Australian & New Zealand Journal of Psychiatry最新文献

Mortality in people living with dementia who self-harmed: An Australian data linkage study 自我伤害的痴呆症患者的死亡率：澳大利亚数据链接研究

Australian & New Zealand Journal of Psychiatry Pub Date : 2024-09-10 DOI: 10.1177/00048674241278243

Adrian R Walker, Preeyaporn Srasuebkul, Julian N Trollor, Anne PF Wand, Brian Draper, Rachael C Cvejic, Annette Moxey, Simone Reppermund

{"title":"Mortality in people living with dementia who self-harmed: An Australian data linkage study","authors":"Adrian R Walker, Preeyaporn Srasuebkul, Julian N Trollor, Anne PF Wand, Brian Draper, Rachael C Cvejic, Annette Moxey, Simone Reppermund","doi":"10.1177/00048674241278243","DOIUrl":"https://doi.org/10.1177/00048674241278243","url":null,"abstract":"Objectives:This study aimed to examine mortality for people living with dementia/mild cognitive impairment who self-harmed.Methods:We conducted a retrospective cohort study in New South Wales, Australia, using data ranging from 2001 to 2015. From people who accessed hospital services in the study period, we identified 154,811 people living with dementia/mild cognitive impairment, 28,972 who self-harmed and 1511 who had a record of both dementia/mild cognitive impairment and self-harm. We examined rates, causes and predictors of death for people with dementia/mild cognitive impairment and/or self-harm diagnoses using flexible parametric survival analyses. We explored rates of repeat self-harm in people living with dementia who self-harmed.Results:Circulatory disorders accounted for 32.0% of deaths in people with a living with dementia who self-harmed, followed by neoplasms (14.7%), and mental and behavioural disorders (9.6%). Death was more likely for someone who had self-harmed if they developed dementia/mild cognitive impairment. Predictors of death included male sex, greater physical comorbidity, a history of delirium, more previous emergency department presentations and fewer previous mental health ambulatory service days. Greater engagement with outpatient mental health services predicted a decreased likelihood of repeat self-harm.Discussion:We found that mortality increases when people who self-harm develop dementia. We argue post-diagnosis support offers a potential opportunity to reduce mortality rates in people with both dementia and self-harm diagnoses.","PeriodicalId":8576,"journal":{"name":"Australian & New Zealand Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219719","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}

引用次数: 0

Exploring the use of electroconvulsive therapy in the anticoagulated population: A systematic review 探索在抗凝人群中使用电休克疗法：系统回顾

Australian & New Zealand Journal of Psychiatry Pub Date : 2024-09-10 DOI: 10.1177/00048674241278235

Ashna Khalid, Aafreen Khalid, Sue Waite, David Plevin

{"title":"Exploring the use of electroconvulsive therapy in the anticoagulated population: A systematic review","authors":"Ashna Khalid, Aafreen Khalid, Sue Waite, David Plevin","doi":"10.1177/00048674241278235","DOIUrl":"https://doi.org/10.1177/00048674241278235","url":null,"abstract":"Background:Electroconvulsive therapy is an effective treatment for several psychiatric conditions. There are theoretical risks associated with electroconvulsive therapy in patients who are anticoagulated. However, there is no review investigating these adverse effects.Aim:This systematic review explored the literature on using electroconvulsive therapy in anticoagulated patients, including adverse effects associated with continuation or cessation of anticoagulation during electroconvulsive therapy.Methods:The study was registered on PROSPERO (registration CRD42023432178). A search was conducted across CENTRAL, Embase, Medline and PsychINFO databases, with title and abstract screening, full-text review and data extraction by two independent reviewers. Patients planned for electroconvulsive therapy and on anticoagulation prior to electroconvulsive therapy were included. Papers not related to electroconvulsive therapy or anticoagulation were excluded. Data were recorded in Microsoft Excel, presented in tables.Results:The studies comprised 108 patients and over 700 sessions of electroconvulsive therapy. 64.81% patients were on warfarin, 22.22% on a direct-acting oral anticoagulant, 5.55% on heparin and the rest on enoxaparin, dalteparin, acenocoumarol or bemiparin. There were two reports of both nonfatal non-central nervous system bleeding and pulmonary embolism in patients with anticoagulation. There were no intracranial haemorrhages or deaths. Bridging or substitution with an anticoagulant with a shorter half-life had no additional benefit.Conclusion:This review showed tolerability of anticoagulants continued throughout electroconvulsive therapy, with most patients reporting no adverse effects. Given limitations including few studies and medical comorbidities influencing patient risk profile, further studies are required to guide practice recommendations and review long-term outcomes.","PeriodicalId":8576,"journal":{"name":"Australian & New Zealand Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219734","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}

引用次数: 0

P03. Diversity is the Spice of Life P03.多样性是生活的调味品

Australian & New Zealand Journal of Psychiatry Pub Date : 2024-09-08 DOI: 10.1080/14401614070410s10162

Jenny Curran, Johanna Dekort, James Parker

引用次数: 0

What Happens to People after Self Harm 人们自残后的后果

Australian & New Zealand Journal of Psychiatry Pub Date : 2024-09-08 DOI: 10.1080/14401614070410s144

Simon Hatcher

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It's Not Dementia 这不是痴呆症

Australian & New Zealand Journal of Psychiatry Pub Date : 2024-09-08 DOI: 10.1080/14401614070410s170

Jane Law

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P07. Presentation Moved to Oral Presentation. P07.发言改为口头发言。

Australian & New Zealand Journal of Psychiatry Pub Date : 2024-09-08 DOI: 10.1080/14401614070410s10166

引用次数: 0

Clinical Practice Guidelines. Never Used Free to a Good Home 临床实践指南。从未使用免费赠送给好人家

Australian & New Zealand Journal of Psychiatry Pub Date : 2024-09-08 DOI: 10.1080/14401614070410s10118

Stephen Rosenman, Helen Christensen, Kathy Griffiths

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Measurement of Anxiety Symptoms in Older Adults: The Geriatric Anxiety Inventory 老年人焦虑症状测量：老年焦虑量表

Australian & New Zealand Journal of Psychiatry Pub Date : 2024-09-08 DOI: 10.1080/14401614070410s110

Gerard Byrne, Nancy Pachana

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The Revised College CPD Update 经修订的学院持续专业发展更新

Australian & New Zealand Journal of Psychiatry Pub Date : 2024-09-08 DOI: 10.1080/14401614070410s10100

Philip Morris, Jan Lancaster, Ajeet Singh

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Pain Medicine: New Frontiers in Moving from Cell to Soul, and Back 疼痛医学：从细胞到灵魂再到灵魂的新前沿

Australian & New Zealand Journal of Psychiatry Pub Date : 2024-09-08 DOI: 10.1080/14401614070410s10103

Frank New

引用次数: 0