Seena Fazel

Prof of Forensic Psychiatry, Oxford University; researching adverse outcomes in mental illness, suicide prevention, forensic mental health

[Seena Fazel @seenafazel]

New paper!! On health justice, resource allocation, and age in suicide risk assessment. We argue that, in resource-limited healthcare systems, appropriately developed risk tools may support fairer allocation of clinical resources, especially for groups at highest risk.

[john williams @wi_john]

“England’s treatment of its most at-risk youth is a national embarrassment. Ministers cannot allow children already failed by their families to remain trapped in a care system shaped too heavily by profiteering and people without relevant expertise.” https://t.co/ffphOGcz4v

[Seena Fazel @seenafazel]

@usepapertrace Yes PROBAST was used. Int vs ext validation 👇

[Seena Fazel @seenafazel]

New paper! People with substance misuse have increased risks of suicidal outcomes. We examined risk factors for self-harm in a population-based study. Then developed and validated a risk assessment model based on them.
Model performed well on multiple measures of performance.

[Seena Fazel @seenafazel]

@kilnerevonnet When you triangulate with other observational and RCT evidence, that is the strongest explanation. And it’s not a focus of the study - it’s about developing and validating a risk model, not testing causality for individual predictors

[Seena Fazel @seenafazel]

Couple of recent papers that help contextualise findings.

Systematic review of prediction models for suicide and self harm: https://t.co/wFqT3DaieP

and on guidelines: https://t.co/IqsSPEBjEg

[Seena Fazel @seenafazel]

A structured approach to assessing risk drawing on this evidence can inform research, training and support clinical decision-making.

Online calculator available: https://t.co/d8YcoOBv7Z

#RiskFactors #predictivemodels #SuicidePrevention

[Seena Fazel @seenafazel]

@joshnguyen_psy Will depend on clinical setting/context - what treatments available and cost/value of intervention for false/true positives at different thresholds

[Seena Fazel @seenafazel]

New paper!! On health justice, resource allocation, and age in suicide risk assessment. We argue that, in resource-limited healthcare systems, appropriately developed risk tools may support fairer allocation of clinical resources, especially for groups at highest risk.

[Seena Fazel @seenafazel]

#SuicidePrevention #predictivemodels

[Seena Fazel @seenafazel]

Paper started off with a conversation with James Hart of the Ethox Centre at an ethics seminar on risk assessment in policing. This ethics background brought a different and novel perspective to the discussion - the value of semi-random interdisciplinary conversations.