Mental health research in the Arab region: challenges and call for action
Publication date: Available online 18 July 2019Source: The Lancet PsychiatryAuthor(s): Fadi T Maalouf, Bibi Alamiri, Samir Atweh, Anne E Becker, Majda Cheour, Hala Darwish, Lilian A Ghandour, Suhaila Ghuloum, Mouin Hamze, Elie Karam, Brigitte Khoury, Samia J Khoury, Ali Mokdad, Lokman I Meho, Tarek Okasha, Geoffrey M Reed, Eman Sbaity, Pia Zeinoun, Elie A AklSummaryAlthough mental disorders are a leading cause of disability in the Arab region, which includes 5·54% of the global population, Arab countries produce only 1·0% of the global output of peer-reviewed publications in mental health research. Various st...
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

Climate-driven Atlantic hurricanes pose rising threats for psychopathology
Publication date: Available online 18 July 2019Source: The Lancet PsychiatryAuthor(s): Zelde Espinel, Sandro Galea, James P Kossin, Carissa Caban-Aleman, James M Shultz (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

Smorgasbord or Smaug's hoard?
Publication date: August 2019Source: The Lancet Psychiatry, Volume 6, Issue 8Author(s): The Lancet Psychiatry (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

What are the key considerations for clinicians treating Bahá'í patients with psychiatric disorders?
Publication date: August 2019Source: The Lancet Psychiatry, Volume 6, Issue 8Author(s): Anees Bahji (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

Unconsented genetic testing in psychiatry: an (almost) no go?
Publication date: August 2019Source: The Lancet Psychiatry, Volume 6, Issue 8Author(s): Jurjen J Luykx, Rick van der Spek, Sisco van Veen, Wonnie Lo-A-Foe, Noor A A Giesbertz, Annelien L Bredenoord, Ger G Palmboom (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

Research round-up
Publication date: August 2019Source: The Lancet Psychiatry, Volume 6, Issue 8Author(s): Seema Kang (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

Non-conforming, part 2: care and identity in the big city
Publication date: August 2019Source: The Lancet Psychiatry, Volume 6, Issue 8Author(s): Bethany Grace Howe (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

The Nervous Stage, Matthew Wilson Smith. Oxford University Press (2018), 240, $39.95, ISBN: 9780190644086
Publication date: August 2019Source: The Lancet Psychiatry, Volume 6, Issue 8Author(s): Kelley Swain (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

Bicycle Day, Brian Blomerth. Anthology Editions (2019), 188, US$30.00, ISBN: 9781944860240
Publication date: August 2019Source: The Lancet Psychiatry, Volume 6, Issue 8Author(s): Denna Jones (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

Cryin', talkin', sleepin', walkin' living dolls
Publication date: August 2019Source: The Lancet Psychiatry, Volume 6, Issue 8Author(s): Simon Guerrier (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

Brightness falls: Seance on a Wet Afternoon
Publication date: August 2019Source: The Lancet Psychiatry, Volume 6, Issue 8Author(s): Laura Thomas (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

The next Tay
Publication date: August 2019Source: The Lancet Psychiatry, Volume 6, Issue 8Author(s): Sarah Ditum (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 20, 2019 Category: Psychiatry Source Type: research

Psychiatry's stance towards scientifically implausible therapies: are we losing ground?
Publication date: Available online 17 July 2019Source: The Lancet PsychiatryAuthor(s): Gerald M Rosen, Scott O Lilienfeld, Russell E Glasgow (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 18, 2019 Category: Psychiatry Source Type: research

Mental health care for university students: a way forward?
Publication date: Available online 16 July 2019Source: The Lancet PsychiatryAuthor(s): Anne Duffy, Kate E A Saunders, Gin S Malhi, Scott Patten, Andrea Cipriani, Stephen H McNevin, Ellie MacDonald, John Geddes (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 17, 2019 Category: Psychiatry Source Type: research

Common mental disorders: falling through the gap
Publication date: Available online 16 July 2019Source: The Lancet PsychiatryAuthor(s): Gemma Lewis, Joseph Hayes (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 17, 2019 Category: Psychiatry Source Type: research

Mind and body go together: the need for integrated care
Publication date: Available online 16 July 2019Source: The Lancet PsychiatryAuthor(s): Rakhi Dandona (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 17, 2019 Category: Psychiatry Source Type: research

The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness
Publication date: Available online 16 July 2019Source: The Lancet PsychiatryAuthor(s): Joseph Firth, Najma Siddiqi, Ai Koyanagi, Dan Siskind, Simon Rosenbaum, Cherrie Galletly, Stephanie Allan, Constanza Caneo, Rebekah Carney, Andre F Carvalho, Mary Lou Chatterton, Christoph U Correll, Jackie Curtis, Fiona Gaughran, Adrian Heald, Erin Hoare, Sarah E Jackson, Steve Kisely, Karina Lovell, Mario Maj (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 17, 2019 Category: Psychiatry Source Type: research

Antipsychotic serious adverse events in context
Publication date: Available online 15 July 2019Source: The Lancet PsychiatryAuthor(s): Takefumi Suzuki (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 17, 2019 Category: Psychiatry Source Type: research

Second-generation antipsychotic drugs and short-term somatic serious adverse events: a systematic review and meta-analysis
This study is registered with PROSPERO, number CRD42016033930.FindingsWe identified 597 RCTs, comprising 108 664 participants, that met the inclusion criteria. 314 trials (67 642 participants) with details on individual serious adverse events available constituted the main dataset for meta-analysis. 88% of these were 13 weeks (approximately 3 months) or shorter in duration (median 6 weeks, IQR 4–9). At least one somatic serious adverse event occurred in 698 (1·63%) to 862 (2·02%) of 42 600 patients on antipsychotics, and in 343 (1·37%) to 419 (1·67%) of 25 042 patients on placebo. ...
Source: The Lancet Psychiatry - July 17, 2019 Category: Psychiatry Source Type: research

Baseline severity and efficacy of antidepressants: into the third generation of research
Publication date: Available online 11 July 2019Source: The Lancet PsychiatryAuthor(s): Toshi A Furukawa (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 12, 2019 Category: Psychiatry Source Type: research

Influence of baseline severity on the effects of SSRIs in depression: an item-based, patient-level post-hoc analysis
Publication date: Available online 11 July 2019Source: The Lancet PsychiatryAuthor(s): Fredrik Hieronymus, Alexander Lisinski, Staffan Nilsson, Elias ErikssonSummaryBackgroundReports claiming that antidepressants are effective only in patients with severe depression have affected treatment guidelines but these reports usually use a disputed measure of improvement, a decrease in the sum-score of the 17-item Hamilton Depression Rating Scale (HDRS-17), and are based on group-level rather than patient-level data.MethodIn this item-based, patient-level, post-hoc analysis, we pooled data from all completed, acute-phase, placebo-...
Source: The Lancet Psychiatry - July 12, 2019 Category: Psychiatry Source Type: research

Perspectives on ICD-11 to understand and improve mental health diagnosis using expertise by experience (INCLUDE Study): an international qualitative study
We report here the first study to systematically seek and collate service user perspectives on a major classification and diagnostic guideline. Focus groups were used to collect feedback on five diagnoses: depressive episode, generalised anxiety disorder, schizophrenia, bipolar type 1 disorder, and personality disorder. Participants were given the official draft diagnostic guidelines and a parallel lay translation. Data were then thematically analysed, forming the basis of co-produced recommendations for WHO, which included features that could be added or revised to better reflect lived experience and changes to language t...
Source: The Lancet Psychiatry - July 9, 2019 Category: Psychiatry Source Type: research

Risk of suicide and repeat self-harm after hospital attendance for non-fatal self-harm in Sri Lanka: a cohort study
Publication date: Available online 1 July 2019Source: The Lancet PsychiatryAuthor(s): Duleeka Knipe, Chris Metcalfe, Keith Hawton, Melissa Pearson, Andrew Dawson, Shaluka Jayamanne, Flemming Konradsen, Michael Eddleston, David GunnellSummaryBackgroundEvidence from high income countries (HICs) suggests that individuals who present to hospital after self-harm are an important target for suicide prevention, but evidence from low and middle-income countries (LMICs) is lacking. We aimed to investigate the risk of repeat self-harm and suicide, and factors associated with these outcomes, in a large cohort of patients presenting t...
Source: The Lancet Psychiatry - July 2, 2019 Category: Psychiatry Source Type: research

Surveillance for self-harm: an urgent need in low-income and middle-income countries
Publication date: Available online 1 July 2019Source: The Lancet PsychiatryAuthor(s): Lakshmi Vijayakumar, Gregory Armstrong (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - July 2, 2019 Category: Psychiatry Source Type: research

Common elements of evidence-based systemic treatments for adolescents with disruptive behaviour problems
Publication date: Available online 26 June 2019Source: The Lancet PsychiatryAuthor(s): Thimo M van der Pol, Lieke van Domburgh, Brigit M van Widenfelt, Michael S Hurlburt, Ann F Garland, Robert R J M VermeirenSummaryA growing number of evidence-based systemic treatments for adolescents with disruptive behaviour problems exist. However, it is not clear to what extent these treatments have unique and common elements. Identification of common elements in the different treatments would be beneficial for the further understanding and development of family-based interventions, training of therapists, and research. Therefore, the...
Source: The Lancet Psychiatry - June 27, 2019 Category: Psychiatry Source Type: research

The association between antidepressant treatment and brain connectivity in two double-blind, placebo-controlled clinical trials: a treatment mechanism study
Publication date: Available online 24 June 2019Source: The Lancet PsychiatryAuthor(s): Yun Wang, Joel Bernanke, Bradley S Peterson, Patrick McGrath, Jonathan Stewart, Ying Chen, Seonjoo Lee, Melanie Wall, Vanessa Bastidas, Susie Hong, Bret R Rutherford, David J Hellerstein, Jonathan PosnerSummaryBackgroundAntidepressant medications offer an effective treatment for depression, yet nearly 50% of patients either do not respond or have side-effects rendering them unable to continue the course of treatment. Mechanistic studies might help advance the pharmacology of depression by identifying pathways through which treatments exe...
Source: The Lancet Psychiatry - June 26, 2019 Category: Psychiatry Source Type: research

Linking antidepressant performance with pain network connectivity
Publication date: Available online 24 June 2019Source: The Lancet PsychiatryAuthor(s): Yvette I Sheline, Meichen Yu (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 26, 2019 Category: Psychiatry Source Type: research

The right services, at the right time, for the right people
Publication date: Available online 24 June 2019Source: The Lancet PsychiatryAuthor(s): Gin S Malhi (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 26, 2019 Category: Psychiatry Source Type: research

The case for improved care and provision of treatment for people with first-episode mania
Publication date: Available online 24 June 2019Source: The Lancet PsychiatryAuthor(s): Sameer Jauhar, Aswin Ratheesh, Christopher Davey, Lakshmi N Yatham, Patrick D McGorry, Phillip McGuire, Michael Berk, Allan H YoungSummaryThe care of people with first-episode mania has been overlooked in comparison with the care of patients with other non-affective psychoses, despite evidence suggesting targeted treatments might be of benefit for this patient group. In this Personal View, we outline the general epidemiology of first-episode mania in the context of bipolar disorder, the natural history of mania (with an emphasis on its r...
Source: The Lancet Psychiatry - June 26, 2019 Category: Psychiatry Source Type: research

Seeing the whole picture of postpartum depression
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): The Lancet Psychiatry (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Recognising the heterogeneity of autism
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Catherine Lord (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Mental health and violence: opportunities for change
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Sian Oram, Niall Boyce, Louise M Howard (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Tapering of SSRI treatment to mitigate withdrawal symptoms
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Golo Kronenberg, Deepti Desai, Ion Anghelescu (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Tapering of SSRI treatment to mitigate withdrawal symptoms
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Sudhakar Selvaraj, Sameer Jauhar, David S Baldwin, Philip J Cowen, Guy Goodwin, Joseph F Hayes, David J Nutt, Mattia Veronese, Allan H Young (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Tapering of SSRI treatment to mitigate withdrawal symptoms
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Henricus G Ruhe, Annemieke Horikx, Mariëlle J P van Avendonk, Bart F Groeneweg, Hèlen Woutersen-Koch, Discontinuation of Antidepressants Taskforce (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Control of fentanyl-related substances in China
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Yanping Bao, Shiqiu Meng, Jie Shi, Lin Lu (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Correction to Lancet Psychiatry 2017; 4: 715–24
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Research round-up
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Seema Kang (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Canadian prisons face new legal challenges over mental health
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Paul Webster (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Martha Wadsworth: battling social injustice for the sake of youth mental health
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Priya Venkatesan (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Man on the moon
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Simon Guerrier (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

“Poor baby”: The Love Witch
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Laura Thomas (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Notes on a Nervous Planet, Matt Haig. Canongate Books (2018), 320, £12.99, ISBN: 9781786892676
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Andrew Bianchi (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Careless communities
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Talha Burki (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Environmental risk factors and biomarkers for autism spectrum disorder: an umbrella review of the evidence
We examined small study effects and excess significance. We did analyses under credibility ceilings. This review is registered with PROSPERO, number CRD42018091704.Findings46 eligible articles yielded data on 67 environmental risk factors (544 212 cases, 81 708 787 individuals) and 52 biomarkers (15 614 cases, 15 433 controls). Evidence of association was convincing for maternal age of 35 years or over (relative risk [RR] 1·31, 95% CI 1·18–1·45), maternal chronic hypertension (odds ratio [OR] 1·48, 1·29–1·70), maternal gestational hypertension (OR 1·37,...
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

Tapering of SSRI treatment to mitigate withdrawal symptoms – Authors' reply
Publication date: July 2019Source: The Lancet Psychiatry, Volume 6, Issue 7Author(s): Mark Abie Horowitz, David Taylor (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 21, 2019 Category: Psychiatry Source Type: research

ADHD medication treatment and risk of psychosis
Publication date: Available online 17 June 2019Source: The Lancet PsychiatryAuthor(s): Lily Hechtman (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 18, 2019 Category: Psychiatry Source Type: research

Methylphenidate and the risk of psychosis in adolescents and young adults: a population-based cohort study
Publication date: Available online 17 June 2019Source: The Lancet PsychiatryAuthor(s): Chris Hollis, Qi Chen, Zheng Chang, Patrick D Quinn, Alexander Viktorin, Paul Lichtenstein, Brian D'Onofrio, Mikael Landén, Henrik LarssonSummaryBackgroundThere is a clinical concern that prescribing methylphenidate, the most common pharmacological treatment for attention-deficit hyperactivity disorder (ADHD), might increase the risk of psychotic events, particularly in young people with a history of psychosis. We aimed to determine whether the risk of psychotic events increases immediately after initiation of methylphenidate trea...
Source: The Lancet Psychiatry - June 18, 2019 Category: Psychiatry Source Type: research

Rising opioid-related deaths in England and Scotland must be recognised as a public health crisis
Publication date: Available online 11 June 2019Source: The Lancet PsychiatryAuthor(s): Jo Kimber, Matt Hickman, John Strang, Kyla Thomas, Sharon Hutchinson (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 12, 2019 Category: Psychiatry Source Type: research

A diversified theory of catatonia
Publication date: Available online 10 June 2019Source: The Lancet PsychiatryAuthor(s): Mark Oldham (Source: The Lancet Psychiatry)
Source: The Lancet Psychiatry - June 11, 2019 Category: Psychiatry Source Type: research