Needs and fears of young people presenting at accident and emergency department following an act of self-harm

Here is a fantastic paper from the March 2016 edition of the British Journal of Psychiatry, which describes the experience (particularly the needs and fears) of young people presenting to Accident and Emergency Departments, following episodes of Self Harm.

The personal accounts therein are very sobering, highlighting the degree of stigma this vulnerable patient group experience.

I consider it essential reading for all health professionals working in emergency/paediatric/mental health fields

Patient Experience of A&E post DSH

Best wishes


New project for psych/paed joint training in London

Dear all,

As a paediatric trainee do you find it challenging to deal with medically unexplained symptoms, to manage the behavioural aspect of paediatrics or to form working relationships with CAMHS?

As a CAMHS trainee do you find the medical aspects of paediatrics challenging, do you want to develop a better relationship with your paediatric colleagues?

This is an invitation to all trainees from paediatrics and psychiatry and all Consultants across CAMHS, Community Paediatrics and General Paediatircs to attend a launch evening for an exciting collaboration between paediatrics and psychiatry.

The plan is to match a paediatric trainee with a CAMHS trainee for a variety of shared learning opportunities, including visiting each other’s clinics.

The project aims to:

Facilitate achieving mental health and paediatric competencies, respectively.
Encourage paediatric-CAMHS liaison.
Provide a greater understanding of what our colleagues do and how they manage cases.

We strongly encourage trainees who are interested in the scheme to bring along a champion Consultant in their organisation who will be keen to support this venture.

Details of the launch:

Monday 14th March
6-8pm, Stewart House
Drinks and nibbles provided!

We hope to gather a cohort of enthusiastic trainees to launch this exciting project – ideally paediatric registrars in level 2/3 training who are currently in a community placement and psychiatry registrars, undertaking their higher level CAMHS training. However for this pilot our aim is to match enthusiastic trainees, so if you are in general paediatrics you are definitely welcome to be involved.

The launch and being involved in the programme is totally free but places for the launch will be allocated on a first come first served basis so please confirm your attendance promptly to the following email address:

If you can’t attend but are still interested in being involved in the matching scheme please email with your name, role, stage of training and email address to the above address.

We’re really excited about this venture – please come and be a part of it.

Best wishes,

Jo Cryer and Rory Conn

On behalf of The Paediatric-Psychiatry Collaboration Working Group

Putting Methylphenidate in its place for ADHD

There was a recent systematic review into Methylphenidate use in ADHD. It’s reviewed in this NHS choices article.

The authors conclude “we cannot say for sure whether taking methylphenidate will improve the lives of children and adolescents with ADHD”

It’s important to be clear what this means: because the evidence is not of a very good quality, when considering starting this medication, it’s important not to be too optimistic about response- some kids just don’t do well on it, and we don’t know why. Some really do though, so we mustn’t dismiss it either.

The results do raise a question, however. If drug companies spent the money they lavish on marketing ADHD drugs on research, maybe the evidence wouldn’t be poor?

Mental Health Research at the Institute of Child Health and Great Ormond Street Hospital – Research into Practice

Monday 14th March 2016, 1 – 5 pm

Kennedy Lecture Theatre, Institute of Child Health

30 Guilford Street, London, WC1N 1EH

  • Mental ill-health affects 1 in 10 children and 80% of adult mental illness starts before age 18.
  • In the population of children with physical illness, rates of mental illness are up to seven-times higher.

Chair: Professor Roz Shafran


1.00 Otto Wolff Lecture: Professor Michael Sharpe

Integrating physical and mental health care: evidence-into-practice across the lifespan

2.00 Dr Isobel Heyman

Child mental health in a specialist children’s hospital – complex or simple?


2.25 Professor David Skuse

A step-change in Intellectual Disabilities research? The IMAGINE-ID project


2.50 Dr Naomi Dale

Cognitive and behavioural development in children with visual impairment: from identifying early multi-factorial risks to improving outcome


3.15 Tea break

3.40 Dr Penny Titman

Psychological outcomes following stem cell transplantation: understanding and managing the impact on children and their families


4.05 Dr Rachel Bryant-Waugh

Feeding and eating disorders: working towards improved patient pathways

4.30 Professor Peter Fonagy

From bench to bedside; can science help transform mental health services for children and young people?


5.00 Drinks in the Winter Garden


Pre-registration is required for this symposium. Please register your attendance via the doodle link  or email to reserve your place at this unique event.

Bullying- a neglected mental health crisis

No-one likes a taskforce more that government- there are scores of groups looking at the effects of the latest Bogeyman, the internet, but the thing that is damaging about cyberbullying, is the bullying part, and we don’t hear enough about tackling this at a policy/ public health level.

This report by the National Children’s Bureau, is a good start. However, for bullying to be taken seriously as a public mental health problem, concerted pressure from health and education organisations is required.

One for the 2016 ‘to do’ list?

Negative results in mental health intervention should be cherished, not ignored

It sounds sensible- prevention is better than cure, anxiety is a massive problem in adolescents, so shouldn’t a school-based programme be the way forward? From reading the political buzz, you’d think that was a done deal.

But this cannot be stated enough- we need to do robust studies to establish that new policy and interventions are effective. So negative studies like this one ( are very important. A programme like this, in this case the FRIENDS, didn’t really help all that much.

Maybe we need to look deeper, into the societal causes of anxiety, rather than applying sticking plasters…..