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BMJ 2012; 344 doi: (Published 25 April 2012) Cite this as: BMJ 2012;344:e2875

An assessment of medical and surgical treatments for lower urinary tract symptoms (LUTS) among 2184 men in a community setting found that 28% of them were being treated for LUTS, but medical management was poor compared with surgical intervention (British Journal of Urology International 2012, doi:10.1111/j.1464-410X.2012.10998.x). All the treatments were effective at slowing down progression of LUTS, but patients who had undergone transurethral resection of the prostate had the fastest and greatest improvement in symptoms, and the largest reduction in incontinence.

What is the difference between adolescents who think about self harm (“ideators”) and those who actually engage in it (“enactors”)? Both groups differ on all the volitional factors assessed (capability, impulsivity, planning, access to means, and imitation). Enactors were also more likely than ideators to have a relative or friend who had self harmed, to think that their peers were self harmers, and to report more life stress (British Journal of …

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