Baldwin, J. R. et al. | 2018| Adolescent Victimization and Self-Injurious Thoughts and Behaviors: A Genetically Sensitive Cohort Study| Journal of the American Academy of Child & Adolescent Psychiatry | Vol.0 |Issue 0| DOI: https://doi.org/10.1016/j.jaac.2018.07.903
Children and young people that are victimised have double the likelihood of self-harm and their risk of suicide is trebled compared to non-victimised peers according to researchers at King’s College London. The study looked at over 2000 twins born in England and Wales between 1994-95. They studied different forms of adolescent victimisation- including maltreatment, neglect, bullying, crime, sexual victimisation, and family violence- which were identified in interviews with the participants when they turned 18. Among their findings was that over a third of the sample had experienced one severe form of victimisation during their adolescence and 7 per cent had experienced at least three or more severe types of victimisation. Almost 20 per cent (18.9%) had had some form of self-injurious thoughts and behaviours. Victimized adolescents had an increased risk of suicidal ideation and over a quarter had atempted suicide.
Victimized adolescents have elevated risk of self-injurious thoughts and behaviors. However, poor understanding of causal and non-causal mechanisms underlying this observed risk limits the development of interventions to prevent premature death among adolescents. We tested whether pre-existing family-wide and individual vulnerabilities account for victimized adolescents’ elevated risk of self-injurious thoughts and behaviors.
Participants were 2,232 British children followed from birth to age 18 as part of the Environmental Risk (E-Risk) Longitudinal Twin Study. Adolescent victimization (maltreatment, neglect, sexual victimization, family violence, peer/sibling victimization, cyber-victimization, and crime victimization) was assessed through interviews with participants and co-informant questionnaires at the age 18 assessment. Suicidal ideation, self-harm, and suicide attempt in adolescence were assessed through interviews with participants at age 18.
Victimized adolescents had an increased risk of suicidal ideation, self-harm, and suicide attempt. Co-twin control and propensity-score matching analyses showed that these associations were largely accounted for pre-existing familial and individual vulnerabilities, respectively. Over and above their prior vulnerabilities, victimized adolescents still showed a modest elevation in risk for suicidal ideation.
Risk for self-injurious thoughts and behaviors in victimized adolescents is only partly explained by the experience of victimization. Pre-existing vulnerabilities account for a large proportion of the risk. Therefore, effective interventions to prevent premature death in victimized adolescents should not only target the experience of victimization but also address pre-existing vulnerabilities.
The article is in press but may be requested through interlibrary loan by Rotherham NHS staff
Centre for Mental Health | November 2018 | An evaluation of the WISH Centre’s services with young people who self-harm
Young people who attend WISH have far fewer A&E attendances during that time than before, and at least two-thirds of young people had improved wellbeing after receiving therapy and over four-fifths reduce or stop self-harming; finds WISH report: A space to talk: An evaluation of the WISH Centre’s services with young people who self-harm.
The report is based on WISH’s evaluation of the WISH Centre’s work with young people across several London boroughs, finding that WISH demonstrates success in helping young people who are self-harming to improve their mental health and quality of life. WISH Centre’s work makes a difference to young people, by combining counselling and psychotherapy with facilitated peer support and outreach to young people in schools and communities.
Their findings are based on analysis of outcome data and conversation with users of WISH services and stakeholders
WISH are calling for:
CCGs and local authorities across the country to commission services similar to WISH to support young people struggling with self-harm;
Commissioning more for young men, and a specific offer for young people who identify as LGBT;
More support for parents, carers, teachers and other professionals;
Awareness-raising and myth-busting about self-harm to encourage young people to seek help. (Source: WISH).
The Health Foundation | November 2018 | Unfinished Business: An assessment of the national approach to improving cancer services in England 1995–2015
A major report of the progress in cancer care during the last two decades has been released by The Health Foundation. It reports that progress has been made on reducing mortality, and improving the chances of survival and the experience of care, for people in England diagnosed with cancer.
Unfinished Business sets out recommendations to help close the gap in survival between England and other comparable countries.
These include: radical improvements in early diagnosis and detection of cancer, such as increasing investment in diagnostic equipment, building public understanding of cancer symptoms, improving resourcing of primary care, greater support for GPs to refer more patients and supporting collaboration across primary and secondary care (Source: The Health Foundation).
Public Health England | November 2018 | Cycling and walking for individual and population health benefits: A rapid evidence review for health and care system decision-makers
Public Health England (PHE) has published Cycling and walking for individual and population health benefits, the publication is based on an evidence review to answer the question: What is the impact of walking and/or cycling on different health outcomes?
This review found that walking and cycling benefit health in a number of ways:
people who walk or cycle have improved metabolic health and a reduced risk of
walking and cycling reduce the risk factors for a number of diseases, including
cardiovascular disease, respiratory disease, some cancers, and Type II diabetes
walking and cycling also have positive effects on mental health and general wellbeing. The mental health and neurological benefits include reduced risk of
dementia, improved sleep quality, and a greater sense of wellbeing
in environmental terms, health benefits accrue for the general population from a
reduction in pollution due to car use and a decrease in road congestion
the evidence is that the health benefits of walking and cycling outweigh any
potential health risks and harms – for example from injury or pollution (Source: PHE)
ASH| November 2018 | Smoking in the home: New solutions for a Smokefree Generation
ASH (Action on Smoking) has published Smoking in the home: New solutions for a Smokefree Generation; the report calls for collaboration between partners including housing, public health, environmental health, trading standards and the fire service to address the harms from smoking and intervene in communities with the highest rates of smoking.
The recommendations have been informed by close working with professionals from across a range of sectors, engagement with tenants in the private and social sectors, and through analysis of national datasets and published evidence (Source: ASH).
Iacobucci, G. | 2018 |Type 2 diabetes affects 7000 young people in England and Wales, analysis shows| BMJ |363| k4929
Analysis of figures from Diabetes UK show that type 2 diabetes is affecting more young people in England and Wales than previously forecast. 7000 children are being treated for the condition shows the data from NHS Digital (collated from GP practices) the prevalence of the condition is much higher than previously thought.
Currently, over a third of children in England (34%) are overweight or obese by the time they leave primary school. Diabetes UK warned that thousands more children could have type 2 diabetes diagnosed without decisive support for young people (Source: BMJ)
NHS Confederation | November 2018 | Letting Local Systems Lead
In Letting Local Systems Lead, NHS Confederation are calling for action to remove the barriers to effective local system working.
The publication of Letting Local Systems Lead follows a survey of NHS Confederation members which found that:
Six in ten leaders (61%) agree that sustainability and transformation partnerships (STPs) and integrated care systems (ICSs) represent the right approach for partnership working between the NHS and local government.
But the vast majority of respondents considered that only moderate progress (44%) or a little progress (42%) had been made in implementing the system working approach set out in the NHS Five Year Forward View
When asked what would make a difference, local leaders identified better local partnership working, improved engagement with staff, patients and communities, more effective local governance and a more supportive oversight regime (Source: NHS Confederation)