Events that occur immediately before and after birth (perinatal factors) can often have a significant impact later in life. Research has shown that the risk of many mental health and neurological conditions (schizophrenia, ADHD, depression, autism and eating disorders) increases when complications occur around this time. However, there have been relatively few studies to date [read the full story…]
The risks of benzodiazepines, antidepressants and antipsychotics in adults with schizophrenia
Polypharmacy is the simultaneous use of two or more drugs to treat a single health condition. Polypharmacy is often used in the treatment of schizophrenia where people are regularly prescribed two or more antipsychotics, as well as antidepressants and/or benzodiazepines, although there is little evidence to prove that these combinations are more effective than monotherapy. [read the full story…]
The dose-response association between psychological distress and mortality, new BMJ meta-analysis shows the link
There is an increasing body of evidence showing that depression and anxiety are linked with other health conditions like cancer and cardiovascular disease. I’ve blogged about the link between depression and stroke, and there are a number of other studies that show an association between psychological distress (the symptoms of depression and anxiety) and mortality, [read the full story…]
Risk assessment tools do not accurately predict the risk of repeat offending, according to new systematic review
Risk assessment tools are widely used in psychiatric hospitals and criminal justice systems to help predict violent behaviour and inform sentencing and release decisions. Yet their predictive accuracy remains uncertain and expert opinion is divided, according to a new systematic review published in the BMJ. An international team of researchers led by Seena Fazel from [read the full story…]
Childhood autistic traits are associated with psychotic experiences in adolescence
Forty years ago, autism was regularly referred to as childhood schizophrenia and the links between the two conditions have continued to this day. Recent studies have shown that the features of autism spectrum disorders sometimes precede the onset of childhood-onset schizophrenia. This cohort study published by researchers from Cardiff University looks at the relationship between [read the full story…]
Women who work long hours are at risk of depression and anxiety
It seems logical that people who work long hours and have a stressful job are more likely to suffer from depression, yet epidemiological studies that have investigated the links between long working hours and depression have reported inconsistent findings. The Whitehall II prospective cohort study followed nearly 3,000 British staff from across 20 civil service [read the full story…]
Suicide and self-harm: series of articles in The Lancet
Suicide is the second most common cause of death in young people worldwide (after accidental death). A wide range of factors contribute to self-harm and suicide, including mental health, poverty, living in a rural setting and being single. There is scant evidence for the treatment of self-harm or suicide with talking treatments or drugs and [read the full story…]
Premature babies have greater risk of serious mental illness
Preterm babies are three times more likely to be admitted to hospital for a mental health problem as an adult than normal term babies, according to a study published in the Archives of General Psychiatry by researchers in the UK and Sweden. About 1 in every 13 children born in the UK are classified as [read the full story…]
Methods of non-fatal self-harm may help to predict future risk of suicide
NICE guidance recommends that all people who self-harm and are admitted to hospital are given mental health and risk assessment: Everyone who has self-harmed should have a comprehensive assessment of needs and risk; engaging the service user is a prerequisite. – Taken from NICE Self-harm guidance (CG16), Nov 2004 This new prospective cohort study conducted [read the full story…]
Assessing the risk of suicide and self-harm in older people: results from new prospective cohort study
There is a clear need for specialist assessment and care for older people who self-harm, according to two papers published in the May issue of the British Journal of Psychiatry. Researchers from the University of Manchester studied 1,177 people over the age of 60 who were admitted to six general hospitals in Oxford, Manchester and Derby [read the full story…]