Archive for Category: Mental health

Predictors of positive patient-reported outcomes from ‘Early Intervention in Psychosis: a national cross-sectional study

Background

The components of care delivered by Early Intervention in Psychosis (EIP) services vary, but the impact on patient experience is unknown.

Objective

To investigate associations between components of care provided by EIP services in England and patient-reported outcomes.

Methods

2374 patients from EIP...

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Prescription amphetamines in people with opioid use disorder and co-occurring psychostimulant use disorder initiating buprenorphine: an analysis of treatment retention and overdose risk

Background

Attention-deficit and hyperactivity disorder (ADHD) is frequently diagnosed in patients with substance use disorders (SUDs), including opioids. There remains concern about the safety and efficacy of prescription amphetamines (PAs) and their impact on effectiveness of opioid use disorder (OUD)...

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Improving mental healthcare access and experience for people from minority ethnic groups: an England-wide multisite experience-based codesign (EBCD) study

Background

Long-standing ethnic inequalities in access and mental healthcare were worsened by the COVID-19 pandemic.

Objectives

Stakeholders coproduced local and national implementation plans to improve mental healthcare for people from minority ethnic groups.

Methods

Experience-based codesign conducted in four areas covered by National Health...

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Risk of death by suicide following self-harm presentations to healthcare: development and validation of a multivariable clinical prediction rule (OxSATS)

Background

Assessment of suicide risk in individuals who have self-harmed is common in emergency departments, but is often based on tools developed for other purposes.

Objective

We developed and validated a predictive model for suicide following self-harm.

Methods

We used data from Swedish population-based...

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Positive affect training to reduce mental health problems during the COVID-19 pandemic: a proof-of-concept randomised clinical trial

Background

The social restrictions occurring during the pandemic contributed to loss of many sources of reward, which contributes to poor mental health.

Objective

This trial evaluated a brief positive affect training programme to reduce anxiety, depression and suicidality during the pandemic.

Methods

In this...

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Physical injuries as triggers for self-harm: a within-individual study of nearly 250 000 injured people with a major psychiatric disorder

Background

Although there is robust evidence for several factors which may precipitate self-harm, the contributions of different physical injuries are largely unknown.

Objective

To examine whether specific physical injuries are associated with risks of self-harm in people with psychiatric disorders.

Methods

By using population...

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