{"id":33523,"date":"2015-03-05T11:38:33","date_gmt":"2015-03-05T10:38:33","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=33523"},"modified":"2015-03-05T21:06:59","modified_gmt":"2015-03-05T20:06:59","slug":"the-bmj-today-cannabis-childhood-depression-and-winter-pressures","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/03\/05\/the-bmj-today-cannabis-childhood-depression-and-winter-pressures\/","title":{"rendered":"The BMJ Today: Cannabis, childhood depression, and winter pressures"},"content":{"rendered":"<p><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/03\/cannabis_leaves.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-33524\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/03\/cannabis_leaves-150x150.jpg\" alt=\"cannabis_leaves\" width=\"150\" height=\"150\" \/><\/a>Editorial: High potency cannabis<\/strong><\/p>\n<p><a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1205\">In this editorial<\/a>, Wayne Hall and Louise Degenhardt\u2019s editorial discuss the recent research article published in <em>Lancet Psychiatry<\/em> that found daily use of \u201cskunk\u201d (a highly potent form of cannabis) is a contributory cause of schizophrenia. After exploring the key limitations of the research, they conclude that \u201cthe remarkable consistency of multiple types of individually fallible evidence makes it much more likely than not that regular cannabis use is a contributory cause of psychosis.\u201d<!--more--><\/p>\n<p><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/03\/depressed_teen.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-33525\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/03\/depressed_teen-150x150.jpg\" alt=\"depressed_teen\" width=\"150\" height=\"150\" \/><\/a>Practice: Diagnosis and management of depression in children and young people<\/strong><\/p>\n<p>\u201cDepression affects around 2.8% of children under the age of 13 and 5.6% of 13-18 year olds.\u201d <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h824\">This article summarises the recent updates to the NICE guideline<\/a> on depression in children and young people. The key messages are that there is little clear evidence for the superiority of any single psychological therapy for the treatment of depression in children and young people and that clinicians should now consider starting treatment with antidepressants and psychological therapy simultaneously for young people with moderate to severe depression rather than waiting until after psychological therapy has proved ineffective.<\/p>\n<p><strong>News: Trusts have used part of \u00a3700m winter pressures fund to pay off debts, doctors claim<\/strong><\/p>\n<p>\u201c<a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1231\">A College of Emergency Medicine survey<\/a> of senior consultants working in emergency departments found that only 1% (\u00a36\u2009685\u2009000) of the money allocated by the government for 2014-15 was spent directly on emergency department services.\u201d Some consultants responding to the survey accused hospital trusts of using some of these funds\u2014that had been specifically allocated for use in frontline emergency department services\u2014to pay off debts and diverting funds to schemes that had failed to reduce attendances or admissions.<\/p>\n<p><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/03\/print_overdiagnosismalcolm.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-33527\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/03\/print_overdiagnosismalcolm-150x150.jpg\" alt=\"print_overdiagnosismalcolm\" width=\"150\" height=\"150\" \/><\/a>Analysis:\u00a0The challenge of overdiagnosis begins with its definition<\/strong><\/p>\n<p>\u201cActive health intervention is not always a good thing: it can be &#8216;too much medicine,&#8217; or produce what is often called overdiagnosis.\u201d But what exactly is overdiagnosis\u2014the topic of this week&#8217;s themed issue? Should we really be talking about \u201ctoo much medicine\u201d instead? <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h869\">In this analysis article<\/a>, S M Carter and colleagues attempt to move towards a definition and argue that we can and should be more explicit about what we mean when we use the term.<\/p>\n<p><strong>Minerva:\u00a0<\/strong>Finally, why not test yourself with: <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h918\">an unusual rash in an orthopaedic clinic<\/a>.<\/p>\n<p><em><strong>Kate Adlington<\/strong> is a clinical fellow at <\/em>The BMJ. <em>Follow Kate on Twitter\u00a0<a href=\"https:\/\/twitter.com\/kateadlington\">@kateadlington<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Editorial: High potency cannabis In this editorial, Wayne Hall and Louise Degenhardt\u2019s editorial discuss the recent research article published in Lancet Psychiatry that found daily use of \u201cskunk\u201d (a highly [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/03\/05\/the-bmj-today-cannabis-childhood-depression-and-winter-pressures\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-33523","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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