Ash Roychowdhury

Chief Quality Officer and Consultant Forensic Psychiatrist at St Andrew’s Healthcare

[Jez @JezCorden]

Will PS5 join Xbox in raising prices here, or twist the knife in tandem with their massive GTA6 marketing deal?

Generational op to lock in a gen of gamers trying GTA for the first time? Could be worth.

MSFT CFO only sees short term, remember. Huge weakness PS5 can exploit.

[Klobrille @klobrille]

Matthew Ball (Xbox CSO) on Xbox Console Exclusives:

"[Gears of War: E-Day and Clockwork Revolution] are the start of a program. Players can expect a reliable pipeline that validates their investment in the Xbox platform, keeps them as Xbox players going forward, and everyone in this industry understands that exclusives are important to the growth and branding of the platform."

[Ash Roychowdhury @ashimesh]

@MrboomstickXL @XBOX Xbox needs exclusives. In September, which console can play Gears AND Wolverine? Netflix would never let Stranger Things be on Prime- it makes no sense

[Om Prakash, MD @ompsychiatrist]

@StillmanMD: Psychiatry totally unscientific and Big Pharma’s most ridiculous front?' Seemingly pure anti-science garbage.

Schizophrenia heritability 81% from twin meta-analyses. 1 in 3 fully recover with treatment per WHO.

Antidepressants crush placebo in Cipriani Lancet 2018 with 522 trials. Your DSM smear is dangerous misinformation scaring patients from care that actually works. Millions recover function daily.

Post real data or delete this nonsense.

[Dr. Carlos Arnaud @carlos_arnaud]

In #Psychiatry, many treatments show strong clinical efficacy comparable to and sometimes greater than treatments used in other medical specialties.

Here are the NNTs (Number Needed to Treat) of psychopharmacology versus medications commonly used across medicine

#Psychopharmacology in #Psychiatry Works!!!

[Tyler Black, MD @tylerblack32]

OK @joannamoncrieff ,lets do this.

POINT BY POINT
🔽🔽

/2

[Ash Roychowdhury @ashimesh]

@ProfRobHoward @DrAnnieHickox Not sure why you are posting this type of nonsense- this does not help the psychiatric profession

[Awais Aftab @awaisaftab]

When patients ask, “What disorder do I really ‘have’?” the honest answer is usually more interesting and messier than a single label. I wrote for the @nytimes on what I wish people understood about diagnoses and the nature of mental health problems.

https://t.co/ua2g6PzeAZ

[West Ham Transfers @westhamtransfer]

VAR have just decided in the 96th minute who goes down and who wins the title.

Your horrible cheating cunts @FA_PGMOL

[Robert Howard @ProfRobHoward]

This is a well-researched and devastating take down of my UCL colleague and exposes an idiosyncratic and unbalanced approach to the interpretation and communication of Science.

[Patrick McGorry @PatMcGorry]

These compare very well with treatments in the rest of medicine. Also true for psychotherapies esp CBT.

[BMJ Quality & Safety @BMJ_Qual_Saf]

🤖 AI can now analyse thousands of patient safety reports in seconds and it's surprisingly accurate.

A new study by Chen and colleagues shows GPT-4o achieved an average agreement of 94% between reviewers in identifying problems from 9,357 free-text incident reports. The model:

✅ Extracted problems from complex narratives
✅ Created a taxonomy of safety issues
✅ Revealed previously hidden patterns
✅ Identified system-level risks

The AI-generated insights were described "clear, appropriate and valuable" with few perceived barriers to adoption.

The game-changer? Almost all incident reports (99.9%) are classified as low-harm events. Although these are rarely examined in depth, LLMs offer a way to unlock their latent insights, enabling proactive, data-driven quality improvement, accelerating manual report triage, and supporting system-level learning from events that are currently overlooked.

Could this transform how healthcare monitors safety data? 🏥📊

https://t.co/CF6ZhYrWsm

[The Lancet Reg Health-Europe @LancetRH_Europe]

🆕Nationwide Swedish study shows more psychiatric inpatient beds = fewer suicides.📉
Each 10-bed increase per 100k inhabitants linked to 7.6% reduction in suicide mortality.
https://t.co/YFcaHJireF

[Mike Henley 🤨 @trentconsultant]

It’s simple, treat hospital doctors fairly, we work for a monopoly employer. Since 2008 average workers pay up 68%, consultants only 30%. Our comparator professions up 79%. We’re effectively working for more than a quarter of the year for free compared to 2008.

[Dr Asif Qasim MA PhD FRCP @DrAsifQasim]

This confirms concerns that the NHS 10 year plan is a blueprint for substituting doctors with people who are not medically trained

If @NHSEngland wants to experiment with unproven care models @CMO_England should get ethical approval and apply robust trial methodology

How does informed consent look when you’re saying to patients they’re not going to see a doctor but someone else who doesn’t have the training?

[Ash Roychowdhury @ashimesh]

Professor Denniston citing that the sweet spot of AI is at the intersection and alignment of Clinical Need- Technical capability- System Readiness as well as how to join up liability and assurance across the ecosystem of developers, providers and clinicians #Rewired26

[Ash Roychowdhury @ashimesh]

Excellent talk by Joe Zhang and Jessica Morley on where value lies in data and AI development with an aspiration to capture more of that in the NHS and partners and not to US tech. #Rewired26

[Drew Fallon @drewfallon12]

Introducing Fin: The world’s first AI Chief Financial Officer.

Fin outperforms humans 100% of the time.

RT + Comment “FIN” and I’ll send you an AI agent that saves 6-7 figures/year.

[Ash Roychowdhury @ashimesh]

@CFCMJordan Talent with bargain basement management- the owners will sell our best players before we have won anything

[Om Prakash, MD @ompsychiatrist]

Mental illness was not invented by drug companies. People have described and struggled with these conditions long before modern medicine, across cultures and centuries. Reducing them to “bad choices” or “bad people” ignores genetics, early life experiences, trauma, brain differences, and social context.

It’s fair to question overdiagnosis, labels being stretched too far, or medication being used when it shouldn’t be. Those are real concerns but calling mental illness itself a fraud dismisses the genuine suffering and loss of functioning for many people who live with doing everything they can to cope and live well.