Sophie Epstein

King's College London | KCL · ioppn

This handbook is currently in development, with individual articles publishing online in advance of print publication. At this time, we cannot add information about unpublished articles in this handbook; however, the table of contents will continue to grow as additional articles pass through the review process and are added to the site. Please note...

Objectives: To describe and compare the association between suicidality and subsequent readmission for patients hospitalized for eating disorder treatment, within 2 years of discharge, at two large academic medical centers in two different countries. Methods: Over an 8-year study window from January 2009 to March 2017, we identified all inpatien...

Introduction: Actigraphy is commonly used to record free living physical activity in both typically and atypically developing children. While the accuracy and reliability of actigraphy have been explored extensively, research regarding young people's opinion towards these devices is scarce. This review aims to identify and synthesise evidence rela...

Introduction Self-harm and suicide are major public health concerns among children and adolescents. Many risk and protective factors for suicide and self-harm have been identified and reported in the literature. However, the capacity of these identified risk and protective factors to guide assessment and management is limited due to their great num...

Background Individuals with autism spectrum disorder (ASD) are at particularly high risk of suicide and suicide attempts. Presentation to a hospital with self-harm is one of the strongest risk factors for later suicide. We describe the use of a novel data linkage between routinely collected education data and child and adolescent mental health data...

Objective The association between depression and educational attainment in young people is unclear. This systematic review and meta-analysis examines the longitudinal association between depression and subsequent attainment, and its potential effect modifiers and mediators. Method We searched Embase, PsycINFO, PubMed, ERIC, and the British Educati...

Self-harm and suicidal ideation in children and adolescents are common and are risk factors for completed suicide. Social exclusion, which can take many forms, increases the risk of self-harm and suicidal ideation. One important marker of social exclusion in young people is school absenteeism. Whether school absenteeism is associated with these adv...

Self-harm is defined as any act of self-injury or self-poisoning regardless of intent. Suicidality includes suicidal self-harm as well as suicidal thoughts and plans. Self-harm is common, with 10–20% of young people reporting having harmed themselves before the age of 18. Self-harm is by no means always an act with suicidal intent, and the relation...

Introduction Depression represents a major public health concern for children and adolescents, and is thought to negatively impact subsequent educational attainment. However, the extent to which depression and educational attainment are directly associated, and whether other factors play a role, is uncertain. Therefore, we aim to systematically rev...

Suicidal ideation is a risk factor for self-harm, completed suicide and can be indicative of mental health issues. Adolescents are a particularly vulnerable group, but few studies have examined suicidal behaviour prevalence in large cohorts. Electronic Health Records (EHRs) are a rich source of secondary health care data that could be used to estim...

Background and aims: The prevalence of alcohol-related conditions is often reported as higher in hospital in-patients compared with the general population. However, formal prevalence estimates are commonly derived from small studies which report highly varied results. This systematic review and meta-analysis, within the UK hospital system, aimed t...

Purpose of review: Suicide is the second leading cause of death in youth aged 10-24 years old globally, but detecting those at risk is challenging. Novel preventive strategies with wide influence across populations are required. Interest in the potential for both detrimental and supportive influences of social media/internet use on suicidal behavi...

School achievement and adolescent self-harm: methodological issues may have led to misleading conclusions in a highly powered national study - Volume 214 Issue 2 - Sophie Epstein, Thomas Stephenson, Rina Dutta, Johnny Downs

Objectives Creation of linked mental health, social and education records for research to support evidence-based practice for regional mental health services. Setting The Clinical Record Interactive Search (CRIS) system was used to extract personal identifiers who accessed psychiatric services between September 2007 and August 2013. Participants...

Introduction Schools have an important role in recognising and preventing self-harm and suicidal behaviour in their students, however little is known about which educational factors are associated with heightened risk. We will systematically review the existing evidence on two key educational performance indicators that are routinely collected by s...