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6 results

  • Navigating the complexities of post-traumatic stress disorder and its variants

  • David Trickey
  • Journal:
    BJPsych Advances / Volume 30 / Issue 6 / November 2024
    Published online by Cambridge University Press:
    18 September 2024, pp. 398-400
    Print publication:
    November 2024
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  • In this issue of BJPsych Advances Siddaway explores the challenges of assessing and treating post-traumatic stress disorder (PTSD) and complex PTSD. In this commentary I reflect on those challenges, not least of which is the need for a thorough understanding of different approaches to diagnoses. The very concept of diagnostic classification systems can be problematic, but when used sensitively they can aid communication, assessment and treatment. The relatively new diagnosis of complex PTSD may serve as a more accurate and more useful description of some psychological difficulties, leading to better treatment decisions. Good assessment, leading to accurate diagnosis, useful formulation and effective treatment takes time, and adequate resources should be allocated. Professionals can help patients to make well-informed choices about treatment options and they should offer evidence-based treatments without unnecessary delay.

  • Analysis of trends in adolescent suicides and accidental deaths in England and Wales, 1972–2011

  • James Redmore, Ruth Kipping, Adam Trickey, Margaret T. May, David Gunnell
  • Journal:
    The British Journal of Psychiatry / Volume 209 / Issue 4 / October 2016
    Published online by Cambridge University Press:
    02 January 2018, pp. 327-333
    Print publication:
    October 2016
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  • Background

    Previous analyses of adolescent suicides in England and Wales have focused on short time periods.

    Aims

    To investigate trends in suicide and accidental deaths in adolescents between 1972 and 2011.

    Method

    Time trend analysis of rates of suicides and deaths from accidental poisoning and hanging in 10- to 19-year-olds by age, gender and deprivation. Rate ratios were estimated for 1982–1991, 1992–2001 and 2002–2011 with 1972–1981 as comparator.

    Results

    Suicide rates have remained stable in 10- to 14-year-olds, with strong evidence for a reduction in accidental deaths. In males aged 15–19, suicide rates peaked in 2001 before declining. Suicide by hanging is the most common method of suicide. Rates were higher in males and in 15- to 19-year-olds living in more deprived areas.

    Conclusions

    Suicide rates in adolescents are at their lowest since the early 1970s with no clear evidence that changes in coroners' practices underlie this trend.