Seena Fazel

4.1K posts

Seena Fazel

Seena Fazel

@seenafazel

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

Oxford, England Katılım Aralık 2014
150 Takip Edilen3.4K Takipçiler
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Seena Fazel
Seena Fazel@seenafazel·
New paper!! On the evidence base for clinical guidelines on risk assessment tools for people who self-harm. We raise concerns about English 2022 NICE guideline on self-harm, which reached unusually definitive recommendations on risk assessment tools based on 2 studies. /1
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Seena Fazel
Seena Fazel@seenafazel·
Our new paper using focus groups with people in prison and staff. Finds support for the use of a risk tool to bridge the transition from closer supervision back to the normal regime
Seena Fazel@seenafazel

Repeat self-harm in prisons is associated with substantial health morbidities, costs, disruptions to care and rehabilitation, and suicide (in prison and on release). Just out - our qualitative study on using a structured framework (RAPSS) to assess risks of repeat self harm 👇

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Beverley Thomson
Beverley Thomson@Antidepressed1·
And the role of medication? Was that considered? Why not? Approximately 16.9% of men and 47.9% of women in prison were found to be on some form of psychotropic medication (which includes antidepressants, antipsychotics, and sedatives)
Seena Fazel@seenafazel

Repeat self-harm in prisons is associated with substantial health morbidities, costs, disruptions to care and rehabilitation, and suicide (in prison and on release). Just out - our qualitative study on using a structured framework (RAPSS) to assess risks of repeat self harm 👇

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Seena Fazel
Seena Fazel@seenafazel·
From abstract:
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Seena Fazel
Seena Fazel@seenafazel·
journalslibrary.nihr.ac.uk/hta/published-… Involved focus groups with people in prison and different staff members. Open access. Collab w/Manchester and York Uni colleagues (who managed to complete it despite various hurdles along the way).
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Seena Fazel
Seena Fazel@seenafazel·
Repeat self-harm in prisons is associated with substantial health morbidities, costs, disruptions to care and rehabilitation, and suicide (in prison and on release). Just out - our qualitative study on using a structured framework (RAPSS) to assess risks of repeat self harm 👇
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Seena Fazel
Seena Fazel@seenafazel·
Excellent blog post from The Mental Elf on the high levels of mental and physical health problems among people in prison. Based on our umbrella review, where we synthesized the review evidence on prevalences of medical conditions (incl. infectious diseases) 👇
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JAMA
JAMA@JAMA_current·
📊 Research Summary: Among adults with major depressive disorder, use of a web-based decision-support tool reduced early #antidepressant discontinuation and improved symptoms compared with usual care. ja.ma/4r1X1qd
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Seena Fazel
Seena Fazel@seenafazel·
Our new paper!! Meta-analysis on associations with SSRIs, antipsychotics, lithium, benzodiazepines stratified by diagnosis (depression, schizophrenia, bipolar disorder).
eClinicalMedicine – The Lancet Discovery Science@eClinicalMed

Effect of psychotropic medications on suicide-related outcomes: a SRMA of observational studies There is evidence of varying effects of #psychotropic medication on the risk of suicide-related outcomes across different psychiatric disorders thelancet.com/journals/eclin… @seenafazel

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Crémieux
Crémieux@cremieuxrecueil·
What's the effect of family income on a child's IQ? Between families, we can see that higher-incomes are associated with kids having much higher IQs. However, the sibling exposed to higher incomes in childhood isn't likely to have a much higher IQ. They're little better off!
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Seena Fazel
Seena Fazel@seenafazel·
New paper! External validation of a risk assessment tool for released prisoners (OxRec) in Norway. Provides evidence-based method to improve linkage with aftercare services (esp. substance misuse, mental health). Sample >26k, AUC 0.77 for violent recidivism, recalibrated model /1
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Seena Fazel
Seena Fazel@seenafazel·
Our paper addressing questions of accuracy and potential discrimination in relation of OxRec and risk assessment tools in criminal justice.
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BMJ Mental Health
BMJ Mental Health@BMJMentalHealth·
📢 New Article @BMJMentalHealth 👇🏼 Clinical guidelines on self-harm & suicide prevention must reflect uncertainty in the evidence base. A new perspective by Aida Seyedsalehi & @seenafazel critiques NICE recommendations on risk assessment tools & calls for more rigorous impact research. Prediction models shouldn’t be prematurely dismissed or implemented without high-quality evidence. Link 👇🏼 mentalhealth.bmj.com/content/29/1/e… @UniofOxford #MentalHealth #SuicidePrevention #SelfHarm #ClinicalGuidelines
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Seena Fazel
Seena Fazel@seenafazel·
In suicide research, much UK expert opinion has been surprisingly fixed considering uncertainty in evidence. Also different to forensic psych, where tools assist clinical decision-making, also for rare outcomes, and provide consistency within and between services.
Seena Fazel@seenafazel

New paper!! On the evidence base for clinical guidelines on risk assessment tools for people who self-harm. We raise concerns about English 2022 NICE guideline on self-harm, which reached unusually definitive recommendations on risk assessment tools based on 2 studies. /1

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Seena Fazel
Seena Fazel@seenafazel·
In summary, time for a change really. The field has moved on from symptom checklists, sometimes misused (e.g. not engaging) and leading to denial of care. Whether and how risk assessment tools can support and augment clinical decision-making needs more research.
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Seena Fazel
Seena Fazel@seenafazel·
In our 2025 systematic review of performance of suicide risk models, we identified *91* papers describing development of 167 models + 29 external validations. This wider research can inform new guidelines. Conclusions underscore the value of more research: link.springer.com/article/10.118…
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Seena Fazel
Seena Fazel@seenafazel·
New paper!! On the evidence base for clinical guidelines on risk assessment tools for people who self-harm. We raise concerns about English 2022 NICE guideline on self-harm, which reached unusually definitive recommendations on risk assessment tools based on 2 studies. /1
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Keşfet

@Antidepressed1 @bmj_latest @zalaly @Miao_Cai_SLU @BMJMentalHealth @UniofOxford @elonmusk @BarackObama