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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- Following152
- Followers3.4K
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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…
Seena Fazel retweeted
"Governments must take charge of their role in setting limits on this commercial privilege, rather than acting as partners to the alcohol industries."
In a new letter, José Julio Villalba & Irene Torres discuss the "paradox" of alcohol promotion at the 2026 men’s World Cup: spkl.io/60127Exu2
Seena Fazel retweeted
Clinical practice guidelines: The good, the bad, and the ugly sciencedirect.com/science/ar… via @KimMaddenPhD et al
Seena Fazel retweeted
Paper open access: thelancet.com/journals/lanpu…
Collab w/ colleagues @Berlin universities - building on previous reviews on mental disorders in homeless people journals.plos.org/plosmedici… and gambling problems in the homeless: link.springer.com/article/10…
Seena Fazel retweeted
“England’s treatment of its most at-risk youth is a national embarrassment. Ministers cannot allow children already failed by their families to remain trapped in a care system shaped too heavily by profiteering and people without relevant expertise.” ft.com/content/1e5d84ae-6a7e…
Seena Fazel retweeted
💡 JAMA Insights: Numeric risk comparisons anchored in patient context may improve shared decision-making and help patients interpret clinical choices.
ja.ma/4sXLpFP
Seena Fazel retweeted
How would you link structured risk assessments to clinical practice in general mental health settings? This is a useful guide that @Dr_dannywhiting presented in the context of violence risk assessment in first episode psychosis. At the recent FPRS conference. 1/
Seena Fazel retweeted
Some observations on use of hospital orders in v. serious crimes.
Public safety is best served with a hospital order. Studies show that reoffending rates are clearly lower after discharge from secure hospitals than prison release. Systematic review: pmc.ncbi.nlm.nih.gov/article… 1/
Seena Fazel retweeted
New paper!!
Risk factors for violence in psychosis - meta-analysis of longitudinal studies. Data on >200k people with schizophrenia/related psychoses.
Confirms key risk factors (comorbidity with substance misuse, previous crime) + protective ones (adherence, antipsychotics) 1/
Seena Fazel retweeted
What practical use is a violence risk prediction tool in clinical services for psychosis? Our new study in @TheBJPsych examines this for the OxMIV tool, w/wider learning for key issue of bridging the gap to real-world usefulness for prediction tools doi.org/10.1192/bjp.2024.293 (OA)
Seena Fazel retweeted
Our new BJPsych commentaries on suicide risk assessment
Free to read and shareable links to the commentaries:
1. tinyurl.com/3yhyhdah
2. tinyurl.com/2hkvxf4w
3. tinyurl.com/msj82pbj
4. tinyurl.com/5a2skv48
Seena Fazel retweeted
Just out! Series of 4 linked commentaries in @TheBJPsych on suicide risk asssessment and prediction models in mental health.
Papers bring together latest evidence, outline opportunities for clinical practice, address dated criticisms, and consider ethical implications. 🧵
Seena Fazel retweeted
These commentaries address key misunderstandings in this field.
A *confluence of conflations*: accuracy with feasibility, prediction with explanation, predictions with decision-mkaing, and importantly absence of evidence with evidence of absence.
The evidence has moved on.
Seena Fazel retweeted
Best evidence yet that GLP-1 drugs reduce the risk of substance abuse, from >600,00 US Veterans across alcohol, nicotine, opioid, cocaine, cannabis @bmj_latest
@zalaly @Miao_Cai_SLU
bmj.com/content/392/bmj-2025…
Seena Fazel retweeted
📊 Research Summary: Among adults with major depressive disorder, use of a web-based decision-support tool reduced early #antidepressant discontinuation and improved symptoms compared with usual care.
ja.ma/4r1X1qd
Seena Fazel retweeted
What's the effect of family income on a child's IQ?
Between families, we can see that higher-incomes are associated with kids having much higher IQs.
However, the sibling exposed to higher incomes in childhood isn't likely to have a much higher IQ. They're little better off!
Seena Fazel retweeted
New paper! External validation of a risk assessment tool for released prisoners (OxRec) in Norway. Provides evidence-based method to improve linkage with aftercare services (esp. substance misuse, mental health).
Sample >26k, AUC 0.77 for violent recidivism, recalibrated model /1
