the potential use of non-invasive neuromodulation techniques for pain relief. It presents an optimized treatment protocol using connectivity-guided intermittent theta-burst stimulation (iTBS) and describes a pilot study that will evaluate the feasibility and mechanistic efficacy of this treatment in patients with chronic knee pain.

BMJ OPEN (2023)

Article Primary Health Care

Clinical risk in remote consultations in general practice: findings from in-COVID- 19 pandemic qualitative research

Rebecca Rosen, Sietse Wieringa, Trisha Greenhalgh, Claudia Leone, Sarah Rybczynska-Bunt, Gemma Hughes, Lucy Moore, Sara E. Shaw, Joseph Wherton, Richard Byng

Summary: This study develops a taxonomy of risks associated with remote consultations in general practice based on qualitative sub-study data. The COVID-19 pandemic has brought changes and risks to various aspects of remote consultations, including practice set-up and organization, communication and the clinical relationship, quality of clinical care, increased burden on patients, reduced opportunities for screening and managing social determinants of health, and workforce. Mitigating these risks requires actively implementing measures such as digital inclusion strategies, enhanced safety-netting, and training and support for staff.

BJGP OPEN (2023)

暂无数据