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Sexual health services in urban, suburban, and rural outpatient mental healthcare settings in New York: findings from a survey of practices and gaps (2023)
Journal Article
McKinnon, K., Jaafar, F., Alves-Bradford, J., Weinstein, T., Zurita McKinnon, A., Hughes, E., …Cournos, F. (2023). Sexual health services in urban, suburban, and rural outpatient mental healthcare settings in New York: findings from a survey of practices and gaps. Sexual Health, https://doi.org/10.1071/sh22199

We surveyed all licensed outpatient mental health programs in New York to examine sexual health services and training needs of providers. Gaps were found in processes for assessing whether patients were sexually active, engaging in sexual risk behavi... Read More about Sexual health services in urban, suburban, and rural outpatient mental healthcare settings in New York: findings from a survey of practices and gaps.

The effect of COVID-19 on women’s experiences of pregnancy, birth and postpartum in Indonesia: a rapid online survey (2023)
Journal Article
McGowan, L., Astuti, A., Hafidz, F., Pratiwi, C., Yulian, V., Hughes, E., …Fu, Y. (2023). The effect of COVID-19 on women’s experiences of pregnancy, birth and postpartum in Indonesia: a rapid online survey. BMC Pregnancy and Childbirth, 23(1), Article 304. https://doi.org/10.1186/s12884-023-05566-w

Background: The interrelationship of psychological and social factors in the current COVID-19 pandemic has been highlighted in research mainly focused on the global north. The impact of lockdowns can exacerbate psychological distress and affect acces... Read More about The effect of COVID-19 on women’s experiences of pregnancy, birth and postpartum in Indonesia: a rapid online survey.

Prevalence of HIV in mental health service users: a retrospective cohort study (2023)
Journal Article
Heslin, M., Jewell, A., Croxford, S., Chau, C., Smith, S., Pittrof, R., …Stewart, R. (2023). Prevalence of HIV in mental health service users: a retrospective cohort study. BMJ Open, 13(4), Article e067337. https://doi.org/10.1136/+bmjopen-2022-067337

Objective: To examine the prevalence of Human Immunodeficiency Virus (HIV) in a cohort of people who have used secondary mental health services in the UK. Design: Retrospective cohort study. Setting: Routinely collected clinical data from seconda... Read More about Prevalence of HIV in mental health service users: a retrospective cohort study.

Tri-Response Police, Ambulance, Mental Health Crisis Models in Reducing Involuntary Detentions of Mentally Ill People: A Systematic Review (2022)
Journal Article
Heffernan, J., McDonald, E., Hughes, E., & Gray, R. (2022). Tri-Response Police, Ambulance, Mental Health Crisis Models in Reducing Involuntary Detentions of Mentally Ill People: A Systematic Review. Nursing Reports, 12(4), 1004-1013. https://doi.org/10.3390/nursrep12040096

Police, ambulance, and mental health tri-response services are a relatively new model of responding to people experiencing mental health crisis in the community, though limited evidence exists examining their efficacy. Reducing unnecessary involuntar... Read More about Tri-Response Police, Ambulance, Mental Health Crisis Models in Reducing Involuntary Detentions of Mentally Ill People: A Systematic Review.

Barriers to the management of sexual dysfunction among people with psychosis: analysis of qualitative data from the REMEDY trial (2022)
Journal Article
Thana, L. J., O’Connell, L., Carne-Watson, A., Shastri, A., Saravanamuthu, A., Budhwani, N., …Crawford, M. J. (2022). Barriers to the management of sexual dysfunction among people with psychosis: analysis of qualitative data from the REMEDY trial. BMC Psychiatry, 22(1), Article 545. https://doi.org/10.1186/s12888-022-04193-7

Background: More than half of people who use antipsychotic medication for psychosis report having sexual dysfunction. The REMEDY trial aimed to find out if switching antipsychotic medication provides an effective way to reduce sexual dysfunction amon... Read More about Barriers to the management of sexual dysfunction among people with psychosis: analysis of qualitative data from the REMEDY trial.

Using photovoice to understand and improve healthy lifestyles of people diagnosed with serious mental illness (2022)
Journal Article
Edmondson, A. J., Borthwick, R., Hughes, E., & Lucock, M. (2022). Using photovoice to understand and improve healthy lifestyles of people diagnosed with serious mental illness. Journal of Psychiatric and Mental Health Nursing, 29(5), 676-687. https://doi.org/10.1111/jpm.12863

Introduction: People diagnosed with serious mental illness (SMI) live 10-20 years less than the general population, due in part to co-existing physical illness linked to lifestyle factors. To inform individualised care plans to promote healthy lifest... Read More about Using photovoice to understand and improve healthy lifestyles of people diagnosed with serious mental illness.

Premenstrual Exacerbation of Mental Health Disorders: A Systematic Review of Prospective Studies (2022)
Journal Article
Hughes, L., & Nolan, L. (2022). Premenstrual Exacerbation of Mental Health Disorders: A Systematic Review of Prospective Studies. Archives of Women's Mental Health, 25, 831-852. https://doi.org/10.1007/s00737-022-01246-4

Purpose: Mental health disorders can be exacerbated during periods of hormonal fluctuation (e.g., pregnancy, menopause) and the risk factors for sensitivity to these fluctuations are similar to those of mental disorders (e.g., trauma). However, the e... Read More about Premenstrual Exacerbation of Mental Health Disorders: A Systematic Review of Prospective Studies.

Severe Mental Illness and Pregnancy Outcomes in Australia. A Population-Based Study of 595 792 Singleton Births 2009-2016 (2022)
Journal Article
Edvardsson, K., Hughes, E., Copnell, B., Mogren, I., Vicendese, D., & Gray, R. (2022). Severe Mental Illness and Pregnancy Outcomes in Australia. A Population-Based Study of 595 792 Singleton Births 2009-2016. PLOS ONE, 17(2), https://doi.org/10.1371/journal.pone.0264512

Background Women with Severe Mental Illness (SMI) may have more complex pregnancies and pregnancy outcomes that require different care and management, but this has not been extensively studied. The aim of this study was to explore associations betwe... Read More about Severe Mental Illness and Pregnancy Outcomes in Australia. A Population-Based Study of 595 792 Singleton Births 2009-2016.

Documentary Analysis within a Realist Evaluation: recommendations from a study of Sexual Assault Referral Centres (2021)
Journal Article
Price, H., Domoney, J., Ariss, S., Hughes, E., & Trevillion, K. (2021). Documentary Analysis within a Realist Evaluation: recommendations from a study of Sexual Assault Referral Centres. International Journal of Qualitative Methods, 20, https://doi.org/10.1177/16094069211047818

Realist approaches are increasingly used in studies of complex health interventions/evaluations to understand how programmes work, for whom, and under what circumstances. Mixed-method data sources can be used to generate, refine and test realist prog... Read More about Documentary Analysis within a Realist Evaluation: recommendations from a study of Sexual Assault Referral Centres.

Improving the Sexual health of young people (under 25) in high risk populations: a systematic review of behavioural and psychosocial interventions (2021)
Journal Article
Brown, E., Lo Monaco, S., O’Donoghue, B., Nolan, H., Hughes, E., Graham, M., …Gray, R. (2021). Improving the Sexual health of young people (under 25) in high risk populations: a systematic review of behavioural and psychosocial interventions. International Journal of Environmental Research and Public Health, 18(17), https://doi.org/10.3390/ijerph18179063

Background: Ensuring young people experience good sexual health is a key public health concern, yet some vulnerable groups of young people remain at higher risk of poor sexual health. These individuals require additional support to achieve good sexua... Read More about Improving the Sexual health of young people (under 25) in high risk populations: a systematic review of behavioural and psychosocial interventions.

The RESPECT study: a feasibility randomised controlled trial of a sexual health promotion intervention for people with serious mental illness in community mental health services in the UK (2020)
Journal Article
Hughes, E., Mitchell, N., Gascoyne, S., Moe-Byrne, T., Edmondson, A., Coleman, E., …Watson, J. (2020). The RESPECT study: a feasibility randomised controlled trial of a sexual health promotion intervention for people with serious mental illness in community mental health services in the UK. BMC Public Health, 20(1), Article 1736 (2020). https://doi.org/10.1186/s12889-020-09661-x

Background People with serious mental illness (SMI) have sexual health needs but there is little evidence to inform effective interventions to address them. In fact, there are few studies that have addressed this topic for people with SMI outside US... Read More about The RESPECT study: a feasibility randomised controlled trial of a sexual health promotion intervention for people with serious mental illness in community mental health services in the UK.

Switching antipsychotic medication to reduce sexual dysfunction in people with psychosis: the REMEDY RCT (2020)
Journal Article
Crawford, M. J., Thana, L., Evans, R., Carne, A., O’Connell, L., Claringbold, A., …Barnes, T. R. (2020). Switching antipsychotic medication to reduce sexual dysfunction in people with psychosis: the REMEDY RCT. Health Technology Assessment, 24(44), 1-54. https://doi.org/10.3310/hta24440

Background Sexual dysfunction is common among people who are prescribed antipsychotic medication for psychosis. Sexual dysfunction can impair quality of life and reduce treatment adherence. Switching antipsychotic medication may help, but the clinic... Read More about Switching antipsychotic medication to reduce sexual dysfunction in people with psychosis: the REMEDY RCT.

The identification and treatment of mental health and substance misuse problems in sexual assault services: A systematic review (2020)
Journal Article
Stefanidou, T., Hughes, E., Kester, K., Edmondson, A., Majeed-Ariss, R., Smith, C., …Lloyd-Evans, B. (2020). The identification and treatment of mental health and substance misuse problems in sexual assault services: A systematic review. PLOS ONE, 15(4), Article e0231260. https://doi.org/10.1371/journal.pone.0231260

Background Specialist sexual assault services, which collect forensic evidence and offer holistic healthcare to people following sexual assault, have been established internationally. In England, these services are called sexual assault referral cen... Read More about The identification and treatment of mental health and substance misuse problems in sexual assault services: A systematic review.

Sexual health promotion in people with severe mental illness: the RESPECT feasibility RCT (2019)
Journal Article
Hughes, E., Mitchell, N., Gascoyne, S., Moe-Byrne, T., Edmondson, A., Coleman, E., …Watson, J. (2019). Sexual health promotion in people with severe mental illness: the RESPECT feasibility RCT. Health Technology Assessment, 23(65), 1-136. https://doi.org/10.3310/hta23650

Background People with serious mental illness have sexual health needs, but there is limited evidence regarding effective interventions to promote their sexual health. Objectives To develop a sexual health promotion intervention for people with... Read More about Sexual health promotion in people with severe mental illness: the RESPECT feasibility RCT.

A bespoke smoking cessation service compared with treatment as usual for people with severe mental ill health: the SCIMITAR+ RCT (2019)
Journal Article
Peckham, E., Arundel, C., Bailey, D., Crosland, S., Fairhurst, C., Heron, P., …Gilbody, S. (2019). A bespoke smoking cessation service compared with treatment as usual for people with severe mental ill health: the SCIMITAR+ RCT. Health Technology Assessment, 23(50), 1-116. https://doi.org/10.3310/hta23500

Background There is a high prevalence of smoking among people with severe mental ill health (SMI). Helping people with SMI to quit smoking could improve their health and longevity, and reduce health inequalities. However, those with SMI are less lik... Read More about A bespoke smoking cessation service compared with treatment as usual for people with severe mental ill health: the SCIMITAR+ RCT.

Mental health pathways from a sexual assault centre: A review of the literature (2019)
Journal Article
Brooker, C., Hughes, E., Lloyd-Evans, B., & Stefanidou, T. (2019). Mental health pathways from a sexual assault centre: A review of the literature. Journal of Forensic and Legal Medicine, 68, Article 101862. https://doi.org/10.1016/j.jflm.2019.101862

The recent long-term NHS plan calls for improvements to the mental health of those attending a Sexual Assault Referral Centre (SARCs). The assessment of mental health is currently the subject of a systematic review being undertaken as part of the MiM... Read More about Mental health pathways from a sexual assault centre: A review of the literature.

Sexual violence and mental health services: a call to action (2019)
Journal Article
Hughes, E., Lucock, M., & Brooker, C. (2019). Sexual violence and mental health services: a call to action. Epidemiology and Psychiatric Sciences, 28(6), 594-597. https://doi.org/10.1017/s2045796019000040

People who experience sexual violence are highly likely to experience psychological and/or mental health (MH) problems as a result. People who use MH services often have a history of sexual assault and are also likely to be revictimised as an adult.... Read More about Sexual violence and mental health services: a call to action.

Understanding the current sexual health service provision for mental health consumers by nurses in mental health settings: Findings from a Survey in Australia and England (2018)
Journal Article
Quinn, C., Platania-Phung, C., Bale, C., Happell, B., & Hughes, E. (2018). Understanding the current sexual health service provision for mental health consumers by nurses in mental health settings: Findings from a Survey in Australia and England. International Journal of Mental Health Nursing, 27(5), 1522-1534. https://doi.org/10.1111/inm.12452

Nurses in mental health settings avoid talking to consumers about sexual health concerns. It is unclear whether this avoidance prevents the provision of sexual healthcare. The present study gathered information about how mental health nurses respond... Read More about Understanding the current sexual health service provision for mental health consumers by nurses in mental health settings: Findings from a Survey in Australia and England.

Mental Health Staff Perceptions and Practice Regarding Self-Harm, Suicidality and Help-Seeking in LGBTQ Youth: Findings from a Cross-Sectional Survey in the UK (2018)
Journal Article
Hughes, E., Rawlings, V., & McDermott, E. (2018). Mental Health Staff Perceptions and Practice Regarding Self-Harm, Suicidality and Help-Seeking in LGBTQ Youth: Findings from a Cross-Sectional Survey in the UK. Issues in Mental Health Nursing, 39(1), 30-36. https://doi.org/10.1080/01612840.2017.1398284

Young people who identify as lesbian, gay, bisexual, transgender or queer (LGBTQ) experience higher levels of suicidality compared to heterosexual or cisgender peers, and face significant barriers accessing mental health services including prejudice... Read More about Mental Health Staff Perceptions and Practice Regarding Self-Harm, Suicidality and Help-Seeking in LGBTQ Youth: Findings from a Cross-Sectional Survey in the UK.