Borderline personality disorder improves with dialectical behaviour therapy and general psychiatric management

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Talking treatments are a key component of the therapy offered to people with borderline personality disorder and there are now a number of studies that point to the importance of these interventions for this complex and hard to manage condition. A new randomised controlled trial conducted by a research team from the Centre for Addiction [read the full story…]

Risk factors for suicide and accidental death. What can we learn from last episodes of self-harm?

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Self-destructive behaviour is often brought on by mental illness, poverty and other life problems. As individuals spiral down they sometimes come into contact with health and social care services. This may be a primary care visit, emergency treatment in hospital or simple cries for help to friends and family. Hindsight would show us that a [read the full story…]

Teaching GPs about depression and suicide can help reduce the risk of suicide in depressed older adults, says new RCT

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A great deal of time and money has been spent on improving the diagnosis and management of depression and self-harm in primary care. The evidence tells us that collaborative care and case management can be effective approaches, which is all well and good, but these complex interventions are not always feasible. This new cluster randomised [read the full story…]

Antidepressants and suicide risk: retrospective cohort study reports cautious findings

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Research has shown that antidepressant use can lead to a non-significant increase in the risk of suicidal thoughts and behaviour in people aged under 25 (Stone et al, BMJ 2009). This subject rightly received a large amount of media coverage a few years ago and it remains an area where new studies can add to [read the full story…]

New Suicide Prevention Strategy published by the Department of Health on World Suicide Prevention Day

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The Government have launched their new strategy for reducing the suicide rate and supporting people who are bereaved by suicide. Care Services Minister Norman Lamb will highlight the existing call for research proposals when he launches the strategy today. The strategy has 6 key areas for action: A better understanding of why people take their [read the full story…]

Suicide risk in military veterans from the Iraq and Afghanistan conflicts

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It’s hard not to picture scenes from the great war films when we consider the mental health of veterans. Images from Apocolypse Now, The Deer Hunter, Full Metal Jacket and The Hurt Locker are etched onto the public psyche in such a way that it’s sometimes hard to separate fact from fiction. Research has shown [read the full story…]

Assertive outreach no better than standard care at preventing further suicide attempts in young people

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Regular close contact with specially trained staff is generally regarded as the best course of treatment for someone who has recently attempted to kill themselves, in order to prevent a repeat suicide attempt. Of course it can be difficult to engage with this group of patients after-treatment, but recent research suggests that assertive and motivational [read the full story…]

Strong association between unemployment and suicide shown in new BMJ study

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How is the economic downturn affecting the health of the nation? It seems obvious to many of us that the mental wellbeing of people who are going through very tough personal and financial circumstances is likely to be seriously affected. Of course the ultimate price that people pay is with their lives and there has [read the full story…]

The risks of benzodiazepines, antidepressants and antipsychotics in adults with schizophrenia

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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…]

Suicide and self-harm: series of articles in The Lancet

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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…]