Royal College of Psychiatrists Research This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Personality disorders.
Authors: Abstract Essential facts Individuals with a personality disorder can differ significantly from the average person in how they think, feel and behave. Borderline personality disorder (BPD) and antisocial personality disorder (ASPD) are two distinct conditions that have different care pathways. The Royal College of Psychiatrists says that around one in 20 people have some kind of personality disorder. PMID: 26153944 [PubMed - in process] (Source: Nursing Standard)
Source: Nursing Standard - July 8, 2015 Category: Nursing Tags: Nurs Stand Source Type: research

Psychiatry - recruitment crisis or opportunity for change?
Authors: Henfrey H Abstract Psychiatry is suffering an enduring crisis in recruitment. In this editorial I discuss the reasons for this that are most pertinent to recruitment from foundation training and also review the Royal College of Psychiatrists' current 5-year plan for recruitment and what else could be done. PMID: 26135568 [PubMed - in process] (Source: The British Journal of Psychiatry for Mental Science)
Source: The British Journal of Psychiatry for Mental Science - July 5, 2015 Category: Psychiatry Tags: Br J Psychiatry Source Type: research

‘I don't feel trapped anymore…I feel like a bird’: People with Learning Disabilities' Experience of Psychological Therapy
ConclusionsThese results have contributed to the evidence base that people with a learning disability are able to meaningfully engage in research and provide essential feedback on the services that they receive. No longer can people be excluded from individual psychological therapy or research just because of their label. (Source: Journal of Applied Research in Intellectual Disabilities)
Source: Journal of Applied Research in Intellectual Disabilities - July 1, 2015 Category: Disability Authors: Nicola Lewis, Karin Lewis, Bronwen Davies Tags: Original Article Source Type: research

Psychiatry - recruitment crisis or opportunity for change? [EDITORIALS]
Psychiatry is suffering an enduring crisis in recruitment. In this editorial I discuss the reasons for this that are most pertinent to recruitment from foundation training and also review the Royal College of Psychiatrists' current 5-year plan for recruitment and what else could be done. (Source: The British Journal of Psychiatry)
Source: The British Journal of Psychiatry - July 1, 2015 Category: Psychiatry Authors: Henfrey, H. Tags: EDITORIALS Source Type: research

Informed consent and ECT: how much information should be provided?
Obtaining informed consent before providing treatment is a routine part of modern clinical practice. For some treatments, however, there may be disagreement over the requirements for ‘informed’ consent. Electroconvulsive therapy (ECT) is one such example. Blease argues that patients ‘should surely be privy to the matters of fact that: (1) there is continued controversy over the effectiveness of ECT; (2) there is orthodox scientific consensus that there is currently no acknowledged explanation for ECT and (3) there is a serious (mainstream) debate over whether the response to ECT may be a placebo response....
Source: Journal of Medical Ethics - April 23, 2015 Category: Medical Ethics Authors: Torrance, R. Tags: Patients, Informed consent, Legal and forensic medicine Clinical ethics Source Type: research

'Conversion' therapy presents a risk to more vulnerable patients.
Abstract US president Barack Obama recently joined a long list of individuals and organisations, including NHS England and the Royal College of Psychiatrists, in condemning conversion therapies. PMID: 25902246 [PubMed - in process] (Source: Nursing Standard)
Source: Nursing Standard - April 22, 2015 Category: Nursing Authors: Payne D Tags: Nurs Stand Source Type: research

[Comment] The future of mental health in the UK: an election manifesto
Alastair Campbell recently told The Sunday Times that 100% of British politicians would benefit from seeing a psychiatrist.1 We would not go so far, but believe that every politician would benefit from thinking more about mental health care and how to improve it. To help them with this, the Royal College of Psychiatrists has already published Making Parity a Reality, a mental health manifesto for the next UK Government.2 It is disheartening that half of the things we called for—proper liaison psychiatry services, a minimum unit price for alcohol, and investment in parenting programmes—have such robust evidence bases th...
Source: LANCET - February 27, 2015 Category: Journals (General) Authors: Greg Smith, Simon Wessely Tags: Comment Source Type: research

Malaysian medical students' perceptions of a film to promote psychiatry as a career.
CONCLUSIONS: Despite conveying a positive image of psychiatry, promotional films may have limited impact in changing students' attitudes towards psychiatry and in increasing interest in psychiatry as a career. PMID: 25676216 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 12, 2015 Category: Psychiatry Authors: Vasudevan U, Bharathy A, Koay JM, Panikulam JJ, Saleem F, Hassali A, Russell V Tags: Australas Psychiatry Source Type: research

Young people and self-harm.
Authors: Abstract Essential facts Self-harm refers to a wide range of behaviours where people injure or damage their body intentionally. It ranges from cutting, burning or pinching to abusing drugs and alcohol or having an eating disorder. According to the Royal College of Psychiatrists, the incidence of self-harm in the UK has continued to rise over the past two decades and is said to be among the highest in Europe for young people. PMID: 25649574 [PubMed - in process] (Source: Nursing Standard)
Source: Nursing Standard - February 4, 2015 Category: Nursing Tags: Nurs Stand Source Type: research

The cardiovascular safety of the empirical measurement of the seizure threshold in electroconvulsive therapy [Original papers]
Aims and method The Royal College of Psychiatrists’ Committee on Electroconvulsive Therapy (ECT) and Related Treatments advises the measurement of initial seizure threshold in all patients undergoing ECT if possible. The subconvulsive electrical stimulation inherent in this process is thought to increase the risk of bradycardia and therefore asystole. Our aim was to establish the prevalence of asystole (no heart beat for 5 or more seconds) during empirical measurement of seizure threshold in patients who had not received anticholinergic drugs, as we were unable to find any published reports of bradycardia or asystole...
Source: Psychiatric Bulletin - February 2, 2015 Category: Psychiatry Authors: Mizen, L., Morton, C., Scott, A. Tags: Original papers Source Type: research

Practice question.
Abstract Around one in five older patients in acute hospitals has delirium ( Royal College of Psychiatrists (RCPsych) 2005 ). Delirium is a clinical syndrome where the patient has disturbed consciousness - reduced awareness of the environment, reduced ability to focus, sustain or shift attention, cognitive function - difficulty with problem solving, or memory, or perception, which can develop over hours or days and with symptoms that can fluctuate over minutes, hours or days. PMID: 25430841 [PubMed - in process] (Source: Nursing Older People)
Source: Nursing Older People - November 28, 2014 Category: Nursing Authors: Goldberg S, Chapman J Tags: Nurs Older People Source Type: research

[Editorial] The integration of mental and physical health care
Last week, UK Chief Medical Officer (CMO) Dame Sally Davies launched her annual report on public mental health, which informs national and local government policy in England. The report calls for the integration of health-care services through a biopsychosocial framework and makes 14 policy recommendations. It has been welcomed by the Royal College of Psychiatrists (which defined six goals in response), the Faculty of Public Health, and others. (Source: LANCET)
Source: LANCET - September 20, 2014 Category: Journals (General) Authors: The Lancet Tags: Editorial Source Type: research

Teaching Therapeutic Seizure Criteria to Psychiatrists
ConclusionsThe reliability of assessments of seizure length, presence of δ activity, and post-ictal suppression can be measurably improved with a specific teaching module. Using the δ suppression criteria together with the accurate estimation of seizure length on EEG may have greater clinical utility when it comes to instructing trainees in ECT administration, assessment of therapeutic seizures, and developing protocols for dose adjustment. (Source: The Journal of ECT)
Source: The Journal of ECT - September 1, 2014 Category: Psychiatry Tags: Original Studies Source Type: research

[Editorial] The realities and needs of children living with ADHD
The new President of the Royal College of Psychiatrists, Simon Wessely, recently signalled his concerns about overmedicalisation in children. In an interview with The Times newspaper in the UK, he said that “Medicalisation is not often done by doctors…Now we see a huge rise in support groups, we see pressure brought to bear to bring in labels…You get obvious pressure from parents…It's psychiatry which is against the medicalisation of normality.” Specifically in relation to attention-deficit hyperactivity disorders (ADHD), he went on: “It's the same with Ritalin. (Source: LANCET)
Source: LANCET - July 12, 2014 Category: Journals (General) Authors: The Lancet Tags: Editorial Source Type: research

Ultra-brief Pulse Unilateral ECT is Associated With Less Cognitive Side Effects
We enjoyed reading the ECT Handbook of the Royal College of Psychiatrists [1], which offers a great resource and an authoritative guide to the practicing ECT psychiatrist and is authored by renowned experts in the field. However, we would like to bring attention to an important point related to cognitive side effects related to pulse width mentioned in the handbook that we see contradicts recent evidence from well-designed clinical trials. (Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation)
Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation - July 3, 2014 Category: Neurology Authors: Emad Sidhom, Nagy A. Youssef Tags: Letter to the Editor Source Type: research