Niall Boyce

@nboyce.bsky.social

Editor at The Lancet by day. Crime novelist Nick Beckett by night. “The Book of Martyrs” coming in 2027 from Baskerville (UK) and Pegasus (US).

How will AI change the NHS? The NHS is rolling out AI triage tools & ambient scribes across general practice — Niall Boyce & Chloe Wilson discuss in a new episode of #LancetVoice 🎧 Listen now: spkl.io/633277yNQD

How will AI change the NHS? | The Lancet Voice

Can an algorithm decide who sees a doctor first — and what happens when it gets the call wrong? The NHS is rolling out AI triage tools and ambient scribes across general practice, promising to shorten waiting lists and free up clinician time. In this episode of The Lancet Voice, host Niall Boyce and Chloe Wilson, senior editor at The Lancet, cast a questioning eye over the initiative. Chloe raises concerns about AI triage — including the risk of downgrading seemingly innocuous but important symptoms — and questions whether AI in health care is adding efficiency, or simply cutting costs. The hosts also examine ambient scribes in the consulting room, discussing how AI scribes may change clinical practice, or even deskill physicians. The issue isn't whether AI can help the NHS — it's whether we're asking it to do the right things, and if we are implementing it in the right way. Let us know your thoughts in the comments! The Lancet Voice is part of the Lancet Group podcast offering.  Editorial team: Niall Boyce, Miriam Sabin, Jessamy Bagenal, Richard Horton, and Gavin Cleaver Podcast editing: Matteo Simonetti Visit http://spkl.io/633247yNQ6 learn more about our multimedia offering.  Find the best science for better lives at thelancet.comFollow us today at...http://spkl.io/633257yNQB

spkl.io

This week's Thought Formation: psychotherapy, nostalgia, the stomach-brain connection, and specific phobias. Includes one of the greatest sentences I've read in the medical literature: "Men may have a more cavalier attitude to vomiting than women." #mentalhealth open.substack.com/pub/thoughtf...

Why do young people benefit less from talking therapies?

Plus: The return of nostalgia; sex differences in phobias; and thinking with your stomach

open.substack.com

“Depression ain’t funny.” Wasn’t aware of this until the Sunday Times reprinted it. Ozzy Osbourne’s advice to a reader with depression. Rarely seen someone talking about #mentalhealth and the pros/cons of antidepressants with such an amazing combination of empathy, clarity, frankness, and humour.

Text:

What’s the best cure for depression? 
Ryan, County Armagh

It’s tempting to give you a funny response to this, but depression ain’t funny — I’ve suffered from it. What I did, and what I recommend you do, is talk to your GP about it. Personally, I’m on a low dose of an antidepressant called Zoloft (sertraline), and it does the job. You hear a lot of people say that antidepressants just put a sticking plaster on the problem, instead of solving the cause. They may have a point, but it’s easy to say that if you ain’t depressed. The big problem for me with antidepressants is that they affected my sex life. Trying to get down to some action these days is like trying to raise the Titanic. I suppose it would be depressing if I weren’t on antidepressants. As it is, I can live with it.

Finally saw ‘The Phoenician Scheme’, and I think that over the past 30 years, Wes Anderson’s output has gone from ‘Rushmore’ to the kind of films Max from ‘Rushmore’ would make.

We're looking for a supplier to help design & facilitate the first cycle of a major new prize in mental health science. Interested suppliers must be able to run a global prize that is inclusive, impactful, academically rigorous & technically robust. Submit your EOI by 24 June! Find out more ⬇️

Wellcome Trust@wellcometrust.bsky.social · last yr.

We’re launching a major new prize in mental health — and we’re looking for a supplier to help us run it.   Interested suppliers must be able to run a global prize that is inclusive, impactful, academically rigorous and technically robust. Learn more ⤵️ wellcome.org/about-us/wor...

Miranda Wolpert, Director of Mental Health at Wellcome, says: "Work with us on this major prize to celebrate breakthroughs and inspire action towards a world where no one is held back by mental health problems."

‘“All the younger people...were just much more optimistic and hopeful.” It was the older generation, she realised “who were panicked and anxiety-driven”.’ My interview with Sarah Baird, Co-Chair of @thelancet.com Commission on adolescent health & wellbeing. www.thelancet.com/journals/lan...

Sarah Baird: understanding, action, and optimism

When Sarah Baird appears on my computer screen, things are not quite as expected. For one thing, while she is Professor of Global Health and Economics in the Department of Global Health of the Milken ...

thelancet.com

I thought specialising in psychiatry meant that I was done with the Krebs cycle. But just when I thought I was out, they pull me back in. Plus: should psychiatrists help patients to date? How does lamotrigine work? And VR in Antarctica. All here, and all free. open.substack.com/pub/thoughtf...

Should psychiatrists help patients to date?

Plus: how lamotrigine might work in bipolar depression; virtual reality in Antarctica; and the ketogenic diet for mental health

open.substack.com

This week’s Thought Formation highlights two papers on controversial diagnoses: prolonged grief disorder & adult ADHD. Plus: - Can the retina help us understand schizophrenia? - Simple, but good advice to help carers of people with psychosis. All free, as ever. open.substack.com/pub/thoughtf...

When does grief become a mental health problem?

Plus: defining adult ADHD; schizophrenia and the eye; and what carers of people with psychosis need to know

open.substack.com

If you'd like a free 5-minute read on interesting new #mentalhealth research, why not subscribe to Thought Formation? Tomorrow's will cover "prolonged grief disorder", adult ADHD, retinal changes with schizophrenia, and what to say to help carers. Sign up here: thoughtformation.substack.com

Thought Formation | Niall Boyce | Substack

First thoughts on new mental health research. Click to read Thought Formation, by Niall Boyce, a Substack publication with hundreds of subscribers.

thoughtformation.substack.com

Big questions: - What's the difference between Portugal and British Columbia? - Does CBT work? - What's the problem with trials of #mentalhealth apps? - And can dogs help with your mental health? All for free in this week's Thought Formation. open.substack.com/pub/thoughtf...

Substance misuse: decriminalisation alone is not enough

Also: Does CBT work?; the need for better RCTs of mental health apps; and dogs as mental health intervention.

open.substack.com

This week's Thought Formation looks at why we might need to refocus our efforts on #climatechange and #mentalhealth. Plus: Childhood adversity and psychosis; the problem with mental health problems as "brain diseases"; and what is "Mushtella"? All here, all free. open.substack.com/pub/thoughtf...

Can we prevent PTSD after disasters?

Plus: selling psilocybin in Canada; mental health problems as "brain diseases"; and the definitive evidence (for now) on childhood adversity and psychosis

open.substack.com

Thought Formation time! This week: listening to people who hear voices; anticholinergics and cognitive impairment; new data on physician suicide; & the benefits of mixed methods. Sign up here for a free weekly update on what's new in #mentalhealth: thoughtformation.substack.com/p/listening-...

Listening to people who hear voices

Plus: anticholinergics and cognitive impairment in psychosis; new figures on physician suicide; and the benefits of mixed methods research

thoughtformation.substack.com

What's it like to take psychedelic mushrooms? "My roommates came outside and, again, I was disappointed in their banter." Also this week: what we want from therapy; adverse childhood experiences and psychosis; homelessness, addiction, and treatment. thoughtformation.substack.com/p/the-ups-an...

The ups and downs of psychedelic mushrooms

Plus: What we really want from therapy (and life); adverse childhood experiences and long-term outcomes in people at risk of psychosis; and homelessness, addiction, and treatment

thoughtformation.substack.com