Selective serotonin reuptake inhibitors (SSRIs) have long been suspected to – paradoxically- increase suicidal behaviour in adolescent and pediatric patients. Consequently, national watchdogs started issuing black label warnings for all SSRIs to educate physicians and patients about associated risks. While clearly curbing the amount of antidepressant prescriptions, concerns have been voiced that this step has [read the full story…]
Study shows that adolescents with symptoms of depression and suicidality are more at risk of unhealthy romantic relationships in adulthood
Clinical depression is unfortunately relatively common in adolescence with a prevalence of about 5%. The rates of suicide per 100,000 are around 12.0 for females and 14.2 for males aged 15-24 years with suicidality (thoughts or uncompleted attempts at suicide) likely to be higher. Research and clinical experience suggests issues relating to suicide and depression [read the full story…]
Systematic review finds that suicide risk for prisoners with bipolar disorder may be lower than other mental disorders
In prisons, suicide is the leading cause of mortality (estimated at 3-5 times the general population). Mental health disorders are known to increase the risk. Generally, suffering from a bipolar disorder increases the risk of attempted or completed suicide when compared to the general population. So it would be expected that prisoners with bipolar disorder [read the full story…]
Released prisoners have an increased risk of death compared to the rest of the population, particularly from drugs, suicide and homicide
Nearly 10 million people were in prison in 2008, according to estimates provided by the World Prison Population List (Walmsley, 2009). The United States tops the imprisonment league table with 2.3 million individuals behind bars, that’s 756 per 100,000 of the population. Whatever your view on the US legal system and incarceration, it’s interesting to [read the full story…]
Check out the new BITE-sized mental health summaries from the NIHR CLAHRCs
Anyone who’s spent any time at all on the Mental Elf website, or any of the other National Elf Service sites, knows that we elves love succinct and focused summaries that are easy to read and quick to digest. It’s always a delight to see other groups publishing similar resources, so I’ve decided today to [read the full story…]
Borderline personality disorder improves with dialectical behaviour therapy and general psychiatric management
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?
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
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
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
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…]