BRITISH JOURNAL OF PSYCHIATRY

Self-harm in women in midlife: rates, precipitating problems and outcomes following hospital presentations in the multicentre study of self-harm in England
Clements C, Bickley H, Hawton K, Geulayov G, Waters K, Ness J, Kelly S, Townsend E, Appleby L and Kapur N
Suicide in women in the UK is highest among those in midlife. Given the unique changes in biological, social and economic risk factors experienced by women in midlife, more information is needed to inform care.
Associations of mental disorders in children with parents' subsequent mental disorders: nationwide cohort study from Finland and Denmark
Hakulinen C, Gutvilig M, Niemi R, Momen NC, Pulkki-Råback L, Böckerman P, Plana-Ripoll O, Komulainen K and Elovainio M
Intergenerational transmission of mental disorders has been well established, but it is unclear whether exposure to a child's mental disorder increases parents' subsequent risk of mental disorders.
Functional and effective connectivity between reward and inhibitory control networks underlying subclinical binge eating
Chen X, Li W, Luo Y, Liu Y, Xu X, Gao X and Chen H
Knowledge is growing on the essential role of neural circuits involved in aberrant cognitive control and reward sensitivity for the onset and maintenance of binge eating.
The history of biomarkers in psychiatry: lessons learned, lessons forgotten, lessons rediscovered
Berk M, Forbes M and Narayanaswamy J
A quirky truth is that the oldest biomarker findings are largely metabolic. These had minimal impact on contemporary thought and research and were largely ignored. They have been rediscovered and validated almost 100 years later, informing our understanding of neurobiology and medical comorbidity and spurring contemporary treatment discovery efforts.
Aberrant controllability of functional connectome during working memory tasks in patients with schizophrenia and unaffected siblings
Wang F, Liu Z, Wang J, Li X, Pan Y, Yang J, Cheng P, Sun F, Tan W, Huang D, Zhang J, Liu X, Zhong M, Wu G, Yang J and Palaniyappan L
Working memory deficit, a key feature of schizophrenia, is a heritable trait shared with unaffected siblings. It can be attributed to dysregulation in transitions from one brain state to another.
Impact of the COVID-19 pandemic on self-harm and self-harm/suicide ideation: population wide, data linkage study and time series analysis: Commentary, Patra et al
Patra BN and Pant A
The commentary raises important points like patients' actual availability of out- or in-patient services in the wake of pandemics and nationwide lockdowns. The focus is also drawn to missed opportunities to include data from hotlines and online services, a possible increase in death by suicides or changes in the factors that could add up to or protect a person from suicide.
Clozapine, relapse, and adverse events: a 10-year electronic cohort study in Canada: commentary: author response
Halayka S and Balbuena L
Identifying genetic differences between bipolar disorder and major depression through multiple genome-wide association analyses
Panagiotaropoulou G, Hellberg KG, Coleman JRI, Seok D, Kalman J, , , , Mitchell PB, Schofield PR, Forstner AJ, Bauer M, Scott LJ, Pato CN, Pato MT, Li QS, Kirov G, Landén M, Jonsson L, Müller-Myhsok B, Smoller JW, Binder EB, Brückl TM, Czamara D, Van der Auwera S, Grabe HJ, Homuth G, Schmidt CO, Potash JB, DePaulo JR, Goes FS, MacKinnon DF, Mondimore FM, Weissman MM, Shi J, Frye MA, Biernacka JM, Reif A, Witt SH, Kahn RR, Boks MM, Owen MJ, Gordon-Smith K, Mitchell BL, Martin NG, Medland SE, Jones L, Knowles JA, Levinson DF, O'Donovan MC, Lewis CM, Breen G, Werge T, Schork AJ, Ophoff RA, Ripke S and Olde Loohuis L
Accurate diagnosis of bipolar disorder (BPD) is difficult in clinical practice, with an average delay between symptom onset and diagnosis of about 7 years. A depressive episode often precedes the first manic episode, making it difficult to distinguish BPD from unipolar major depressive disorder (MDD).
The dance of imperfection - Reflection
Yaghy A
Can liaison neurology add value to patient care within a mental health setting?
Ward JH, Sargent B, Bale R, Klein JC, Harrison PJ, Lennox B, Al-Diwani A and Handel AE
Clozapine, relapse and adverse events: 10-year electronic cohort study in Canada: commentary, Kikuchi
Kikuchi Y
The garden of tomorrow - Reflection
Yaghy A
Alois Alzheimer and some of his lesser-known scientific contributions - Psychiatry in history
Dalvi M
Precision psychiatry: thinking beyond simple prediction models - enhancing causal predictions
Krishnadas R, Leighton SP and Jones PB
Making informed clinical decisions based on individualised outcome predictions is the cornerstone of precision psychiatry. Prediction models currently employed in psychiatry rely on algorithms that map a statistical relationship between clinical features (predictors/risk factors) and subsequent clinical outcomes. They rely on associations that overlook the underlying causal structures within the data, including the presence of latent variables, and the evolution of predictors and outcomes over time. As a result, predictions from sparse associative models from routinely collected data are rarely actionable at an individual level. To be actionable, prediction models should address these shortcomings. We provide a brief overview of a general framework for the rationale for implementing causal and actionable predictions using counterfactual explanations to advance predictive modelling studies, which has translational implications. We have included an extensive glossary of terminology used in this paper and the literature (Supplementary Box 1) and provide a concrete example to demonstrate this conceptually, and a reading list for those interested in this field (Supplementary Box 2).
Evaluating Computerised Assessment of Motor Imitation (CAMI) for identifying autism-specific difficulties not observed for attention-deficit hyperactivity disorder or neurotypical development
Santra R, Pacheco C, Crocetti D, Vidal R, Mostofsky SH and Tunçgenç B
Reliable and specific biomarkers that can distinguish autism spectrum disorders (ASDs) from commonly co-occurring attention-deficit/hyperactivity disorder (ADHD) are lacking, causing misses and delays in diagnosis, and reducing access to interventions and quality of life.
Global, regional and national burden of depressive disorders and attributable risk factors, from 1990 to 2021: results from the 2021 Global Burden of Disease study
Rong J, Wang X, Cheng P, Li D and Zhao D
Depressive disorders pose a significant global public health challenge, yet evidence on their burden remains insufficient.
Life expectancy and years of life lost for adults with diagnosed ADHD in the UK: matched cohort study
O'Nions E, El Baou C, John A, Lewer D, Mandy W, McKechnie DGJ, Petersen I and Stott J
Nearly 3% of adults have attention-deficit and hyperactivity disorder (ADHD), although in the UK, most are undiagnosed. Adults with ADHD on average experience poorer educational and employment outcomes, worse physical and mental health and are more likely to die prematurely. No studies have yet used mortality data to examine the life expectancy deficit experienced by adults with diagnosed ADHD in the UK or worldwide.
Antipsychotic continuation during pregnancy and risk of postpartum relapse in women with schizophrenia: nationwide register-based study
Kang S, Yang JS, Yun BH, Gelaye B, An SK and Jung SJ
Women with schizophrenia frequently discontinue antipsychotic medications during pregnancy. However, evidence on the risk of postpartum relapse associated with antipsychotic use during pregnancy is lacking.
Burden of depressive and anxiety disorders in China and its provinces, 1990-2021: findings from the Global Burden of Disease Study 2021
Tian W, Yan G, Xiong S, Zhang J, Peng J, Zhang X, Zhou Y, Liu T, Zhang Y, Ye P, Zhao W and Tian M
Depressive and anxiety disorders constitute a major component of the disease burden of mental disorders in China.
Effect of ketamine on anxiety: findings from the Ketamine for Adult Depression Study
Mills NT, Nikolin S, Glozier N, Barton D, Baune BT, Fitzgerald PB, Glue P, Sarma S, Rodgers A, Hadzi-Pavlovic D, Alonzo A, Dong V, Martin D, Mitchell PB, Berk M, Carter G, Hackett ML, Somogyi AA, Mihalopoulos C, Chatterton ML, Hood S and Loo CK
Anxiety disorders and treatment-resistant major depressive disorder (TRD) are often comorbid. Studies suggest ketamine has anxiolytic and antidepressant properties.
Prediction of suicidal behaviour as a three-body problem
Batterham PJ, Shand F and O'Dea B