Seena Fazel @seenafazel Twitter profile

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Seena Fazel

8 days

New review! 🔥 Evidence synthesis on the Risk-Need-Responsivity (RNR) model - leading model of offender management worldwide. Comes up all the time when speaking with criminal justice agencies, and reportedly evidence based. So is it? Open access:

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Seena Fazel

@seenafazel

3 years

New paper! On the links between SSRIs and suicidal behaviours. A topic that has attracted much debate. We studied >0.5M persons prescribed SSRIs over 7 yrs. Found increased risk in the 30 days before treatment, which reduced after SSRIs started. #OA 1/

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Seena Fazel

@seenafazel

2 years

New paper! Antipsychotics are widely prescribed in people with personality disorders. Using Danish population registers, we examined links between these medications and self-harm, suicide, and being charged with violent crimes? Short 🧵 @EBmentalhealth #OA

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Seena Fazel

@seenafazel

4 years

New review article on suicide for @NEJM that I've co-authored with Bo Runeson. We've tried to synthesize the latest evidence on the epidemiology, risk factors, assessment, and intervention research, and concluded with some clinical pointers. #suicide 1/

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Seena Fazel

@seenafazel

3 years

Our new meta-analysis on the effectiveness of psychological treatments in prison to reduce recidivism (repeat offending) is just out in @TheLancetPsych . Open access: A short thread 1/

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Seena Fazel

@seenafazel

3 months

On sentencing for Calocane (Nottingham killings). What's not been discussed much is that public safety is best served by secure hospital detention. Evidence base is robust. 1/

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Seena Fazel

@seenafazel

2 years

New paper. Meta-analysis of risk of violence perpetration in schizophrenia spectrum disorders. 24 studies, >50k people with scz, examined role of comorbidities and other sources of between-study variation. Paper is here: Some novel features in thread👇1/

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Seena Fazel

@seenafazel

5 months

Just out!! – a short piece on evidence on violence risk in schizophrenia: . It’s the finale (I hope) of a very odd set of letters. Hear me out. 🧵 /1

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Seena Fazel

@seenafazel

8 months

New paper!!🔥 Systematic review of recidivism rates worldwide. Recidivism (repeat offending) is probably most important outcome in criminal justice. Reported data from 33 countries for released prisoners and community sentenced persons. #OA #crime 🧵

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Seena Fazel

@seenafazel

8 months

New paper!🔥 Violence prevention in the general population. Key for public policy and health. Lots of initiatives worldwide - from those focused at early years, drug misuse, school-based programmes, gun control. We did an umbrella review to clarify. 🧵

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Seena Fazel

@seenafazel

10 days

New paper!! Prison suicide in 78 countries - data on 30k suicides in >91M person-years of imprisonment. Huge task to bring this together. Open access in Lancet Psychiatry 1/ #prison #suicide

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Seena Fazel

@seenafazel

1 year

New paper!! Examines a neglected population in the area of health and justice - people given community snetneces. What is contribution of psychiatric disorders to any and violent reoffending? Large population study (n=82k), sibling controls. Short 🧵👇

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Seena Fazel

@seenafazel

3 months

This isn’t correct. A PPV of 0.05 does not mean that tools are wrong 95% of the time. It means that in patients classified as 'positive' (high-risk), 95% are false positives. 1/

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Seena Fazel

@seenafazel

7 months

New paper on suicide research! Synthesized data on risk factors with an umbrella review of meta-analyses (i.e. systematic review of previous meta-analytic research). Focus on individual-level factors (sociodem, clinical, historical). #SuicidePrevention

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Seena Fazel

@seenafazel

6 months

New paper!!🔥 Overview of adverse effects associated with antipsychotics – we examine meta-analytic RCT and observational evidence to see what’s replicated and how study designs compare. Strong evidence for metabolic, musculoskeletal, sleep problems. 🧵

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Seena Fazel

@seenafazel

2 years

Our new @BrJDermatol paper examines neuropsychiatric outcomes in people treated with #isotretinoin (anti-acne rx) using a #pharmacoepi design. We found no excess in neuropsych outcomes using three matched groups. Open access: 1/

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Seena Fazel

@seenafazel

3 months

New paper!!🔥 Overview of mental and physical health of people in prison. Brings together full range and complexity of health needs for 1st time. Vital for public health: >11M people in prison, >30M circulating/yr OA: 1/

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Seena Fazel

@seenafazel

9 months

New paper!! Systematic review of risk assessment tools for crime/violence in forensic mental health. 50 studies, 36 tools, >10k participants. Reasonably large evidence base. #OA #forensic Short 🧵

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Seena Fazel

@seenafazel

9 months

Our new paper!! Development and validation of a new prediction model for suicide risk in people who have self-harmed. Very different to previous prediction tools - and directly addresses concerns by some experts and NICE. #OA : 1/

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Seena Fazel

@seenafazel

5 years

Childhood sexual abuse is associated with a range of adult psychiatric and physical health conditions incl. self harm, obesity, eating disorders. Our #OA @TheLancetPsych umbrella review provides an overview of the evidence and examines its quality:

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Seena Fazel

@seenafazel

1 year

New paper!! Are there links between beta-blockers and psychiatric and behavioural outcomes? We followed up 1.4M people, using within-individual designs, reliable outcomes (using national registers), and sensitivity analyses to test robustness of findings

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Seena Fazel

@seenafazel

4 years

Which mental disorders are associated with perpetration of intimate partner violence in men? We compared individuals with psychiatric diagnoses with their unaffected siblings to examine links. Absolute rates low as arrest was outcome - same for controls.

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Seena Fazel

@seenafazel

3 years

Our new paper examines associations between specific antipsychotics and a wide range of crime outcomes, incl. arrests and convictions for violent and drug-related offences. Analyses data on all prescriptions 2006-13 in Sweden. Some novel findings. #OA : 1/

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Seena Fazel

@seenafazel

5 years

Our new @bmj_latest study examines links between #Gabapentin #Pregabalin and adverse outcomes. Potentially important results for young people, off label prescribing, those with substance misuse. Use of within-individual design accounts for some confounds.

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Seena Fazel

@seenafazel

4 years

Our new @JAACAP paper is an updated meta-analysis of the prevalence of psychiatric disorders in 32787 adolescent prisoners. In male adolescents, around 1 in 10 have a depression diagnosis; 1 in 6 ADHD. In females, 1 in 4 have depression; 1 in 5 PTSD #OA 1/

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Seena Fazel

@seenafazel

7 years

Our new paper on suicide in prisons in 24 countries - it's open access

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Seena Fazel

@seenafazel

3 years

Our new paper is on mental disorders in the homeless - systematic review of the prevalence of mental disorders. Examines schizophrenia, depression, bipolar disorder, alcohol + drug use disorders, personality disorders @PLOSMedicine #OA #homelessness : 1/

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Seena Fazel

@seenafazel

3 years

New paper! Meta-analysis of risk factors for completed suicide in prison. Included data on >35,000 suicides, 77 studies from 27 countries. Some potentially important findings, esp. differences with risk factors in general population. #OA @TheLancetPH : 1/

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Seena Fazel

@seenafazel

1 year

New systematic review and meta-analysis on ADHD in adults in prison! Prevalence ranges very widely (1-29%) and we report a pooled prevalence of 4.5% in adult men randonly sampled. Very different from previous reviews with selected samples, screening tools.

Prevalence of ADHD in adult prisoners: an updated meta-analysis

Background: Previous meta-analyses may have overestimated the prevalence of ADHD in prisoners by including data from selected samples. Aims: To estimate the prevalence of ADHD in unselected samples...

osf.io

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Seena Fazel

@seenafazel

2 years

Our new letter in @JAMAPsych addresses common misunderstandings about epidemological evidence on associations between schizophrenia-spectrum disorders and violence. One repeated concern is that this research may increase stigma. We disagree - see below. 1/

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Seena Fazel

@seenafazel

4 years

New paper! Violence and mental disorder: review of the associations, risk factors and risk assessment. Examines full spectrum of psychiatric diagnoses, with focus on epidemiology, prevention, guidelines. Thread outlines novel features @TheLancetPsych 1/

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Seena Fazel

@seenafazel

2 years

Very good point on stigma made by Tom Insel and Matthew Hirschtritt in a blog about our recent systematic review on the association between schizophrenia and violence.

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Seena Fazel

@seenafazel

2 months

What do we know about prevalence of mental and physical health conditions in people in prison? 🧵on new paper. #prison

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Seena Fazel

@seenafazel

4 months

Risk assessment in domestic violence - a key challenge for criminal justice and its liaison with health and social services. Didn’t get a chance to tweet this recentish paper on development and validation of new tools (OxDoV): and

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Seena Fazel

@seenafazel

2 months

New paper! Around 8% of adults in prison have been diagnosed with AHDH in research studies, and 4% if you exclude an outlier. Previous work included selected samples (eg forensic pts, referrals) - and overestimated prevalence by 3-4 fold.

Louis Favril

@louisfavril

2 months

Our new analysis shows that 1 in 12 (8%) adult prisoners are diagnosed with ADHD – markedly lower than previous estimates which were largely based on selected samples. With @seenafazel , published open access:

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Seena Fazel

@seenafazel

3 years

Researchers in forensic mental health and violence risk assessment: annual meeting of Forensic Psychiatry Research Society meeting is on Wednesday 19 May via zoom. Papers on prison self-harm, implementing risk assessment tools, lessons from cancer medicine on prognostic models 1/

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Seena Fazel

@seenafazel

3 months

New paper! On suicide risk assessment. Examines common misconceptions - tools have to classify people into categories (high/low risk); performance should be based on classification measures (e.g. PPV, sens); AUCs too low. In 3 pages. 🧵later. Open access:

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Seena Fazel

@seenafazel

4 years

Self-harm rates are high in prisons and going up in many countries. Just out: our meta-analysis of risk factors for self-harm in prisoners. Examined data on >600,000 people in prison and 40 risk factors. Some unexpected findings. #OA in @TheLancetPsych : 1/

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Seena Fazel

@seenafazel

2 years

Our new paper. Modifiable risk factors identified (incl markers of psychiatric morbidity, solitary confinement, poor social support). More than 6% of people attempt suicide while in prison. Open access.🧵 to come

The Faculty of Forensic Psychiatry

@rcpsychForensic

2 years

@seenafazel Systematic review and meta-analysis of risk factors and prevalence of suicide attempts in prison

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Seena Fazel

@seenafazel

2 years

New paper! Important question for public policy and health, criminology - what is the performance of risk assessment tools used at sentencing stage in criminal justice? Systematic review with a focus on high quality validations. Free link until 5 May: 1/

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Seena Fazel

@seenafazel

3 months

2nd, if someone with this pattern is ever discharged, then risk of reoffending is much lower compared in forensic patients than people released from prison. All 16 studies from UK have shown this. See meta-analysis where we estimated reoffending risks:

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Seena Fazel

@seenafazel

2 years

New paper! Brings together evidence for >50k people with schizophrenia + related disorders, 15 countries, 40 yrs. New aspects - absolute risks; new outcomes (incl. arson); effect of drug vs alcohol comorbidities, different patient settings, geo region. Proper summary after hols.

JAMA Psychiatry

@JAMAPsych

2 years

This systematic review and meta-analysis found that the risk of perpetrating violent outcomes was increased in individuals with schizophrenia spectrum disorders compared with community control individuals

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Seena Fazel

@seenafazel

3 years

Our new paper is relevant to violent prevention - found low childhood family income was not associated with later violent arrests after accounting for a fuller range of confounds than previous work. Contrary to most expert opinion. See thread 👇 (v well done in 7 gifs!)

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Seena Fazel

@seenafazel

3 years

New 2-yr Journal Impact Factors (JIPs) out. Here are the top 15 within psychiatry. WP, @TheLancetPsych and @JAMAPsych with JIPs>20. New entry on the charts @EBMentalHealth . Probably need VAR to separate those ranking from 8th (JIP 10) to 15th (JIP 8) - v close to each other.

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Seena Fazel

@seenafazel

4 years

Our new paper examines separate and combined risks of violent perpetration and violent victimization in people with psychiatric disorders. Threshold for outcomes was high but the same for patients and controls 1/:

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Seena Fazel

@seenafazel

2 years

New 2-yr journal impact factors in psychiatry (right-hand column) Would be good to know the non-covid-paper impact factor as well.

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Seena Fazel

@seenafazel

2 years

Our new paper! Examined risk factors for suicide mortality. Identified 40 replicated risk factors in 4 domains (socio-demographic, family history, clinical, and life events). 🧵 to come. #OA #SuicidePrevention w/ @louisfavril @profmsharpe @RongqinYu

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Seena Fazel

@seenafazel

3 years

Our new paper. Examined risks of wide range of adult outcomes (incl. mental illness, crime, victimisation, suicide, unemployment, education) in children placed in out of home care. Compared with their siblings who were not placed out of home - see informative thread👇

Amir Sariaslan

@AmirSariaslan

3 years

🚨🚨🚨 Excited to present our new paper in @JAMAPediatrics . We examined long-term social and health outcomes in children placed in out-of-home care in the entire country of Finland born between 1986 and 2000 (n=855 622). A thread 🧵

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Seena Fazel

@seenafazel

3 months

1st, if someone with this illness pattern receives a prison sentence, then can't involuntarily treat with antipsychotics and/or other meds. Assault risk will then be high towards prison officers, other prisoners, healthcare staff if previous violence driven by psychotic symptoms

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Seena Fazel

@seenafazel

5 years

Brief interview with ⁦ @bmj_latest ⁩ - where I discuss mental health of prisoners, treatments to prevent violence in mental illness and recidivism in prisoners, assessment.

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Seena Fazel

@seenafazel

8 months

Talk on risk assessment in forensic mental health and criminal justice. 3pm tomorrow UK time.

Forensic Psychiatry Institute

@ForensicPsychIn

8 months

New Science of #RiskAssessment in #Forensic #MentalHealth Dr. @SeenaFazel joins us tomorrow from the @UniofOxford , where he’s a #ForensicPsychiatry professor, director of the Centre For Suicide Research & @WellcomeTrust Senior Research Fellow.

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Seena Fazel

@seenafazel

2 years

New paper in @TheLancetPH . Comorbidity of mental illness and substance use disorders in prisoners - systematic review and meta-analysis. Based on 59 samples, around 25000 prisoners in 21 countries. Brief thread highlighting key findings. #OA #prisons

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Seena Fazel

@seenafazel

4 years

Our new @TheLancetPH paper examines the economic cost of violence perpetration in severe mental illness. We asked what the cost to society is, and what sectors of society bear this cost 1/

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Seena Fazel

@seenafazel

2 years

What effects do prisons have on repeat offending? Our new paper examines this across 44 Swedish prisons. V brief thread. Paper #OA : 1/

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Seena Fazel

@seenafazel

3 months

Also most people sentenced to forensic secure hospitals are typically detained longer than equivalent crimes sentenced to prison - so will be older if ever discharged. And age is among strongest risk factors for repeat serious crimes.

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Seena Fazel

@seenafazel

2 years

Oh yes, link to paper:

Associations between antipsychotics and risk of violent crimes and suicidal behaviour in personal...

Background Despite uncertain benefits, people with personality disorder are commonly treated with antipsychotic medication. Objective To investigate the association between antipsychotics and violent...

mentalhealth.bmj.com

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Seena Fazel

@seenafazel

4 months

Super thread on our new paper. Qualitative study of violence risk assessment - quite novel for the field

Danny Whiting

@Dr_dannywhiting

4 months

Pleased to share next PhD chunk, out open access We used qual methods to examine how violence risk is assessed by clinical services for early psychosis- what works, what's tricky, what could improve, and what patients & carers make of it all. Highlights🧵

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Seena Fazel

@seenafazel

2 years

Looking forward to this seminar on 26 Sept. Will try to present an overview of latest evidence in this area, how to critically appraise new work, implications for practice and clinical/research challenges ahead.

Christian Rück

@christianruck

2 years

Welcome to the first Karolinska Seminars on Suicide. @seenafazel will present on ”Can we really predict suicide?”. Sept 26 3 pm CET. Online. Sign up here:

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Seena Fazel

@seenafazel

3 years

This is a key figure that shows the pattern of suicidal behaviours in the months before treatment, which decreased in the 12 months after SSRIs started. Risk highest in the period immediately prior to treatment starting. 2/

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Seena Fazel

@seenafazel

3 years

In summary, clinicians (and those wider afield) can be reassured by findings of this real-world study of >0.5M persons. Research team based @karolinskainst . Project funded by Swedish MRC and Region Stockholm (i.e. not industry funded). Authors report no COIs.

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Seena Fazel

@seenafazel

4 years

Excellent summary of our recent ⁦ @PLOSMedicine ⁩ paper on intimate partner violence - focuses on main findings in a clear and succinct way

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Seena Fazel

@seenafazel

5 years

A preprint of my new chapter on the validity of current risk assessment for criminal sentencing (in Predictive Sentencing, eds de Keijser/Roberts/Ryberg, Hart 2019). In a nutshell, methods for most approaches now so dated that their validity questionable:

(PDF) The Scientific Validity of Current Approaches to Violence and Criminal Risk Assessment

PDF | On Jan 1, 2019, Seena Fazel published The Scientific Validity of Current Approaches to Violence and Criminal Risk Assessment | Find, read and cite all the research you need on ResearchGate

www.researchgate.net

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Seena Fazel

@seenafazel

3 years

New paper. On mortality rates in people who are detained by the state - prison, police cells, psychiatric hospital, and immigration detention centres. Focus on methods. Open access: 1/

Determining rates of death in custody in England and Wales

In England and Wales, there has been considerable work over recent years to reduce the numbers of deaths in custody. Currently, there is no standard, internationally agreed definition of a death in...

www.tandfonline.com

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Seena Fazel

@seenafazel

1 year

A key uncertainty in risk assessment research has been how prediction models/structured risk tools compare with clinical judgement that doesn't use any structured tools. We examined this in our new paper:

Assessing violence risk in first-episode psychosis: external validation, updating and net benefit...

Background Violence perpetration is a key outcome to prevent for an important subgroup of individuals presenting to mental health services, including early intervention in psychosis (EIP) services....

mentalhealth.bmj.com

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Seena Fazel

@seenafazel

5 years

Which countries have the most high impact researchers in mental health? Looks like a few countries, including UK, Canada, Australia and Holland, are punching above their weight. Our new paper on some implications of new impact metrics: …

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Seena Fazel

@seenafazel

1 year

The CAIO-II trial found no association between methylphenidate and psych/behavioural outcomes after 8 weeks in young people in prison (mean age 21). See my comment on why this might be. In a nutshell, overdiagnosis of ADHD (24% prevalence in the study):

Randomised controlled trial of the short-term effects of osmotic-release oral system methylphenid...

Randomised controlled trial of the short-term effects of osmotic-release oral system methylphenidate on symptoms and behavioural outcomes in young male prisoners with attention deficit hyperactivity...

www.cambridge.org

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Seena Fazel

@seenafazel

3 years

New paper. Systematic review of prediction models for child and adolescent mental health. Examined methods and reporting of recent models/tools that focus on prognosis of mental illness, suicidality, violence/crime, future maltreatment. #OA 1/

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Seena Fazel

@seenafazel

5 months

This Thursday at 3pm UK time - speaking on risk assessment in forensic mental health and criminal justice at this free seminar

Forensic Psychiatry Institute

@ForensicPsychIn

5 months

Join us for the International #ForensicPsychiatry Lecture Series Thursday as Dr. Seena Fazel discusses challenges of #RiskAssessment #research & practice. Register for this free accredited #webinar :

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Seena Fazel

@seenafazel

3 months

In addition, a considerable advantage in such cases is a gold standard assessment before trial - ie observed for weeks in secure hospital. Allowed for careful examination of other possible (and discounted) explanations such as personality and also clarification of drug history.

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Seena Fazel

@seenafazel

2 years

New paper! (slightly delayed thread) Examined contribution of psychiatric comorbidity to premature mortality in noncommunicable diseases. #OA @PLOSMedicine 1/

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Seena Fazel

@seenafazel

4 years

Our new @NEJM review on suicide - highlighting different risk factors across the lifespan, novel approaches to risk assessment, and compelling evidence for means restriction (esp. for handguns and lethal pesticides): …

Suicide | NEJM

Suicide accounts for approximately 1.5% of deaths per year worldwide. Risk factors are known for populations, and psychological models address individual risks; the models and tools for assessing s...

www.nejm.org

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Seena Fazel

@seenafazel

1 month

Novel psychoactive substances have often been the main health problem in prisons where I’ve worked clinically. Our new review examines evidence on trends, harms and approaches to reduce risks. #OA #prison :

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Seena Fazel

@seenafazel

3 years

Excellent piece in the current issue of the Economist on the links between serious head injuries and violent crime. Briefly cited in relation to our population-based epidemiological study, which was the first to use sibling controls. 1/

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Seena Fazel

@seenafazel

3 years

Our new paper - with some unexpected findings on the effectiveness of psychological treatments. Research needs to consider how to improve links with community services.

Seena Fazel

@seenafazel

3 years

Our new meta-analysis on the effectiveness of psychological treatments in prison to reduce recidivism (repeat offending) is just out in @TheLancetPsych . Open access: A short thread 1/

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Seena Fazel

@seenafazel

5 years

Suicide risk prediction is a controversial area - we highlight some key issues for testing new models/tools in a clinically relevant way, and suggest that, contrary to most expert opinion, their current accuracy is unknown.

How accurate are suicide risk prediction models? Asking the right questions for clinical practice

Prediction models assist in stratifying and quantifying an individual’s risk of developing a particular adverse outcome, and are widely used in cardiovascular and cancer medicine. Whether these...

mentalhealth.bmj.com

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Seena Fazel

@seenafazel

1 year

Thread 👇 on recent research on potential effects of antipsychotics to reduce violence risk in psychosis and personality disorder. Optimising treatment is key challenge, incl. adherence, comorbidities, follow-up.

Crémieux

@cremieuxrecueil

1 year

Psychosis greatly elevates the odds someone commits a homicide. This is especially true for the first episode of psychosis, in which the homicide rate is 14.45 times greater than after treatment. We have ample data that shows treatment works.

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Seena Fazel

@seenafazel

1 year

Just out. Overview of prisoner mental health (in a textbook of psychiatry). Latest evidence on prevalence, needs, treatment, services. Some clinical recommendations and research gaps outlined.

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Seena Fazel

@seenafazel

5 years

In new study on neurocognitive risk factors for violence in psychosis, some associations with executive functioning and theory of mind were reported, but effect sizes are too small to improve current risk assessment approaches. New OA paper.

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Seena Fazel

@seenafazel

4 years

New paper! Prediction of self harm and suicide using machine learning approaches in people under mental health services. Large pop sample (126K people, >0.5M patient episodes), good performance in terms of discrimination and calibration. @PLOSMedicine 1/

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Seena Fazel

@seenafazel

7 years

Useful review of UK research on recruitment to psychiatry - 'sense of eroded professionalism', lack of respect towards psychiatry by other specialties, and lack of resources have been reported as barriers to choosing psychiatry:

Systematic review into factors associated with the recruitment crisis in psychiatry in the UK:...

Systematic review into factors associated with the recruitment crisis in psychiatry in the UK: students', trainees' and consultants' views - Volume 41 Issue 6

www.cambridge.org

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Seena Fazel

@seenafazel

5 years

At least 1 in 5 released prisoners are reconvicted within 2 years - our updated systematic review of recividism rates in 23 countries is just out ( #OA ):

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Seena Fazel

@seenafazel

3 years

Norway has a comparatively low recidivism rate - or so we are told by experts and the media. In our 2019 systematic review (), all we could find on Norway was based on 2005 data (and from a source no longer online). New data complicates the picture 1/

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Seena Fazel

@seenafazel

2 years

In case you missed it, our new paper reviews the predictive accuracy of risk assessment tools in criminal justice. Main question arising from it: are these tools good enough to inform sentencing decisions? Interested in hearing from people in the field 1/

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Seena Fazel

@seenafazel

6 years

Is there a link between childhood maltreatment and later violence perpetration? Our new meta-analysis identifies prospective studies, reports a pooled risk estimate, and examines sources of variation between studies:

Childhood Maltreatment and Violent Outcomes: A Systematic Review and Meta-Analysis of Prospective...

The risk of violence following childhood maltreatment is uncertain. This meta-analytic review identified prospective studies that have examined this association...

journals.sagepub.com

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Seena Fazel

@seenafazel

4 years

Key implication is that these two (ADHD and depression) are treatable disorders. And doing so will likely reduce repeat offending risk. Paper was epublished earlier this year. And it’s open access.

JAACAP

@JAACAP

4 years

#JAACAP #ArticlesInPress : Review of mental disorders in detained #adolescents finds 1 in 6 boys and girls had #ADHD , 1 in 10 boys and 1 in 4 girls had major #depression . @rongqinyu @NiklasLangstrom @seenafazel

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Seena Fazel

@seenafazel

2 years

New paper! Development and validation of new tools for prediction of reoffending risk in men convicted of sexual offences. Followed up >16k convicted men for 3 outcomes - any, violent, and sexual recidivism. Advances the field in a few key ways. #OA : 1/

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Seena Fazel

@seenafazel

1 month

Briefly quoted in this @guardian piece on recent homicides in the UK, some of which have been committed by people with severe mental illness. Makes important point about potential role of high quality and consistent mental health care:

String of killings have put spotlight on adequacy of mental health care in UK

Hainault attack may be latest incident linked to mental ill-health, at a time when NHS services are struggling

www.theguardian.com

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Seena Fazel

@seenafazel

3 years

Our new systematic review and meta-analysis: associations between individual drug categories and violent outcomes. Examined main diagnostic subgroups (cannabis/stimulants/opioids/sedatives/halluc) + explanations for heterogeneity @EpiReviews #drugs #OA : 1/

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Seena Fazel

@seenafazel

4 years

Very excited about our new paper in @TheLancetPH on the economic impact of violence perpetration in severe mental illness for two main reasons 1/

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Seena Fazel

@seenafazel

3 months

Reoffending risk also applies to serious crimes. Partly due to statutory duties with hospital detention that require MH services to supervise people very closely. Also allows for treatment adherence - associated w/ clear reductions in violent crime risk:

Psychotropic Medication Prescription and Violent Reoffending

This cohort study evaluates whether prescription of psychotropic medications was associated with rates of violent reoffending in Swedish adults released from prison.

jamanetwork.com

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Seena Fazel

@seenafazel

3 years

Researchers in forensic mental health - we holding a joint meeting of the Forensic Psychiatry Research Society and risk assessment masterclass on 19 May. Please DM/email me for details. Morning for new research/grant proposals; afternoon on violence risk assessment research 1/

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Seena Fazel

@seenafazel

3 years

This short @spectator article nicely summarises public health arguments for prioritising people and staff in prison for Covid-19 vaccination, but adds an ethical dimension that is often missed:

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Seena Fazel

@seenafazel

6 years

Our new @AmJPsychiatry paper finds medications for drug/alc abuse reduce suicidality + crime:

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Seena Fazel

@seenafazel

3 years

New paper - for those in forensic mental health. It's a systematic review of validity and reliability of 10 most common outcome measures. Open access: 1/

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Seena Fazel

@seenafazel

3 years

In the 12 months after SSRI treatment, risk declined substantially but did not return to baseline and remained elevated to 12 months before SSRI initation - which may be explained by treatment-resistance. We know that around 30% do not achieve remission from depression. 3/

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Seena Fazel

@seenafazel

3 months

One other thing - potential defence of insanity was *not* recommended by the 5 experienced forensic psychiatrists (cf. published sentencing remarks: ).

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Seena Fazel

@seenafazel

7 years

Our new meta-analysis of RCTs of psychological treatments in prisoners. Open access:

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Seena Fazel

@seenafazel

4 years

Our new paper - Predicting self-harm in prisoners: Risk factors and a prognostic model in a cohort of 542 prison entrants (open access)

Predicting self-harm in prisoners: Risk factors and a prognostic model in a cohort of 542 prison...

Predicting self-harm in prisoners: Risk factors and a prognostic model in a cohort of 542 prison entrants - Volume 63 Issue 1

www.cambridge.org

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Seena Fazel

@seenafazel

2 years

For researchers in forensic mental health, a reminder - Forensic Psychiatry Research Society annual meeting is in Oxford on morning Wednesday 18th May. Risk assessment materclass in the afternoon. Booking details here:

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Seena Fazel

@seenafazel

4 years

For prison researchers. Our new preprint is a systematic review on managing outbreaks of highly contagious diseases in prisons. With infectious disease colleagues @Babak_Javid_Lab and John Frater. Available on SSRN: 1/

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