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• Caution is needed in long-term use of commonly prescribed atypical antipsychotics (aripiprazole, olanzapine, quetiapine, and risperidone) in middle-aged and older patients with psychotic disorders.
• When these medications are used, they should be given in low dosages, for short durations, and their side effects should be monitored closely.
• Shared decision making with patients and their caregivers is recommended, including discussions of risks and benefits of atypical antipsychotics and those of available treatment alternatives.

• Stimulant treatment of adults is increasing, especially among young adults, a population at increased risk of nonmedical stimulant use.
• Roughly one-half of adult visits to nonpsychiatrist physicians that yield a stimulant prescription include no mental disorder diagnosis.
• Physicians should consistently document the conditions for which they prescribe stimulants to adults and remain vigilant regarding risks of nonmedical stimulant use.

• Treatment selection in major depressive disorder could be improved if a biomarker could predict the likelihood and speed of achieving sustained remission with a particular agent for an individual patient.
• A novel biomarker, based on prefrontal brain electrical activity in the first week of treatment, appears able to predict these clinically relevant aspects of response to treatment in a personalized medicine paradigm.

• Depressed mood is associated with increased risk of incident diabetes in nondiabetic subjects.
• The association between depression and diabetes is not entirely mediated by weight gain or the effects of antidepressant drugs.
• Depression deserves to be included among the risk factors that should drive diabetes screening.

• Ask patients about their military service and veteran status.
• Become familiar with veteran resources and eligibility requirements locally and nationally.
• Equip veterans and their families with education, counseling, and coping mechanisms to deal with mental health issues, including the symptoms of PTSD.

• 12.4% of early-onset first-episode psychosis patients attempted suicide in the 2 years following psychosis onset, the risk being highest in the first year.
• High risk of suicide at baseline was the best predictor of suicide attempt at follow-up. High risk of suicide at baseline was associated with severe depressive symptoms and with a history of suicide attempt prior to the first-episode psychosis.
• Neither severity of psychotic symptoms nor affective or nonaffective psychoses diagnostic subtypes were associated with suicidal behavior.

• Sleep problems were common and persistent for up to 30 months among adolescent survivors of the 2008 Wenchuan earthquake.
• Sleep problems and psychiatric symptoms are not only coexisting but also bidirectional, and multiple demographic, psychosocial, and earthquake-related factors are associated with increased risk and persistence of sleep problems.
• Early detection of and intervention for sleep problems is important to reduce the impact of natural disasters on health and well-being in adolescent survivors.