{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:45:49Z","timestamp":1785422749870,"version":"3.56.0"},"reference-count":8,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Int."],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>The growing demand for psychiatric services, coupled with the increasing complexity of clinical presentations, is compounded by systemic pressures \u2013 among them inadequate resources, fragmented service configurations, and regulatory and legal frameworks that seem to apportion blame to the individual rather than recognising the wider systemic context. These factors can leave clinicians feeling disempowered and demoralised. This editorial is a call to renew hope, to reaffirm that psychiatrists, using their everyday medical and psychiatric expertise in personalising the biopsychosocial care they provide to their patients, can make a critical difference when dealing with suicidal states. Effective relational psychiatry offers hope to both clinicians and patients. We must not lose it.<\/jats:p>","DOI":"10.1192\/bji.2025.10066","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T05:57:05Z","timestamp":1761631025000},"page":"101-103","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Relational psychiatry and suicidal states: reclaiming hope in everyday clinical practice"],"prefix":"10.1192","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1262-4879","authenticated-orcid":false,"given":"Subodh","family":"Dave","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04xy18872","id-type":"ROR","asserted-by":"publisher"}],"name":"Derbyshire Healthcare NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"van Niekerk","sequence":"additional","affiliation":[{"name":"Cygnet Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Pirie","sequence":"additional","affiliation":[{"name":"Independent Scholar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"O\u2019Reilly","sequence":"additional","affiliation":[{"name":"Camden and Islington Mental Health and Social Care Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"S2056474025100664_ref1","unstructured":"1 NHS England. Staying Safe from Suicide. NHS England, 2025 (https:\/\/www.england.nhs.uk\/long-read\/staying-safe-from-suicide\/ [accessed 4 Aug 2025])."},{"key":"S2056474025100664_ref5","volume-title":"Self-Harm: Assessment, Management and Preventing Recurrence (NICE Guideline NG225)","year":"2022"},{"key":"S2056474025100664_ref7","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13773"},{"key":"S2056474025100664_ref4","unstructured":"4 National Confidential Inquiry into Suicide and Safety in Mental Health. Annual Report 2023: UK Patient and General Population Data 2010\u20132020. University of Manchester, 2023 (https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2023\/)."},{"key":"S2056474025100664_ref3","unstructured":"3 Office for National Statistics. Suicides in England and Wales: 2023 Registrations. ONS, 2024 (https:\/\/www.ons.gov.uk\/ [accessed 4 Aug 2025])."},{"key":"S2056474025100664_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(24)00149-X"},{"key":"S2056474025100664_ref2","volume-title":"Suicide Worldwide in 2023: Global Health Estimates","year":"2023"},{"key":"S2056474025100664_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2011.01.001"}],"container-title":["BJPsych International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056474025100664","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T08:57:39Z","timestamp":1762160259000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056474025100664\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,28]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S2056474025100664"],"URL":"https:\/\/doi.org\/10.1192\/bji.2025.10066","relation":{},"ISSN":["2056-4740","2058-6264"],"issn-type":[{"value":"2056-4740","type":"print"},{"value":"2058-6264","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,28]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}