Eating disorders have the highest mortality rate of mental and a high incidence morbidity, but if diagnosed treated promptly individuals can benefit from full recovery. However, there are numerous problems at healthcare interface (i.e. primary secondary care) for eating disorders. It is important to examine these facilitate appropriate, seamless treatment improve access specialist care.To current literature on experiences perspectives those across interfaces disorders, include with people...

Background Diagnosing eating disorders can be difficult and few people with the disorder receive specialist services despite associated high morbidity mortality. Aims To examine burden of in population terms incidence, comorbidities survival. Method We used linked electronic health records from general practitioner hospital admissions Wales, UK within Secure Anonymised Information Linkage (SAIL) databank to investigate incidence new diagnoses. examined frequency comorbid diagnoses prescribed...

Background Concerns relating to increased use of psychotropic medication contrast with those under-treatment and under-recognition common mental disorders in children young people (CYP) across developed countries. Little is known about the indications recorded for antidepressant prescribing primary care CYP. Method This was an electronic cohort study routinely collected primary-care data from a population 1.9 million, Wales, UK. Poisson regression undertaken model adjusted counts depression...

Little is known regarding the recognition of anxiety in children and young people (CYP) primary care. This study examined trends presentation, recording anxiolytic hypnotic prescriptions for CYP A population-based retrospective electronic cohort individuals aged 6–18 years between 2003 2011 within Secure Anonymised Information Linkage (SAIL) Databank care database was created. Incidence rates were calculated using person at risk (PYAR) as a denominator accounting deprivation, age gender. We...

Neurosurgical interventions for psychiatric disorders have a long and troubled history (1,2), but become much more refined in the last few decades due to rapid development of neuroimaging robotic technologies (2). These advances enabled design less invasive techniques which are focused, such as Deep Brain Stimulation (DBS) (3). DBS involves electrode insertion into specific neural targets implicated pathological behavior, then repeatedly stimulated at adjustable frequencies. has been used...

Background Mental disorders in children and adolescents have an impact on educational attainment. Aims To examine the temporal association between attainment education subsequent diagnosis of depression or self-harm teenage years. Method General practitioner, hospital records young people Wales 1999 2014 were linked analysed using Cox regression. Results Linked available for 652 903 these 33 498 (5.1%) developed 15 946 (2.4%) self-harmed after age 12 but before 20. Young who over study...

Nasogastric tube (NGT) feeding against a patient's consent is an intervention that clinicians working in specialist mental health in-patient units may need to implement from time time. Little research has explored clinician, patient and carer perspectives on good practice.

Surveys indicate considerable variation regarding the provision of cancer treatment at end life. The cannot be fully explained by differences concerning clinical situation or patients' preferences. aim this qualitative study was to explore medical oncologists' experiences with advanced cancer, as well their views relevance and nonmedical criteria for decisions about limiting treatment.Qualitative in-depth interviews were conducted physicians working in oncology tertiary care hospitals...

Abstract On the basis of detailed interviews females aged between fifteen and twenty-six years with a diagnosis anorexia nervosa we argue that autonomy people this condition may be severely compromised in four ways, particularly relation to eating weight. First there are problems agency. Second, affective components, anxiety, can dominate beliefs such grounds for making decision differ from reasons given justification. Third, interactions components objective evidence lead substantial inner...

Abstract Elite gymnastics, and other sports where athletes coaches are particularly concerned with aesthetic considerations, weight shape, fields within which the risk of eating disorders may be unusually high. Adolescent gymnasts, developing their own sense self, at a time life body image concerns common, often compete very top sport need to maintain shape optimal for elite performance. Research into this field should address range sociological ethical aspects in sport, prevalence as well...

Deep Brain Stimulation is currently being investigated as an experimental treatment for patients suffering from treatment-refractory AN, with increasing number of case reports and small-scale trials published. Although still at exploratory stage, initial results have been promising. Despite the risks associated invasive neurosurgical procedure long-term implantation a foreign body, DBS has advantageous features SE-AN. can be fine-tuned to specific needs particular patient, relatively...

Participation in elite sport, and particular those sports with special demands terms of weight shape, is associated a higher risk for eating disorders such as anorexia nervosa [Sundgot-Borgen, J., & Torstveit, M. K. (2010). Aspects disordered continuum high intensity sports. Scandinavian Journal Medicine Science Sports, 20, 112–121]. We report upon research exploring attitudes behaviours within gymnastics. The study comprised 42 semi-structured interviews gymnasts support staff—34 9...

Social distancing laws during the first year of pandemic, and its unprecedented changes to National Health Service (NHS) forced a large majority services, especially mental health teams deliver patient care remotely. For many, this approach was adopted out necessity, rather than choice, thus presenting true ‘testing ground’ for remote healthcare robust evaluation on national representative level. Objective To extract analyse specific data from dataset 1 (March 2020–March 2021). Design A...

Background Individuals with eating disorders who self-harm are a vulnerable group characterised by greater pathology and poorer outcomes. Aims To explore healthcare utilisation mortality in those record of: only; both co-occurring. Method We conducted retrospective whole population e-cohort study of individuals aged 10–64 years from 2003 to 2016. were divided into: disorders; no or disorders. used linked routinely collected data across primary care, emergency departments, hospital admissions...

Co-morbid diabetes and eating disorders have a particularly high mortality, significant in numbers highly dangerous terms of impact on health wellbeing. However, not much is known about the level awareness, knowledge confidence amongst healthcare professionals regarding co-morbid Type 1 Diabetes Mellitus (T1DM) disorders.To understand Wales T1DM disorder presentations, identification treatment.We conducted survey 102 Welsh clinicians primary care, services services. 60.8% expressed low...

To determine whether clinically extremely vulnerable (CEV) children or living with a CEV person in Wales were at greater risk of presenting anxiety depression primary secondary care during the COVID-19 pandemic compared general population and to compare patterns (23 March 2020-31 January 2021, referred as 2020/2021) before 2019-31 2020, 2019/2020), between population.

Abstract Compared with other mental health conditions or psychiatric presentations, such as self-harm, which may be seen in emergency departments, eating disorders can seem relatively rare. However, they have the highest mortality across spectrum of health, high rates medical complications and risk, ranging from hypoglycaemia electrolyte disturbances to cardiac abnormalities. People not disclose their diagnosis when see healthcare professionals. This due denial condition itself, a wish avoid...

The COVID‐19 pandemic has meant upheaval for child and adolescent mental health services children, young people their families. We look at this disruption through the lens of values‐based practice. also briefly examine concept natural capital opportunity ‘Building Back Better’ post‐COVID. suggest that as well losses, there are opportunities to rethink reshape our practices make them more value‐based.