Pro-Ana spaces can feel safe and dangerous at the same time. 📚 A review of 27 qualitative studies found belonging alongside competition and shared harmful tips. 🩺 The authors urge clinicians to ask about it openly. buff.ly/qsf2xPU #EatingDisorders #SocialMedia

In a Swedish study of 95,490 people with depression or anxiety, semaglutide was linked to 42% lower risk of worsening of mental health problems, liraglutide 18%. 💊 Exenatide and dulaglutide: no link, so likely not a class effect. buff.ly/19qrHQG #Semaglutide #MentalHealth

This'll be good 👇🏽

Restraint Reduction Network@restraintreductionnetwork.org · 2w ago

The RRN is pleased to announce that our next free webinar will be happening on 14 October at 12:30pm. We will be joined by people from the DRIVE-MH study who will be explaining their findings. Register to attend this webinar here: restraintreductionnetwork.org/WebAR #RestraintReduction

Mood changes before a period get dismissed as poor self-control. A brain imaging study of premenstrual dysphoric disorder hints otherwise. 🔬 Control regions looked typical, but salience regions reacted more. buff.ly/EwDssyc #PremenstrualDysphoricDisorder #Neuroscience

Ten sessions of eye movement desensitisation and reprocessing over five weeks, for adults diagnosed with 'personality disorders'. 📉 Symptoms fell more than on a waiting list. ⚖️ No active comparator yet. buff.ly/0lmdVCx #PersonalityDisorder #TraumaTherapy

The PETRUSHKA trial paired prediction models with people's own side effect priorities when choosing an antidepressant. 💊 Fewer stopped by 8 weeks than with usual care. 🔍 Was it the algorithm or just being asked? buff.ly/IO39MOk #Antidepressants #SharedDecisionMaking

A friend texts "we need to talk" late at night. What story fills the gap? 🔍 Meta-analysis of 295 samples: higher anxiety linked to reading ambiguity as threat, across ages and disorders. ❓ Which comes first is unknown. buff.ly/AJ8XKcD #Anxiety #InterpretationBias

Perinatal mental health support in England used to stop when a baby turned one. GP records from 2m+ pregnancies: 5.9% had recorded mental illness in year two, over half new. 📂 Need is likely higher. Not everyone seeks help. buff.ly/RKJXPYy #PerinatalMentalHealth #MaternalMentalHealth

Cannabis legalisation isn't one policy. For-profit markets in Canada and the USA were linked to more use and stronger products, a new Lancet Psychiatry review found. 🇺🇾 Uruguay's state-run model showed no rise in youth use. buff.ly/yS6CFAg #Cannabis #DrugPolicy

Films from Psycho to Joker cast mental illness as a threat. A review of 30 studies found a third of people with severe mental illness experienced violence in a year. Why don't the movies explore this? 🔎 Measures varied, so treat the pooled figure with care. buff.ly/WbifBJO #MentalHealth #Stigma

Twenty media-reported cases of delusions linked to artificial intelligence chatbots. Most had no hallucinations or thought disorder, so the usual psychosis picture may be absent. 🔍 New Lancet Psychiatry Personal View on what clinicians should ask patients. buff.ly/bvIE2vR #Psychosis #Chatbots

Autistic 14-year-olds report lower school wellbeing than classmates in the Millennium Cohort Study. 🔍 The gap disappears once bullying, peer problems and academic self-concept are controlled for. Cross-sectional data. buff.ly/pIFD0kk #Autism #SchoolWellbeing

When women slept less than usual in pregnancy or after birth, their anxiety tended to rise afterwards. Not the reverse. 😴 Within-person data from 231 women over four timepoints. Observational with modest effects. buff.ly/zkBJwlD #PerinatalMentalHealth #Sleep

Teen suicide risk assessment tends to centre on trauma. In 2,161 teens, lots of everyday life events were linked to suicidal ideation after adjusting for maltreatment. ⚠️ Caveat: one questionnaire measured both. buff.ly/r0sUGzO #SuicidePrevention #YouthMentalHealth

Psychotic depression is linked with more relapse and readmission than depression without psychosis, in a review of 41 studies. 🔁 Mostly observational and no meta-analysis, but it's a case for follow-up beyond recovery. buff.ly/fPyWDBz #PsychoticDepression #Psychosis

Would fewer blood tests mean more people get clozapine? 🩸 A UK cohort of 1,025 long-term users switched to 12-weekly monitoring. 🔬 No agranulocytosis over a median of 4 years. ⚠️ But no control group, and a low-risk sample. buff.ly/aVAwZkC #Clozapine #Schizophrenia

Network meta-analysis of 74 trials finds varenicline the most effective smoking cessation treatment for people with severe mental illness. 🚭 Yet it is prescribed less often than nicotine replacement therapy. buff.ly/lsmpb5B #SevereMentalIllness #SmokingCessation

Microbiome headlines are running ahead of the evidence. 🔬 New study of 29 healthy young adults links oral and gut bacteria to self-rated immune fitness. Cross-sectional, no confounders, so no causal claims. buff.ly/A56vafb #Microbiome #ImmuneHealth

58,000 adults in US substance use services. Women had higher odds of anxiety, depression and trauma diagnoses. Men had higher odds of psychosis, in the opioid and cannabis groups. ⚖️ Not more comorbidity, a different kind. buff.ly/BqWqFeC #Addiction #MentalHealth

Suicide risk prediction is often written off as no better than chance. 🔎 A review of 167 models says that verdict isn't evidence-based: five held up in external validation, though over 90% were never tested elsewhere. buff.ly/HTJANUf #SuicidePrevention #MentalHealth

Detained boys with conduct disorder and limited prosocial emotions had more school exclusions, lower treatment engagement and more peers with custody histories. 🤝 That points at context as much as the individual. buff.ly/zfY8ZWb #ConductDisorder #YouthJustice

Systematic review of 32 studies asks whether climate disasters hit disadvantaged groups hardest. 18 said yes, 9 found no difference. Mostly cross-sectional, mostly cyclones, almost nothing from low income countries 🌍 buff.ly/2gNXW5z #ClimateJustice #MentalHealth

Have YOU ever written for The Mental Elf? buff.ly/hxX0Cjy

The official 3 month report has some MH measures (no change): www.esafety.gov.au/sites/defaul...

Young people in the UK were asked what they make of tools that predict depression and anxiety. 🔍 Cautious openness in these interviews, but they wanted to know what data feeds the model and who sees it. buff.ly/UQ9jS5S #YouthMentalHealth #DataPrivacy

130,000 people, 43 years of follow-up, diet remeasured throughout. Moderate coffee and tea drinkers had less dementia. Decaf drinkers did not. ☕ Strong cohort work, but it cannot tell us whether the coffee did anything. buff.ly/lUOcjlu #Dementia #Epidemiology

Metabolic research in severe mental illness has been judged on weight and glucose. 🥗 Asked what should come next, patients, carers and clinicians put psychiatric symptoms and quality of life first. buff.ly/NwciamN #MetabolicPsychiatry #MentalHealth

Australia's under-16 social media ban, three months on. 86% of under-16s had still used a restricted platform in the past week. 📱 The study didn't measure mental health, the thing the Act was sold on. buff.ly/8RZSEPT #SocialMedia #YouthMentalHealth

Academic pressure at 15 was linked to more depressive symptoms and slightly higher odds of self-harm years later, in nearly 5,000 ALSPAC participants. Observational, so causation is not established. 📚 buff.ly/HEKdYwB #MentalHealth #YoungPeople

ODDESSI, the first randomised trial of Open Dialogue in the NHS, has had a warm reception. Its primary outcome, time to first relapse, was null. 🌳 The admission and re-referral findings are secondary. Interesting, but secondary. buff.ly/mp8StLn #OpenDialogue #CrisisCare