Prof of Forensic Psychiatry, Oxford University; researching adverse outcomes in mental illness, suicide prevention, forensic mental health
Oxford, England
Joined December 2014
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1/6 Scientific disagreement is a good thing. But criticism should accurately represent the work being criticised. We have published our response to a commentary on our umbrella review of the evidence behind the Risk–Need–Responsivity (RNR) model. #criminology #CrimTwitter
A month or so away.
Forensic Psychiatry Research Society annual meeting on 16 November (10am-5pm) at Pembroke College, Oxford.
New research presentations in morning; risk assessment masterclass in afternoon (focus on methods and systematic reviews)
To register and book: eventbrite.co.uk/e/199928154…
Our response to the critique of our RNR umbrella review. The title of McGuire et Al’s critique, ‘Significantly off target’, is perhaps more apt than intended, given how much weight it places on statistical sign. Not quite nominative determinism but not miles away.
1/6 Scientific disagreement is a good thing. But criticism should accurately represent the work being criticised. We have published our response to a commentary on our umbrella review of the evidence behind the Risk–Need–Responsivity (RNR) model. #criminology #CrimTwitter
Our conclusions are unchanged: some evidence supports components of RNR, but its quality, consistency and transparency are limited. Until higher-quality evidence exists, we do not think RNR should be introduced into new jurisdictions.
Original review #OA: sciencedirect.com/science/ar…
Open access version of response (author accepted manuscript): academia.edu/178477830/Respo…
New paper! On self-harm risk after traumatic brain injury (TBI).
Development and internally validation of a clinical prediction model for self-harm after adolescent TBI.
Using population-linked health records on >34k people. 1/4
New findings on risk factors.
Comorbidity with psychiatric condition strong effect - highlights importance of liaison w/ mental health services.
Notable difference with other populations in effect of previous self-harm. Clear example of where multivariable models add value.
Oxfordians - highly recommend this play on prison life and death - on tomorrow (Friday): thenorthwall.com/whats-on/wo…
Forensic Psychiatry Research Society annual meeting on 16 November (10am-5pm) at Pembroke College, Oxford.
New research presentations in morning; risk assessment masterclass in afternoon (focus on methods and systematic reviews)
To register and book: eventbrite.co.uk/e/199928154…
Excellent study - high quality qualitative work that complements accuracy studies for suicide risk assessment models.
And rarely done in the field despite lots of expert opinion that seems mostly anecdotal
New paper out in BMJ Mental Health (mentalhealth.bmj.com/content…) looking at clinicians’ perspectives on OxSATS (oxrisk.com/oxsats/), a suicide risk assessment tool designed for use after self-harm presentations to healthcare.
Seena Fazel retweeted
Many men already known to services and present with overlapping risk factors, incl. alcohol misuse, psychiatric disorders, gambling-related harm, and criminal justice involvement.
Open access: journals.plos.org/plosmedici…
My new editorial in @PLOSMedicine on suicide prevention in men.
Highlights need to balance population-level suicide prevention with evidence-based interventions for those at highest risk.
Many men already known to services and present with overlapping risk factors, incl. alcohol misuse, psychiatric disorders, gambling-related harm, and criminal justice involvement.
Open access: journals.plos.org/plosmedici…
Some related work. On risk factors: thelancet.com/journals/lanpu…; on identifying those at highest risk: mentalhealth.bmj.com/content…; on ethics of risk assessment in older men: nature.com/articles/s44220-0…
