EBMH Notebook

EBMH Notebook

November 2008 Vol 11 No 4 | Unknown Author
The article outlines the selection criteria for evidence-based mental health articles, emphasizing the importance of both validity and clinical relevance. It highlights several studies on self-harm, suicide, and mental health treatments. Key points include: 1. **Self-Harm**: CBT was found to reduce repetition rates in young women with borderline personality disorder, but the sample was not typical. 2. **Suicide**: Studies suggest that individual characteristics are more important than area factors in predicting suicide risk. A cohort study in Northern Ireland found that area factors did not significantly impact suicide rates after adjusting for individual characteristics. 3. **Mental Illness and Suicide**: A study using the UK General Practice Research Database found that 1 in 10 suicides recorded in general practice were related to psychotic illnesses, with 70% occurring in individuals aged 30 and over. 4. **Antidepressants**: There is a lack of consensus on the overall risk of suicide in people taking antidepressants. A case-control study found no association between antidepressants and suicidal attempts in adults, but children were at a higher risk. The use of psychotropic drugs in children remains controversial. 5. **Delirium**: Treatment of delirium can improve cognitive and functional outcomes, but antipsychotics can increase the risk of mortality, especially in elderly patients with dementia. 6. **Diagnosis and Therapeutics**: Various studies on diagnosis and treatment of mental health disorders, including autism, ADHD, depression, and smoking cessation, are discussed. 7. **Aetiology**: Research on the causes of mental health issues, such as stressful life events, prenatal marijuana exposure, and antipsychotic drug use, is highlighted. The article concludes with a list of studies on the prevalence and comorbidity of mental health disorders, emphasizing the importance of understanding and addressing these issues.The article outlines the selection criteria for evidence-based mental health articles, emphasizing the importance of both validity and clinical relevance. It highlights several studies on self-harm, suicide, and mental health treatments. Key points include: 1. **Self-Harm**: CBT was found to reduce repetition rates in young women with borderline personality disorder, but the sample was not typical. 2. **Suicide**: Studies suggest that individual characteristics are more important than area factors in predicting suicide risk. A cohort study in Northern Ireland found that area factors did not significantly impact suicide rates after adjusting for individual characteristics. 3. **Mental Illness and Suicide**: A study using the UK General Practice Research Database found that 1 in 10 suicides recorded in general practice were related to psychotic illnesses, with 70% occurring in individuals aged 30 and over. 4. **Antidepressants**: There is a lack of consensus on the overall risk of suicide in people taking antidepressants. A case-control study found no association between antidepressants and suicidal attempts in adults, but children were at a higher risk. The use of psychotropic drugs in children remains controversial. 5. **Delirium**: Treatment of delirium can improve cognitive and functional outcomes, but antipsychotics can increase the risk of mortality, especially in elderly patients with dementia. 6. **Diagnosis and Therapeutics**: Various studies on diagnosis and treatment of mental health disorders, including autism, ADHD, depression, and smoking cessation, are discussed. 7. **Aetiology**: Research on the causes of mental health issues, such as stressful life events, prenatal marijuana exposure, and antipsychotic drug use, is highlighted. The article concludes with a list of studies on the prevalence and comorbidity of mental health disorders, emphasizing the importance of understanding and addressing these issues.
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