Original Research Electroconvulsive Therapy Training in Canada: A Call for Greater Regulation
Bibliographic record
Abstract
convulsive therapy (ECT) should be considered for all forms of moderate-to-severe depression that are unresponsive to pharmacologic treatment (1). To treat bipolar disorder, the Canadian Network for Mood and Anxiety Treatment (CAN-MAT) guidelines state that ECT should be the first-line treat-ment for acute mania and mixed-mood states that are characterized by severe behavioural disturbances; it is also the recommended treatment option in either partial responders or nonresponders in rapid-cycling bipolar disorder (2). Further, the APA guidelines for the treatment of bipolar disorder state that ECT is indicated as a treatment for medication nonre-sponders in acute mania (3). Moreover, it is a first-line treat-ment for the following: acute mania in pregnancy, neuroleptic malignant syndrome, catatonia, and general medical condi-938
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".