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1.
J Nerv Ment Dis ; 211(9): 664-669, 2023 09 01.
Article in English | MEDLINE | ID: mdl-37348052

ABSTRACT

ABSTRACT: Child and Adolescent Mental Health Service (CAMHS) clinicians have been reported to hold negative views toward the diagnosis of borderline personality disorder (BPD) in adolescence. We aimed to reevaluate with the expectation that recent advances have nurtured more positive attitudes. One hundred ninety clinicians working across CAMHS in Scotland completed a 16-item electronic survey of attitudes to BPD, derived from the Attitudes and Skills Questionnaire. Eighty-three percent of psychiatrists, 72% of nurses, and 37% of psychologists surveyed agreed that BPD is a valid diagnosis in adolescence, and 92%, 74%, and 44%, respectively, were willing to make this diagnosis. CAMHS clinicians were more optimistic compared with clinicians working in adult mental health services. CAMHS clinicians' responses may indicate increased acceptance of BPD in the adolescent population. There is a thirst for workforce education and training. Consideration should be taken to actively move the focus of identification and diagnosis of BPD into CAMHS rather than the current culture of late diagnosis.


Subject(s)
Borderline Personality Disorder , Mental Health Services , Adult , Child , Humans , Adolescent , Borderline Personality Disorder/diagnosis , Borderline Personality Disorder/epidemiology , Borderline Personality Disorder/psychology , Attitude of Health Personnel , Educational Status , Scotland
2.
Inorg Chem ; 61(30): 11622-11628, 2022 Aug 01.
Article in English | MEDLINE | ID: mdl-35852971

ABSTRACT

Extended solid-state materials based on the hexagonal perovskite framework are typified by close competition between localized magnetic interactions and quasi-molecular electronic states. Here, we report the structural and magnetic properties of the new six-layer hexagonal perovskite Ba3CaMo2O9. Neutron diffraction experiments, combined with magnetic susceptibility measurements, show that the Mo2O9 dimers retain localized character down to 5 K and adopt nonmagnetic spin-singlet ground states. This is in contrast to the recently reported Ba3SrMo2O9 analogue, in which the Mo2O9 dimers spontaneously separate into a mixture of localized and quasi-molecular ground states. Structural distortions in both Ba3CaMo2O9 and Ba3SrMo2O9 have been studied with the aid of distortion mode analyses to elucidate the coupling between the crystal lattice and electronic interactions in 6H Mo5+ hexagonal perovskites.

3.
BJPsych Bull ; 44(6): 244-250, 2020 Dec.
Article in English | MEDLINE | ID: mdl-32090727

ABSTRACT

AIMS AND METHOD: To characterise police involvement with those detained under place of safety legislation and determine factors associated with admission to hospital. Place of safety referrals over a 1-year period were identified retrospectively and evaluated. RESULTS: Place of safety legislation is generally used with regard to concerns about suicide. Individuals are often removed from high-risk areas and referrals to police are frequently initiated by individuals themselves. A diagnosis of mental illness or personality disorder predicted hospital admission. Presence of senior nursing staff at assessment, but not the seniority of the doctor, was associated with discharge. CLINICAL IMPLICATIONS: Closer multiagency working is required as police are currently being recruited to fill a void between mental health services and the population they serve. Junior doctors require more senior support in making complex, and often risky, emergency management decisions with this population.

4.
ChemistryOpen ; 8(9): 1204-1208, 2019 Sep.
Article in English | MEDLINE | ID: mdl-31523608

ABSTRACT

The synthesis of a Cu4(OH)4 cube which is coordinated by four molecules of the dipyridyl ligand 1,6-[di(pyridin-4-yl)hex-3-ene] is reported. This compound has a trans double bond which restricts the conformational freedom of the ligand and favours coordination within a unique copper cube. The structure was solved by an X-Ray single crystal structure determination and low temperature magnetic susceptibility measurements examined its magnetic properties. The cube classification corresponds to the type I classification of Mergehenn and Haase and the short/long distribution of Cu ⋅⋅⋅ Cu separations in the cube as defined by Ruiz. The magnetic susceptibility measurements show paramagnetic behaviour down to 50 K but below this the copper cube shows weak ferromagnetic exchange interactions. The low temperature magnetic susceptibility characteristics are examined in detail then modelled and compared to other similar Cu4O4 copper cubes.

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