Antidepressant discontinuation symptoms: what do the data really tell us?

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Gemma Lewis and Glyn Lewis summarise a robust systematic review and meta-analysis investigating the incidence of symptoms when discontinuing or withdrawing from antidepressants. The data suggest that 8-14% of patients will experience antidepressant discontinuation symptoms, and for around 2% these symptoms will be severe.

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Wide variance in the use of coercion in children and young people’s inpatient services

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John Baker reflects on a recent review on rates and risk factors of coercion in inpatient child and adolescent mental health services.

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Ethnic disparities in suicide mortality: what’s going on?

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Pauline Rivart summarises a national cohort study of ethnicity and suicide in England and Wales, which presents a “paradoxical finding of a lower rate of suicide in almost all minority ethnic groups compared with the White British majority”.

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What can GP records tell us about mental health throughout childhood?

Is the GP clinic the best form of support for young people experiencing recurrent mental health issues?

Niamh Dooley explores a retrospective study of ‘real-world’ data on young people’s use of general practitioners for mental health support.

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The great unknown? Assessing suicide risk in trials of psychological interventions for depression

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Derek de Beurs explores a meta-analysis which finds that randomised controlled trials of psychological interventions for depression rarely report assessments of suicide.

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Digitally augmented CBT for child anxiety is more efficient and no less effective than typical parent-led CBT

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Helen Dodd summarises a recent non-inferiority randomised controlled trial led by Cathy Creswell, which investigated the effectiveness of digitally augmented parent-led CBT for child anxiety.

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Community perinatal teams associated with more mental health service access and fewer postnatal relapses

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Roxanne Keynejad summarises the ESMI-II study on community perinatal mental health teams and mental health, obstetric and neonatal outcomes in pregnant women.

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What’s BESST for young people? Efficacy of CBT-informed workshops for stress management in older adolescents

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Matthias Schwannauer explores the BESST cluster randomised controlled trial, which is out today in The Lancet Psychiatry. BESST stands for Brief Educational Workshops in Secondary Schools Trial.

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Just how good are antipsychotics at preventing relapse? Bridging the efficacy-effectiveness gap

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Samei Huda summarises a new network meta-analysis in the Lancet Psychiatry on the efficacy and effectiveness of antipsychotics for schizophrenia in research settings, such as randomised controlled trials, versus real-world and clinical settings.

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Opening ward doors doesn’t make staff any more coercive

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John Baker summarises a new Norwegian trial published last week, which compares an open-door policy to treatment-as-usual in urban psychiatric inpatient wards.

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