‘I’m not insane, my mother had me tested’: the risk and benefits of being labelled ‘at-risk’ for psychosis

Welsh, Patrick; Brown, Sally

doi:10.1080/13698575.2013.848846

Cited by 11 publications

(4 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Stigma was a concern impacting acceptability of risk screening for developing depression. Being labelled as being ‘at‐risk’ of a mental illness in adolescence can be both beneficial in order to facilitate access to support, as well as harmful as a result of the negative reactions of their peers (Welsh & Brown, 2013 ). This age group may be particularly at risk of stigmatization from peers (Crosnoe et al, 2008 ).…”

Section: Discussionmentioning

confidence: 99%

Detection of risk for future depression among adolescents: Stakeholder views of acceptability and feasibility in the United Kingdom

Burgess

Wahid

Ottman

et al. 2022

Early Intervention Psych

View full text Add to dashboard Cite

Aim: Depression is one of the most common mental illnesses globally and a leading cause of disability. It is often established by late adolescence and thus identifying which adolescents are most at risk is crucial to enable early intervention to prevent depression onset. We have previously developed a risk calculator to stratify which adolescents are at high risk of developing depression and in this study explore the views of stakeholders to ascertain the acceptability and feasibility of implementing such a tool in the UK. Methods: Semi‐structured interviews were conducted with 60 UK‐based stakeholders (12 healthcare workers, 12 social workers, 12 school workers, 12 policymakers and 12 parents). Interviews were audio‐recorded and transcribed verbatim. Transcripts were analysed drawing on framework analysis techniques in NVivo 12. Results: Six overarching themes were identified: facilitators of acceptability; barriers to acceptability; role of stakeholders in implementing risk screening; feasibility of delivering the risk calculator in practice; barriers to implementation; and policy and system implications of using it in the current UK health and social care climate. The implementation of a depression risk calculator in the UK was seen as largely acceptable and feasible by most respondents. There was a strong emphasis on the utility of schools to implement this risk calculator, although it was recognized that training and support would be essential. Conclusions: Stakeholders were generally positive about utilizing a tool to screen for risk of future depression among adolescents in the UK but raised important concerns which should be taken into account before implementation.

show abstract

Section: Discussionmentioning

confidence: 99%

Detection of risk for future depression among adolescents: Stakeholder views of acceptability and feasibility in the United Kingdom

Burgess

Wahid

Ottman

et al. 2022

Early Intervention Psych

View full text Add to dashboard Cite

show abstract

“…Our analysis was driven by the research question and thus was more top-down than bottom-up. The theme that was established a priori , included individuals’ experiences and needs regarding communicating diagnosis (including treatment options and prognosis) ( 10 , 30 ).…”

Section: Methodsmentioning

confidence: 99%

Communicating diagnoses to individuals with a first episode psychosis: A qualitative study of individuals perspectives

Huurman

Pijnenborg²,

Sportel³

et al. 2023

Front. Psychiatry

View full text Add to dashboard Cite

BackgroundReceiving the label of a psychotic disorder influences self-perception and may result in negative outcomes such as self-stigma and decreased self-esteem. The way the diagnosis is communicated to individuals may affect these outcomes.AimsThis study aims to explore the experiences and needs of individuals after a first episode of psychosis with regard to the way in which information about diagnosis, treatment options and prognosis is communicated with them.Design and methodsA descriptive interpretative phenomenological approach was used. Fifteen individuals who experienced a first episode of psychosis participated in individual semi-structured open-ended interviews on their experiences and needs regarding the process of providing information about diagnosis, treatment options and prognosis. Inductive thematic analysis was used to analyze the interviews.ResultsFour recurring themes where identified (1) timing (when); (2) content (what); and (3) the way information is provided (how). Individuals also reported that the provided information could elicit an emotional reaction, for which they would require specific attention, therefore the fourth theme is (4) reactions and feelings.ConclusionThis study provides new insights into the experiences and specific information needed by individuals with a first episode of psychosis. Results suggest that individuals have different needs regarding the type of (what), how and when to receive information about diagnosis and treatment options. This requires a tailor-made process of communicating diagnosis. A guideline on when, how and what to inform, as well as providing personalized written information regarding the diagnosis and treatment options, is recommended.

show abstract

“…Analyses of psychiatric thought styles grounded in governmentality perspectives identify a shift from practices of governing the risk posed by the dangerous insane, to the modern way of governing in the name of early intervention by identifying, assessing and managing risky individuals and populations (Castel, 1991;Helén, 2007;Rose, 1998;. Mental health service users are also themselves subject to, and managing, various kinds of risks of harm from unsafe wards to adverse drug effects and stigma (Busfield, 2004;Kelly & McKenna, 2004;Quirk, Lelliott, & Seale, 2005;Ryan, 2000;Welsh & Brown, 2013).…”

Section: Different Understandings Of Riskmentioning

confidence: 99%

Uncertainty work and temporality in psychiatry: how clinicians and patients experience and manage risk in practice?

Hautamäki

2018

Health, Risk & Society

View full text Add to dashboard Cite

In psychiatric clinical practice, professionals pursue risk management alongside various uncertainties concerning diagnoses and treatment decisions. In this article, I draw on an ethnographic study of understandings of bipolar disorder in Finland to argue that risk management in psychiatry is better characterised as practical uncertainty work. I show how both the clinicians and the patients coordinate the uncertainties of bipolar disorder symptoms, risks and treatment decisions, into something that can be managed. I examine the ways in which temporality structures this uncertainty work and I explore two different modes of framing time. Clinical time stems from the current psychiatric thinking committed to the standardised diagnosis and the ideals of evidence-based medicine. Through this, professionals frame a task-oriented and linear treatment path from diagnosis and treatment to a managed life with bipolar disorder. Experienced time, in contrast, relates to the logics of care and self-care amid the embodied experiences of different actors. This framing of time involves a cyclical process where the patient, the clinician and the treatment interventions each need to adjust to changing situations.

show abstract

‘I’m not insane, my mother had me tested’: the risk and benefits of being labelled ‘at-risk’ for psychosis

Cited by 11 publications

References 72 publications

Detection of risk for future depression among adolescents: Stakeholder views of acceptability and feasibility in the United Kingdom

Detection of risk for future depression among adolescents: Stakeholder views of acceptability and feasibility in the United Kingdom

Communicating diagnoses to individuals with a first episode psychosis: A qualitative study of individuals perspectives

Uncertainty work and temporality in psychiatry: how clinicians and patients experience and manage risk in practice?

Contact Info

Product

Resources

About