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Acute transient psychotic disorder precipitated by Brexit vote
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  • Published on:
    Rapid Response: Critical appraisal of the article - acute transient psychotic disorder precipitated by Brexit vote
    • Sally Maryosh, Foundation Year 2 Trainee in Psychiatry Herefordshire Mental Health and Learning Disability Services, Stonebow Unit, Hereford.
    • Other Contributors:
      • Madhavan Seshadri, Consultant Psychiatrist

    RE: Acute transient psychotic disorder precipitated by Brexit vote (1)

    Authors: Dr Sally Maryosh and Dr Madhavan Seshadri

    Author information

    Primary Author: Dr Sally Maryosh, Foundation Year 2 Trainee in Psychiatry, Herefordshire Mental Health and Learning Disability Services, Stonebow Unit, Hereford.

    Additional Author: Dr Madhavan Seshadri, Consultant Psychiatrist, Herefordshire Mental Health and Learning Disability Services, Stonebow Unit, Hereford.

    Dear Editorial Team,

    We read this article with great interest as Brexit has clearly created significant stress and impact on everyone’s life in the U.K. This article has also been widely quoted in major Newspapers including The Sun, The Guardian and The Independent creating an interesting debate by portraying a picture that Brexit could cause psychosis. Hence, we wanted to critically appraise this article using Sir Austin Bradford Hill’s Criteria (2).

    In 1965, Sir Austin Bradford Hill proposed a set of 9 criteria to provide evidence of a causal relationship between a presumed cause and an observed effect (2). Using his criteria we are able to examine epidemiological studies and factors to understand better how environmental factors relate to health and the advancement of disease.

    The development of psychotic disorders is multifactorial, the article itself identifies “that additional work and family related stresses may have contributed” to this patient’s ATPD (1). The...

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    Conflict of Interest:
    None declared.