Evidence map›Paper›PMID 39422142›Full record

ReviewBJPsych bulletin2025

Why regulation hurts: balancing the need to maintain standards with the mental health impact on public sector professionals.

Hester Mannion, Darren Minshall, Mark Tarn, Derek K Tracy, Samantha K Brooks, Neil Greenberg

Abstract readReview
In one paragraph

Review in BJPsych bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hester MannionEast London Foundation Trust, London, UK.ORCID https://orcid.org/0009-0003-9703-7132
Darren MinshallUK Defence Medical Services, Plymouth, UK.ORCID https://orcid.org/0000-0003-1185-0660
Mark TarnGuy's and St Thomas' NHS Foundation Trust, London, UK.
Derek K TracyWest London NHS Trust, London, UK.ORCID https://orcid.org/0000-0002-3609-9407
Samantha K BrooksKing's College London, London, UK.
Neil GreenbergKing's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robust regulatory scrutiny is an unavoidable and necessary part of professional life for public sector professionals. Inspection and investigation can lead to poor mental health for individuals already working under pressure owing to increased workload and anticipation of poor outcomes. Although good regulation maintains standards and provides accountability to government and the public, regulators must face their obligation to understand the wider impact of their practices on the mental health of those they evaluate. This article discusses how regulation affects public sector culture and the potential risks and negative impact of regulatory practices and highlights how clinicians, working in occupational practice, are well placed to recognise 'regulatory stress' among public sector workers and offer vital support, guidance and advocacy.

Indexed as

moral injuryoccupational medicineOccupational psychiatrypublic sectorsuicide

Identifiers

PMID39422142
PMCPMC12171832

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.