How should we assess suicide risk in mental health services, or should we stop doing it?

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Vishal Bhavsar reports on the development and validation of a new clinical prediction rule (the OxMIS tool), which has been developed by the Forensic Psychiatry and Psychology group at the University of Oxford to help predict the risk of suicide in people with severe mental illness.

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Interdental cleaning devices for prevention and control of caries and periodontal disease

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Thi Cochrane review evaluateingthe effectiveness of interdental cleaning devices used at home, in addition to toothbrushing, compared with toothbrushing alone, for preventing and controlling periodontal diseases, caries, and plaque includes 35 RCTs providing low to very low certainty evidence that floss or interdental brushes in addition to toothbrushing may reduce gingivitis or plaque, or both.

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Suicide risk assessment among psychiatric inpatients: pessimism around predictive power

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Alex Langford appraises a systematic review that looks at high-risk categories for suicide risk assessment among psychiatric inpatients.

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The impact of racism on mental health

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Alison Faulkner considers a recent report on racism and mental health by the Synergi Collaborative Centre, which covers the impact of interpersonal racism, the multidimensional nature of disadvantage, structural disadvantage and mental illness, and pathways to mental health care.

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Aloe vera mouthwash: how does it compare with chlorhexidine?

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This review of the efficacy of aloe vera mouthrinse on plaque and gingival inflammation includes 6 RCTS providing very low quality evidence that aloe vera mouthwash is comparable to chlorhexidine in reducing gingival inflammation.

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Higher body mass index is associated with a lower subjective wellbeing

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Benjamin Janaway explores a recent mendelian randomisation study that looks at the causal effects between subjective wellbeing and cardiometabolic health.

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Rates of psychotic disorders: huge variability and important risk factors

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Emma O’Neill summarises a systematic review and meta-analysis of the incidence of psychotic disorders, which looks at the distribution of rates and the influence of gender, urbanicity, immigration and socio-economic level.

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Orthodontic treatment: Do vibrating devices accelerate tooth movement?

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This review of the efficiency of the vibrating devices in accelerating orthodontic tooth movement identified 6 RCTs the majority being short term and at high risk of bias. The RCTs suggested no difference with the use of vibrational devices.

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Smoking cessation for people with severe mental illness? “Oh yes they can!” SCIMITAR+

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David Shiers and Peter Byrne summarise the new SCIMITAR+ trial out today in The Lancet Psychiatry, which evaluates a bespoke smoking cessation intervention for people with severe mental illness.

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Fixed orthodontic appliances: What is the most effective debonding technique?

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This review of different methods for reducing pain and discomfort during removal of fixed orthodontic appliances included 6 RCTs providing weak evidence for pre-debonding analgesia and other approaches.

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