Women in Academic Psychiatry: A Mind to Succeed [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Gask, L. Tags: Reviews Source Type: research

Kurt Schapira MD FRCP FRCPsych DPM: Formerly Consultant Psychiatrist, Newcastle Health Authority, Honorary Lecturer in Psychiatry, University of Newcastle [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Davison, K., McClelland, H., Kerr, A., Schapira, M. Tags: Obituaries Source Type: research

Costas Stefanis MD: Formerly Professor of Psychiatry and Head, Department of Psychiatry, University of Athens Medical School; Director, Eginition University Psychiatric Hospital, Athens [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Bouras, N. Tags: Obituaries Source Type: research

Paul Haydon Rogers FRCP FRCPsych: Formerly Consultant Psychiatrist and Medical Director, St Crispin Hospital, Northampton [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Williams, D. Tags: Obituaries Source Type: research

Corrections [Corrections]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Tags: Corrections Source Type: research

Author's reply - the cognitive therapy of depression [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Gipps, R. G. T. Tags: Correspondence Source Type: research

Management of common mental disorders for psychogeriatric patients in Hong Kong - a comparison of two clinics [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Wong, M. M. C., Pang, P.-f., Yiu, M. G. C. Tags: Correspondence Source Type: research

Investigating a serious incident - a personal perspective [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Talari, S. Tags: Correspondence Source Type: research

Profile: Derek Summerfield - politics and psychiatry [Perspectives]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Bland, J. Tags: Perspectives Source Type: research

Teaching provision for old age psychiatry in medical schools in the UK and Ireland: a survey [Education & training]
Aims and method This work builds on a survey first done in 1999 to understand how old age psychiatry teaching is embedded in undergraduate medical schools in the UK and Ireland and the influence of academic old age psychiatrists on teaching processes. We invited deans of 31 medical schools in the UK and Ireland in 2015 to complete an online survey to reassess the situation 16 years later. Results Response rate was 74%. As found in the original survey, there was variation across medical schools in how old age psychiatry is taught. Half of schools stated there was not enough space in the curriculum dedicated to old age psych...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Bennett, S., Ilderton, P., O'Brien, J. T., Taylor, J.-P., Teodorczuk, A. Tags: Education & amp; training Source Type: research

Psychiatric neurosurgery in the 21st century: overview and the growth of deep brain stimulation [Current Practice]
Ambulatory deep brain stimulation (DBS) became possible in the late 1980s and was initially used to treat people with movement disorders. Trials of DBS in people with treatment-resistant psychiatric disorder began in the late 1990s, initially focusing on obsessive–compulsive disorder, major depressive disorder and Tourette syndrome. Despite methodological issues, including small participant numbers and lack of consensus over brain targets, DBS is now being trialled in a wide range of psychiatric conditions. There has also been more modest increase in ablative procedures. This paper reviews these developments in the l...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Barrett, K. Tags: Current Practice Source Type: research

Suicide patterns on the London Underground railway system, 2000-2010 [Special articles]
Aims and Method Suicidal acts on underground railway networks are an area of public health concern. Our aim was to review recent epidemiological patterns of suicidal acts on the London Underground to inform future preventive interventions. Data from 2000 to 2010 were obtained from the British Transport Police via a Freedom of Information request. Results The mean annual rate of suicidal acts from 2000 to 2010 was 5.8 per 100 million passenger journey stages. Of those who died by suicide, 77.3% were of White Northern European ethnicity. A fifth had a history of mental illness. Clinical implications The widening gap between ...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Martin, S., Rawala, M. Tags: Special articles Source Type: research

The cognitive therapy of depression rests on substantial theoretical, empirical and clinical foundations: a reply to Dr Gipps [Special articles]
Dr Gipps claims that the cognitive therapy for depression rests on a mistake. But his anachronistic analysis of Beck's early research from the perspective of current psychoanalytic theory misses the point. The value of the research was not that it disproved psychoanalytic theory, but that it generated a model of depression that has revolutionised psychotherapy research. Psychoanalysts are belatedly adopting research methods that Beck pioneered half a century ago. The cognitive model of depression has explanatory power for both maintenance and vulnerability and has substantial research underpinning it. Cognitive therapy for...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Moorey, S. Tags: Special articles Source Type: research

Does the cognitive therapy of depression rest on a mistake? [Special articles]
Cognitive therapy for depression is common practice in today's National Health Service, yet it does not work well. Aaron Beck developed it after becoming disillusioned with the psychoanalytic theory and therapy he espoused and practised. But Beck's understanding of psychoanalysis appears to have been seriously flawed. Understood rightly, the psychoanalytic approach offers a cogent theory and therapy for depression which, unlike the cognitive approach, takes us to its emotional-motivational roots. A clinically successful therapy can afford to eschew theory and rest on its pragmatic laurels. This is not the case for cognitiv...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Gipps, R. G. T. Tags: Special articles Source Type: research

Mental capacity legislation in the UK: systematic review of the experiences of adults lacking capacity and their carers [Review Article]
Aims and method Capacity legislation in the UK allows substitute decision-making for adults lacking capacity. Research has explored the experiences of such adults and their carers in relation to the Adults with Incapacity (Scotland) Act 2000, and the Mental Capacity Act 2005 in England and Wales. A systematic review of the relevant research was performed using a framework method. Results The legislation provided mechanisms for substitute decision-making which were seen as useful, but there were negative experiences. Decision-making did not always seem to follow the legislative principles. Awareness of the legislation was l...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Wilson, S. Tags: Review Article Source Type: research

Perceptions and knowledge of antipsychotics among mental health professionals and patients [Original papers]
Aims and method To assess the patients' most influential concerns regarding long-acting injectable antipsychotics (LAIs) and mental health professionals' preconceptions about these concerns. For both groups, to assess the level of knowledge about LAIs. This cross-sectional study used semi-structured interviews of patients with schizophrenia or schizoaffective disorder (n = 164), nurses (n = 43) and physicians (n = 20). Results The mental health professionals overestimated many of the patients' fears of LAIs, and the expressed fears exceeded the actual experiences of patients already on LAIs. Acceptance to switch to LAIs wa...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Cahling, L., Berntsson, A., Bröms, G., Öhrmalm, L. Tags: Original papers Source Type: research

Personality disorder services in England: findings from a national survey [Original papers]
Aims and method We aimed to evaluate the availability and nature of services for people affected by personality disorder in England by conducting a survey of English National Health Service (NHS) mental health trusts and independent organisations. Results In England, 84% of organisations reported having at least one dedicated personality disorder service. This represents a fivefold increase compared with a 2002 survey. However, only 55% of organisations reported that patients had equal access across localities to these dedicated services. Dedicated services commonly had good levels of service use and carer involvement, and...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Dale, O., Sethi, F., Stanton, C., Evans, S., Barnicot, K., Sedgwick, R., Goldsack, S., Doran, M., Shoolbred, L., Samele, C., Urquia, N., Haigh, R., Moran, P. Tags: Original papers Source Type: research

A Devil's dictionary for mental health [Editorials]
Clinical psychiatry, for all its emphasis on scientific rigour, is mediated mainly by words rather than by numbers. As with other professional areas, it has developed its own set of jargon words and phrases. Many of these are not the technical terms traditionally seen as jargon, but standard English words and phrases used in an idiosyncratic way. They therefore go unnoticed as jargon, while enfeebling our communications. I have used the template of Ambrose Bierce's The Devil's Dictionary to highlight some examples, with the aim of helping us all to talk, write and, perhaps, think more clearly. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Timms, P. Tags: Editorials Source Type: research

Patient safety and quality of care in mental health: a world of its own? [Editorials]
Quality and safety in healthcare, as an academic discipline, has made significant progress over recent decades, and there is now an active and established community of researchers and practitioners. However, work has predominantly focused on physical health, despite broader controversy regarding the attention paid to, and significance attributed to, mental health. Work from both communities is required in order to ensure that quality and safety is actively embedded within mental health research and practice and that the academic discipline of quality and safety accurately represents the scientific knowledge that has been a...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: D'Lima, D., Crawford, M. J., Darzi, A., Archer, S. Tags: Editorials Source Type: research

Shrink Wrapped: Tales from Psychiatrists [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Cooney, G. Tags: Reviews Source Type: research

Handbook on Obsessive-Compulsive and Related Disorders [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Drummond, L. M. Tags: Reviews Source Type: research

Vitamin D deficiency is to be expected due to immune changes related to mental health problems [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Swanepoel, A. Tags: Correspondence Source Type: research

Seeing, spots and blots [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Dhillon, B., Dhillon, N. Tags: Correspondence Source Type: research

To educate or to entertain? [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Newman-Zand, K. H. Tags: Correspondence Source Type: research

Being sensible about suicides [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Watts, J. Tags: Correspondence Source Type: research

Patient admission and caregiver stress [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Kruger, E. R. Tags: Correspondence Source Type: research

Scottish independence: the view of psychiatry from Edinburgh [Perspectives]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Bland, J. Tags: Perspectives Source Type: research

Trainee experiences of intellectual disability psychiatry and an innovative leaderless support group: a qualitative study [Education & training]
Aims and method There is very little research into the challenges of training in intellectual disability psychiatry or into interventions which may address these challenges. Using focus groups, we explored the experiences of intellectual disability psychiatry trainees, and evaluated a leaderless trainee support group developed in Bristol. Results Five distinct themes were identified via framework analysis: that trainees felt unprepared for the difference from previous posts; the need for support; the value of the group; that trainees were concerned about judgement in supervision; that the group structure was valued. Clinic...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Spackman, R., Toogood, H., Kerridge, J., Nash, J., Anderson, E., Rai, D. Tags: Education & amp; training Source Type: research

Shared decision-making in medication management: development of a training intervention [Education & training]
Shared decision-making is a collaborative process in which clinicians and patients make treatment decisions together. Although it is considered essential to patient-centred care, the adoption of shared decision-making into routine clinical practice has been slow, and there is a need to increase implementation. This paper describes the development and delivery of a training intervention to promote shared decision-making in medication management in mental health as part of the Shared Involvement in Medication Management Education (ShIMME) project. Three stakeholder groups (service users, care coordinators and psychiatrists) ...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Stead, U., Morant, N., Ramon, S. Tags: Education & amp; training Source Type: research

Drug information update. Lithium and chronic kidney disease: debates and dilemmas [Special articles]
This article discusses the current evidence base regarding the link between lithium and chronic kidney disease, monitoring of renal functions and its clinical implications. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Gupta, S., Khastgir, U. Tags: Special articles Source Type: research

Drug information update. Atypical antipsychotics and neuroleptic malignant syndrome: nuances and pragmatics of the association [Special articles]
This article briefly discusses the evidence relating to the occurrence, presentation and management of NMS induced by atypical antipsychotics. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Sarkar, S., Gupta, N. Tags: Special articles Source Type: research

Prevent: what is pre-criminal space? [Special articles]
This article examines pre-criminal space, a new term which refers to a period of time during which a person is referred to a specific Prevent-related safeguarding panel, Channel. It is unclear what the concept of pre-criminal space adds to the Prevent programme. The term should be either clarified or removed from the Framework. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Goldberg, D., Jadhav, S., Younis, T. Tags: Special articles Source Type: research

The impact of transforming care on the care and safety of patients with intellectual disabilities and forensic needs [Special articles]
NHS England recently published a national plan to develop community services for people with intellectual disabilities and autism who display challenging behaviour by using resources from the closure of a large number of hospital beds. An ambitious timescale has been set to implement this plan. The bed closure programme is moving ahead rapidly, but there has been little progress in developing community services to support it. This paper discusses the impact of the gap between policy and practice on the care and safety of patients with intellectual disabilities and forensic needs who form a distinct subgroup of the target p...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Taylor, J. L., McKinnon, I., Thorpe, I., Gillmer, B. T. Tags: Special articles Source Type: research

Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors [Review Article]
Aims and method To systematically review the prevalence and associated factors of burnout and stress-related psychiatric disorders among UK doctors. An extensive search was conducted of PubMed, EBSCOhost and British medical journals for studies published over a 20-year span measuring the prevalence of psychiatric morbidity (using the General Health Questionnaire) and burnout (using the Maslach Burnout Inventory). Results Prevalence of psychiatric morbidity ranged from 17 to 52%. Burnout scores for emotional exhaustion ranged from 31 to 54.3%, depersonalisation 17.4 to 44.5% and low personal accomplishment 6 to 39.6%. Gener...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Imo, U. O. Tags: Review Article Source Type: research

Flexible assertive community treatment (FACT) model in specialist psychosis teams: an evaluation [Original papers]
Aims and method The impact of flexible assertive community treatment (FACT) has been observed in people previously supported by assertive community treatment (ACT) teams, but its effect on those previously with a community mental health team (CMHT) has not been studied in the UK. An observational study was conducted of 380 people from 3 CMHTs and 95 people from an ACT team, all with a history of psychosis, following service reconfiguration to 3 FACT teams. Results People previously with a CMHT required less time in hospital when the FACT model was introduced. A smaller reduction was observed in people coming from the ACT t...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Sood, L., Owen, A., Onyon, R., Sharma, A., Nigriello, J., Markham, D., Seabrook, H. Tags: Original papers Source Type: research

Evaluation of the 13-item Hypomania Checklist and a brief 3-item manic features questionnaire in primary care [Original papers]
Aims and method The mean delay for bipolar disorder diagnosis is 10 years. Identification of patients with previous hypomania is challenging, sometimes resulting in misdiagnosis. The aims of this study were: (a) to estimate the proportion of primary care patients with depression currently taking antidepressants who have undiagnosed bipolar disorder and (b) to compare a brief 3-item manic features questionnaire with the Hypomania Checklist (HCL-13). The sample comprised patients with a recorded diagnosis of depression, either on long-term antidepressant therapy or with previous multiple courses of antidepressants. Results O...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Singh, S., Scouller, P., Smith, D. J. Tags: Original papers Source Type: research

Falls in Scottish homicide: lessons for homicide reduction in mental health patients [Editorials]
The sustained fall in Scottish homicide rates follows crime reduction measures informed by the epidemiology of suicide. The violence reduction unit targeted young men carrying knives in public. The restriction of weapons immediately to hand appears to have caused an absolute fall in homicide just as suicide reduction was observed following changes to domestic gas supply. Further homicide reduction may be accomplished in the domestic setting with targeted changes in kitchen knife design in home safety planning for high-risk households. Most commonly homicides involving those in recent contact with mental health services in ...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Crichton, J. H. M. Tags: Editorials Source Type: research

MCQs in Psychiatry for Medical Students [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Dash, S. Tags: Reviews Source Type: research

Mental Health in the Digital Age: Grave Dangers, Great Promise [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Zhang, M. W. B. Tags: Reviews Source Type: research

Dr Robert George (Rob) Jones FRCPsych: Formerly Honorary Professor of Old Age Psychiatry, University of Nottingham [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Dening, T., Arie, T. Tags: Obituaries Source Type: research

Post-flight confusion [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Rands, G. Tags: Correspondence Source Type: research

Capacity assessments - diagnosis is misleading [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Behr, G. M. Tags: Correspondence Source Type: research

Personalisation and social care assessment - the Care Act 2014 [Current Practice]
The Care Act 2014 represents a significant change in legislation in England. For the first time it brings together various aspects of adult social care into a single statute succeeding earlier acts and policy. Given its importance to the lives of service users and carers, clinicians need to have a clear understanding of its implications. We provide an overview of why it was developed, its underlying principles and international comparisons, as well as implications for assessments, interventions and outcomes. The impact on the lives of patients and carers is discussed, as well as dilemmas and challenges the Act presents. Wh...
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Barnes, D., Boland, B., Linhart, K., Wilson, K. Tags: Current Practice Source Type: research

Improving the quality of mental health services using patient outcome data: making the most of HoNOS [Current Practice]
Efforts to assess and improve the quality of mental health services are often hampered by a lack of information on patient outcomes. Most mental health services in England have been routinely collecting Health of the Nation Outcome Scales (HoNOS) data for some time. In this article we illustrate how clinical teams have used HoNOS data to identify areas where performance could be improved. HoNOS data have the potential to give clinical teams the information they need to assess the quality of care they deliver, as well as develop and test initiatives aimed at improving the services they provide. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Crawford, M. J., Zoha, M., Macdonald, A. J. D., Kingdon, D. Tags: Current Practice Source Type: research

Should compulsory admission to hospital be part of suicide prevention strategies? [Special articles]
The World Health Organization report Preventing Suicide: A Global Imperative provides governments with guidance for comprehensive suicide prevention strategies. However, it does not mention the role that compulsory admission to hospital of psychiatric patients should have in policies for suicide prevention. This was a missed opportunity for international discussion and guidance about a measure that, although widely used, is becoming increasingly controversial in light of the existing evidence and human rights norms. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Wang, D. W. L., Colucci, E. Tags: Special articles Source Type: research

Drug information update. Unconventional treatment strategies for schizophrenia: polypharmacy and heroic dosing [Special articles]
The majority of patients respond to antipsychotic monotherapy at standard doses, but a subset of patients will require more heroic measures that include antipsychotic polypharmacy and high-dose monotherapy. Indeed, research has shown that roughly 30% of patients with psychosis are prescribed multiple antipsychotic medications. We discuss the potential benefits and challenges of these approaches and provide a rationale for why and when they should be utilised. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Moore, B. A., Morrissette, D. A., Meyer, J. M., Stahl, S. M. Tags: Special articles Source Type: research

Known unknowns and unknown unknowns in suicide risk assessment: evidence from meta-analyses of aleatory and epistemic uncertainty [Review Article]
Suicide risk assessment aims to reduce uncertainty in order to focus treatment and supervision on those who are judged to be more likely to die by suicide. In this article we consider recent meta-analytic research that highlights the difference between uncertainty about suicide due to chance factors (aleatory uncertainty) and uncertainty that results from lack of knowledge (epistemic uncertainty). We conclude that much of the uncertainty about suicide is aleatory rather than epistemic, and discuss the implications for clinicians. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Large, M., Galletly, C., Myles, N., Ryan, C. J., Myles, H. Tags: Review Article Source Type: research

Civil and forensic patients in secure psychiatric settings: a comparison [Original papers]
Aims and method To evaluate differences between male patients in secure psychiatric settings in the UK based on whether they are detained under civil or forensic sections of the Mental Health Act 1983. A cohort of patients discharged from a secure psychiatric hospital were evaluated for length of stay and frequency of risk-related incidents. Results Overall, 84 patients were included in the study: 52 in the forensic group and 32 in the civil group. Civil patients had more frequent incidents of aggression, sex offending, fire-setting and vulnerability, whereas forensic patients had more frequent episodes of self-harm. Clini...
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Galappathie, N., Khan, S. T., Hussain, A. Tags: Original papers Source Type: research

An analysis of whether a working-age ward-based liaison psychiatry service requires the input of a liaison psychiatrist [Original papers]
This article presents a 12-month case series to determine the fraction of ward referrals of adults of working age who needed a liaison psychiatrist in a busy tertiary referral teaching hospital. Results The service received 344 referrals resulting in 1259 face-to-face contacts. Depression accounted for the most face-to-face contacts. We deemed the involvement of a liaison psychiatrist necessary in 241 (70.1%) referrals, with medication management as the most common reason. Clinical implications A substantial amount of liaison ward work involves the treatment and management of severe and complex mental health problems. Our ...
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Guthrie, E. A., McMeekin, A. T., Khan, S., Makin, S., Shaw, B., Longson, D. Tags: Original papers Source Type: research

Are men under-treated and women over-treated with antidepressants? Findings from a cross-sectional survey in Sweden [Original papers]
Aims and method To examine gender differences in self-reported depression and prescribed antidepressants (ADs). The Hospital Anxiety and Depression Scale was used to assess depression, and information on prescribed ADs was obtained from the Swedish Prescribed Drug Register. Results Depression was reported by 11.7% of the participants (12.3% men and 11.2% women). ADs were prescribed for 7.6% of the participants (5.3% men, 9.8% women). Among men, 1.8% reported depression and used ADs, 10.5% reported depression but did not use ADs, and 3.6% used ADs but did not report depression. The corresponding figures for women were 2.6%,...
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Thunander Sundbom, L., Bingefors, K., Hedborg, K., Isacson, D. Tags: Original papers Source Type: research