Antigone Branchflower, Robert M Lundin, Craig Harvey, Harry Hill
{"title":"Psychiatrists can save lives with naloxone.","authors":"Antigone Branchflower, Robert M Lundin, Craig Harvey, Harry Hill","doi":"10.1177/10398562241249062","DOIUrl":"https://doi.org/10.1177/10398562241249062","url":null,"abstract":"OBJECTIVES\u0000Naloxone is an effective medication used to reverse opioid overdoses. Distributing naloxone directly to those at risk, therefore, reduces the risk of opioid-related deaths. New legislation in Australia means a prescription is no longer required to access naloxone. Whilst acknowledging the benefits of increased access, we aim to evaluate the impact psychiatrists can have on naloxone provision due to their unique position as doctors often working with those who may be at risk.\u0000\u0000\u0000METHODS\u0000Data was recorded on those accessing naloxone from a co-located addiction and mental health service. Descriptive statistics were generated to establish the cohort characteristics, prior knowledge of naloxone and outcome of previously supplied naloxone.\u0000\u0000\u0000RESULTS\u0000Naloxone was dispensed 488 times from 2021 to 2023. 267 people had previously been prescribed naloxone from these sites where 137 (51.3%) were reportedly used in an opioid reversal.\u0000\u0000\u0000CONCLUSIONS\u0000Our findings highlight the importance of community access to naloxone in reducing opioid-related harm. Whilst removing the need for a prescription makes naloxone more accessible, it remains vital that doctors remain involved in this process to broaden the reach of supply to those at risk.","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":"11 2","pages":"10398562241249062"},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recognising inaccuracies in Australian suicide and 'hidden suicide' data.","authors":"John Snowdon","doi":"10.1177/10398562241245548","DOIUrl":"https://doi.org/10.1177/10398562241245548","url":null,"abstract":"OBJECTIVE\u0000To examine the effects of revision of Australian mortality statistics every year since 2007 on numbers and rates of suicide and 'hidden suicide'.\u0000\u0000\u0000METHOD\u0000Nine months after the end of each year, the Australian Bureau of Statistics releases preliminary statistics concerning deaths registered in that year, together with revised and finalised data regarding previous years. Numbers and rates of suicide and of deaths coded to selected categories of accidental, undetermined and unknown cause deaths were tabled.\u0000\u0000\u0000RESULTS\u0000Upward revision of suicide and accidental drug poisoning death numbers, three years after first release, show that true rates are substantially higher than initially released data suggested. Concomitant downward revision of rates of undetermined and unknown cause deaths supports evidence that at first release some suicides are coded to these categories.\u0000\u0000\u0000CONCLUSIONS\u0000Australia's finalised suicide data are likely to be more accurate than equivalent data from nations that do not revise mortality data. More comprehensive investigation (including verbal or psychological autopsy) in doubtful cases in Australia and elsewhere would probably lead to reported suicide rates being higher.","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":"88 4","pages":"10398562241245548"},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140670593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Looi, Sharon Reutens, Samantha Loi, T. Bastiampillai
{"title":"Free expression and open discourse in Australasian Psychiatry.","authors":"J. Looi, Sharon Reutens, Samantha Loi, T. Bastiampillai","doi":"10.1177/10398562241248937","DOIUrl":"https://doi.org/10.1177/10398562241248937","url":null,"abstract":"","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":"117 18","pages":"10398562241248937"},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140669689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"TMS item number rules - what the evidence suggests.","authors":"S. Pridmore, M. Rybak, Yvonne Turnier-Shea","doi":"10.1177/10398562241244931","DOIUrl":"https://doi.org/10.1177/10398562241244931","url":null,"abstract":"","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":"773 ","pages":"10398562241244931"},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140749032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kexin Huang, Su Li, Rendong He, Tangsheng Zhong, Haiqi Yang, Li Chen, Hui Gao, Yong Jia
{"title":"Efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older adults with insomnia: A systematic review and meta-analysis.","authors":"Kexin Huang, Su Li, Rendong He, Tangsheng Zhong, Haiqi Yang, Li Chen, Hui Gao, Yong Jia","doi":"10.1177/10398562221118516","DOIUrl":"https://doi.org/10.1177/10398562221118516","url":null,"abstract":"<p><p><b>Objectives:</b> The aim is to evaluate the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older adults. We searched six databases to identify articles published in English or Chinese until January 30<sup>th</sup>, 2022. <b>Methods:</b> The two authors of the review independently selected the studies, assessed the risk of bias, and extracted the data. Fourteen studies were included. <b>Results:</b> Based on the results from sleep logs, a significant pooled effect size was observed for sleep efficiency (SE%) (MD = 8.36; 95% CI, 5.96-10.76; <i>I</i><sup><i>2</i></sup> <i>=</i> 77%; <i>p</i> < .00001), sleep onset latency (SOL) (MD = -9.29; 95% CI, -13.62 to -4.96; <i>I</i><sup><i>2</i></sup> = 64%; <i>p</i> < 0.0001), wake after sleep onset (WASO) (MD = -23.44; 95% CI, -32.41 to -14.47; <i>I</i><sup><i>2</i></sup><i>=</i> 85%; <i>p</i> < .00001), and total sleep time (TST) (MD = -12.35; 95% CI, -21.27 to -3.42; <i>I</i><sup><i>2</i></sup> = 63%; <i>p</i> = 0.007). <b>Conclusions:</b> Our study suggests that CBT-I may be a safe and effective approach for improving insomnia in older adults.</p>","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"592-597"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40415657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emme Chacko, Alisha Vara, Gary Cheung, Chandrima Naskar, Rodrigo Ramalho, Rātahi Bell
{"title":"A mindfulness-based cognitive therapy informed virtual psychiatry trainee wellbeing programme: Development and preliminary feedback.","authors":"Emme Chacko, Alisha Vara, Gary Cheung, Chandrima Naskar, Rodrigo Ramalho, Rātahi Bell","doi":"10.1177/10398562221119090","DOIUrl":"https://doi.org/10.1177/10398562221119090","url":null,"abstract":"<p><strong>Objective: </strong>To report the development and feedback on a newly created mindfulness-based cognitive therapy (MBCT) informed virtual wellbeing programme for psychiatry trainees.</p><p><strong>Methods: </strong>Thirteen of the 14 trainees participated in the programme provided feedback via an online questionnaire. Qualitative data was analysed using thematic analysis.</p><p><strong>Results: </strong>Thematic analysis revealed three main themes: timing of the intervention in relation to the COVID-19 pandemic; trainees were connected to the facilitator, their peers and within oneself; and trainees were going through a transformative experience.</p><p><strong>Discussion: </strong>Our findings support including an optional MBCT informed wellbeing programme in psychiatry training programmes. Future research could measure efficacy of this online programme by utilising pre- and post-outcome measures of dispositional mindfulness and stress.</p>","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"663-667"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40702534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safety over privacy: Family violence, information sharing and mental health care.","authors":"Kathy Sougias, Sabin Fernbacher, Izaak Lim","doi":"10.1177/10398562221115621","DOIUrl":"https://doi.org/10.1177/10398562221115621","url":null,"abstract":"<p><strong>Objective: </strong>This article aims to provide an update on information sharing practices in mental health services, in light of recent inter-sectoral family violence reforms in Victoria. We hope that this article will help increase familiarity with this contemporary best practice and improve clinician confidence in its application.</p><p><strong>Method: </strong>We use three case scenarios to illustrate the application of these relatively new family violence frameworks in mental health services, with a focus on approaches to information sharing.</p><p><strong>Results: </strong>The duty to respect the privacy of patients and their families sometimes comes into conflict with the duty to protect patients and their families from the risk of harm. Our case scenarios highlight situations where these conflicting duties need to be weighed and balanced, among other ethical considerations.</p><p><strong>Conclusions: </strong>Mental health services have an ethical and legal responsibility to share information where it will enhance the safety of victim survivors of family violence, whether they are the primary client of the service or not.</p>","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"604-607"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40689643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk perception research informing recommendations for COVID-19 preventative health measures and public messaging.","authors":"Paul A Maguire, Jeffrey C L Looi","doi":"10.1177/10398562221117060","DOIUrl":"https://doi.org/10.1177/10398562221117060","url":null,"abstract":"<p><strong>Objective: </strong>To provide a commentary on evidence-based recommendations for COVID-19 pandemic risk communication for more effective public health measures.</p><p><strong>Method: </strong>We apply the principles of risk communication to address key issues in the COVID-19 pandemic.</p><p><strong>Results: </strong>Risk perception and communication research usefully informs preventative health education and public messaging during disease outbreaks such as the current COVID-19 pandemic, especially for those with severe mental illness.</p><p><strong>Conclusions: </strong>Key recommendations for pandemic public health risk communication are: clear, timely and balanced information from a reputable source; accurate and non-sensationalised depiction of infection, morbidity and mortality rates; awareness of fear as a powerful motivator for adoption of protective measures against the causative virus; promotion of self-efficacy and sense of control in terms of mitigating the health threats associated with a pandemic; correction of mis- and disinformation regarding the pandemic and associated protective measures; and messaging may need to be modified for people with a mental illness to avoid exacerbations of depressive and anxiety symptoms.</p>","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"601-603"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361031/pdf/10.1177_10398562221117060.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40678224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aducanumab for Alzheimer's disease: Observations and opportunities.","authors":"William Pridmore","doi":"10.1177/10398562221121215","DOIUrl":"https://doi.org/10.1177/10398562221121215","url":null,"abstract":"<p><strong>Objective: </strong>To analyse the overseas approval of aducanumab for Alzheimer's disease, in order to derive lessons of potential interest to individuals and groups involved in dementia drug development and regulation in Australia.</p><p><strong>Conclusions: </strong>Opportunities were identified regarding optimising clinical trial design and solidifying regulatory responsibilities. Increased awareness of the attitudes and needs of patients and patient advocacy organisations would likely improve the patient-clinician alliance. Incorporation of these factors into research design has the potential to improve patient satisfaction with outcomes.</p>","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"598-600"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40364091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"<i>The Thought Broadcast</i> - An Interview with Pramudie Gunaratne: \"A Seat at The Table\".","authors":"Oliver Robertson","doi":"10.1177/10398562221120456a","DOIUrl":"https://doi.org/10.1177/10398562221120456a","url":null,"abstract":"","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"587"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40388314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}