Is the link btwn Adolescent SSRI use & Bipolar Disorder causal?

Our study suggests: 𝐍𝐨.

When accounting for unmeasured confounding (e.g., depression severity) via Instrumental Variable analysis, the evidence for a causal link disappears.

mentalhealth.bmj.com/content/28/1...

#Psychiatry #MedSky

What is the prevalence of psychotic experiences in child & adolescent psychiatry services?
All studies - 54%
With associated distress - 45%
Interview only - 36%
At least a 1/3 reporting this pluripotent marker. Important info for clinicians. @edinburghcapsych.bsky.social
doi.org/10.1093/schb...

One in five young people in the UK now use mental health services by age 18.
@the-independent.com

eur02.safelinks.protection.outlook.com?url=https%3A...

What % of all kids in the UK come to child and adolescent mental health services (CAMHS) at some stage in childhood (0 - 18)?

15 years ago, it was 1 in 17 children.

Now it’s a pretty staggering 1 in 5

www.cambridge.org/core/journal...

New research using an emulated target trail approach with all adolescent CAMHs users in Finland suggesting that Doxycycline (an antibiotic) can reduces future risk of schizophrenia.
Massive congrats to @iankellehermd.bsky.social @edinburghcapsych.bsky.social
doi.org/10.1176/appi...
More info ⬇️⬇️⬇️

Out now: Only 8% of all bipolar disorder cases can be identified before diagnosis using a parental history approach.

Sensitivity of familial high-risk approaches for the identification of future bipolar disorder: A longitudinal total birth cohort study

Available here: doi.org/10.1016/j.ja...

Out now: Only 8% of all bipolar disorder cases can be identified before diagnosis using a parental history approach.

Sensitivity of familial high-risk approaches for the identification of future bipolar disorder: A longitudinal total birth cohort study

Available here: doi.org/10.1016/j.ja...

We observed a significant increase in new eating disorder referrals to CAMHS in the UK during the COVID-19 pandemic. Interestingly, there was no evidence of changes in the patients' clinical, demographic, or deprivation profiles.

Open access in
#EatingBehaviors

doi.org/10.1016/j.ea...

Out now: No evidence that SSRI treatment for adolescent depression reduces future risk of psychosis. This goes against the belief that typical treatments for common mental disorders will reduce the risk of psychosis. 💊🧠
15 min explainer podcast: youtu.be/wP3nuqSpWbo
Paper: doi.org/10.1192/j.eu...

Out today in BJPsych: 45% of people with a psychotic or bipolar disorder attended CAMHS in Wales at some point in childhood/adolescence🧒

This replicates similar findings from Finland by @iankellehermd.bsky.social & co - showing this applies to UK CAMHS as well. doi.org/10.1192/bjp....

Concerns have been raised that stimulant medications could increase risk of psychotic experiences in young people. Our new research shows no evidence for such a causal relationship 💊🧠

Paper 👇
publications.aap.org/pediatrics/a...

Final opportunity to submit to the @rcpsych.bsky.social Child & Adolescent Faculty Annual Conference, Sept 25-26th.

Submissions close next Thursday, May 8th.

See you in Manchester!

www.rcpsych.ac.uk/events/confe...

Adolescents hospitalised for non-psychotic disorders have a high risk of psychosis in adulthood. But do (attenuated) psychotic symptoms predict later psychotic illness? The answer isn’t necessarily what you might expect…

Open access in #PsychologicalMedicine

1 in 2 adult mental health service outpatient appointments & inpatient bed days are taken up by former #CAMHS patients

Highlights frequently poor mental health trajectories for young ppl who attend CAMHS and need for research on altering these trajectories.

Paper: www.cambridge.org/core/journal...

New research shows >50% of specialist adult mental health service use comes from former #CAMHS patients

We need early intervention in childhood to change these poor long-term outcomes

That's why we need much more research on mental illness prevention in #CAMHS

👉 www.cambridge.org/core/journal...

In the midst of a crisis in youth mental health, more than half of all medical schools in the UK & Ireland do not even have a single professor in child & adolescent psychiatry

New in #BJPsych

www.cambridge.org/core/journal...