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Injury among children and young people with and without attention deficit-hyperactivity disorder in the community: the risk of fractures, thermal injuries and poisonings (2018)
Journal Article
Prasad, V., West, J., Sayal, K., & Kendrick, D. (2018). Injury among children and young people with and without attention deficit-hyperactivity disorder in the community: the risk of fractures, thermal injuries and poisonings. Child: Care, Health and Development, 44(6), 871-878. https://doi.org/10.1111/cch.12591

Background: Injuries commonly cause morbidity and mortality in children and young people (CYP). Attention deficit-hyperactivity disorder (ADHD) is the commonest neurobehavioural disorder in CYP and is associated with increased injury risk. However, l... Read More about Injury among children and young people with and without attention deficit-hyperactivity disorder in the community: the risk of fractures, thermal injuries and poisonings.

An interpretative phenomenological analysis of young people’s self-harm in the context of interpersonal stressors and supports: parents, peers and clinical services (2018)
Journal Article
Wadman, R., Vostanis, P., Sayal, K., Majumder, P., Harroe, C., Clarke, D., …Townsend, E. (2018). An interpretative phenomenological analysis of young people’s self-harm in the context of interpersonal stressors and supports: parents, peers and clinical services. Social Science and Medicine, 212, 120-128. https://doi.org/10.1016/j.socscimed.2018.07.021

Rationale: Self-harm in young people is of significant clinical concern. Multiple psychological, social and clinical factors contribute to self-harm, but it remains a poorly understood phenomenon with limited effective treatment options. Objective: T... Read More about An interpretative phenomenological analysis of young people’s self-harm in the context of interpersonal stressors and supports: parents, peers and clinical services.

What do young adolescents think about taking part in longitudinal self-harm research?: findings from a school-based study (2018)
Journal Article
Lockwood, J., Townsend, E., Royes, L., Daley, D., & Sayal, K. (2018). What do young adolescents think about taking part in longitudinal self-harm research?: findings from a school-based study. Child and Adolescent Psychiatry and Mental Health, 12(23), https://doi.org/10.1186/s13034-018-0230-7

Background: Research about self-harm in adolescence is important given the high incidence in youth, and strong links to suicide and other poor outcomes. Clarifying the impact of involvement in school based self-harm studies on young adolescents is an... Read More about What do young adolescents think about taking part in longitudinal self-harm research?: findings from a school-based study.

The impact of a computerised test of attention and activity (QbTest) on diagnostic decision-making in children and young people with suspected attention deficit hyperactivity disorder: single-blind randomised controlled trial (2018)
Journal Article
the AQUA Trial Group, Hollis, C., Hall, C. L., Guo, B., James, M., Boadu, J., …Morriss, R. (2018). The impact of a computerised test of attention and activity (QbTest) on diagnostic decision-making in children and young people with suspected attention deficit hyperactivity disorder: single-blind randomised controlled trial. Journal of Child Psychology and Psychiatry, 59(12), 1298-1308. https://doi.org/10.1111/jcpp.12921

© 2018 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health. Background: Diagnosis of attention deficit hyperactivity disorder (ADHD) relies on su... Read More about The impact of a computerised test of attention and activity (QbTest) on diagnostic decision-making in children and young people with suspected attention deficit hyperactivity disorder: single-blind randomised controlled trial.

Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation (2018)
Journal Article
Prasad, V., West, J., Kendrick, D., & Sayal, K. (2019). Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation. Archives of Disease in Childhood, 104(8), 802-805. https://doi.org/10.1136/archdischild-2017-314470

Background: In England, there is a discrepancy between the prevalence of Attention-deficit/hyperactivity disorder (ADHD) ascertained from medical records and community surveys. There is also a lack of data on variation in recorded prevalence by depri... Read More about Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation.

Protocol investigating the clinical utility of an objective measure of attention, impulsivity and activity (QbTest) for optimising medication management in children and young people with ADHD ‘QbTest Utility for Optimising Treatment in ADHD’ (QUOTA): a feasibility randomised controlled trial (2018)
Journal Article
Hall, C. L., James, M., Brown, S., Martin, J. L., Brown, N., Selby, K., …Groom, M. J. (2018). Protocol investigating the clinical utility of an objective measure of attention, impulsivity and activity (QbTest) for optimising medication management in children and young people with ADHD ‘QbTest Utility for Optimising Treatment in ADHD’ (QUOTA): a feasibility randomised controlled trial. BMJ Open, 8(2), Article e021104. https://doi.org/10.1136/bmjopen-2017-021104

Introduction: Attention-deficit hyperactivity disorder (ADHD) is characterised by symptoms of inattention, hyperactivity and impulsivity. To improve outcomes, the National Institute for Health and Care Excellence ADHD guidelines recommend regular mon... Read More about Protocol investigating the clinical utility of an objective measure of attention, impulsivity and activity (QbTest) for optimising medication management in children and young people with ADHD ‘QbTest Utility for Optimising Treatment in ADHD’ (QUOTA): a feasibility randomised controlled trial.

Relative age within the school year and diagnosis of attention-deficit hyperactivity disorder: a nationwide population-based study (2017)
Journal Article
Sayal, K., Chudal, R., Hinkka-Yli-Salomäki, S., Joelsson, P., & Sourander, A. (in press). Relative age within the school year and diagnosis of attention-deficit hyperactivity disorder: a nationwide population-based study. Lancet Psychiatry, 4(11), https://doi.org/10.1016/S2215-0366%2817%2930394-2

Background There are mixed findings on the relationship between ADHD and younger relative age in class. This study examines whether relative age is associated with ADHD diagnosis in a country where treatment prevalence rates are low and whether an... Read More about Relative age within the school year and diagnosis of attention-deficit hyperactivity disorder: a nationwide population-based study.

ADHD in children and young people: prevalence, care pathways & service provision (2017)
Journal Article
Sayal, K., Prasad, V., Daley, D., Ford, T., & Coghill, D. (in press). ADHD in children and young people: prevalence, care pathways & service provision. Lancet Psychiatry, 5(2), https://doi.org/10.1016/S2215-0366%2817%2930167-0

Attention-Deficit/Hyperactivity Disorder (ADHD) is a common childhood behavioural disorder – systematic reviews indicate that the community prevalence of ADHD globally is between 2% to 7%, with an average of around 5%. In addition, a further 5% of ch... Read More about ADHD in children and young people: prevalence, care pathways & service provision.

Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis (2017)
Journal Article
Wadman, R., Armstrong, M., Clarke, D., Harroe, C., Majumder, P., Sayal, K., …Townsend, E. (in press). Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis. Archives of Suicide Research, 22(3), https://doi.org/10.1080/13811118.2017.1355286

Objectives: We report the first Interpretative Phenomenological Analysis examination of self-harm and experience of clinical services in young people in the public care system. Methods: Qualitative interviews with 24 looked-after young people. Result... Read More about Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis.

Association of Risk of Suicide Attempts With Methylphenidate Treatment (2017)
Journal Article
Man, K. K., Coghill, D., Chan, E. W., Lau, W. C., Hollis, C., Liddle, E., …Wong, I. C. (2017). Association of Risk of Suicide Attempts With Methylphenidate Treatment. JAMA Psychiatry, 74(10), 1048-1055. https://doi.org/10.1001/jamapsychiatry.2017.2183

IMPORTANCE Patients with attention-deficit/hyperactivity disorder (ADHD) are at an increased risk of attempting suicide. Stimulants, such as methylphenidate hydrochloride, are the most common treatment for ADHD, but the association between their ther... Read More about Association of Risk of Suicide Attempts With Methylphenidate Treatment.

A sequence analysis of patterns in self-harm in young people with and without experience of being looked-after in care (2017)
Journal Article
Wadman, R., Clarke, D., Sayal, K., Armstrong, M., Harroe, C., Majumder, P., …Townsend, E. (2017). A sequence analysis of patterns in self-harm in young people with and without experience of being looked-after in care. British Journal of Clinical Psychology, 56(4), 388-407. https://doi.org/10.1111/bjc.12145

Objectives: Young people in the public care system (‘looked-after’ young people) have high levels of self-harm. Design: This paper reports the first detailed study of factors leading to self-harm over time in looked-after young people in England, usi... Read More about A sequence analysis of patterns in self-harm in young people with and without experience of being looked-after in care.

Functional coping dynamics and experiential avoidance in a community sample with no self-injury vs. non-suicidal self-injury only vs. those with both non-suicidal self-injury and suicidal behaviour (2017)
Journal Article
Nielsen, E., Sayal, K., & Townsend, E. (2017). Functional coping dynamics and experiential avoidance in a community sample with no self-injury vs. non-suicidal self-injury only vs. those with both non-suicidal self-injury and suicidal behaviour. International Journal of Environmental Research and Public Health, 14(6), Article 575. https://doi.org/10.3390/ijerph14060575

Although emotional avoidance may be a critical factor in the pathway from psychological distress to self-injury and/or suicidality, little is known about the relative importance of differing functional coping dynamics and experiential avoidance betwe... Read More about Functional coping dynamics and experiential avoidance in a community sample with no self-injury vs. non-suicidal self-injury only vs. those with both non-suicidal self-injury and suicidal behaviour.

Study of user-experience of an objective test (QbTest) to aid ADHD assessment and medication management: a multi-methods approach (2017)
Journal Article
Hall, C. L., Valentine, A., Walker, G. M., Ball, H. M., Cogger, H., Daley, D., …Hollis, C. (2017). Study of user-experience of an objective test (QbTest) to aid ADHD assessment and medication management: a multi-methods approach. BMC Psychiatry, 17, Article 66. https://doi.org/10.1186/s12888-017-1222-5

Background The diagnosis and monitoring of Attention deficit hyperactivity disorder (ADHD) typically relies on subjective reports and observations. Objective continuous performance tests (CPTs) have been incorporated into some services to support... Read More about Study of user-experience of an objective test (QbTest) to aid ADHD assessment and medication management: a multi-methods approach.

Methylphenidate and the risk of psychotic disorders and hallucinations in children and adolescents in a large health system (2016)
Journal Article
Man, K. K., Coghill, D., Chan, E. W., Lau, W. C., Hollis, C., Liddle, E., …Wong, I. C. (in press). Methylphenidate and the risk of psychotic disorders and hallucinations in children and adolescents in a large health system. Translational Psychiatry, 6, Article e956. https://doi.org/10.1038/tp.2016.216

Previous studies have suggested that risk of psychotic events may be increased in children exposed to methylphenidate (MPH). However, this risk has not been fully examined and the possibility of confounding factors has not been excluded. Patients age... Read More about Methylphenidate and the risk of psychotic disorders and hallucinations in children and adolescents in a large health system.

Impulsivity and self-harm in adolescence: a systematic review (2016)
Journal Article
Lockwood, J., Daley, D., Townsend, E., & Sayal, K. (2017). Impulsivity and self-harm in adolescence: a systematic review. European Child and Adolescent Psychiatry, 26(4), 387-402. https://doi.org/10.1007/s00787-016-0915-5

Research supports an association between impulsivity and self-harm, yet inconsistencies in methodology across studies have complicated understanding of this relationship. This systematic review examines the association between impulsivity and self-ha... Read More about Impulsivity and self-harm in adolescence: a systematic review.

Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment (2016)
Journal Article
Nielsen, E., Sayal, K., & Townsend, E. (2017). Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment. Journal of Affective Disorders, 2018, https://doi.org/10.1016/j.jad.2016.08.036

Background: Self-harm affords people a means of coping. However, little is known about how functional coping dynamics differ between stressful situations in which people self-harm (enactment), think about harming (ideation), or experience no self-har... Read More about Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment.

Differing patterns in intentional and unintentional poisonings among young people in England, 1998-2014: a population based cohort study (2016)
Journal Article
Tyrrell, E. G., Orton, E., Sayal, K., Baker, R., & Kendrick, D. (2017). Differing patterns in intentional and unintentional poisonings among young people in England, 1998-2014: a population based cohort study. Journal of Public Health, 39(2), Article e1-e9. https://doi.org/10.1093/pubmed/fdw075

Background Accurate and up to date data on changes in poisoning incidence among young people are lacking. Recent linkage of UK primary care, hospital and mortality data allows these to be quantified to inform service delivery. Methods An open coh... Read More about Differing patterns in intentional and unintentional poisonings among young people in England, 1998-2014: a population based cohort study.

Exploring the relationship between experiential avoidance, coping functions and the recency and frequency of self-harm (2016)
Journal Article
Schmahl, C., Nielsen, E., Sayal, K., & Townsend, E. (2016). Exploring the relationship between experiential avoidance, coping functions and the recency and frequency of self-harm. PLoS ONE, 11(7), 1-20. https://doi.org/10.1371/journal.pone.0159854

This study investigated the relationship between experiential avoidance, coping and the recency and frequency of self-harm, in a community sample (N = 1332, aged 16–69 years). Participants completed online, self-report measures assessing self-harm, m... Read More about Exploring the relationship between experiential avoidance, coping functions and the recency and frequency of self-harm.

Uncovering key patterns in self-harm in adolescents: sequence analysis using the card sort task for self-harm (CaTS) (2016)
Journal Article
Townsend, E., Wadman, R., Sayal, K., Armstrong, M., Harroe, C., Majumder, P., …Clarke, D. (2016). Uncovering key patterns in self-harm in adolescents: sequence analysis using the card sort task for self-harm (CaTS). Journal of Affective Disorders, 206, 161-168. https://doi.org/10.1016/j.jad.2016.07.004

Background Self-harm is a significant clinical issue in adolescence. There is little research on the interplay of key factors in the months, weeks, days and hours leading to self-harm. We developed the Card Sort Task for Self-Harm (CaTS) to invest... Read More about Uncovering key patterns in self-harm in adolescents: sequence analysis using the card sort task for self-harm (CaTS).