Dialectical Behavior Therapy May Reduce Suicide Attempts in Youth With Bipolar Disorder
Young people with bipolar spectrum disorder who received dialectical behavior therapy (DBT) had significantly fewer suicide attempts compared with young people who received standard psychotherapy, according to areport inJAMA Psychiatry. DBT is an evidence-based treatment that focuses on emotional regulation, and one of its uses is for suicidal behavior.“Up to 50% of youth with bipolar spectrum disorder attempt suicide,” wrote Tina Goldstein, Ph.D., of the University of Pittsburgh and colleagues. For up to 60% of individuals, their first suicide attempt is lethal, and for those who survive, the risk of death increa...
Source: Psychiatr News - September 20, 2023 Category: Psychiatry Tags: ALIFE Self-Injurious/Suicidal Behavior Scale bipolar spectrum disorder dialectical behavior therapy emotional regulation Ph.D. suicide attempt the Columbia Suicide Severity Rating Scale Tina Goldstein Source Type: research

Palliative Care Said to Help Patients With Serious Mental Illness
Researchershave long known that people with serious mental illnesses (SMI) tend to die at younger ages than those who do not have these conditions —likely due to their higher risk of chronic illnesses that tend to be more severe and diagnosed later in life. Arecent article inJAMA Psychiatryexamines why these patients may have been overlooked forpalliative care and a few simple steps that psychiatrists can take to help connect patients to end of life care when needed.“A distinguishing feature of palliative care in SMI is that unlike patients with fatal illnesses, such as cancer or heart disease, patients with SMI must c...
Source: Psychiatr News - September 19, 2023 Category: Psychiatry Tags: consultation-liaison psychiatry end-of-life care geriatric psychiatrists JAMA Psychiatry palliative care serious mental illness SMI specialists Source Type: research

MDMA-Assisted Therapy for PTSD Shows Promise for Patients of Diverse Backgrounds
Several sessions of MDMA-assisted therapy led to improvements in a diverse population of adults with moderate to severe posttraumatic stress disorder (PTSD), according to areport inNature Medicine.“In a historic first, to our knowledge, for psychedelic treatment studies, participants who identified as ethnically or racially diverse encompassed approximately half of the study sample,” wrote Jennifer Mitchell, Ph.D., of the University of California, San Fransico, and colleagues. “A substa ntial proportion of participants displayed comorbid features associated with high treatment resistance, such as major depression, mu...
Source: Psychiatr News - September 18, 2023 Category: Psychiatry Tags: CAPS-5 diversity DSM-5 MDMA MDMA-assisted psychotherapy Nature Medicine PTSD severe to moderate PTSD Source Type: research

Cyberbullying Linked to Eating Disorder Symptoms in Youth
Youth who arecyberbullied or cyberbully others may be more likely to report disordered eating behaviors than those who are not involved with such bullying, astudy in theInternational Journal of Eating Disorders has found.Jason M. Nagata, M.D., M.Sc., of the University of California, San Francisco, and colleagues analyzed data from 10,258 participants in the Adolescent Brain Cognitive Development (ABCD) study, who were about 12 years old. As part of the ABCD study, the adolescents completed a self-reported questionnaire to capture lifetime cyberbullying (victimization and perpetration) using a modified version of the Cyberb...
Source: Psychiatr News - September 15, 2023 Category: Psychiatry Tags: ABCD study cyberbullying eating disorders International Journal of Eating Disorders perpetrator youth Source Type: research

Study Explores Factors Driving Health Care Use Among Those Involved With Criminal Legal System
It is well-known that people with mental health and substance use disorders are more likely to interact with the criminal legal system than those without these disorders. Areport inPsychiatric Services now suggests mental health disorders may be a stronger factor than substance use disorders in these individuals seeking health services.“[O]ur findings suggest that interventions that address a broad range of behavioral health needs for individuals with mental illness will be important to reduce acute health care use among those with criminal legal involvement,” wrote Harini Shah, Laura Hawks, M.D., M.P.H., and colleague...
Source: Psychiatr News - September 14, 2023 Category: Psychiatry Tags: criminal legal system emergency department health services use inpatient visits mental illness outpatient visits Psychiatric Services substance use disorders Source Type: research

APA Urges Expanded Telemedicine Prescribing Rules in DEA Listening Session
Telemedicine prescribing has expanded access to psychiatric medications —including controlled substances such as buprenorphine, which are crucial to fighting the opioid epidemic. So said psychiatrist Shabana Khan, M.D., yesterday during apublic meeting hosted by the Drug Enforcement Agency (DEA) about its proposed regulations on prescribing controlled substances via telemedicine. Khan, who was invited to speak at the meeting on behalf of APA, is director of child and adolescent telepsychiatry at NYU Langone Health, an assistant professor of child and adolescent psychiatry at NYU Grossman School of Medicine, and chair of ...
Source: Psychiatr News - September 13, 2023 Category: Psychiatry Tags: APA controlled substances DEA DEA rules diversion flexibilities opioid epidemic Shabana Khan telemedicine Source Type: research

Surgical Intervention for Irregular Heartbeat Found to Reduce Depression, Anxiety
This study highlights the negative impact of [atrial fibrillation] on patients’ mental health,” wrote Ahmed M. Al-Kaisey, M.B.Ch.B., of Royal Melbourne Hospital in Australia and colleagues. “[C]atheter ablation resulted in significant and sustained improvements in markers of psychological d istress, further focusing attention on the importance of mental health assessment in patients with symptomatic [atrial fibrillation].”The REMEDIAL (Randomized Evaluation of the Impact of Catheter Ablation on Psychological Distress in Atrial Fibrillation) study involved patients aged 18 to 80 who sought care for symptoms of atria...
Source: Psychiatr News - September 12, 2023 Category: Psychiatry Tags: atrial fibrillation catheter catheter ablation heart irregular heartbeat JAMA medication Source Type: research

Psychiatric News Remembers 9/11
On the 22nd anniversary of the terror attacks on 9/11,Psychiatric News remembers the thousands of people who perished in New York City, Arlington, Va., and Shanksville, Pa., as well as their families and friends whose lives were forever changed.Psychiatric News also recognizes the psychiatrists and other mental health professionals in New York and elsewhere who offered crisis counseling to survivors, relatives, friends, employers, first responders, and schools affected by the tragic events.The articles that follow are some of the earliest reports filed byPsychiatric News following the attacks.“Psychiatrists Rush to Aid o...
Source: Psychiatr News - September 11, 2023 Category: Psychiatry Tags: 9/11 Psychiatric News psychiatrists September 11 terrorist attacks Source Type: research

Inflammation From Infection Linked to Increased Risk of Dementia
Inflammation has long been associated with increased risk of Alzheimer ’s disease and other types of dementia. Now astudy inJAMA Network Open suggests that the increased risk may be tied specifically to inflammation from infection more than general systemic inflammation such as that caused by autoimmune disorders.Janet Janbek, Ph.D., of Copenhagen University Hospital –Rigshospitalet and colleagues examined data amassed between 1978 and 2018 from nearly 1.5 million adults in Danish national population registries. The individuals were born from 1928 to 1953, were alive and living in Denmark on January 1, 1978, and were i...
Source: Psychiatr News - September 8, 2023 Category: Psychiatry Tags: Alzheimer ' s disease autoimmune disorders dementia Denmark hospitalization infection inflammation JAMA Network Open risk Source Type: research

Antidepressants Found Effective for Depressed Patients With Other Medical Disorders
Many people with medical conditions such as heart disease and cancer also experience symptoms of depression. Areport published yesterday inJAMA Psychiatry suggests antidepressants are as safe and effective for people with comorbid depression as those with depression only.“It is important to screen for and manage comorbid depression in patients with medical diseases, and clinicians should choose treatments based on patient preferences and the antidepressant’s risk-benefit ratio,” wrote Ole Köhler-Forsberg, M.D., Ph.D., D.M.Sc., of Aarhus University Hospital-Ps ychiatry in Denmark.The researchers identified 176 system...
Source: Psychiatr News - September 7, 2023 Category: Psychiatry Tags: antidepressants comorbid depression efficacy improvements JAMA Psychiatry medical disorders symptoms Source Type: research

Eye Tracking May Aid Diagnosis of Autism in Young Children, Study Suggests
An eye-tracking device that measures social-visual engagement (how children look and learn from their surrounding social environment) may help to predict autism in children at risk for the disorder, according to areport inJAMA.“Most parents of children with autism report having had concerns before the second birthday, yet the median age of U.S. autism diagnosis is 4 to 5 years,” wrote Warren Jones, Ph.D., of the Marcus Autism Center in Atlanta and colleagues. Objective biomarker tests could help reduce diagnostic dela ys and connect young people with services earlier.For the study, Jones and colleagues recruited 475 ch...
Source: Psychiatr News - September 6, 2023 Category: Psychiatry Tags: autism DSM-5 early diagnosis eye tracking JAMA specificity validity young children Source Type: research

Patients Seeking Mental Health Care Want More Say in In-Person, Virtual Appointments
Nearly 1 in 3 adults receiving mental health treatment who were surveyed earlier this year said they don ’t have much choice when it comes to whether they see their clinician in person or via telehealth. In part, this was because those surveyed reported that they did not see clinicians who offered both in-person and telehealth visits.These were a few of the key takeaways from areport published this afternoon inHealth Affairs.“Although preferences regarding modality varied, with some preferring in-person care and others preferring telehealth for different types of behavioral health visits, the majority of interview part...
Source: Psychiatr News - September 5, 2023 Category: Psychiatry Tags: behavioral health care Health Affairs in-person medication management mental health care patient preference telehealth therapy virtual Source Type: research

Counterfeit Pills Increasingly Involved in U.S. Overdose Deaths
The percentage of overdose deaths involving counterfeit pills in the United States more than doubled between late 2019 and late 2021, according tofindings published today in the CDC ’sMorbidity and Mortality Weekly Report. The percentage of overdose deaths involving counterfeit pills more than tripled in western states in the country.“Drug overdose deaths are at historically high levels in the United States, with a preliminary estimate of more than 105,000 deaths in 2022,” wrote Julie O’Donnell, Ph.D., of the National Center for Injury Prevention and Control and colleagues. “Counterfeit pills can expose new popul...
Source: Psychiatr News - September 1, 2023 Category: Psychiatry Tags: benzodiazepines CDC counterfeit pills fentanyl MMWR Morbidity and Mortality Weekly Report overdose death western U.S. Source Type: research

1 in 3 Adults Knows Someone Who May Be Struggling With Addiction, APA Poll Finds
More than 70% of American adults said they would know how to get help for their friend or family member who was struggling with an addiction, and 53% said they would reach out to a doctor for help, according to the latest findings from APA ’s Healthy Minds Monthly Poll. The majority of those surveyed also said that if their loved one was dealing with addiction, they would initiate a conversation with them about addiction.“It’s promising … that Americans show such openness to talking with loved ones who may have substance use disorders or behavioral addictions,” APA President Petros Levounis, M.D., M.A., said in a...
Source: Psychiatr News - August 31, 2023 Category: Psychiatry Tags: addiction Alcoholics Anonymous APA poll conversation getting help Morning Consult recovery treatment Source Type: research

Federal Agency ‘Dead Set’ on Enforcing Parity, Seeks Psychiatrists’ Feedback on New Rules
The Employee Benefit Security Administration (EBSA) wants to hear from psychiatrists about recently proposed regulations to strengthen the2008 Mental Health Parity and Addiction Equity Act (MHPAEA). The deadline tosubmit a formal comment on these proposed rules is Monday, October 2.EBSA is part of the Department of Labor and is responsible for regulating 2.5 million employer-sponsored benefit plans providing health benefits to some 134 million people.The new rules —proposed by the departments of Labor, Treasury, and Health and Human Services—are meant to close loopholes and add greater clarity to the law’s requiremen...
Source: Psychiatr News - August 30, 2023 Category: Psychiatry Tags: 2008 Mental Health Parity and Addiction Equity Act Employee Benefit Security Administration mental illness MHPAEA substance use disorders treatment limitations Source Type: research