Canadian journal of psychiatry. Revue canadienne de psychiatrie
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Meta Analysis
An updated meta-analysis of randomized controlled evidence for the effectiveness of community treatment orders.
It is unclear whether community treatment orders (CTOs) for people with severe mental illnesses can reduce health service use, or improve clinical and social outcomes. Randomized controlled trials of CTOs are rare because of ethical and logistical concerns. This meta-analysis updates available evidence. ⋯ CTOs may not lead to significant differences in readmission, social functioning, or symptomatology, compared with standard care. Their use should be kept under review.
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While 90% of suicide victims have suffered from mental health disorders, less than one-half are in contact with a mental health professional in the year preceding their death. Service use in the last year of life of young suicide victims and control subjects was studied in Quebec. We wanted to determine what kinds of health care services were needed and if they were actually received by suicide victims. ⋯ Our results show that we need to urgently take action to address these identified deficits to prevent further loss of life in our young people.