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Climate change may bring about anxiety, which may be referred to as eco-anxiety. Commonly accepted conceptual or diagnostic criteria for eco-anxiety are currently lacking. Here, we briefly summarize the current literature on climate change and mental illness. We suggest dividing the concept of eco-anxiety into adaptive eco-anxiety and an anxiety disorder where climate change plays a major role. This distinction may be helpful in clinical practice to discern relatively common and potentially healthy eco-anxiety from a disorder causing impairment in daily functioning. Benefits of adaptive eco-anxiety include the development of active coping strategies (increasing resilience) as well as behavioural changes to mitigate climate change. When debilitating anxiety comes with avoidance and centers around climate change, a specific phobia called eco-anxiety disorder may be considered. Importantly, as validated diagnostic criteria for this disorder are currently lacking, further conceptualization is highly needed. Future clinical research may help fill these current knowledge gaps.

Supplemental material, sj-docx-1-jre-10.1177_15562646211018916 for Towards a Research Agenda for Promoting Responsible Research Practices by Joeri K. Tijdink, Serge P.J.M. Horbach, Mich��le B. Nuijten and Gareth O���Neill in Journal of Empirical Research on Human Research Ethics

The debate on a completed life is far from complete. It is a difficult, complex and challenging endeavor to determine what a completed life is given the fact that this is influenced by a wide array of complicating factors, especially in older persons. One of these most challenging factors is to differentiate between a 'normal' death wish and suicidal behavior that may be present in patients with a psychiatric condition, even at higher age. In this commentary, we reflect on this difficult differentiation and emphasize the importance of rigorous psychiatric classification of people with a death wish, and we encourage the use of valid psychiatric screening instruments. Finally we do a plea for more and rigorous research to disentangle the differences between a 'normal' death wish and a death wish that can be partially predisposed by psychiatric symptomatology. We are convinced that more and rigorous research is needed to answer the complex nature of a death wish as a phenomenon. Moreover, these results should first be debated within the scientific community before the results may be wrongly interpreted by media and politicians with the undesirable effect that incorrect interpretation may sway the public opinion and political decisions.

The debate on a completed life is far from complete. It is a difficult, complex and challenging endeavor to determine what a completed life is given the fact that this is influenced by a wide array of complicating factors, especially in older persons. One of these most challenging factors is to differentiate between a 'normal' death wish and suicidal behavior that may be present in patients with a psychiatric condition, even at higher age. In this commentary, we reflect on this difficult differentiation and emphasize the importance of rigorous psychiatric classification of people with a death wish, and we encourage the use of valid psychiatric screening instruments. Finally we do a plea for more and rigorous research to disentangle the differences between a 'normal' death wish and a death wish that can be partially predisposed by psychiatric symptomatology. We are convinced that more and rigorous research is needed to answer the complex nature of a death wish as a phenomenon. Moreover, these results should first be debated within the scientific community before the results may be wrongly interpreted by media and politicians with the undesirable effect that incorrect interpretation may sway the public opinion and political decisions.

Samenvatting Psychotherapeutische vaardigheden zijn onlosmakelijk verbonden met de werkzaamheden van iedere psychiater. Wij willen de in het nieuwe opleidingsplan beschreven psychotherapeutische competenties onder de aandacht brengen. Daartoe presenteren we twee casussen vanuit de klinische praktijk waarin de psychiater psychotherapeutische vaardigheden nodig heeft om effectief te zijn in diagnostiek en behandeling. Met psychotherapeutische competenties lukt het de psychiater om veel voorkomend appel van complexe patiënten te verdragen en te begrijpen, betekenis te geven aan gedrag en hier indien mogelijk met de patiënt op te reflecteren met oog op progressie in de behandeling. De klinische psychiatrische praktijk kan niet los worden gezien van de psychotherapie, want zonder psychotherapeutische kennis en vaardigheden is behandeling niet goed mogelijk en kan deze leiden tot niet effectieve of stagnerende behandelingen, onwerkzame behandelrelaties, overdiagnostiek, regressie bij de patiënt of polyfarmacie.

Samenvatting Psychotherapeutische vaardigheden zijn onlosmakelijk verbonden met de werkzaamheden van iedere psychiater. Wij willen de in het nieuwe opleidingsplan beschreven psychotherapeutische competenties onder de aandacht brengen. Daartoe presenteren we twee casussen vanuit de klinische praktijk waarin de psychiater psychotherapeutische vaardigheden nodig heeft om effectief te zijn in diagnostiek en behandeling. Met psychotherapeutische competenties lukt het de psychiater om veel voorkomend appel van complexe patiënten te verdragen en te begrijpen, betekenis te geven aan gedrag en hier indien mogelijk met de patiënt op te reflecteren met oog op progressie in de behandeling. De klinische psychiatrische praktijk kan niet los worden gezien van de psychotherapie, want zonder psychotherapeutische kennis en vaardigheden is behandeling niet goed mogelijk en kan deze leiden tot niet effectieve of stagnerende behandelingen, onwerkzame behandelrelaties, overdiagnostiek, regressie bij de patiënt of polyfarmacie.

This article failed to state the coequal contribution to the article of its first two authors, Dennis van der Meer and Justo Pinz n- Espinosa. This note was deleted accidentally during the production process, for which the publisher apologises.

This commentary discusses the increase of the number of finished PhD-theses in the Netherlands among young medical doctors. I discuss their motivation, engagement, the lack of mentoring and the mental health symptoms that are highly prevalent among Dutch PhD students in university medical centers. As a consequence, the abovementioned factors may have a detrimental impact on the validity and integrity of research results. Furthermore, I discuss how the current academic hierarchy is shaping academic careers and dictating publication practices. PhD students are pivotal in fulfilling academic dreams of seniors by writing a considerable number of publications that help senior researchers increase their scientific output, advance their careers and help them to get tenured. I suggest that we should invest in sufficient, effective and responsible supervision and mentoring and should train our supervisors to become a responsible role model for their PhD students. For this we need different performance indicators, and more time and skills for seniors to invest in PhD students. As a result, supervisors will become more equipped and engaged in responsible supervision.

This commentary discusses the increase of the number of finished PhD-theses in the Netherlands among young medical doctors. I discuss their motivation, engagement, the lack of mentoring and the mental health symptoms that are highly prevalent among Dutch PhD students in university medical centers. As a consequence, the abovementioned factors may have a detrimental impact on the validity and integrity of research results. Furthermore, I discuss how the current academic hierarchy is shaping academic careers and dictating publication practices. PhD students are pivotal in fulfilling academic dreams of seniors by writing a considerable number of publications that help senior researchers increase their scientific output, advance their careers and help them to get tenured. I suggest that we should invest in sufficient, effective and responsible supervision and mentoring and should train our supervisors to become a responsible role model for their PhD students. For this we need different performance indicators, and more time and skills for seniors to invest in PhD students. As a result, supervisors will become more equipped and engaged in responsible supervision.

Background In recent years several Codes of Conduct for Research Integrity were developed or revised. However, having a code does not imply that all stakeholders are aware of the current standards, let alone live up to them. The INSPIRE project (Inventory in the Netherlands of Stakeholders’ Practices and Initiatives on Research integrity to set an Example)1 aims to collect, classify and share initiatives to foster research integrity, with a view to inspire and enable. A checklist is developed to: - Structure a toolbox2 of initiatives and the information included; - Assess initiatives on feasibility and usefulness; - Assist initiators in the development of initiatives. Methods A 3-round Delphi study was used to reach consensus on the checklist. A Delphi is a structured group process that allows for individual differences and changes of views, to ultimately deal with a complex issue. The first round aimed to identify relevant characteristics of the checklist, relevant items for the taxonomy of initiatives in the toolbox, and indicators of quality, feasibility and suitability of initiatives. Round two focussed on operationalisation of the taxonomy and the abovementioned indicators. The first draft of the checklist was piloted in a workshop at the 6th World Conference on Research Integrity. This provided additional input for the development of the checklist. Subsequently INSPIRE’s advisory group gave feedback on the renewed draft. A third Delphi round is planned with the purpose of finetuning the checklist. Results At the time of writing this abstract, the second round of the Delphi study is finished. The checklist will be finalised after the third round and presented at the REWARD|EQUATOR conference. The current draft consists two main assessment items (potential effectiveness; potential to be implemented), and the classification is split in four classifiers (type; audience; participation level; topic) and a reporting guideline of 15 categories and six open ended topics. Conclusions The development of a checklist that is applicable to a broad spectrum of initiatives and stakeholders is challenging. The Delphi and the workshop have yielded plenty of valuable input and shaped the checklist into an instrument that is supported by a wide audience. References (max 2) 1. Netherlands Research Integrity Network. Inventory in the Netherlands of Stakeholders’ Practices and Initiatives on Research integrity to set an Example (INSPIRE project) https://www.nrin.nl/about/inspire-project/ 2. The inventory of initiatives and composition of the toolbox are presented in another abstract that is submitted to this conference by DF van der Schot et al.

Acute presentaties van psychiatrische aandoeningen vragen zowel binnen als buiten het ziekenhuis om efficiënte en zorgvuldige diagnostiek en behandeling. Vanwege de hectiek van het acute moment, waarbij vaak agitatie, suïcidaliteit, communicatieve uitdagingen en juridische aspecten een rol spelen, kan het inde praktijk lastig zijn om optimale en adequate zorg te bieden. Aan de hand van drie casussen geven wij handreikingen voor de diagnostiek en behandeling in dit soort acute situaties.A range of clinical syndromes may present with psychiatric symptoms, both in and out of hospital settings. In such situations agitation, suicidality, communication difficulties and legal aspects often play a role, making diagnosis and treatment a challenge. Based on several case studies, we illustrate how the recently-published Dutch open access source 'Acute Psychiatry' (www.acutepsychiatrie.com) can be of help in acute psychiatric presentations both within and outside psychiatric hospitals.