Editorial: Modern Electroconvulsive Therapy: Vastly Improved Yet Greatly Underused – JAMA Psychiatry (free) (RT @JAMA_current see Tweet)
In this observational study, electroconvulsive therapy was associated with reduced 30-day readmission risk among psychiatric inpatients with severe affective disorders (RR=0.54;0.28-0.81).
Practice: I am your trans patient – The BMJ (free)
Related infographic: Managing disclosure of gender dysphoria – The BMJ (free PDF)
When Anxiety or Depression Masks a Medical Problem – New York Times (10 articles month are free)
Related: Managing Anxiety in the Medically Ill – Psychiatric Times (free)
Trial of Electrical Direct-Current Therapy versus Escitalopram for Depression – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary: A New Brain-Stimulation Treatment Disappoints – Physician’s First Watch (free)
Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers – Medscape (free registration required)
Unpublished results, presented at the 13th World Congress of Biological Psychiatry, suggesting baclofen is an effective alternative for high-risk alcohol consumption.
Co-morbid OSA and insomnia increases depression prevalence and severity in men – Respirology (link to abstract – $ for full-text)
Why are doctors killing themselves? – by Anne Malatt, via MJA Insight (free)
Social media and mental health
3 – Point of view: Is ‘Internet Addiction’ Real? – NPR Health News (free)
4 – Report: #StatusOfMind Social media and young people’s mental health and wellbeing – Royal Society of Public Health (link to introduction – free PDF)
Commentaries: Instagram ‘worst for young mental health’ – BBC News (free) AND Instagram worst social media app for young people’s mental health – CNN news (free)
Pharmacological treatments and risk of readmission to hospital for unipolar depression in Finland: a nationwide cohort study – The Lancet Psychiatry (link to abstract – $ for full-text)
Commentary: Lithium Markedly Cuts Hospital Readmission in Depression – Medscape (free registration required)
Real-World Effectiveness of Antipsychotic Treatments in a Nationwide Cohort of 29 823 Patients With Schizophrenia – JAMA Internal Medicine(link to abstract – $ for full-text)
Commentaries: Oral clozapine, long-acting injectables tied to lower relapse risk in schizophrenia – Clinical Psychiatry News (free registration required) AND Long-Acting Antipsychotics Tied to Superior Outcomes – Medscape (free registration required)
“The risk of rehospitalization is about 20% to 30% lower during long-acting injectable treatments compared with equivalent oral formulations”
Medical News & Perspectives: More Treatments on Deck for Alcohol Use Disorder – JAMA (free)
Commentary: First-Ever Guideline for Mixed Depression Released – Medscape (free registration required)
Editorial: Alcohol consumption and brain health (free)
Commentaries: Even moderate drinking linked to a decline in brain health, finds study – Oxford’s Department of Psychiatry (free) AND Moderate drinking may alter brain, study says – CNN (free) AND Even moderate drinking may speed brain decline – STAT News (free) AND Even moderate drinking linked to changes in brain structure, study finds – Reuters (free)
Editoral: The safety of antidepressants in pregnancy (free)
See also: Depression: let’s talk – WHO campaign (free) AND Depression updated factsheet (free) AND Depression and Other Common Mental Disorders: Global Health Estimates (free)
Depression is now the leading cause of ill health and disability worldwide, according to The World Health Organization.
Health and Public Policy to Facilitate Effective Prevention and Treatment of Substance Use Disorders Involving Illicit and Prescription Drugs: An American College of Physicians Position Paper – Annals of Internal Medicine (free)
News release: ACP issues recommendations to prevent and treat substance use disorders (free)
Commentary: Treat Addiction Like a Chronic Disease, ACP Recommends – AJMC (free)
Invited commentary: Socioeconomic status and susceptibility to alcohol-related harm (free)
Commentary: Poorest at greater risk from heavy drinking, says study – BBC (free)
Opioid substitution treatment seems to be associated with decreased mortality.
Spend a Dollar on Drug Treatment, and Save More on Crime Reduction – The New York Times (10 articles per month are free)
Survey and commentaries: Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free)
Increased in clerical burden seems to be one of the leading causes, heavily influenced by expanded and more comprehensive use of electronic health records. More on the burden of administrative tasks in healthcare in our April 21 issue, see #5.