Does drug treatment reduce the risk of further self-harm or suicide?: COMMENTARY ON... COCHRANE CORNER [Round the Corner]
Self-harm is a significant social and healthcare problem, with substantial morbidity and healthcare costs. It has strong links to further self-harm and to suicide. The current review is one of three that investigate interventions in preventing recurrence of self-harm, and it focuses on pharmacological treatment. The conclusions are limited by the small number and size of trials identified, and the low quality of evidence. No benefit on recurrence of self-harm was detected in three small trials of antidepressants, but the types studied are ones that are now less commonly used. A small trial of flupentixol suggested a possib...
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Authors: Smith, K., Attenburrow, M. J. Tags: Round the Corner Source Type: research
Pharmacological interventions for self-harm in adults [Cochrane corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Authors: Hawton, K., Witt, K. G., Taylor Salisbury, T. L., Arensman, E., Gunnell, D., Hazell, P., Townsend, E., van Heeringen, K. Tags: Cochrane corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Tags: CPD Online Source Type: research
When taking medication may be a sin: dietary requirements and food laws in psychotropic prescribing [Articles]
Religious laws do not usually forbid the use of psychotropic medication, but many do forbid the consumption of animal-based derivatives of bovine and/or porcine origin (e.g. gelatin and stearic acid) such as are found in many medications. Demonstrating awareness of this, combined with a genuine concern about how it affects the patient, may strengthen the doctor–patient relationship and avoid non-adherence. In this article, we outline dietary requirements of key religions and belief systems that may have a bearing when prescribing medication containing animal-based ingredients. We identify common psychotropics that co...
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Authors: Khokhar, W. A., Dein, S. L., Qureshi, M. S., Hameed, I., Ali, M. M., Abbasi, Y., Aman, H., Sood, R. Tags: Articles Source Type: research
The Supreme Court and deprivation of liberty: where are we now? [Articles]
Deciding on where the tipping point between restrictions and deprivation arises in care settings has important legal implications, but until recently case law has not much helped to resolve these challenging issues. An important milestone has been the Supreme Court judgment in the so-called Cheshire West case. This judgment, handed down in March 2014, set a low threshold to apply (the ‘acid test’) in deciding when someone may be being deprived of their liberty and therefore that additional legal authorisation is required. The application of the acid test is not straightforward and its effects are wide-ranging. ...
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Authors: Brindle, N. Tags: Articles Source Type: research
Psychiatric aspects of diabetes mellitus [Articles]
Diabetes is an increasingly common health problem, especially in the West, where there is an emerging epidemic of type 2 diabetes, closely related to the epidemic of obesity. Many people with diabetes struggle to optimise their diabetes control, often because they also have mental illnesses or psychological and social problems. Poor diabetes control has significant consequences for the individual, and if not addressed will result in complications that include blindness, kidney failure and even amputations. There are also consequences for health services resulting from increased admissions and emergency department presentat...
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Authors: Doherty, A. M. Tags: Articles Source Type: research
CBT: helping work out why you feel as you do (formulation) [Refreshment]
Cognitive–behavioural therapy (CBT) provides a structure to inform safe and effective practice. It can be helpful for understanding and working with patients, but it can have a wider potential benefit, offering clinicians and teams a self-reflective approach to how they respond to the challenge of working in busy clinical and managerial environments. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Authors: Colvin, L., Williams, C. Tags: Refreshment Source Type: research
Clinical neuromodulation in psychiatry: the state of the art or an art in a state? [Articles]
This article describes the mechanism of action and current evidence base for each technique, and notes the challenges facing future work in this potentially important field and new clinical avenue. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Authors: Tracy, D. K., David, A. S. Tags: Articles Source Type: research
Practical pharmacotherapy in child psychiatry: an update [Articles]
This article presents a synthesis of the information from randomised controlled trials, meta-analyses and the UK NICE guidelines as an aid to practical psychopharmacology. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Authors: Brown, R., James, A. Tags: Articles Source Type: research
The psychiatry of children aged 0-4: advances in assessment, diagnosis and treatment [Articles]
This article discusses the epidemiology of psychiatric illness in preschool children, evaluates assessment tools that have only recently been validated for use in secondary care and considers evidence of the efficacy and cost-effectiveness of early intervention using treatments encompassing pharmacological, psychological and social approaches. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Authors: Foreman, D. Tags: Articles Source Type: research
Autoimmune disorders in child psychiatry: keeping up with the field [Articles]
This article illustrates these complexities through discussion of specific autoimmune disorders and three case histories. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Authors: Warrilow, A., Morton, M. Tags: Articles Source Type: research
Can the MMSE help clinicians predict progression from mild cognitive impairment to dementia?: COMMENTARY ON... COCHRANE CORNER [Round the corner]
The Mini-Mental State Examination (MMSE) is the most widely used bedside cognitive test. It has previously been shown to be poor as a case-finding tool for both dementia and mild cognitive impairment (MCI). This month’s Cochrane Corner review examines whether the MMSE might be used as a risk prediction tool for later dementia in those with established MCI. From 11 studies of modest quality, it appears that the MMSE alone should not be relied on to predict later deterioration in people with MCI. As this is the case, it is likely that only a combination of predictors would be able to accurately predict progression from...
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Authors: Mitchell, A. J. Tags: Round the corner Source Type: research
Mini-Mental State Examination (MMSE) for the detection of Alzheimer's disease and other dementias in people with mild cognitive impairment (MCI) [Cochrane corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Authors: Arevalo-Rodriguez, I., Smailagic, N., Roque i Figuls, M., Ciapponi, A., Sanchez-Perez, E., Giannakou, A., Pedraza, O. L., Bonfill Cosp, X., Cullum, S. Tags: Cochrane corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 2, 2015 Category: Psychiatry Tags: CPD Online Source Type: research
Do apps have anything to offer mental health?: COMMENTARY ON... SMARTPHONE APPS IN MENTAL HEALTHCARE [Commentary]
This article offers reasons why psychiatrists should learn how to use mental health apps to enhance patient care and gives some caveats for both professionals and patients regarding their use. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2015 Category: Psychiatry Authors: Morriss, R. K. Tags: Commentary Source Type: research
