Prof of Forensic Psychiatry, Oxford University; researching adverse outcomes in mental illness, suicide prevention, forensic mental health

Joined December 2014
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New paper!! On health justice, resource allocation, and age in suicide risk assessment. We argue that, in resource-limited healthcare systems, appropriately developed risk tools may support fairer allocation of clinical resources, especially for groups at highest risk.
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New paper!! 🔥Prevalence of adverse childhood experiences (ACEs) in young people experiencing homelessness
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Pooled prevalences (and their range) for physical and sexual abuse were estimated from 45 studies - substantially higher than general population. We discuss implications for clinical services and policy. #homeless #ACEs
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Seena Fazel retweeted
“England’s treatment of its most at-risk youth is a national embarrassment. Ministers cannot allow children already failed by their families to remain trapped in a care system shaped too heavily by profiteering and people without relevant expertise.” ft.com/content/1e5d84ae-6a7e…
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New paper! People with substance misuse have increased risks of suicidal outcomes. We examined risk factors for self-harm in a population-based study. Then developed and validated a risk assessment model based on them. Model performed well on multiple measures of performance.
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A structured approach to assessing risk drawing on this evidence can inform research, training and support clinical decision-making. Online calculator available: oxrisk.com/oxsams/ #RiskFactors #predictivemodels #SuicidePrevention
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Couple of recent papers that help contextualise findings. Systematic review of prediction models for suicide and self harm: link.springer.com/article/10… and on guidelines: mentalhealth.bmj.com/content…
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New paper!! On health justice, resource allocation, and age in suicide risk assessment. We argue that, in resource-limited healthcare systems, appropriately developed risk tools may support fairer allocation of clinical resources, especially for groups at highest risk.
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Paper started off with a conversation with James Hart of the Ethox Centre at an ethics seminar on risk assessment in policing. This ethics background brought a different and novel perspective to the discussion - the value of semi-random interdisciplinary conversations.
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