A systematic review of the impact of media reports of severe mental illness on stigma and discrimination, and interventions that aim to mitigate any adverse impact
ConclusionsGiven the limited research evidence on the impact of news and social media on stigma towards SMI, and on the effectiveness of interventions aiming to mitigate this impact, further studies of higher quality are needed in this area. Due to mixed findings, interventions with media professionals are also an area of research priority. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 22, 2018 Category: Psychiatry Source Type: research

Positive and negative impacts of schizophrenia on family caregivers: a systematic review and qualitative meta-summary
ConclusionsAnalysis of the studies suggested that family members of individuals with schizophrenia face a series of traumatic situations during the course of the illness. Their subsequent experiences can be conceptualised as a continuous circle of caregiving, in which the positive impacts can be centrally positioned within the negative impacts. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 22, 2018 Category: Psychiatry Source Type: research

Factors associated with long length of stay in an inpatient psychiatric unit in Lilongwe, Malawi
ConclusionsOur findings demonstrate areas of possible intervention to reduce length of stay, including securing means for patient transport home, rapid identification and treatment of EPS, and reducing the risk of EPS by decreased use of high potency first-generation antipsychotics. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 22, 2018 Category: Psychiatry Source Type: research

Long-term effects of filmed social contact or internet-based self-study on mental health-related stigma: a 2-year follow-up of a randomised controlled trial
AbstractPurposeThere is a critical need to clarify the long-term effects of anti-stigma interventions. The study aimed to assess the long-term effects of repeated filmed social contact or internet-based self-study on mental health-related stigma through a randomised controlled trial with 2-year follow-up.MethodsWe randomly allocated 259 university or college students to a filmed social contact group, an internet-based self-study group, or a control group. The filmed social contact and internet-based self-study groups each received a 30-min initial intervention followed by emailed interventions every 2  months over a 1...
Source: Social Psychiatry and Psychiatric Epidemiology - October 12, 2018 Category: Psychiatry Source Type: research

The effect of media reporting of a homicide committed by a patient with schizophrenia on the public stigma and knowledge of psychosis among the general population of Hong Kong
ConclusionsThese findings suggest that media reporting of violent incidents involving people with schizophrenia increases the public belief in the dangerousness of people with psychosis but not the overall stigma. Further studies of the differential effects of violence reporting on public perceptions about people with psychosis and schizophrenia are warranted. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 12, 2018 Category: Psychiatry Source Type: research

Clinical significance of assertive community treatment among adolescents
AbstractPurposeThe efficacy of assertive community treatment for children and adolescents is proven in the United States, but remains controversial in Europe. Moreover, most studies showing positive outcomes of assertive community treatment are limited to statistically significant differences and do not consider whether the treatment is also subjectively clinically meaningful for the patient. Using a naturalistic sample, the present study aims to assess statistical and clinical significance of an assertive community treatment unit for adolescents in Europe.MethodsLinear mixed-effects models and reliable change indices were...
Source: Social Psychiatry and Psychiatric Epidemiology - October 11, 2018 Category: Psychiatry Source Type: research

The prevalence of mental disorders in Taiwanese prisons: a nationwide population-based study
AbstractPurposeIn Taiwan, few studies explored the morbidity of mental disorders among prisoners. The purpose of this study is conducted to estimate the prevalence of mental disorders in Taiwanese prisoners.MethodsBased on Nationwide population-based databank, 82,650 prisons were studied for mental disorders. Mental disorders were assessed with the International Classification of Diseases 9th revision Clinical Modification (ICD-9-CM).ResultThe prevalence of mental disorders among prisoners was estimated 11.31%. Female prisons exhibited a higher prevalence than males (17.82% vs. 10.56%,p 
Source: Social Psychiatry and Psychiatric Epidemiology - October 11, 2018 Category: Psychiatry Source Type: research

Quality not quantity: loneliness subtypes, psychological trauma, and mental health in the US adult population
ConclusionsCurrent findings provide support for the presence of subtypes of loneliness and show that they have unique associations with mental health status. Recognition of these subtypes of loneliness revealed that the number of US adults aged 18 –70 experiencing loneliness was twice as high as what was estimated when loneliness was conceptualized as a unidimensional construct. The perceived quality, not the quantity, of interpersonal connections was associated with poor mental health. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 6, 2018 Category: Psychiatry Source Type: research

Psychometric validation of the self-identification of having a mental illness (SELF-I) scale and the relationship with stigma and help-seeking among young people
This study validates a new scale for the self-identification of having a mental illness among a non-clinical, community cohort of young people in the UK.MethodsFollowing consultation with a group of young person experts with experience of mental health problems, we evaluated the psychometric properties of the self-identification of mental illness scale (SELF-I) among 423 young people aged 13 –24 years who are part of an ongoing prospective community cohort. We performed test retest reliability among a subset of 53 participants. Psychometric validation for the scale used measures of Cronbach’s alpha and Pea...
Source: Social Psychiatry and Psychiatric Epidemiology - October 4, 2018 Category: Psychiatry Source Type: research

Perceived neighbourhood social cohesion and depressive symptom trajectories in older adults: a 12-year prospective cohort study
ConclusionsDepressive symptom trajectories by PSC appear to widen as adults reach old age. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Depression literacy and health-seeking attitudes in the Western Pacific region: a mixed-methods study
AbstractPurposeDepression literacy refers to the ability to recognize depression and make informed decisions about its treatment. To date, relatively little research has been done to examine depression literacy in the Western Pacific region. Given the pervasiveness of depression and the need to enhance mental health care in this region, it is important to gain a better understanding of depression literacy and health-seeking behaviors in this part of the world.MethodsThis mixed-methods study utilized a convergent parallel design to examine depression literacy and the associated health-seeking attitudes among urban adults fr...
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Psychiatric diagnosis and other predictors of experienced and anticipated workplace discrimination and concealment of mental illness among mental health service users in England
ConclusionThis study suggests that psychiatric diagnosis is a predictor of experienced and anticipated workplace discrimination and the concealment of mental illness and that more support is needed for employees with common mental disorders and their employers to enable better workplace outcomes for this group. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Pathways to mental health services for young people: a systematic review
ConclusionsExcept in psychosis, youths ’ pathways to mental healthcare remain understudied. Pathways to care research may need to be reconceptualised to account for the often transient and overlapping nature of youth mental health presentations, and the possibility that what constitutes optimal care may vary. Despite these complexities , additional research, using standardized methodology, can yield a greater understanding of the help-seeking behaviours of youths and those acting on their behalf; service responses to help-seeking; and the determinants of pathways. This understanding is critical to inform ongoing init...
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Depression among the general adult population in Jiangsu Province of China: prevalence, associated factors and impacts
ConclusionsA low prevalence of depression was found in this population of China, though it is not clear the extent to which it reflects issues related to the measurement and/or other factors of the survey. Depression was found to be related to poorer health and poorer life functioning. Further research into the link between depression and access to mental health services in rural areas is necessary. Meanwhile, depression among chronic disease patients should be addressed in clinical settings, health plans and resources allocation. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Interpersonal and institutional ethnic discrimination, and mental health in a random sample of Palestinian minority men smokers in Israel
ConclusionsInterpersonal and institutional forms of ethnic discrimination are independently associated with poorer mental health among Arab minority men current and former smokers in Israel. Future research is warranted into both forms of discrimination in the general Arab population in Israel, including women. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

‘Between a rock and a hard place’: family members’ experiences of supporting a relative with bipolar disorder
ConclusionsFamily members supporting a relative with bipolar disorder face significant challenges but show considerable resourcefulness in managing them. The findings underline the importance of input from healthcare professionals to help family members effectively support their relative and manage the challenges they face. Professional support should be strengths-based, and tailored to family members ’ needs. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Symptomatic and functional recovery in depression in later life
ConclusionThis study showed that depression in later life has long-term debilitating effects on functioning, enduring even after remission from depression. This implies that depression treatment in later life should aim broader than just symptomatic recovery, but also include functional recovery. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Inpatient use and area-level socio-environmental factors in people with psychosis
ConclusionAlthough a robust association exists between socio-environmental factors and psychosis risk, in this study we found no evidence that neighbourhood deprivation was linked to future inpatient admissions following the onset of psychosis. Future work on the influence of area-level socio-environmental factors on outcome should examine more nuanced outcomes, e.g. recovery, symptom trajectory, and should account for key methodological challenges, e.g. accounting for changes in address. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Intersections of discrimination due to unemployment and mental health problems: the role of double stigma for job- and help-seeking behaviors
ConclusionsMultiple discrimination may affect job search and help-seeking among unemployed individuals with mental health problems. Interventions to reduce public stigma and to improve coping with multiple discrimination for this group should be developed. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Patterns and predictors of depressive symptoms among Jamaican fathers of newborns
ConclusionsWe interpret these findings in light of existing work on paternal depression, including the importance of social context and support. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Views from an asylum: a retrospective case note analysis of a nineteenth century asylum
ConclusionsThese findings challenge the myth that asylum incarceration was a usual practice before the advent of community care. Most patients were discharged from psychiatric asylum hospital within a year of admission even before the advent of psychotropic medication. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 1, 2018 Category: Psychiatry Source Type: research

Prenatal war exposure and schizophrenia in adulthood: evidence from the Sino-Japanese War of 1937 –1945
ConclusionsPrenatal exposure to the Sino-Japanese War of 1937 –1945 had long-run detrimental effect on risk of schizophrenia in the female adults. Further investigations are warranted to extend the enduring wartime impact on other health outcomes in China. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 29, 2018 Category: Psychiatry Source Type: research

Implementing an intervention designed to enhance service user involvement in mental health care planning: a qualitative process evaluation
ConclusionsFuture aspirations of SDM enactment need to place the circumstances and everyday practices of stakeholders at the centre of implementation. Such studies should consider the historical and current context of health care relationships and include elements which seek to address these directly. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 28, 2018 Category: Psychiatry Source Type: research

Incidence of female suicide in New York City: how important are socioeconomic factors?
ConclusionsThe results of the study suggest that labor market conditions, rather than societal factors such as marriage or fertility rates affect younger women ’s suicide rates in NYC. Second, sexual violence against women, found in micro studies to have severe long-term negative effects on victims’ mental health is also positively associated with the aggregate suicide rate. Finally, higher abortion rates correspond with lower suicide rates at the city level, but the mechanisms behind this link are not as clear, since micro studies find little association between unwanted pregnancy termination and mental health...
Source: Social Psychiatry and Psychiatric Epidemiology - September 28, 2018 Category: Psychiatry Source Type: research

Implementing an intervention designed to enhance service user involvement in mental health care planning: a qualitative process evaluation
ConclusionsFuture aspirations of SDM enactment need to place the circumstances and everyday practices of stakeholders at the centre of implementation. Such studies should consider the historical and current context of health care relationships and include elements which seek to address these directly. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 28, 2018 Category: Psychiatry Source Type: research

Incidence of female suicide in New York City: how important are socioeconomic factors?
ConclusionsThe results of the study suggest that labor market conditions, rather than societal factors such as marriage or fertility rates affect younger women ’s suicide rates in NYC. Second, sexual violence against women, found in micro studies to have severe long-term negative effects on victims’ mental health is also positively associated with the aggregate suicide rate. Finally, higher abortion rates correspond with lower suicide rates at the city level, but the mechanisms behind this link are not as clear, since micro studies find little association between unwanted pregnancy termination and mental health...
Source: Social Psychiatry and Psychiatric Epidemiology - September 28, 2018 Category: Psychiatry Source Type: research

Development and predictors of mental ill-health and wellbeing from childhood to adolescence
ConclusionLow –moderate stability of mental health outcomes stresses the importance of the transition period for mental health, highlighting an intervention window at these ages for prevention. Socio-economic status is associated with mental health development in females but not in males at this age, highlighti ng a sex-specific vulnerability of deprivation associated with poorer mental health in adolescent females. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 26, 2018 Category: Psychiatry Source Type: research

Spatial patterning of self-harm rates within urban areas
ConclusionProximity to the city centre was associated with lower rates of self-harm, but the usual operationalisations of urbanness, population density and greenspace, were not. Deprivation did not explain the spatial patterning, nor did ethnicity. While nationally self-harm rates are higher in urban and deprived areas, this cannot be extrapolated to mean that within cities the inner-city is the highest risk area nor that risk will be principally patterned according to deprivation. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 26, 2018 Category: Psychiatry Source Type: research

Development and predictors of mental ill-health and wellbeing from childhood to adolescence
ConclusionLow –moderate stability of mental health outcomes stresses the importance of the transition period for mental health, highlighting an intervention window at these ages for prevention. Socio-economic status is associated with mental health development in females but not in males at this age, highlighti ng a sex-specific vulnerability of deprivation associated with poorer mental health in adolescent females. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 26, 2018 Category: Psychiatry Source Type: research

Spatial patterning of self-harm rates within urban areas
ConclusionProximity to the city centre was associated with lower rates of self-harm, but the usual operationalisations of urbanness, population density and greenspace, were not. Deprivation did not explain the spatial patterning, nor did ethnicity. While nationally self-harm rates are higher in urban and deprived areas, this cannot be extrapolated to mean that within cities the inner-city is the highest risk area nor that risk will be principally patterned according to deprivation. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 26, 2018 Category: Psychiatry Source Type: research

Violent interpersonal trauma predicts aggressive thoughts and behaviors towards self and others: findings from the National Comorbidity Survey-Adolescent Supplement
ConclusionResults indicate that youth with a history of VIT may be at unique risk for experiencing aggression directed towards others and the self compared to those without this specific trauma history. This is important because trauma type is an easily assessed indicator of potentially elevated risk for these types of deleterious outcomes. Findings are situated in a research agenda aimed at continuing to refine our understanding of the link between interpersonal trauma and aggression. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 25, 2018 Category: Psychiatry Source Type: research

Girls get by with a little help from their friends: gender differences in protective effects of social support for psychotic phenomena amongst poly-victimised adolescents
ConclusionsSocial support-focused interventions targeting psychotic phenomena amongst poly-victimised adolescents may be more effective for girls. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 25, 2018 Category: Psychiatry Source Type: research

Violent interpersonal trauma predicts aggressive thoughts and behaviors towards self and others: findings from the National Comorbidity Survey-Adolescent Supplement
ConclusionResults indicate that youth with a history of VIT may be at unique risk for experiencing aggression directed towards others and the self compared to those without this specific trauma history. This is important because trauma type is an easily assessed indicator of potentially elevated risk for these types of deleterious outcomes. Findings are situated in a research agenda aimed at continuing to refine our understanding of the link between interpersonal trauma and aggression. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 25, 2018 Category: Psychiatry Source Type: research

Girls get by with a little help from their friends: gender differences in protective effects of social support for psychotic phenomena amongst poly-victimised adolescents
ConclusionsSocial support-focused interventions targeting psychotic phenomena amongst poly-victimised adolescents may be more effective for girls. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 25, 2018 Category: Psychiatry Source Type: research

Traumatic brain injury as an independent risk factor for problem gambling: a matched case-control study
ConclusionsWe found that a prior TBI was associated with an increased subsequent risk of problem gambling. Our findings support more awareness, screening, and treating problem gambling risks among TBI patients. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 19, 2018 Category: Psychiatry Source Type: research

Mild cognitive impairment and progression to dementia in people with diabetes, prediabetes and metabolic syndrome: a systematic review and meta-analysis
AbstractPurposeWe aimed to quantify the relative risk of progression from mild cognitive impairment (MCI) to dementia in people with and without diabetes, and with and without the MetS (MetS); and to identify potential modifiers of the risk of progression from MCI to dementia in people with diabetes or MetS.MethodsWe searched Medline, Embase, PsycINFO, PsycArticles and Web of Science from inception through to 20th March 2018. Where possible, the results from three or more studies were pooled in a meta-analysis, while other findings have been described narratively.ResultsWe included 15 articles reporting 12 studies (6865 pa...
Source: Social Psychiatry and Psychiatric Epidemiology - September 4, 2018 Category: Psychiatry Source Type: research

The relationship between neighborhood-level socioeconomic characteristics and individual mental disorders in five cities in Latin America: multilevel models from the World Mental Health Surveys
ConclusionsThe associations of neighborhood-level migration, unemployment, and education with individual-level odds of mental disorders highlight the importance of community context for understanding the burden of mental disorders among residents of rapidly urbanizing global settings. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 1, 2018 Category: Psychiatry Source Type: research

Associations of state-level rates of depression and fatal opioid overdose in the United States, 2011 –2015
ConclusionsAddressing depression in the provider –patient relationship may be important, as may be addressing the mental health provider shortage in the United States. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - September 1, 2018 Category: Psychiatry Source Type: research

Historical trends in suicide risk for the residents of mainland China: APC modeling of the archived national suicide mortality rates during 1987 –2012
ConclusionsThe mega trends in the suicide risk at the population level are closely related to significant historical events in China. Suicide is anticipated to increase because of the growing risk for the young cohorts (particularly young females) as the country further develops. Study findings suggest the significance of national strategies for suicide prevention and control, including maintenance of social harmony and stability, provision of more opportunities for development, enhancement of social integration, and restriction of suicide facilitating factors. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - August 31, 2018 Category: Psychiatry Source Type: research

The influence of undetermined deaths on suicides in Shanghai, China
ConclusionsThe number of suicides could be 23% higher than the reported cases. Suicides were more likely to be underreported in migrants than in the locals. Thus, it is important to improve suicide monitoring and the surveillance systems in China. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - August 30, 2018 Category: Psychiatry Source Type: research

Bullying involvement, psychological distress, and short sleep duration among adolescents
ConclusionsThese results suggest that higher levels of bullying involvement place adolescents at risk of developing higher psychological distress which, in turn, can lead to short sleep duration. Longitudinal research is necessary to confirm the mediating role of psychological distress on the relationship between bullying involvement and short sleep duration among adolescents. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - August 30, 2018 Category: Psychiatry Source Type: research

The price of admission: does moving to a low-poverty neighborhood increase discriminatory experiences and influence mental health?
ConclusionsNeighborhood poverty mediated MTO treatment on adult mental health, suggesting that greater neighborhood poverty contributes to mental health problems. Yet housing discrimination-mental health findings were inconclusive. Effects of neighborhood poverty on health may be underestimated when failing to account for discrimination. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - August 30, 2018 Category: Psychiatry Source Type: research

Prevalence of emotional and behavioral problems and subthreshold psychiatric disorders in Austrian adolescents and the need for prevention
ConclusionsA significant proportion of Austrian adolescents are at risk for MHP. A non-responder analysis indicates that the observed prevalence may be even underestimated. These findings emphasize the urgent need for targeted prevention, especially for reducing anxiety and depressive symptoms and for adolescents in disadvantaged families. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - August 29, 2018 Category: Psychiatry Source Type: research

Confidence and attitudes of pharmacy students towards suicidal crises: patient simulation using people with a lived experience
AbstractPurposeHealth care professionals, including pharmacists, have the potential to recognise and assist those at risk of suicide. The primary aim of this study was to assess the impact of utilising people with a lived experience of mental illness as simulated patients on final year pharmacy students ’ attitudes toward and confidence in caring for people at risk of suicide after first receiving Mental Health First Aid (MHFA) training.MethodsA parallel group repeated measures design was used. People with a lived experience of mental illness enacted patients experiencing a mental health crisis, including possible su...
Source: Social Psychiatry and Psychiatric Epidemiology - August 28, 2018 Category: Psychiatry Source Type: research

The predictors of depression in a longitudinal cohort of community dwelling rural adults in Australia
ConclusionFinancial and employment-related difficulties appear to be important risk factors for depression, and targeting individuals experiencing such difficulties may be an effective means of reducing depression among certain sub-groups. Strategies to prevent depression in rural and remote Australia may benefit from a focus on interpersonal and community-level support, as the effects of this support are lasting and contribute to a reduced likelihood of depressive episodes in future years. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - August 28, 2018 Category: Psychiatry Source Type: research

The effect of having a child with ADHD or ASD on family separation
ConclusionParents of children diagnosed with ADHD or ASD were more likely to separate than control parents. It is important to improve our knowledge about the particular characteristics of families at risk of separating to prevent distress for the families and their child. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - August 28, 2018 Category: Psychiatry Source Type: research

Shared decision-making in mental health care using routine outcome monitoring: results of a cluster randomised-controlled trial
ConclusionExcept for patients with mood disorders, we found no difference between the arms for patient-reported DC. This might be explained by the less than optimal uptake of this generic intervention, which did not support patients directly. Regarding the positive influence of a higher level of applying SDM and ROM on less DC and better treatment outcomes, the results are encouraging for further investments in patient-oriented development and implementation of SDMR. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - August 27, 2018 Category: Psychiatry Source Type: research

Excessive mortality and causes of death among patients with personality disorder with comorbid psychiatric disorders
ConclusionsWe found significant synergistic effects of PD and SUD on mortality risk. A personality assessment should be mandatory in all clinical settings to prevent premature death and detect SUD early. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - August 27, 2018 Category: Psychiatry Source Type: research