{"title":"The interconnectedness and causes of female suicidal ideation with domestic violence","authors":"M. Guggisberg","doi":"10.5172/jamh.5.1.53","DOIUrl":"https://doi.org/10.5172/jamh.5.1.53","url":null,"abstract":"Abstract Although there is a significant body of knowledge about suicide, in particular male suicide, very limited empirical data exist about female suicidal ideation. This theoretical analysis considers the extent to which domestic violence may constitute an underlying cause of female suicidality by examining published literature mainly from Australia. It explores major effects of domestic violence, investigates the prevalence of suicide in women, and then considers the relationships between domestic violence, mental disorders in women, victim-blaming attitudes and female suicidality. The paper suggests that a traditional victim-blaming attitude towards abused women is considerably interrelated with female suicide. It is recommended that female suicidal ideation, which may be caused by domestic violence, needs to be recognised as an important women’s and public health issue.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117106229","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}
Kylie G. Oliver, Philippa Collin, J. Burns, J. Nicholas
{"title":"Building resilience in young people through meaningful participation","authors":"Kylie G. Oliver, Philippa Collin, J. Burns, J. Nicholas","doi":"10.5172/jamh.5.1.34","DOIUrl":"https://doi.org/10.5172/jamh.5.1.34","url":null,"abstract":"Abstract Building resilience in young people is an important goal if we are to strengthen capacity and promote skills that help to reduce mental health problems. One way to foster resilience in young people is through meaningful youth participation; that is, decision-making by young people that involves meaning, control, and connectedness. Whilst youth participation may occur in recognition of young people’s rights to be involved in all decisions that affect them, meaningful participation can itself enhance a young person’s sense of connectedness, belonging and valued participation, and thereby impact on mental health and well being. Based on its extensive experience working collaboratively with young people, the Inspire Foundation, in partnership with young people, has developed a flexible and diverse approach to youth participation. This paper outlines the theoretical and conceptual underpinnings of the model, and discusses the operationalisation of program goals, atmosphere and activities that seek to build resilience through meaningful youth participation.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117119221","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":"Feedback to a prototype self-help computer program for anxiety disorders in adolescents","authors":"M. Cunningham, R. Rapee, Heidi J. Lyneham","doi":"10.5172/jamh.5.3.216","DOIUrl":"https://doi.org/10.5172/jamh.5.3.216","url":null,"abstract":"Abstract Computer-based therapy is a potential treatment delivery method to help reach many adolescents who have an anxiety disorder but who do not access traditional psychological services. At Macquarie University’s Anxiety Research Unit we have developed Cool Teens, a computer-based, self-help program for this audience. The aim of this study was to examine adolescents’ presentation ratings, multimedia preferences, and attitudes to a prototype version of the Cool Teens CD-ROM. Nine adolescents who had previously been treated for an anxiety disorder and 13 non-clinical teens used the prototype and completed a feedback questionnaire. Participants rated all multimedia components positively, but showed a preference for live video in some sections. They reported the CD-ROM was easy to use and visually appealing. The adolescents who had previously been through group treatment all reported they would use a program such as Cool Teens either to prepare or to practice following group sessions. Three of these nine participants reported a preference to use a CDROM instead of attending group therapy. We conclude that interactive computer-based cognitive behavioural therapy may be an acceptable method of delivering treatment to some adolescents.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116032120","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":"Adapting psychotherapy to psychosis","authors":"R. Lakeman","doi":"10.5172/jamh.5.1.22","DOIUrl":"https://doi.org/10.5172/jamh.5.1.22","url":null,"abstract":"Abstract The tradition in many schools of psychotherapy has been the exclusion of people experiencing psychosis or the suspension of psychotherapy when psychosis emerges. In this paper it is argued that those who experience psychosis have a need for psychotherapeutic assistance. Health professionals involved in the care of people with psychosis ought to interact in a psychotherapeutic manner and develop psychotherapeutic skills. The purposes and some selected techniques of psychotherapy along the supportive-exploratory continuum are reviewed and pragmatic considerations when selecting psychotherapeutic interventions are discussed.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116455721","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":"The mental health Risk Assessment and Management Process (RAMP) for schools: I. The model","authors":"Susan Fealy, I. Story","doi":"10.5172/jamh.5.3.284","DOIUrl":"https://doi.org/10.5172/jamh.5.3.284","url":null,"abstract":"Abstract Recent national surveys have indicated that there is a significant level of unidentified and untreated mental health problems in children and young people. This represents a chronic missed opportunity to ameliorate these problems by early identification and intervention. Schools are the obvious setting in which to improve mental health in this population, but there is a service gap between whole-school mental health promotion programs and individual service provision by mental health professionals. The Risk Assessment and Management Process (RAMP) has evolved after extensive piloting with schools as a response to this service gap. It is a systematic set of processes for schools that promotes early identification and intervention for children and adolescents at risk of mental health problems. It uses a three domain risk and protective factor framework, a team-based approach to pastoral care, structured team processes, protocols and solution focused strategies tailored to the school setting, and provides professional development in mental health to school staff. These interconnected components work together to provide an early identification and response process for at-risk students which encompasses within-school support and linkages between the school, the family and community organisations and agencies.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114424478","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":"The need for relapse prevention strategies in Top End remote indigenous mental health","authors":"T. Nagel","doi":"10.5172/jamh.5.1.48","DOIUrl":"https://doi.org/10.5172/jamh.5.1.48","url":null,"abstract":"Abstract The Australian Integrated Mental Health Initiative in the Northern Territory (AIMHI NT) is one site of a National Health and Medical Research Council (NHMRC) Strategic Partnership initiative seeking to improve remote indigenous mental health outcomes – in a context of increasing hospital admissions and high readmission rates. Remote indigenous mental health service delivery faces challenges of isolation, staff recruitment and retention, and cultural, language and literacy issues. AIMHI NT explored the challenges of mental health service delivery and relapse prevention in Top End remote Aboriginal communities through semistructured interviews with General Practitioners, nurses, and Aboriginal Mental Health Workers. AIMHI NT sought views from a range of different practitioners and health centres, representing each of the three Top End regions - Katherine, East Arnhem and Darwin Rural. Remote service providers reported low levels of confidence in indigenous mental health assessment, and little formal training in mental health. They reported high rates of relapse of mental illness and high rates of comorbidity, but few relapse prevention activities and relapse prevention tools. The development of relapse prevention activities in primary care requires support and change at all levels – community, consumers and carers, service providers, health system, and health policy. AIMHI NT is engaged in a range of activities promoting relapse prevention in remote NT health centres, and has developed a care plan and care plan training package for remote service providers.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114599171","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":"Sailing in a new direction: Multicultural mental health in New Zealand","authors":"R. DeSouza","doi":"10.5172/jamh.5.2.155","DOIUrl":"https://doi.org/10.5172/jamh.5.2.155","url":null,"abstract":"Abstract Migrants and refugees make up an increasingly significant number of Aotearoa/New Zealand’s population with one in five New Zealanders being born in another country compared with one in eight people in the United States and one in fifteen in Europe. Increasingly efforts are being made to ensure that settlement services are provided and that mental health service delivery is cognisant of their needs. This paper describes some of the efforts being undertaken in Aotearoa/New Zealand and the implications of such efforts; in particular the mental health of Asians, a growing group, is explored. The author suggests that there is a need to learn from Pacific people’s ventures, to broaden the bicultural dialogue and finally to expand the new focus from Asians, refugees and migrants to also include the needs of long term settled communities and international students.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124818322","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":"Do Internet self-harm discussion groups alleviate or exacerbate self-harming behaviour?","authors":"C. Murray, J. Fox","doi":"10.5172/jamh.5.3.225","DOIUrl":"https://doi.org/10.5172/jamh.5.3.225","url":null,"abstract":"Abstract The Internet has proved a popular medium for persons with a variety of health-related complaints to provide one another with information and mutual support. However, although there are currently hundreds of Internet discussion groups dedicated to the issue of self-harm, there is disagreement as to whether these groups exacerbate or help alleviate self-harming behaviour. The present study sought to explore possible positive and negative aspects of membership of a self-harm discussion group. Members of one self-harm discussion group (n=102) completed a web-based questionnaire. The findings indicated that the majority of respondents viewed the discussion group as having positive effects, with many respondents reducing the frequency and severity of their self-harming behaviour as a consequence of group membership. Future work needs to address how typical the present findings are for Internet self-harm groups in general, and whether these groups are of any more (or less) benefit than current self-harm support groups that meet face-to-face.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"241 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131782523","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":"Intervening with the process of recovery from a traumatic life event: Case study of a child victim of a school fire disaster in India","authors":"S. Satapathy, Ajinder Walia","doi":"10.5172/jamh.5.3.195","DOIUrl":"https://doi.org/10.5172/jamh.5.3.195","url":null,"abstract":"Abstract The case analysis is based on a school fire tragedy in India, which resulted in 93 deaths and 21 grievously injured children. The case discussed here was a part of a larger study undertaken mainly to identify harmful psychological reactions and associated behaviour having long-term psychiatric implications, and to assess the suitability and appropriateness of a 10-day home-based psychosocial intervention programme. The intervention was undertaken three and half months after the incident to ensure that the major treatment of injuries was done. Different play therapy methods were applied to facilitate the ventilation of thoughts and emotions in the child. Post traumatic stress symptoms were measured with a subset of 8 items from the Impact of Events Scale (Horowitz, Wilner & Alvarez, 1979; validated by Dyregrov & Yule, 1995). Results showed remarkable reduction in the exhibition of psychosomatic symptoms, especially stress and anxiety symptoms, in the post intervention assessment. The mean score on the IES scale was also less. Parents, neighbours and relatives corroborated the behavioural change observed by the team. Reduced anxiety, apprehension, and shyness also validated the intervention. The findings highlighted the need for and significance of providing mental health care services and developing need-based psychosocial intervention programmes for children encountering such severe disasters.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121128793","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}
R. King, C. Lloyd, T. Meehan, Khaleda O'Neill, Cindy Wilesmith
{"title":"Development and evaluation of the Clinician Suicide Risk Assessment Checklist","authors":"R. King, C. Lloyd, T. Meehan, Khaleda O'Neill, Cindy Wilesmith","doi":"10.5172/jamh.5.1.67","DOIUrl":"https://doi.org/10.5172/jamh.5.1.67","url":null,"abstract":"Abstract This paper describes the development and evaluation of a new instrument – the Clinician Suicide Risk Assessment Checklist (CSRAC). The instrument assesses the clinician’s competency in three areas: clinical interviewing, assessment of specific suicide risk factors, and formulating a management plan. A draft checklist was constructed by integrating information from 1) literature review 2) expert clinician focus group and 3) consultation with experts. It was utilised in a simulated clinical scenario with clinician trainees and a trained actor in order to test for inter-rater agreement. Agreement was calculated and the checklist was re-drafted with the aim of maximising agreement. A second phase of simulated clinical scenarios was then conducted and inter-rater agreement was calculated for the revised checklist. In the first phase of the study, 18 of 35 items had inadequate inter-rater agreement (60%>), while in the second phase, using the revised version, only 3 of 39 items failed to achieve adequate inter-rater agreement. Further evidence of reliability and validity are required. Continued development of the CSRAC will be necessary before it can be utilised to assess the effectiveness of risk assessment training programs.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131645703","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}