Australian and New Zealand Journal of Psychiatry最新文献

{"title":"The impact of the suicide of 'Parasite' actor Lee Sun Kyun on suicide rates in South Korea: A time-series analysis.","authors":"Jiyun Lee, Sangsoo Shin, Matthew J Spittal, Thomas Niederkrotenthaler, Ayal Schaffer, Mark Sinyor","doi":"10.1177/00048674251374467","DOIUrl":"https://doi.org/10.1177/00048674251374467","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251374467"},"PeriodicalIF":3.7,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare utilization for eating disorders in Australia: 10 years of health data linkage.","authors":"Kelly M Dann, Francisco J Schneuer, Jane Miskovic-Wheatley, Michelle Cunich, Moin Ahmed, Morgan Sidari, Grant Sara, Kristi R Griffiths, Janice Russell, Stephen Touyz, Sloane Madden, Claire Diffey, Tania Withington, Michelle Roberton, Warren Ward, Amy Hannigan, Natasha Nassar, Sarah Maguire","doi":"10.1177/00048674251379236","DOIUrl":"https://doi.org/10.1177/00048674251379236","url":null,"abstract":"<p><strong>Objective: </strong>Eating disorders impact physical, psychological, and social well-being, and often need complex health care. Understanding changes in healthcare utilization is essential for policy and planning. This research evaluates healthcare utilization by people with eating disorders by linking person-level data across health settings to provide a system-wide description of eating disorder care.</p><p><strong>Methods: </strong>This retrospective cohort study evaluates health service use by people with eating disorders aged 6 years or older in the three most populous states in Australia; New South Wales, Queensland, and Victoria, for a 10-year period, 2010-2019, by linking data for hospital admissions (public and private), emergency department presentations and public outpatient mental health. Population rates and Average Annual Percent Change (AAPC) by age groups are reported.</p><p><strong>Results: </strong>Service use increased significantly over the decade in all states, in all healthcare settings, and was highest for young people. Public outpatient service contacts doubled in VIC, almost tripled in NSW, and increased 5-fold in QLD. Public hospital admissions doubled in NSW and VIC and tripled in QLD. Hospital admissions for males increased at a higher rate than for females in NSW and QLD, and public hospital admissions for males in QLD increased 6-fold over the study period. Presentations to emergency departments doubled in all states. Population rates and AAPC show increases were greatest in 16- and 17-year-olds.</p><p><strong>Conclusions: </strong>This study covering three-quarters of the Australian population demonstrates substantial increases in rates of health service use for people with eating disorders between 2010 and 2019.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251379236"},"PeriodicalIF":3.7,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting equity, precision and integration in mental health and neuropsychiatric care.","authors":"Steve Kisely","doi":"10.1177/00048674251384753","DOIUrl":"https://doi.org/10.1177/00048674251384753","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251384753"},"PeriodicalIF":3.7,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental healthcare use of women who perpetrate intimate partner abuse: A case-linkage study.","authors":"Madeleine Brygel, Benjamin Spivak, Michael D Trood, Troy McEwan","doi":"10.1177/00048674251370889","DOIUrl":"https://doi.org/10.1177/00048674251370889","url":null,"abstract":"<p><strong>Objective: </strong>To determine the mental healthcare use of women with a police-recorded history of perpetrating intimate partner abuse, focusing on general population comparisons and characteristics of past victimisation and perpetration associated with specific service use.</p><p><strong>Methods: </strong>Population-level Victorian mental health databases were linked to women with a police-recorded history of perpetrating intimate partner abuse (<i>N</i> = 145). Rates of mental health service use were compared to same-aged women in the general population between 2016 and 2019. Patterns of mental health service use were examined using descriptive statistics and logistic regression models, controlling for age.</p><p><strong>Results: </strong>Compared to women in the general population, women who perpetrated intimate partner abuse had substantially higher rates of acute and outpatient public mental health service use both across the lifetime and during the 4-year incidence period of study. Women with multiple reports of perpetrating family violence had significantly more mental health service use than women with only a single report. Prior family violence victimisation, despite being present in almost three quarters of our sample, did not significantly increase the odds of lifetime mental health service use beyond the effects of perpetrating intimate partner abuse.</p><p><strong>Conclusion: </strong>Women who perpetrate intimate partner abuse may have more severe and incapacitating mental health needs than women in the general population, and acute mental health needs appear to increase as frequency of perpetration increases. Future research should examine if and to what extent addressing mental health needs may play a role in reducing women's intimate partner abuse perpetration.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251370889"},"PeriodicalIF":3.7,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autism spectrum disorder in older people: A scoping review of the screening and diagnostic tools available for diagnosis.","authors":"Annabelle Chalk, Andre Bauer, Niall Higgins, Isaac Tranter, Megan Nitz","doi":"10.1177/00048674251374475","DOIUrl":"https://doi.org/10.1177/00048674251374475","url":null,"abstract":"<p><strong>Background: </strong>The diagnosis and management of autism spectrum disorder is an important clinical issue for psychiatrists. However, there is a lack of research and resources to recognise this condition in older people. This condition is important to detect and diagnose because it is associated with high incidence of psychiatric comorbidity. The diagnosis helps clinicians understand the additional needs of these patients and helps families understand their additional difficulties. This paper aims to identify the studies that have been conducted on autism in the eldest and the approaches to detect and diagnose this.</p><p><strong>Method: </strong>A scoping review was conducted in accordance with the PRISMA Extension for Scoping Reviews guidelines. Searches were performed on five databases where search terms were based on (1) Autism, (2) Aged/Elderly and (3) Diagnosis. Two authors independently assessed the results with discrepancies resolved by a third reviewer. Quality was assessed using Mixed Method Quality Assessment Tool in included systematic reviews, randomised control trials, case-control studies, cohort studies, case series and case reports.</p><p><strong>Results: </strong>The review identified 4 diagnostic tools, and 19 screening tools available for use in the elderly. However, most of these tools were not validated in studies focusing on older people and most included a small number of older people in their sample.</p><p><strong>Conclusion: </strong>Given Australia's ageing population, and resultant increasing demands on healthcare services, this is an important topic to inform future research and clinical practice. More research is required to validate or create diagnostic and screening tools specifically for older people.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251374475"},"PeriodicalIF":3.7,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Art therapy with children and adolescents experiencing acute or severe mental health conditions: A systematic review.","authors":"Sarah Versitano, Stephanie Tesson, Chae-Weon Lee, Sheridan Linnell, Iain Perkes","doi":"10.1177/00048674251361731","DOIUrl":"10.1177/00048674251361731","url":null,"abstract":"<p><strong>Objective: </strong>Art therapy offers a predominantly non-verbal form of creative self-expression for people experiencing mental health issues. This systematic review aims to investigate the effectiveness and acceptability of art therapy for children and adolescents experiencing acute or severe mental health conditions.</p><p><strong>Methods: </strong>Following PRISMA guidelines, five electronic databases were searched (Embase, MEDLINE, Web of Science Core Collection, PsychINFO, CINAHL) using the search terms ('art therap*' OR 'art psychotherap*') AND ('child*' OR 'adolescen*' OR 'youth' OR 'young' OR 'teen*'). Study quality was assessed based on methodological rigour, and narrative synthesis of findings was undertaken.</p><p><strong>Results: </strong>Of 3529 identified articles, 90 (23 original research papers and 67 case studies) met criteria. Art therapy delivery method, dose and intervention duration varied across studies. Nonetheless, synthesis of the 23 original research studies indicated high acceptability. Randomised control trials demonstrated effectiveness in reducing the severity of symptoms of post-traumatic stress disorder, depression and suicidal ideation. Quasi-experimental, cohort and cross-sectional studies also showed reductions in anxiety symptoms and improvements in emotion regulation, self-awareness, distress tolerance, confidence, communication and self-expression across various mental health conditions.</p><p><strong>Conclusion: </strong>Art therapy is an effective and acceptable treatment for young people experiencing acute or severe mental health conditions, with a preponderance of evidence for post-traumatic stress disorder. Effectiveness across conditions, settings and art therapy intervention type suggests the capacity of art therapy to adapt to needs of young people. Enhanced access to art therapy for young people navigating acute distress will support the provision of engaging and effective mental health treatments.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"863-887"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time for psychiatry of the advanced age.","authors":"Gary Cheung, Roderick McKay, Anne Pf Wand","doi":"10.1177/00048674251362040","DOIUrl":"https://doi.org/10.1177/00048674251362040","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":"59 10","pages":"855-858"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatry across the lifespan: From early risk to advanced age.","authors":"Steve Kisely","doi":"10.1177/00048674251379230","DOIUrl":"https://doi.org/10.1177/00048674251379230","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":"59 10","pages":"853-854"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of suicide prevention helpline services by first-time, frequent, and daily callers: A national cohort study.","authors":"Annette Erlangsen, Nikolaj Kjær Høier, Agnieszka Storgaard Nielsen, Nicolai Køster Rimvall, Matthew Spittal, Brian Mishara, Merete Nordentoft","doi":"10.1177/00048674251361753","DOIUrl":"10.1177/00048674251361753","url":null,"abstract":"<p><strong>Objective: </strong>The objective was to examine response rates, types of callers and their probability of being answered, prevalence of at-risk callers, and to calculate national call rates.</p><p><strong>Methods: </strong>Data on all calls to the Danish, national telephone helpline for suicide prevention during July 2019 to December 2022 were analysed. A measure of unique calls was developed to account for repeat calls not being answered. We examined the probability of calls being answered by caller types using logistic regression and calculated national call rates for individuals aged ⩾15 years.</p><p><strong>Results: </strong>Overall, 526,533 calls were made by 31,317 individuals, and 131,621 unique calls were identified, of which 48.9% were answered. First-time callers (95.1%) accounted for 5.7% of calls. We found that 0.1% of callers accounted for 61.8% of all calls. This group of daily callers (>1000 calls each year) consisted of 8-12 unique callers and was more likely to be answered (odds ratio = 24, 95% confidence interval = [23, 25] vs first-time callers), often hung up (49.1% vs first-time callers: 4.4%), and received 33.0% of the total counselling time. The yearly national call and caller rates were 893 calls and 212 unique callers per 100,000 inhabitants, respectively.</p><p><strong>Conclusions: </strong>Correcting for repeated unanswered calls provided an informative estimate of the response rate. The call distribution was highly skewed; a small group of daily callers accounted for most calls and were more likely to be answered. These callers frequently hung up before a conversation was initiated. National call rates facilitate cross-country comparisons.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"917-925"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of mental health treatment plans, psychological treatment services and antidepressants in young Australian women: A cohort study.","authors":"Louise F Wilson, Annette J Dobson, Katharine A Wallis, Jenny A Doust, Gita D Mishra","doi":"10.1177/00048674251362038","DOIUrl":"10.1177/00048674251362038","url":null,"abstract":"<p><strong>Background: </strong>Australia has a high mental illness burden, especially among young women. It is known that people in urban areas, with more education and higher incomes are more likely to use Better Access services (mental health treatment plans and psychological treatments), while those in rural areas, or with lower education or incomes, disproportionately use antidepressants. During the COVID-19 period, the Australian government increased access to mental health care. Our aim was to investigate how rurality, education level and perceived ability to manage with income influenced young women's use of mental health treatment plans, psychological treatments and antidepressants separately or in various combinations (2019-2022).</p><p><strong>Methods: </strong>Survey and linked administrative data from 7642 women from the Australian Longitudinal Study on Women's Health were used. Relative risk ratios and 95% confidence intervals for associations between sociodemographic factors and use of mental health treatment plans and treatments were estimated using multinomial logistic regression.</p><p><strong>Results: </strong>Women in rural/remote areas (vs metropolitan areas) were less likely to have a mental health treatment plan (with/without antidepressants), difficulty managing with available income (vs not too bad/easy) was associated with having a mental health treatment plan and using antidepressants. High school-educated women (vs university-educated) were more likely to use antidepressants only (relative risk ratio = 1.60; 95% confidence interval = [1.24, 2.07]). Among women with mental health treatment plans (<i>n</i> = 3525), those in rural/remote areas (relative risk ratio = 2.00; 95% confidence interval = [1.13, 3.53]) and women not university-educated were more likely to use antidepressants without psychological treatment.</p><p><strong>Conclusion: </strong>Sociodemographically disadvantaged young women disproportionately used antidepressants without Better Access services. Evidence-based interventions to reduce these inequities should be a priority.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":"59 10","pages":"906-916"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}