- Suicide and Self-Harm Studies
- Child and Adolescent Psychosocial and Emotional Development
- Attention Deficit Hyperactivity Disorder
- Mental Health Treatment and Access
- Psychiatric care and mental health services
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Child Abuse and Trauma
- Digital Mental Health Interventions
- Migration, Health and Trauma
- Emergency and Acute Care Studies
- Child Welfare and Adoption
- COVID-19 and Mental Health
- Health Policy Implementation Science
- Art Therapy and Mental Health
- Insect and Pesticide Research
- Childhood Cancer Survivors' Quality of Life
- Cardiac Arrest and Resuscitation
- Gun Ownership and Violence Research
- Traumatic Brain Injury Research
- Music Therapy and Health
- Schizophrenia research and treatment
- Poisoning and overdose treatments
- Psychosomatic Disorders and Their Treatments
- Bipolar Disorder and Treatment
Centre for Mental Health
2022-2025
Queen Mary University of London
2022-2025
East London NHS Foundation Trust
2023-2025
Mental Health Services
2023-2024
FrontLine Service
2024
British Medical Association
2022-2023
King's College London
2014-2023
South London and Maudsley NHS Foundation Trust
2012-2020
King's College - North Carolina
2020
IS practice
2019
Purpose of review Suicide is the second leading cause death in youth aged 10–24 years old globally, but detecting those at risk challenging. Novel preventive strategies with wide influence across populations are required. Interest potential for both detrimental and supportive influences social media/internet use on suicidal behaviour has been growing; however, relationship remains unclear. Recent findings A systematic search articles from database inception up to 25 January 2019 five...
Abstract Background Individuals with co-occurring hyperactivity disorder/hyperactivity disorder (ADHD) and autism spectrum (ASD) can have complex presentations that may complicate diagnosis treatment. There are established guidelines regard to the identification treatment of ADHD ASD as independent conditions. However, were not formally recognised diagnostically conditions until Diagnostic Statistical Manual Mental Disorders 5 (DSM-5) was published in 2013. Hence, awareness understanding...
Background: Suicide attempts (SA) and other types of self-harm (SH) are strong predictors death by suicide in adolescents, emphasising the need to investigate therapeutic interventions reduction these symptoms. We conducted an updated systematic review randomised controlled trials (RCTs) from our previous study reporting that were effective reducing SH including SA, while additionally exploring suicidal ideation (SI) depressive symptoms (DS). Method: A literature search was across OVID...
Intensive community treatment to reduce dependency on adolescent psychiatric inpatient care is recommended in guidelines but has not been assessed a randomised controlled trial the UK. We designed supported discharge service (SDS) provided by an intensive team and compared outcomes with usual care.
The COVID-19 pandemic and government lockdown restrictions have had an impact on children young people worldwide. In this editorial, we explore how why referrals to UK adolescent mental health services (CAMHS) changed during the summarise emerging data potential reasons behind this.
To compare psychiatric emergencies and self-harm at emergency departments (EDs) 1 year into the pandemic, to early pandemic pre-pandemic, examine changes in characteristics of presentations.This retrospective cohort study expanded on Pandemic-Related Emergency Psychiatric Presentations (PREP-kids) study. Routine record data March April 2019, 2020, 2021 from 62 EDs 25 countries were included. ED presentations made by children adolescents for any mental health reasons analyzed.Altogether,...
More than 200 million children and adolescents live in countries affected by violent conflict, are likely to have complex mental health needs, struggle access traditional services. Digital interventions the potential overcome some of barriers accessing support. We performed a scoping review map existing digital relevant for war, examine strength evidence base, inform development future interventions.
Objective To determine whether Therapeutic Assessment (TA) versus assessment as usual (AAU) improves engagement with follow-up in adolescents presenting self-harm. Design Randomised controlled trial 3 months naturalistic follow-up. Setting Child and adolescent mental health services two London National Health Service Trusts. Participants 26 clinicians randomised into TA AAU groups recruited 70 newly referred Interventions TA, a manualised procedure including basic psychosocial 30 min...
To investigate the effect of Internet-based training (IBT), with and without supervision, on therapists' (N = 61) cognitive-behavioral therapy (CBT) skills in routine clinical practice.Participants were randomized into 3 conditions: (1) use a consultation worksheet (IBT-CW); (2) CBT supervision via Skype (IBT-S); (3) "delayed-training" controls (DTs), who did not receive until all data collection was completed. The IBT participants received access to over period months. evaluated at pre-,...
<h3>Background</h3> An earlier randomised controlled trial demonstrated improved treatment engagement in adolescents who received Therapeutic Assessment (TA) versus As Usual (AAU), following an emergency presentation with self-harm. <h3>Objectives</h3> To determine 2-year outcomes for the same focusing on frequency of Accident and Emergency (A&E) self-harm presentations engagement. <h3>Method</h3> Patients TA groups (n=35) AAU group (n=34) were followed up 2 years after initial...
ObjectiveVictimized adolescents have an increased risk of self-injurious thoughts and behaviors. However, poor understanding causal non-causal mechanisms underlying this observed limits the development interventions to prevent premature death in adolescents. This study tested whether pre-existing family-wide individual vulnerabilities account for victimized adolescents' behaviors.MethodParticipants were 2,232 British children followed from birth 18 years age as part Environmental Risk...
Self-harm is one of the best predictors death by suicide, but few studies directly compare adolescents with suicidal versus nonsuicidal self-harm. Seventy presenting self-harm (71% young women, ages 12-18 years) who participated in a randomized controlled trial were divided into and categories using Columbia Classification Algorithm Suicide Assessment. Adolescents more likely than those to be 22/23 (96%) 34/47 (72%), odds ratio (OR) = 8.33, 95% confidence interval (CI) [1.03, 50.0]; had...