Paul Moran
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View article: Co-designing a novel intervention for prison staff affected by moral injury: a protocol
Co-designing a novel intervention for prison staff affected by moral injury: a protocol Open
Background: Exposure to potentially morally injurious events (PMIEs) can contribute towards serious mental disorders. Prisons are uniquely challenging environments where staff must fulfil competing roles of security, care, and rehab…
View article: Understanding Medical Students’ Decision Making in Relation to Seeking Help for Mental Health Problems
Understanding Medical Students’ Decision Making in Relation to Seeking Help for Mental Health Problems Open
Objective This qualitative study explored medical students’ decision making in relation to seeking help for mental health problems. Methods Fourteen medical students participated in a set of three semi-structured interviews. Interviews exp…
View article: Investigating Learning, Decision-Making, and Mental Health in Pregnancy: Insights From a UK Cohort Study
Investigating Learning, Decision-Making, and Mental Health in Pregnancy: Insights From a UK Cohort Study Open
Background: Parental capacity to learn from infant responses is a fundamental component of early dyadic interactions. However, the precise cognitive processes involved in these interactions and how these processes are influenced by mental …
View article: Coming in hot: using emotional journey maps to examine parental perceptions associated with presentation of their child with fever to the emergency department in England
Coming in hot: using emotional journey maps to examine parental perceptions associated with presentation of their child with fever to the emergency department in England Open
Introduction Paediatric emergency department (ED) attendances and admissions in England for fever are extremely common and are increasing, despite little evidence of increased risk and severity of fever-related presentations. Fever is a ca…
View article: Feasibility and acceptability of a two-phase survey for estimating the prevalence of mental disorders in adults with type 1 diabetes
Feasibility and acceptability of a two-phase survey for estimating the prevalence of mental disorders in adults with type 1 diabetes Open
View article: Preconception parental personality disorder and psychosocial outcomes during the perinatal period: a prospective population-based study
Preconception parental personality disorder and psychosocial outcomes during the perinatal period: a prospective population-based study Open
Purpose Birthing individuals with personality disorder in young adulthood before pregnancy may be at increased risk of potentially modifiable adverse outcomes in the perinatal period that impact parental and child health. We aimed to inves…
View article: The challenges of eating out for young people with eating disorders: a thematic analysis of the perspectives of young people, parents and carers, and clinicians
The challenges of eating out for young people with eating disorders: a thematic analysis of the perspectives of young people, parents and carers, and clinicians Open
Background Social eating is a key aspect of recovery for many individuals with an Eating Disorder (ED). To develop effective interventions to support recovery of social eating we need to understand the challenges that people with ED face w…
View article: Predictors of sickness absence and intention to leave the profession among NHS staff in England during the COVID-19 pandemic: a prospective cohort study
Predictors of sickness absence and intention to leave the profession among NHS staff in England during the COVID-19 pandemic: a prospective cohort study Open
Objectives This study aims to determine key workforce variables (demographic, health and occupational) that predicted National Health Service (NHS) staff’s absence due to illness and expressed intention to leave their current profession. D…
View article: The effects of social media on adolescent mental health: Findings from a population-based cohort study in Australia
The effects of social media on adolescent mental health: Findings from a population-based cohort study in Australia Open
Background: There are growing concerns about the potential contribution of social media use on rising levels of adolescent mental health problems, but our understanding of this relationship remains poor. The current study examined the effe…
View article: Recovery in personality disorders: the development and preliminary testing of a novel natural language processing model to identify recovery in mental health electronic records
Recovery in personality disorders: the development and preliminary testing of a novel natural language processing model to identify recovery in mental health electronic records Open
Introduction The concept of recovery is of great importance in mental health as it emphasizes improvements in quality of life and functioning alongside the traditional focus on symptomatic remission. Yet, investigating non-symptomatic reco…
View article: Correction: Mentalization for Offending Adult Males (MOAM): study protocol for a randomized controlled trial to evaluate mentalization-based treatment for antisocial personality disorder in male offenders on community probation
Correction: Mentalization for Offending Adult Males (MOAM): study protocol for a randomized controlled trial to evaluate mentalization-based treatment for antisocial personality disorder in male offenders on community probation Open
View article: Mental health of healthcare workers in England during the first three years of the COVID-19 pandemic: the NHS CHECK study cohort
Mental health of healthcare workers in England during the first three years of the COVID-19 pandemic: the NHS CHECK study cohort Open
Background Maintaining the mental health of healthcare workers is vital to reduce staff absences and high turnover, which in turn should improve patient care. Most research in this area focusses on clinical staff, despite the important con…
View article: Bridging the Gap: A Qualitative Study Exploring the Impact of the Involvement of Researchers With Lived Experience on a Multisite Randomised Control Trial in the National Probation Service in England and Wales
Bridging the Gap: A Qualitative Study Exploring the Impact of the Involvement of Researchers With Lived Experience on a Multisite Randomised Control Trial in the National Probation Service in England and Wales Open
Introduction Methodological and ethical arguments support the involvement of individuals with lived experience in research to reduce engagement barriers and ensure those directly affected by studies contribute to knowledge generation. Howe…
View article: Mental health of healthcare workers in England during the first three years of the COVID-19 pandemic: the NHS CHECK study cohort
Mental health of healthcare workers in England during the first three years of the COVID-19 pandemic: the NHS CHECK study cohort Open
Background Maintaining the mental health of healthcare workers is vital to reduce staff absences and high turnover, which in turn should improve patient care. Most research in this area focusses on clinical staff, despite the important con…
View article: Perinatal emotional skills groups for women and birthing people with borderline personality disorder: outcomes from a feasibility randomised controlled trial
Perinatal emotional skills groups for women and birthing people with borderline personality disorder: outcomes from a feasibility randomised controlled trial Open
Background There is no clear evidence about how to support people with borderline personality disorder (BPD) during the perinatal period. Perinatal emotional skills groups (ESGs) may be helpful, but their efficacy has not been tested. Aims…
View article: Redesigning paramedicine systems in Canada with “IMPACC”
Redesigning paramedicine systems in Canada with “IMPACC” Open
In this perspective, the authors argue that paramedicine's core structure and mandate (i.e., the 9-1-1 system) can innovate to better align with the needs of the public and address the evolving healthcare landscape. Examining Canada as a c…
View article: Coming in hot: a qualitative investigation into perceptions of parents and doctors of reasons for the presentation of children with fever to the emergency department in England
Coming in hot: a qualitative investigation into perceptions of parents and doctors of reasons for the presentation of children with fever to the emergency department in England Open
Introduction Paediatric emergency department (ED) attendances and admissions in England are increasing. Fever is a common presenting problem for these attendances. Anxiety and misperceptions surrounding appropriate management of fever pers…
View article: Predictors of outcome following psychological therapy for depression and anxiety in an urban primary care service: a naturalistic Bayesian prediction modeling approach
Predictors of outcome following psychological therapy for depression and anxiety in an urban primary care service: a naturalistic Bayesian prediction modeling approach Open
Background England's primary care service for psychological therapy (Improving Access to Psychological Therapies [IAPT]) treats anxiety and depression, with a target recovery rate of 50%. Identifying the characteristics of patients who ach…
View article: Emotional Context, Learning, and Decision-Making: Associations with Mental Health and Personality in Nulliparous and Pregnant Women from a UK Birth Cohort
Emotional Context, Learning, and Decision-Making: Associations with Mental Health and Personality in Nulliparous and Pregnant Women from a UK Birth Cohort Open
BackgroundParental capacity to learn from dynamic infant responses is a fundamental component of early dyadic interactions. However, the precise cognitive processes involved in successful interactions are not clear. If understood these cou…
View article: Ecological Momentary Assessment of Self-Harm Thoughts and Behaviors: Systematic Review of Constructs From the Integrated Motivational-Volitional Model
Ecological Momentary Assessment of Self-Harm Thoughts and Behaviors: Systematic Review of Constructs From the Integrated Motivational-Volitional Model Open
Background The integrated motivational-volitional model (IMV) is one of the leading theoretical models of suicidal thoughts and behavior. There has been a recent proliferation in the assessment of suicidal and nonsuicidal self-harm thought…
View article: The Offender Personality Disorder (OPD) Pathway for Men in England and Wales: A Qualitative Study of Pathway User Views About Services, Perceived Impact on Psychological Wellbeing, and Implications for Desistance
The Offender Personality Disorder (OPD) Pathway for Men in England and Wales: A Qualitative Study of Pathway User Views About Services, Perceived Impact on Psychological Wellbeing, and Implications for Desistance Open
The offender personality disorder (OPD) Pathway is a network of services across prison, health and community settings in England and Wales providing psychological support for high-risk people who have offended and are thought to have a per…
View article: ‘Once you've opened that can of worms’: qualitative study to understand why liaison psychiatry staff are not asking about domestic abuse following self-harm
‘Once you've opened that can of worms’: qualitative study to understand why liaison psychiatry staff are not asking about domestic abuse following self-harm Open
Background Domestic abuse is a significant risk factor for self-harm and suicide. A large proportion of people presenting to healthcare services following self-harm have experienced domestic abuse. In the UK, routine enquiry for domestic a…
View article: The Lancet Commission on self-harm
The Lancet Commission on self-harm Open
By delivering transformative shifts in societal attitudes and initiating a radical redesign of mental health care, we can fundamentally improve the lives of people who self-harm. This Lancet Commission is the product of a substantial team …
View article: The BRIDGE project: a feasibility randomised controlled trial of brief, intensive assessment and integrated formulation for young people (age 14-24) with features of borderline personality disorder (Protocol)
The BRIDGE project: a feasibility randomised controlled trial of brief, intensive assessment and integrated formulation for young people (age 14-24) with features of borderline personality disorder (Protocol) Open
Background Borderline personality disorder (BPD) is a severe mental disorder that is characterised by a pervasive pattern of instability of interpersonal relationships, self-image, and mood as well as marked impulsivity. BPD has its peak i…
View article: Changing Medical Student Perceptions of Mental Illness Through a Psychiatry Clinical Clerkship: A Longitudinal Qualitative Study
Changing Medical Student Perceptions of Mental Illness Through a Psychiatry Clinical Clerkship: A Longitudinal Qualitative Study Open
View article: NHS staff: Sickness absence and intention to leave the profession
NHS staff: Sickness absence and intention to leave the profession Open
Objective To determine key workforce variables (demographic, health and occupational) that predicted NHS staff’s 1) absence due to illness (both COVID-19 and non-COVID-19 related) and 2) expressed intention to leave their current professio…
View article: Ethnicity and suicide in England and Wales: a national linked cohort study
Ethnicity and suicide in England and Wales: a national linked cohort study Open
View article: Suicidal Thoughts and Behaviors in Parents Caring for Children with Disabilities and Long-Term Illnesses
Suicidal Thoughts and Behaviors in Parents Caring for Children with Disabilities and Long-Term Illnesses Open
Parent carers contemplate suicide at levels that exceed those of other family carers and the general public. There is an urgent need, in policy and practice, to recognize parent carers as a priority group for prevention and intervention.
View article: Ecological Momentary Assessment of Self-Harm Thoughts and Behaviors: Systematic Review of Constructs From the Integrated Motivational-Volitional Model (Preprint)
Ecological Momentary Assessment of Self-Harm Thoughts and Behaviors: Systematic Review of Constructs From the Integrated Motivational-Volitional Model (Preprint) Open
BACKGROUND The integrated motivational-volitional model (IMV) is one of the leading theoretical models of suicidal thoughts and behavior. There has been a recent proliferation in the assessment of suicidal and nonsuicidal self-harm though…
View article: Does an Association Exist Between Food Insecurity and Eating Disorder Symptoms Among Young People Living in England?
Does an Association Exist Between Food Insecurity and Eating Disorder Symptoms Among Young People Living in England? Open
Aims Food insecurity, defined as lacking regular access to nutritious food due to financial hardship, is associated with a range of adverse developmental outcomes for children and adolescents. Emerging evidence suggests food insecurity in …