Suicide Prevention and Self Harm

April Bulletin

With thanks to our colleagues from Mersey Care NHS Foundation Trust please find the latest bulletin attached. Some articles are freely accessible, others require an Open Athens account. For support accessing any of the articles, please contact academic.library@lscft.nhs.uk

Public Health

Current awareness updates

A Women’s Health Agenda: Redressing the Balance.
Public Policy Projects; 2022.
[This report highlights the importance of embracing a culture of change in the design and delivery of women’s health to achieve national systems and local services fit to meet the expectations and needs of the 21st century woman. It sets out recommendations, founded on common sense and rooted in the belief that women should be in control of their own bodies.]

Making self-harm everyone’s business: a consideration of the new national guideline.
Clough I. British Journal of Healthcare Management 2022;28(3):58-60.
[This article discusses the National Institute for Health and Care Excellence’s consultation and draft guideline on self-harm management, placing the recommendations in the context of ongoing pressures on NHS services and the UK’s growing mental health crisis.]

Guidelines for using online therapeutic interventions.
National Institute for Health Research (NIHR); 2022.
[A team of researchers at the University of Sussex have launched a set of guidelines to help practitioners provide better support to parents and children accessing mental health services online. The guidelines include: Advice on planning, ground rules and strategies for practitioners; Points on support, information governance & policy guidance; What clients need to consider when accessing online services; Guidance on working online with groups of people.]

Covid 19

Current awareness updates

Original Research

Factors influencing self-harm thoughts and behaviours over the first year of the COVID-19 pandemic in the UK: Longitudinal analysis of 49 324 adults.
Paul E. British Journal of Psychiatry 2022;220(1):31-37.
[Conclusions: Findings suggest that a significant portion of UK adults may be at increased risk for self-harm thoughts and behaviours during the pandemic. Given the likelihood that the economic and social consequences of the pandemic will accumulate, policy makers can begin adapting evidence-based suicide prevention strategies and other social policies to help mitigate its consequences.]

COVID-19: stepdown of infection control precautions and discharging patients to home settings.
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated to reflect change in isolation period in hospitals from 14 to 10 days for cases and contacts of cases of COVID-19, as well as clarification of isolation period for severely immunocompromised patients.]

COVID-19: management of staff and exposed patients and residents in health and social care settings.
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated to reflect change in isolation period in hospitals from 14 to 10 days for cases and contacts of cases of COVID-19 and includes new changes to self-isolation periods for staff in health and care settings.]

COVID-19: infection prevention and control (IPC)
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated to reflect change in isolation period in hospitals from 14 to 10 days for cases and contacts of cases of COVID-19.]

Preventing and controlling outbreaks of COVID-19 in prisons and places of detention.
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated information on: ending self-isolation for prisoners/detainees and staff who test positive for COVID-19; testing information for staff and prisoners/detainees who are identified as a contact; return to work criteria for staff who test positive for COVID-19 or who are identified as a contact; visitors to prisons.]

Daily Insight: Vax to the future.
HSJ: Health Service Journal (Daily Insight) 2022;:7031723.
[The expiry date on some batches of the Pfizer covid vaccine supplies has been extended to 45 days, following concerns that large quantities would be wasted. Also: LSE research finds no significant relationship between the number of managers or the amount spent on management and the quality of NHS hospital services. 18 January.]





Emotional Support

Online resources – Master the Mind Master Anything podcast

Source: Mindset by Dave podcast

Today’s resource is the Master the Mind Master Anything podcast presented by Dave Cottrell (Mindset by Dave). This episode features Sam Tyrer (Change Talks), talking about his experiences and taking mental health awareness into schools.

Listen to the podcast here.

Public Health

Current awareness updates

How has cognitive behaviour therapy been adapted for adolescents with comorbid depression and chronic illness? A scoping review.[Abstract]
Morey A. Child and Adolescent Mental Health 2021;26(3):252-264.
[BACKGROUND: Depression becomes increasingly common in adolescence. Around 10%-20% of adolescents have a chronic illness, and they are more likely to experience depression. There is emerging evidence for cognitive behaviour therapy (CBT) interventions to treat depression in adolescents with chronic illnesses, yet no review has been undertaken of how these CBT interventions are delivered in practice.]

The best terminology to describe self-harm: “There is more that unites us than divides us”.
The Mental Elf; 2021.
[Angharad de Cates reviews a recent study which examined international definitions of English-language terms for suicidal and self-harm behaviours.]

Education, schooling and health summary.
Department of Health and Social Care and Public Health England; 2021.
[Summary of the existing evidence of the health and wellbeing benefits of school-age education. This paper aims to summarise the existing evidence of the health and wellbeing benefits of school-age education, including the wider impacts on mental and physical health and wellbeing of being in school and the observed impacts of the loss of education in the last 18 months.]

Does the IAPT self-referral process work for people living in poverty?
The Mental Elf; 2021.
[In her debut blog, Alice Potter reviews a qualitative study exploring different perspectives on the accessibility of current IAPT self-referral processes for people with mental health problems living in poverty.]

STI rates remain a concern despite fall in 2020.
Public Health England (PHE); 2021.
[New data from Public Health England (PHE) reveal that diagnoses of sexually transmitted infections (STIs) decreased in 2020 by 32% compared to 2019.]

Promotional material: Flu immunisation for social care staff.
Public Health England (PHE); 2021.
[Leaflets for social care workers and personal care assistants to support the annual flu programme.]

Dismissed for too long: recommendations to improve migraine care in the UK.
The Migraine Trust; 2021.
[This report found a wide range of issues with migraine health care, including slow or no diagnosis and lack of access to specialist care. It sets out the action needed from the government, health care systems and other organisations to give everyone living with migraine in the UK the support they need.]




Public Health

Current awareness updates

Alcohol and self-harm: A qualitative study.
Alcohol Change UK; 2021.
[This study explores how and why alcohol and self-harm are related, and how alcohol, self-harm, and related services, are experienced and understood. Eleven people who had experience with self-harm and alcohol use were recruited through mental health support organisations across England and Wales. Interviews invited participants to ‘tell their stories’ about self-harm, alcohol use, the relationship between the two practices and their experiences with services in relation to these.]

Chronic kidney disease: assessment and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers care and treatment for people with, or at risk of, chronic kidney disease (CKD). It aims to prevent or delay the progression, and reduce the risk of complications and cardiovascular disease. It also covers managing anaemia and hyperphosphataemia associated with chronic kidney disease.]

Bonded By Blood: A Mothers Story.
ACLT; 2021.
[A new nationwide blood donation campaign, created by a group of Black health charities and community organisations with support from NHS Blood and Transplant, the campaign will focus on amplifying the need for more blood donors of Black heritage to donate. It is launched in memory of sickle cell patient Richard Okorogheye. The campaign will share the stories of mothers with children who receive regular blood transfusions.]

Good Childhood Report 2021.
The Children’s Society; 2021.
[Our Good Childhood Report 2021 shows that modern life continues to erode the happiness of young people. Dissatisfied with school, friendships and how they look, children deserve drastic change. Our tenth annual report finds that 7% of 10 to 15 year-olds (an estimated 306,000 children) in the UK are not happy with their lives.]

The health impacts of Sure Start.
Institute for Fiscal Studies (IFS); 2021.
[This briefing note from the Institute for Fiscal Studies extends the evidence from its previous 2019 report to show how Sure Start has influenced children’s health. Specifically it assesses the programme’s impact on hospitalisations of very young children, who are still eligible to use its services (ages 1-4), and of adolescents (ages 12-15), who may still enjoy medium-term benefits from Sure Start exposure.]

Building Connections Fund evaluation final reports.
Department for Digital, Culture, Media and Sport; 2021.
[The £11.5 million Building Connections Fund (BCF) was the first ever government fund dedicated to tackling loneliness in England. There are two separate reports for this evaluation: part one, the evaluation report, which covers findings before the Covid-19 pandemic; and part two, focusing on the evaluation activity following the Covid-19 pandemic.]

Public Health

Current awareness updates

Tick bite risks and prevention of Lyme disease: resources.
Public Health England (PHE); 2021.
[Toolkit and resources for local authorities and other stakeholders to raise awareness of the potential risks created by ticks and tick-borne disease in England. You can choose to co-brand leaflets and posters with PHE by adding your logo to the Word files or simply download the PDFs.]

Holiday activities and food programme 2021.
Department for Education (DfE); 2021.
[This document provides information for local authorities delivering the holiday activities and food programme in 2021. In 2020 the government announced that the holiday activities and food programme, that covers the Easter, summer and Christmas holidays, will be expanded across the whole of England in 2021. There will be up to £220 million available to local authorities to coordinate free holiday provision, including healthy food and enriching activities.]

New cross-government unit to tackle drug misuse following major independent review.
Department of Health and Social Care (DHSC), Home Office, and Public Health England (PHE); 2021.
[The new unit aims to end illegal drug-related illness and deaths. The rise in drug misuse poisoning deaths has been driven by increases in heroin deaths which have doubled in this time and other substances such as cocaine have seen notable recent increases. The proportion of 11 to 15-year-olds who use drugs has increased in recent years with one in three 15-year-olds saying they took drugs in the last year.]

Tackling obesity: the role of the NHS in a whole-system approach.
The King’s Fund; 2021.
[Rates of obesity in England are high and rising, with a strong systemic relationship between obesity and deprivation. Rates are also higher in women than in men, and in some ethnic minority groups compared to the white British group. This briefing explores the role of the NHS in tackling obesity, focusing on how the NHS can work with local partners and engage with communities to deliver targeted interventions to treat and prevent obesity.]

Effectiveness of complementary therapies in cancer patients: a systematic review.
Guerra-Martin MD. International Journal of Environmental Research & Public Health 2021;18(3):1017.
[The findings reveal some effective complementary therapies: auriculotherapy and acupuncture, laser moxibustion, hypnosis, Ayurveda, electroacupuncture, progressive muscle relaxation and guided imagery, yoga, phytotherapy, music therapy and traditional Chinese medicine. On the other hand, electroacupuncture, laser moxibustion and traditional Chinese medicine presented adverse effects, and kinesiology did not show effectiveness.]

Wellbeing toolkit for Alcohol Related Brain Damage (ARBD).
Penumbra; 2021.
[As well as providing important medical information about ARBD and alcohol use, the toolkit covers key practical and holistic information on recovery – including information on reducing stress, improving memory, coping with challenging emotions without using alcohol, nutrition and exercise, connecting with others and the community, along with guidance on improving digital skills, budgeting and knowing your rights. It includes a podcast of relaxation exercises.]

What support do young people with sickle cell disease need when moving into adult services?.
NIHR Evidence; 2021.
[This research suggests that non-specialist healthcare services are failing young people with sickle cell disorder. This is a critical period in their development when they are learning to live as adults. It is difficult to manage conflicting demands, such as wanting to work hard at school but needing to rest to avoid pain. Researchers suggest healthcare professionals shouuld work with schools to create supportive services that can help young people to achieve their life goals.]

Loneliness is strongly linked to depression in older adults in a large, long-term study.
NIHR Evidence; 2021.
[Depression is a major public health problem that is growing worldwide. The causes are complex and vary from person to person. However, new research estimates that up to one in five cases of depression among older adults could be prevented by reducing loneliness. The study therefore has important public health implications, highlighting the need for comprehensive action across society to combat loneliness.]

HIV infection and AIDS.
Clinical Knowledge Summary (CKS); 2021.
[This CKS topic has been updated.]

Could a decision support tool help to guide mental health treatment in primary care?
The Mental Elf; 2021.
[Linda Gask reviews a recent randomised controlled trial on the clinical efficacy of a Decision Support Tool (Link-me) to “guide the intensity of mental health care in primary practice”.]

Improving the care of patients discharged following a pulmonary embolism, in line with NICE Guidelines (NG158).
[Shared learning from Nottingham Universities Hospitals Trust. Project started out as audit looking into how to improve discharge process for patients following a PE, however upon understanding limitations of care provided on discharge, practice was changed in line with NICE guidelines to ensure safest possible discharge for these patients.]

Risk factors for LGBTQ+ youth self-harm and suicide.
The Mental Elf; 2021.
[In her debut blog, Hazel Marzetti reviews a recent systematic review and meta-analysis on victimisation and mental illness prevalence among LGBTQ+ young people with experiences of self-harm and suicide.]

European Surveillance of Antimicrobial Consumption Network (ESAC-Net).
World Health Organization (WHO); 2021.
[The report found some differences in the use of antibiotics between two sets of countries, the ECDC’s European Surveillance of Antimicrobial Consumption Network (ESAC-Net) and WHO/Europe’s Antimicrobial Medicines Consumption (AMC) Network. Findings show a significant decrease in the consumption of antibacterials in eight ESAC-Net countries including the United Kingdom. However, figures for the AMC Network were less clear, reflecting the more complicated nature of data collection.]

Transition to adulthood and transfer to adult care of adolescents with congenital heart disease: a global consensus statement.
Moons P. European Heart Journal 2021;:ehab388.
[This consensus document describes issues and practices of transition and transfer of adolescents with CHD. Transitional care ought to be provided to all adolescents with CHD, taking into consideration the available resources. When reaching adulthood, patients ought to be transferred to adult care facilities capable of managing their needs, and systems have to be in place to ensure continuity of high-quality care.]

Children and young people’s mental health – policy, CAMHS services, funding and education.
House of Commons Library; 2021.
[Research briefing on children and young people’s mental health policy, June 2021.]

Community mental health and wellbeing : what does gold standard look like?
Digital Health & Care Innovation Centre, Scotland; 2021.
[Following interviews and meetings with key stakeholders a range of tools were developed to support collaborative discussion around gold standard community mental health and wellbeing, key relationships and challenges to implementation. This report presents findings of the resulting workshop.]

Emerging lessons from the commissioning and delivery of a gambling treatment service.
Woodall J. Public Health 2021;196:69-73.
[This article offers a unique contribution to understanding more about the provision of gambling treatment services. This is crucial, given that a greater number of people face challenges as a consequence of gambling harms, and such services should be seen part of forming a coherent public health response.]

PHE women’s reproductive health programme 2020 to 2021.
Public Health England (PHE); 2021.
[Progress update on the PHE reproductive health programme, including a new return on investment tool and the next steps for 2021 to 2022. Use these documents and tools to understand how this programme integrates with the upcoming women’s and sexual and reproductive health strategies. Links to new tools, publications and examples of best practice can also be used as a reference point for colleagues across the healthcare system, to inform prioritisation and planning.]

National flu immunisation programme plan.
Department of Health and Social Care (DHSC); 2021.
[The annual flu letter for 2021 to 2022 describes the national flu immunisation programme and outlines which groups are eligible for flu vaccination.]

Life Sciences Vision.
Department for Business, Energy & Industrial Strategy; 2021.
[This document outlines the government’s and the life science sector’s ambitions for the sector over the next decade. It sets out the government’s plans to stimulate a thriving UK life sciences sector. It also focuses on how the sector can address some of the UK’s most significant health care challenges, including cancer, dementia and obesity.]

Alcohol consumption and harm during the COVID-19 pandemic.
Public Health England (PHE); 2021.
[A report collating data on alcohol consumption and alcohol-related harm in England during the COVID-19 pandemic and comparing it to data from previous years. The report improves our understanding of how alcohol consumption and harm changed in England while physical and social restrictions to prevent and control coronavirus were in place. The findings help to understand whether pandemic-related changes have affected rates of alcohol hospital admissions and deaths as well as health inequalities.]

Early evaluation of the Children and Young People’s Mental Health Trailblazer programme.
University of Birmingham; 2021.
[The programme was launched in December 2018 to improve the prevention of mental health problems and early intervention for children and young people with mild to moderate mental health problems. The early evaluation is following the experiences of the initial group of mental health support teams, which are based in 25 areas across England (called Trailblazers) and work with more than 1,000 schools and colleges.]

Public Health

Current Awareness Updates

One dose of COVID-19 vaccine can cut household transmission by up to half Public Health England (PHE)

(A new study by Public Health England (PHE) has shown that one dose of the COVID-19 vaccine reduces household transmission by up to half.)

Track and trace: identifying corruption risks in UK public procurement for the Covid-19 pandemic

(This study of procurement during the pandemic involved a painstaking review of nearly 1,000 contracts worth a total of £18 billion. It concludes that the way the UK government handled bids for supplying personal protective equipment (PPE) and other Covid-19 response contracts appears partisan and systemically biased in favour of those with political access.)

Can SMS text messages help prevent relapse in schizophrenia and schizoaffective disorder?
The Mental Elf; 2021.

(A group of UCL Mental Health MSc students summarise a recent pilot study, which explores the acceptability and feasibility of the Texting for Relapse Prevention (T4RP) programme for people with schizophrenia or schizoaffective disorder.)

Can we teach schools how to improve care for young people who self-harm?
The Mental Elf; 2021.

(Douglas Badenoch appraises and summarises a recent systematic review of experimental studies, which looks at whether school staff training can improve responses to pupils who self-harm.)

JCVI issues new advice on COVID-19 vaccination for pregnant women Public Health England (PHE)

(The JCVI has advised that pregnant women should be offered the COVID-19 vaccine at the same time as the rest of the population, based on their age and clinical risk group.)

Neonatal infection: antibiotics for prevention and treatment.
National Institute for Health and Care Excellence (NICE); 2021.

[This guideline covers preventing bacterial infection in healthy babies of up to and including 28 days corrected gestational age, treating pregnant women whose unborn baby is at risk of infection, and caring for babies of up to and including 28 days corrected gestational age with a suspected or confirmed bacterial infection. It aims to reduce delays in recognising and treating infection and prevent unnecessary use of antibiotics. The guideline does not cover viral infections.]