I was 17yo when I started my mental health nursing career, but that was a few years ago...

We need critical voices in psychiatry. There is potential harm from biomedical approaches to human suffering, as well as potential to assist with relief & recovery. Your polemic appears reactive and defensive to me. I value your contributions to a more balanced discussion but this is disappointing

A full post-graduate major in one article! Thank you for sharing this completely complex biopsychosocial research that affirms the critical importance of compassion and therapeutic human connection to restore flexibility in the thinking and responses of the affected person to allow their recovery.

People being prescribed antidepressants should be given this article as part of informed consent.

Thanks for sharing this Martin. Great question: "can so-called softer restrictive practices reduce harm, or will their introduction normalise restrictive practice use and undermine decades of progress?"

Great work - thanks for posting! There are so many variables associated with this important research question, limiting the capacity of a quantitative analysis to provide the answers. Qualitative approaches such McKeown et al (2019) doi.org/10.1111/jpm.... (open source) appear more definitive

Have done!

Hey Simon - thank you for continuing to highlight the social determinants of mental health. These should be the primary focus of early intervention.

With respect, the discourse of a "mental health crisis" and the need for taxpayer funding for more private and NGO mental health services requires critical consideration. The push for early intervention risks the pathologising of human distress and increaed prescription of potentially harmful drugs.

Pathologising normal and healthy childhood behaviour to make an easy buck.

Obviously a chemical imbalance

A little song that might have just saved my life many decades ago... www.youtube.com/watch?v=DzQy...

Please be cautious in your blanket blaming of 'politicians' for issues with the 'system' Harry. In our democratic society it is the people who choose the representative for their interests in the political sphere. Is your call for change a call for totalitarianism or do you have another alternative?

Working as a #MHN in ED at a holiday destination in Australia, the busiest time ever for suicide-related presentations was in the days after Christmas around NYE. For some it had been the culmination of a period of excessive alcohol compounded by disappointing family experiences and conflict.

As a male academic I can identify with these workplace hazards.