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Outputs (51)

Snakes and Ladders: The experience of being referred to and seen by Child and Adolescent Mental Health Services (2024)
Journal Article
Newman, K., Sayal, K., Ewart, C., Lang, A., Bhardwaj, A., Dubicka, B., Marshall, T., & THOMSON, L. (2024). Snakes and Ladders: The experience of being referred to and seen by Child and Adolescent Mental Health Services. SSM - Mental Health, https://doi.org/10.1016/j.ssmmh.2024.100343

Background: Referral processes in Child and Adolescent Mental Health Services (CAMHS) have been reported as stressful and inadequate by young people and parents/carers, who struggle during waiting periods for the referral outcome decision. The Covid1... Read More about Snakes and Ladders: The experience of being referred to and seen by Child and Adolescent Mental Health Services.

The impacts associated with having ADHD: an umbrella review (2024)
Journal Article
French, B., Nalbant, G., Wright, H., Sayal, K., Daley, D., Groom, M. J., …Hall, C. L. (2024). The impacts associated with having ADHD: an umbrella review. Frontiers in Psychiatry, 15, Article 1343314. https://doi.org/10.3389/fpsyt.2024.1343314

Introduction: Attention Deficit Hyperactivity Disorder (ADHD) affects up to 5% of the population and is characterised by symptoms of impulsivity, hyperactivity and inattention. These symptoms are significantly impairing and carry additional risks for... Read More about The impacts associated with having ADHD: an umbrella review.

Systematic review and meta-analysis:relative age in attention-deficit/ hyperactivity disorder and autism spectrum disorder (2024)
Journal Article
Frisira, E., Holland, J., & Sayal, K. (2024). Systematic review and meta-analysis:relative age in attention-deficit/ hyperactivity disorder and autism spectrum disorder. European Child and Adolescent Psychiatry, https://doi.org/10.1007/s00787-024-02459-x

Youngest students in their class, with birthdates just before the school entry cut-off date, are overrepresented among children receiving an Attention-Deficit/Hyperactivity Disorder (ADHD) diagnosis or medication for this. This is known as the relati... Read More about Systematic review and meta-analysis:relative age in attention-deficit/ hyperactivity disorder and autism spectrum disorder.

The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records (2024)
Journal Article
Tsiachristas, A., Holland, J., Guo, B., Chitsabesan, P., Sayal, K., & Pari, A. A. A. (2024). The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records. BJPsych Open, 10(2), Article e69. https://doi.org/10.1192/bjo.2024.9

Background: During the initial phases of the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and mitigation approaches significantly impacted how health services could function, and be safely delivered.... Read More about The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records.

Experiences and impact of psychiatric inpatient admissions far away from home: a qualitative study with young people, parents/carers and healthcare professionals (2024)
Journal Article
Roe, J., Holland, J., Burn, A., Hopkin, E., Wild, L., Fisher, M., …Sayal, K. (2024). Experiences and impact of psychiatric inpatient admissions far away from home: a qualitative study with young people, parents/carers and healthcare professionals. BMJ Mental Health, 27(1), Article e300991. https://doi.org/10.1136/bmjment-2024-300991

Background: There are significant clinical, policy and societal concerns about the impact on young people (YP), from admission to psychiatric wards far from home. However, research evidence is scarce. Aims: To investigate the impact of at-distance... Read More about Experiences and impact of psychiatric inpatient admissions far away from home: a qualitative study with young people, parents/carers and healthcare professionals.

'Far Away from Home': adolescent inpatient admissions far from home, out of area or to adult wards: a national surveillance study. (2023)
Journal Article
Holland, J., Roe, J., Guo, B., Dasilva-Ellimah, M., Burn, A.-M., Dubicka, B., …Sayal, K. (2023). 'Far Away from Home': adolescent inpatient admissions far from home, out of area or to adult wards: a national surveillance study. BMJ Mental Health, 26(1), Article e300843. https://doi.org/10.1136/bmjment-2023-300843

Background The increasing prevalence and acuity of mental disorders among children and adolescents have placed pressure on services, including inpatient care, and resulted in young people being admitted at-distance or to adult wards. Little empirical... Read More about 'Far Away from Home': adolescent inpatient admissions far from home, out of area or to adult wards: a national surveillance study..

Use of healthcare services before diagnosis of attention-deficit/hyperactivity disorder: a population-based matched case-control study (2023)
Journal Article
Prasad, V., Rezel-Potts, E., White, P., Downs, J., Boddy, N., Sayal, K., & Sonuga-Barke, E. (2024). Use of healthcare services before diagnosis of attention-deficit/hyperactivity disorder: a population-based matched case-control study. Archives of Disease in Childhood, 109, Article 46-51. https://doi.org/10.1136/archdischild-2023-325637

Objective: To compare use of healthcare services and reasons for attendance by children and young people (CYP) with attention-deficit/hyperactivity disorder (ADHD) versus non-ADHD controls. Design: Population-based matched case-control study. Setting... Read More about Use of healthcare services before diagnosis of attention-deficit/hyperactivity disorder: a population-based matched case-control study.

Association between relative age at school and persistence of ADHD in prospective studies: an individual participant data meta-analysis (2023)
Journal Article
Gosling, C. J., & Sayal, K. (2023). Association between relative age at school and persistence of ADHD in prospective studies: an individual participant data meta-analysis. Lancet Psychiatry, 10(12), 922-933. https://doi.org/10.1016/S2215-0366%2823%2900272-9

Background: The youngest children in a school class are more likely than the oldest to be diagnosed with ADHD, but this relative age effect is less frequent in older than in younger school-grade children. However, no study has explored the associatio... Read More about Association between relative age at school and persistence of ADHD in prospective studies: an individual participant data meta-analysis.

We need timely access to mental health data: implications of the Goldacre review (2023)
Journal Article
Astle, D. E., Moore, A., Marryat, L., Viding, E., Mansfield, K. L., Fazel, M., …Ford, T. J. (2023). We need timely access to mental health data: implications of the Goldacre review. Lancet Psychiatry, 10(4), 242-244. https://doi.org/10.1016/S2215-0366%2823%2900030-5

The Goldacre review, published in April, 2022, 1 is a landmark evaluation of the use, availability, and safety of National Health Service (NHS) data across all four nations of the UK. The review underscores the necessary role of data in driving healt... Read More about We need timely access to mental health data: implications of the Goldacre review.

Mental health in clinically referred children and young people before and during the Covid-19 pandemic (2022)
Journal Article
Sayal, K., Partlett, C., Bhardwaj, A., Dubicka, B., Marshall, T., Gledhill, J., …Montgomery, A. (2023). Mental health in clinically referred children and young people before and during the Covid-19 pandemic. European Child and Adolescent Psychiatry, 32(12), 2657–2666. https://doi.org/10.1007/s00787-022-02115-2

The Covid-19 pandemic and mitigation approaches, including lockdowns and school closures, are thought to have negatively impacted children and young people’s (CYP) mental health. However, the impact for clinically referred CYP is less clear. We inves... Read More about Mental health in clinically referred children and young people before and during the Covid-19 pandemic.

Investigating the relationship between bullying involvement and self-harmful thoughts and behaviour in young people: A systematic review (2022)
Journal Article
Moore, H., Sayal, K., Williams, A. J., & Townsend, E. (2022). Investigating the relationship between bullying involvement and self-harmful thoughts and behaviour in young people: A systematic review. Journal of Affective Disorders, 315, 234-258. https://doi.org/10.1016/j.jad.2022.07.056

Background: There is a complex and inconsistent relationship between bullying involvement and self-harmful thoughts and behaviour (SHTB) in young people. This novel systematic review aims to establish key interacting, moderating and mediating variabl... Read More about Investigating the relationship between bullying involvement and self-harmful thoughts and behaviour in young people: A systematic review.

Age within schoolyear and attention-deficit hyperactivity disorder in Scotland and Wales (2022)
Journal Article
Fleming, M., Bandyopadhyay, A., Mclay, J. S., Clark, D., King, A., Mackay, D. F., …Pell, J. P. (2022). Age within schoolyear and attention-deficit hyperactivity disorder in Scotland and Wales. BMC Public Health, 22(1), Article 1070. https://doi.org/10.1186/s12889-022-13453-w

Background Previous studies suggest an association between age within schoolyear and attention-deficit hyperactivity disorder (ADHD). Scotland and Wales have different school entry cut-off dates (six months apart) and policies on holding back childr... Read More about Age within schoolyear and attention-deficit hyperactivity disorder in Scotland and Wales.

STAndardised DIagnostic Assessment for children and young people with emotional difficulties (STADIA): protocol for a multicentre randomised controlled trial (2022)
Journal Article
Day, F., Wyatt, L., Bhardwaj, A., Dubicka, B., Ewart, C., Gledhill, J., …Sayal, K. (2022). STAndardised DIagnostic Assessment for children and young people with emotional difficulties (STADIA): protocol for a multicentre randomised controlled trial. BMJ Open, 12(5), Article e053043. https://doi.org/10.1136/bmjopen-2021-053043

INTRODUCTION: Emotional disorders (such as anxiety and depression) are associated with considerable distress and impairment in day-to-day function for affected children and young people and for their families. Effective evidence-based interventions a... Read More about STAndardised DIagnostic Assessment for children and young people with emotional difficulties (STADIA): protocol for a multicentre randomised controlled trial.

A randomised controlled trial investigating the clinical and cost-effectiveness of Alpha-Stim AID cranial electrotherapy stimulation (CES) in patients seeking treatment for moderate severity depression in primary care (Alpha-Stim-D Trial) (2022)
Journal Article
Patel, S., Boutry, C., Patel, P., Craven, M. P., Guo, B., Zafar, A., …Morriss, R. (2022). A randomised controlled trial investigating the clinical and cost-effectiveness of Alpha-Stim AID cranial electrotherapy stimulation (CES) in patients seeking treatment for moderate severity depression in primary care (Alpha-Stim-D Trial). Trials, 23(1), Article 250. https://doi.org/10.1186/s13063-022-06192-1

Background: Major depression is the second leading cause of years lost to disability worldwide and is a leading contributor to suicide. However, first-line antidepressants are only fully effective for 33%, and only 40% of those offered psychological... Read More about A randomised controlled trial investigating the clinical and cost-effectiveness of Alpha-Stim AID cranial electrotherapy stimulation (CES) in patients seeking treatment for moderate severity depression in primary care (Alpha-Stim-D Trial).

What young people say about impulsivity in the short-term build up to self-harm: A qualitative study using card-sort tasks (2020)
Journal Article
Lockwood, J., Townsend, E., Allen, H., Daley, D., & Sayal, K. (2020). What young people say about impulsivity in the short-term build up to self-harm: A qualitative study using card-sort tasks. PLoS ONE, 15(12), Article e0244319. https://doi.org/10.1371/journal.pone.0244319

Youth who self-harm report high levels of trait impulsivity and identify impulsive behaviour as a proximal factor directly preceding a self-harm act. Yet, impulsivity is a multidimensional construct and distinct impulsivity-related facets relate diff... Read More about What young people say about impulsivity in the short-term build up to self-harm: A qualitative study using card-sort tasks.

The transition from children’s services to adult services for young people with attention deficit hyperactivity disorder: the CATCh-uS mixed-methods study (2020)
Journal Article
Janssens, A., Eke, H., Price, A., Newlove-Delgado, T., Blake, S., Ani, C., …Ford, T. (2020). The transition from children’s services to adult services for young people with attention deficit hyperactivity disorder: the CATCh-uS mixed-methods study. Health Services and Delivery Research, 8(42), 1-154. https://doi.org/10.3310/hsdr08420

Efficacy of a self-help parenting intervention for parents of children with Attention Deficit Hyperactivity Disorder in adjunct to usual treatment – Small Scale Randomised Controlled Trial (2020)
Journal Article
Daley, D., Tarver, J., & Sayal, K. (2021). Efficacy of a self-help parenting intervention for parents of children with Attention Deficit Hyperactivity Disorder in adjunct to usual treatment – Small Scale Randomised Controlled Trial. Child: Care, Health and Development, 47(2), 269-280. https://doi.org/10.1111/cch.12825

Background: Multimodal intervention incorporating psychosocial intervention and medication is recommended for school aged children with Attention-Deficit/Hyperactivity Disorder (ADHD). This randomised controlled trial (RCT) investigates the adjunctiv... Read More about Efficacy of a self-help parenting intervention for parents of children with Attention Deficit Hyperactivity Disorder in adjunct to usual treatment – Small Scale Randomised Controlled Trial.

Preventive digital mental health interventions for children and young people: a review of the design and reporting of research (2020)
Journal Article
Bergin, A. D., Vallejos, E. P., Davies, E. B., Daley, D., Ford, T., Harold, G., …Hollis, C. (2020). Preventive digital mental health interventions for children and young people: a review of the design and reporting of research. npj Digital Medicine, 3(1), Article 133. https://doi.org/10.1038/s41746-020-00339-7

Digital health interventions (DHIs) have frequently been highlighted as one way to respond to increasing levels of mental health problems in children and young people. Whilst many are developed to address existing mental health problems, there is als... Read More about Preventive digital mental health interventions for children and young people: a review of the design and reporting of research.

What do young people who self-harm find helpful? A comparative study of young people with and without experience of being looked after in care: What do young people who self-harm find helpful? (2020)
Journal Article
Holland, J., Sayal, K., Berry, A., Sawyer, C., Majumder, P., Vostanis, P., …Townsend, E. (2020). What do young people who self-harm find helpful? A comparative study of young people with and without experience of being looked after in care: What do young people who self-harm find helpful?. Child and Adolescent Mental Health, 25(3), 157-164. https://doi.org/10.1111/camh.12384

Background Self‐harm amongst young people is an increasing problem, with looked‐after young people at higher risk. Despite this, little research exists on what young people who self‐harm find helpful. Method One hundred and twenty‐six 11–21... Read More about What do young people who self-harm find helpful? A comparative study of young people with and without experience of being looked after in care: What do young people who self-harm find helpful?.

Neurological and psychiatric adverse effects of long-term methylphenidate treatment in ADHD: A map of the current evidence (2019)
Journal Article
Krinzinger, H., Hall, C. L., Groom, M. J., Ansari, M. T., Banaschewski, T., Buitelaar, J. K., …Liddle, E. B. (2019). Neurological and psychiatric adverse effects of long-term methylphenidate treatment in ADHD: A map of the current evidence. Neuroscience and Biobehavioral Reviews, 107, 945-968. https://doi.org/10.1016/j.neubiorev.2019.09.023

Methylphenidate (MPH), the most common medication for children with Attention Deficit/Hyperactivity Disorder (ADHD) in many countries, is often prescribed for long periods of time. Any long-term psychotropic treatment in childhood raises concerns abo... Read More about Neurological and psychiatric adverse effects of long-term methylphenidate treatment in ADHD: A map of the current evidence.

"These things don't work": young people's views on harm minimisation strategies as a proxy for self-harm: a mixed methods approach (2019)
Journal Article
Wadman, R., Nielsen, E., O’Raw, L., Brown, K., Williams, A. J., Sayal, K., & Townsend, E. (2019). "These things don't work": young people's views on harm minimisation strategies as a proxy for self-harm: a mixed methods approach. Archives of Suicide Research, 24(3), 1-18. https://doi.org/10.1080/13811118.2019.1624669

Objective: Although UK clinical guidelines make tentative recommendations for 'harm minimisation' strategies for repeated self-harm, this is in the absence of empirical evidence supporting their acceptability or effectiveness. We explore young peopl... Read More about "These things don't work": young people's views on harm minimisation strategies as a proxy for self-harm: a mixed methods approach.

Transition between child and adult services for young people with attention-deficit hyperactivity disorder (ADHD): findings from a British national surveillance study (2019)
Journal Article
Eke, H., Ford, T., Newlove-Delgado, T., Price, M. A., Young, S., Ani, C., …Janssens, A. (2019). Transition between child and adult services for young people with attention-deficit hyperactivity disorder (ADHD): findings from a British national surveillance study. British Journal of Psychiatry, https://doi.org/10.1192/bjp.2019.131

Background Optimal transition from child to adult services involves continuity, joint care, planning meetings and information transfer; commissioners and service providers therefore need data on how many people require that service. Although atten... Read More about Transition between child and adult services for young people with attention-deficit hyperactivity disorder (ADHD): findings from a British national surveillance study.

Feasibility of a randomised controlled trial of remotely delivered problem-solving cognitive behaviour therapy versus usual care for young people with depression and repeat self-harm: lessons learnt (e-DASH) (2019)
Journal Article
Sayal, K., Roe, J., Ball, H., Atha, C., Kaylor-Hughes, C., Guo, B., …Morriss, R. (2019). Feasibility of a randomised controlled trial of remotely delivered problem-solving cognitive behaviour therapy versus usual care for young people with depression and repeat self-harm: lessons learnt (e-DASH). BMC Psychiatry, 19(1), Article 42. https://doi.org/10.1186/s12888-018-2005-3

Background Self-harm and depression are strong risk factors for repeat self-harm and suicide. We aimed to investigate the feasibility of a randomised controlled trial (RCT) of remotely delivered problem-solving cognitive behaviour therapy (PSCBT)... Read More about Feasibility of a randomised controlled trial of remotely delivered problem-solving cognitive behaviour therapy versus usual care for young people with depression and repeat self-harm: lessons learnt (e-DASH).

Barriers and facilitators to understanding of ADHD in primary care: a mixed-methods systematic review (2018)
Journal Article
French, B., Sayal, K., & Daley, D. (2018). Barriers and facilitators to understanding of ADHD in primary care: a mixed-methods systematic review. European Child and Adolescent Psychiatry, 1-28

Attention Deficit Hyperactivity Disorder (ADHD) is a developmental disorder affecting up to 5% of children and adults and is underdiagnosed in many European countries. The process of access to care for this disorder is complex and variable across cou... Read More about Barriers and facilitators to understanding of ADHD in primary care: a mixed-methods systematic review.

Relative age and ADHD symptoms, diagnosis and medication: a systematic review (2018)
Journal Article
Holland, J., & Sayal, K. (2019). Relative age and ADHD symptoms, diagnosis and medication: a systematic review. European Child and Adolescent Psychiatry, 28(11), 1417-1429. https://doi.org/10.1007/s00787-018-1229-6

There is a growing international literature investigating the relationship between attention-deficit/hyperactivity disorder (ADHD) and younger relative age within the school year, but results have been mixed. There are no published systematic reviews... Read More about Relative age and ADHD symptoms, diagnosis and medication: a systematic review.

Poisoning substances taken by young people: a population-based cohort study (2018)
Journal Article
Tyrrell, E. G., Kendrick, D., Sayal, K., & Orton, E. (2018). Poisoning substances taken by young people: a population-based cohort study. British Journal of General Practice, 68(675), e703-e710. https://doi.org/10.3399/bjgp18X698897

Background: Globally, poisonings account for most medically-attended self-harm. Recent data on poisoning substances are lacking, but needed to inform self-harm prevention. Aim: To assess poisoning substance patterns and trends among 10-24 year olds... Read More about Poisoning substances taken by young people: a population-based cohort 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.

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.

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.

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.

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.

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.

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.

Preschool hyperactivity specifically elevates long-term mental health risks more strongly in males than females: a prospective longitudinal study through to young adulthood (2016)
Journal Article
Smith, E., Meyer, B. J., Koerting, J., Laver-Bradbury, C., Lee, L., Jefferson, H., …Sonuga-Barke, E. J. (2017). Preschool hyperactivity specifically elevates long-term mental health risks more strongly in males than females: a prospective longitudinal study through to young adulthood. European Child and Adolescent Psychiatry, 26(1), 123-136. https://doi.org/10.1007/s00787-016-0876-8

Evidence of continuities between preschool hyperactivity and adult mental health problems highlight the potential value of targeting early identification and intervention strategies. However, specific risk factors are currently unclear. This large-sc... Read More about Preschool hyperactivity specifically elevates long-term mental health risks more strongly in males than females: a prospective longitudinal study through to young adulthood.

Effectiveness and cost-effectiveness of a brief school-based group programme for parents of children at risk of ADHD: a cluster randomised controlled trial (2016)
Journal Article
Sayal, K., Taylor, J. A., Valentine, A., Guo, B., Sampson, C. J., Sellman, E., …Daley, D. (2016). Effectiveness and cost-effectiveness of a brief school-based group programme for parents of children at risk of ADHD: a cluster randomised controlled trial. Child: Care, Health and Development, 42(4), 521-533. https://doi.org/10.1111/cch.12349

Background NICE guidelines recommend a stepped care approach for the identification and management of children with, or at risk of, Attention-Deficit / Hyperactivity Disorder (ADHD). We investigated the effectiveness, cost-effectiveness and acceptab... Read More about Effectiveness and cost-effectiveness of a brief school-based group programme for parents of children at risk of ADHD: a cluster randomised controlled trial.

A longitudinal study of the association between inattention, hyperactivity and impulsivity and children’s academic attainment at age 11 (2016)
Journal Article
Merrell, C., Sayal, K., Tymms, P., & Kasim, A. (2017). A longitudinal study of the association between inattention, hyperactivity and impulsivity and children’s academic attainment at age 11. Learning and Individual Differences, 53, https://doi.org/10.1016/j.lindif.2016.04.003

Background: The link between inattention and hyperactivity/impulsivity and poor academic outcomes is well established. Children with mild difficulties can go unnoticed yet may be at risk of poor academic outcomes. Aims: To investigate the link bet... Read More about A longitudinal study of the association between inattention, hyperactivity and impulsivity and children’s academic attainment at age 11.

Childhood behavior problems and academic outcomes in adolescence: longitudinal population-based study (2015)
Journal Article
Sayal, K., Washbrook, E., & Propper, C. (2015). Childhood behavior problems and academic outcomes in adolescence: longitudinal population-based study. Journal of the American Academy of Child and Adolescent Psychiatry, 54(5), Article 360-368.e2. https://doi.org/10.1016/j.jaac.2015.02.007

Abstract OBJECTIVE: To investigate the impact of increasing levels of inattention, hyperactivity/impulsivity, and oppositional/defiant behaviors at age 7 years on academic achievement at age 16 years. METHOD: In a population-based sample of 7... Read More about Childhood behavior problems and academic outcomes in adolescence: longitudinal population-based study.

Predictors of and barriers to service use for children at risk of ADHD: longitudinal study (2014)
Journal Article
Sayal, K., Mills, J., White, K., Merrell, C., & Tymms, P. (2015). Predictors of and barriers to service use for children at risk of ADHD: longitudinal study. European Child and Adolescent Psychiatry, 24(5), https://doi.org/10.1007/s00787-014-0606-z

Objective Many children with, or at risk of, ADHD do not receive healthcare services for their difficulties. This longitudinal study investigates barriers to and predictors of specialist health service use. Methods This is a five year follow-up... Read More about Predictors of and barriers to service use for children at risk of ADHD: longitudinal study.

Use of services and associated costs for young adults with childhood hyperactivity/conduct problems: 20-year follow-up (2014)
Journal Article

Background Although childhood hyperactivity and conduct problems are associated with difficulties in adulthood, little is known about later service use or public expenditure costs in the UK. Aims To describe the use of services and calculate rec... Read More about Use of services and associated costs for young adults with childhood hyperactivity/conduct problems: 20-year follow-up.

Innovations in practice: piloting electronic session-by-session monitoring in child and adolescent mental health : a preliminary study (2014)
Journal Article
Hall, C. L., Moldavsky, M., Taylor, J. A., Marriott, M., Goodman, R., Sayal, K., & Hollis, C. (2015). Innovations in practice: piloting electronic session-by-session monitoring in child and adolescent mental health : a preliminary study. Child and Adolescent Mental Health, 20(3), https://doi.org/10.1111/camh.12066

Background Recent UK initiatives have advocated the use of session-by-session outcome measurement in CAMHS. However, little is known about the feasibility of this approach. Method The PROMPT study (Patient Reported Outcome Monitoring Progres... Read More about Innovations in practice: piloting electronic session-by-session monitoring in child and adolescent mental health : a preliminary study.

Cost-effectiveness of classroom-based cognitive behaviour therapy in reducing symptoms of depression in adolescents: a trial-based analysis (2014)
Journal Article
Anderson, R., Ukoumunne, O. C., Sayal, K., Phillips, R., Taylor, J. A., Spears, M., …Stallard, P. (2014). Cost-effectiveness of classroom-based cognitive behaviour therapy in reducing symptoms of depression in adolescents: a trial-based analysis. Journal of Child Psychology and Psychiatry, 55(12), 1390-1397. https://doi.org/10.1111/jcpp.12248

Background A substantial minority of adolescents suffer from depression and it is associated with increased risk of suicide, social and educational impairment, and mental health problems in adulthood. A recently conducted randomized controlled tri... Read More about Cost-effectiveness of classroom-based cognitive behaviour therapy in reducing symptoms of depression in adolescents: a trial-based analysis.

Infant temperament and childhood psychiatric disorder: longitudinal study (2013)
Journal Article
Sayal Heron, K., Heron, J., Maughan, B., Rowe, R., & Ramchandani, P. (2013). Infant temperament and childhood psychiatric disorder: longitudinal study. Child: Care, Health and Development, 40(2), https://doi.org/10.1111/cch.12054

Abstract BACKGROUND: Temperamental characteristics emerge early in life and can shape children's development, adjustment and behaviour. We aimed to investigate the association between early infant temperament and later childhood psychiatric disorde... Read More about Infant temperament and childhood psychiatric disorder: longitudinal study.

Transition to adult mental health services for young people with Attention Deficit/Hyperactivity Disorder (ADHD): A qualitative analysis of their experiences (2013)
Journal Article
Swift, K. D., Hall, C. L., Marimuttu, V., Redstone, L., Sayal, K., & Hollis, C. (2013). Transition to adult mental health services for young people with Attention Deficit/Hyperactivity Disorder (ADHD): A qualitative analysis of their experiences. BMC Psychiatry, 13, Article 74. https://doi.org/10.1186/1471-244X-13-74

Background There is little research on the process of transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS). More recently, there is growing recognition that Attention Deficit/Hyperactivity Di... Read More about Transition to adult mental health services for young people with Attention Deficit/Hyperactivity Disorder (ADHD): A qualitative analysis of their experiences.

Light drinking in pregnancy and mid-childhood mental health and learning outcomes (2013)
Journal Article
Sayal, K., Draper, E. S., Fraser, R., Barrow, M., Smith, G. D., & Gray, R. (2013). Light drinking in pregnancy and mid-childhood mental health and learning outcomes. BMJ Open, 98(2), https://doi.org/10.1136/archdischild-2012-302436

OBJECTIVE: To investigate whether light drinking in pregnancy is associated with adverse child mental health and academic outcomes. DESIGN: Using data from the prospective, population-based Avon Longitudinal Study of Parents and Children (ALSPAC),... Read More about Light drinking in pregnancy and mid-childhood mental health and learning outcomes.

Protocol evaluating the effectiveness of a school-based group programme for parents of children at risk of ADHD: the ‘PArents, Teachers and CHildren WORKing Together (PATCHWORK)’ cluster RCT protocol (2012)
Journal Article
Sayal, K., Daley, D., James, M., Yang, M., Batty, M. J., Taylor, J. A., …Hollis, C. (2012). Protocol evaluating the effectiveness of a school-based group programme for parents of children at risk of ADHD: the ‘PArents, Teachers and CHildren WORKing Together (PATCHWORK)’ cluster RCT protocol. BMJ Open, 2(5), Article e001783. https://doi.org/10.1136/bmjopen-2012-001783

Introduction Early intervention for childhood behavioural problems may help improve health and educational outcomes in affected children and reduce the likelihood of developing additional difficulties. The National Institute for Health and Clinical... Read More about Protocol evaluating the effectiveness of a school-based group programme for parents of children at risk of ADHD: the ‘PArents, Teachers and CHildren WORKing Together (PATCHWORK)’ cluster RCT protocol.