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
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
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
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
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…]
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…]
Young people recently in contact with psychiatric services are 12 times more likely than other young people to attempt suicide
Driving down suicidal behaviour in young people has long been a major target for public health professionals. This new study from researchers in Denmark will help inform this important work. The case control study used data from the Danish national register (403,431 in total) to assess the risk of suicide attempts after contact with a [read the full story…]
Are we under-reporting suicide rates? Findings of a new systematic review
World Health Organization statistics estimate the global annual suicide rate to be 16 per 100,000 people or about one million people per year. The rate of suicide attempts is about 10-15 times higher than the actual suicide rate. There is considerable variation between countries, with some national mortality statistics reporting no suicides per 100,000 people [read the full story…]
Children who have lived in care homes are at greater risk of suicide
There is remarkably little research in this field. Epidemiological studies of suicidal behaviour in children and young people from the care system have previously come mainly from Scandinavia. A Swedish longitudinal national cohort study (ref 2) from last year concluded that every seventh girl (14%) who left long-term foster family care after age 17 was [read the full story…]