Australian and New Zealand Journal of Psychiatry最新文献

{"title":"New hope for individuals with schizophrenia: A transdisciplinary research platform to discover and translate novel treatments.","authors":"James McLure, Urska Arnautovska, Bruna Panizzutti, Jiayue-Clara Jiang, Suzanne Robinson, Katherine D Drummond, Mohammadreza Mohebbi, Lana J Williams, Susan L Rossell, Jee Hyun Kim, Christos Pantelis, Alison R Yung, Dan Siskind, Ken Walder, Michael Berk","doi":"10.1177/00048674251342959","DOIUrl":"10.1177/00048674251342959","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"569-572"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141258","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":"Advancing psychological interventions for premenstrual dysphoric disorder: A dialectical behaviour therapy-informed treatment model.","authors":"Aimee Oliveri, Sharryn Muir, Eveline Mu, Jayashri Kulkarni","doi":"10.1177/00048674251348370","DOIUrl":"https://doi.org/10.1177/00048674251348370","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251348370"},"PeriodicalIF":4.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504713","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":"Meta-analysis of risk factors for suicide after psychiatric discharge and meta-regression of the duration of follow-up.","authors":"Allyson Tai, Hannah Pincham, Ashna Basu, Matthew Large","doi":"10.1177/00048674251348372","DOIUrl":"https://doi.org/10.1177/00048674251348372","url":null,"abstract":"<p><strong>Background: </strong>Rates of suicide following discharge from psychiatric hospitals are extraordinarily high in the first week post-discharge and then decline steeply over time. The aim of this meta-analysis is to evaluate the strength of risk factors for suicide after psychiatric discharge and to investigate the association between the strength of risk factors and duration of study follow-up.</p><p><strong>Methods: </strong>A PROSPERO-registered meta-analysis of observational studies was performed in accordance with PRISMA guidelines. Post-discharge suicide risk factors reported five or more times were synthesised using a random-effects model. Mixed-effects meta-regression was used to examine whether the strength of suicide risk factors could be explained by duration of study follow-up.</p><p><strong>Results: </strong>Searches located 83 primary studies. From this, 63 risk estimates were meta-analysed. The strongest risk factors were previous self-harm (odds ratio = 2.75, 95% confidence interval = [2.37, 3.19]), suicidal ideation (odds ratio = 2.15, 95% confidence interval = [1.73, 2.68]), depressive symptoms (odds ratio = 1.84, 95% confidence interval = [1.48, 2.30]), and high-risk categorisation (odds ratio = 7.65, 95% confidence interval = [5.48, 10.67]). Significantly protective factors included age ⩽30, age ⩾65, post-traumatic stress disorder, and dementia. The effect sizes for the strongest post-discharge suicide risk factors did not decline over longer periods of follow-up.</p><p><strong>Conclusion: </strong>The effect sizes of post-discharge suicide risk factors were generally modest, suggesting that clinical risk factors may have limited value in distinguishing between high-risk and low-risk groups. The highly elevated rates of suicide immediately after discharge and their subsequent decline remain unexplained.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251348372"},"PeriodicalIF":4.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504714","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":"Research Letter: Ageing and anxiety: Prevalence of anxiety in older adults with psychotic illnesses.","authors":"Magdalena Hagn, Andre Bauer, Gerard J Byrne","doi":"10.1177/00048674251346680","DOIUrl":"https://doi.org/10.1177/00048674251346680","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251346680"},"PeriodicalIF":4.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482926","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":"Lived experience perspectives about gaps and barriers in services for those living with, and those providing care, for people with young-onset dementia in Australia: Findings from the Joint Solutions Project.","authors":"Samantha M Loi, Priscilla Tjokrowijoto, Nathan M D'Cunha, Jade Cartwright, Naomi Moylan, Monica Cations, Debbie Stange, Adrienne Withall, Kelly Atkins, Laine Bradley, Elissa Burton, Brian Draper, Amanda Fitzgerald, Clare Goodlet, Muireann Irish, Trish Joseph, Wendy Kelso, Robyn Lewis, Vincent Poisson, Margaret Pozzebon, Theresa Scott, Daniel Schweitzer, Kym Torresi, Angela Scovell, Anita Goh, Rachael Cvejic, Karen Glennen, Clare Beard","doi":"10.1177/00048674251346681","DOIUrl":"https://doi.org/10.1177/00048674251346681","url":null,"abstract":"<p><strong>Introduction: </strong>Young-onset dementia (YOD) is a dementia where symptom onset occurs at less than 65 years of age. There has been increased recognition of YOD with improved diagnostic assessments and the introduction of the National Disability Insurance Scheme (NDIS). The Joint Solutions project aimed to evaluate the gaps and barriers along the pathway of care in Australia from a range of stakeholder perspectives to investigate access to services from those who have YOD and those who provide care for them.</p><p><strong>Methods: </strong>A cross-sectional quantitative approach was used, with questionnaires designed in consultation with general practitioners (GPs), clinicians, people with YOD, caregivers and community service providers.</p><p><strong>Results: </strong>313 people responded, including 45% lived experience (<i>n</i> = 33 people with YOD; 105 caregivers), 30% clinicians (<i>n</i> = 7 GPs; <i>n</i> = 86 clinicians), and 25% community providers. All states of Australia were represented, with Victoria having the largest proportion of respondents (39%). Time to diagnosis was 12 months from symptom onset for 70% of caregivers. Up to 90% of caregivers reported their family member with YOD had cognitive testing and neuroimaging. Access to age-appropriate post-diagnostic support varied, with 40% of caregivers reporting their family member received allied health and psychological support. There was limited information provided on employment, driving, legal and financial issues. Sixty percent of people with lived experience stated they had difficulties accessing the NDIS.</p><p><strong>Discussion: </strong>There is improvement in the diagnosis of YOD but access to and availability of post-diagnostic support varies. More work is needed to improve equity and collaboration between service providers and clinicians and those affected by YOD.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251346681"},"PeriodicalIF":4.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473897","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":"Twelve-month prevalence and correlates of criminal offending in a nationally representative sample of people with psychotic disorders.","authors":"Anoop Sankaranarayanan, Patsy Di Prinzio, Frank Morgan, Giulietta Valuri, David Castle, Anna Waterreus, Vera A Morgan","doi":"10.1177/00048674251346676","DOIUrl":"https://doi.org/10.1177/00048674251346676","url":null,"abstract":"<p><strong>Objectives: </strong>We used a large, representative sample of adults with psychotic disorders (<i>N</i> = 1825) from the 2010 Australian national survey of psychotic disorders (Survey of High Impact Psychosis - SHIP) to report on 12-month prevalence of both any and violent criminal offending among people with psychotic disorders, and examine correlates of criminal offending, modelling the impact of clinical factors over known sociodemographic and behavioural risk factors.</p><p><strong>Methods: </strong>Any past year criminal offending was the main outcome variable, based on self-reported criminal offending, charge and/or arrest. We assessed the additional impact of clinical variables over other risk factors associated with criminal offending. Odds ratio and 95% confidence intervals determined from logistic regression summarised the association of risk factors with offending outcomes.</p><p><strong>Results: </strong>Of 1784 participants with valid responses, 305 (220 men, 85 women) reported criminal offending; 38 men and 6 women reporting some violent offending. Compared with non-offenders, younger age, male sex, homelessness, cannabis and other drug use, and past year delusions and mania were associated with offending in logistic regression models.</p><p><strong>Conclusion: </strong>We found that known sociodemographic risk factors such as sex and homelessness were predictive of both any offending and violent offending. Other significant correlates of any offending behaviour were cannabis use, other illicit substance use and violent victimisation. Clinical factors including past year delusions, mania and deliberate self-harm, and premorbid personality disorder were associated with any offending but not with violent offending. Our study challenges the importance given to many clinical factors, especially in regard to risk of violent offending.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251346676"},"PeriodicalIF":4.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473899","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":"Setting Australian research priorities for child mental health clinical trials: A Delphi study.","authors":"Ellie Tsiamis, Anthony Jorm, Lakshmi Neelakantan, Amy Morgan","doi":"10.1177/00048674251345318","DOIUrl":"https://doi.org/10.1177/00048674251345318","url":null,"abstract":"<p><strong>Objective: </strong>To identify Australian research priorities for clinical trials in child mental health (0-12 years).</p><p><strong>Methods: </strong>A Delphi consensus study across three rounds was carried out with child mental health professional and lived experience experts. Potential research priorities for rating by the experts were identified from a rapid review; content analysis of government strategies and targeted calls for research; and panellists' suggestions. The highest rated priorities were then reduced to a smaller number of top priorities using a resource allocation exercise.</p><p><strong>Results: </strong>A total of 391 potential priorities were rated by 66 panellists. Panellists endorsed 75 priorities for trials covering a range of mental health interventions (promotion, prevention, assessment, and treatment), as well as overarching priorities applicable to all types of trials. The final resource allocation exercise refined these further to 12 top research priorities, including two promotion trial priorities, seven prevention and assessment trial priorities, and four treatment trial priorities.</p><p><strong>Conclusion: </strong>Results will aid the Growing Minds Australia Clinical Trials Network's review, prioritisation, and endorsement of future clinical trials in child mental health. The findings can also be used to inform key stakeholders in child mental health on where clinical trial research efforts have focused in the past and what should be considered a priority in the future.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251345318"},"PeriodicalIF":4.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473898","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":"Research Letter: Increasing access to psychological therapies for psychosis in Australia: The need to upskill the private practice psychology workforce.","authors":"Rachel M Brand, Tahlia Wilson, Karina Rune","doi":"10.1177/00048674251348380","DOIUrl":"10.1177/00048674251348380","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251348380"},"PeriodicalIF":4.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332404","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":"Suicidal ideation, suicide plans and suicide attempts among Australian adults: Findings from the 2020-2022 National Study of Mental Health and Wellbeing.","authors":"Vikas Arya, Philip Burgess, Sandra Diminic, Meredith G Harris, Tim Slade, Matthew Sunderland, Caley Tapp, Joshua Vescovi, Jane Pirkis","doi":"10.1177/00048674241256753","DOIUrl":"10.1177/00048674241256753","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to describe the epidemiology of suicidal ideation, suicide plans and suicide attempts, examine services received for suicide attempts, and explore the relationship between suicide attempts and self-harm without suicidal intent.</p><p><strong>Methods: </strong>We used survey data from the 2020-2022 National Study of Mental Health and Wellbeing, which involved a nationally representative sample of Australian adults aged 16-85 (<i>n</i> = 15,893). Comparisons were made with the 2007 National Study of Mental Health and Wellbeing (<i>n</i> = 8841).</p><p><strong>Results: </strong>In 2020-2022, the proportions of adults who had experienced suicidal ideation, suicide plans and suicide attempts during their lifetime were 16.6%, 7.5% and 4.9%, respectively. The proportions who had experienced these in the past 12 months were 3.3%, 1.1% and 0.3%. The odds of experiencing suicidal ideation and making a suicide plan were significantly higher in 2020-2022 than in 2007. Groups at heightened risk of suicidal ideation, suicide plans and/or suicide attempts in the previous 12 months were males, young people, people who were gay, lesbian, or bisexual or used some other term to describe their sexual identity, people outside the labour force, people from disadvantaged areas and people with mental disorders. Two-fifths of those who attempted suicide during the previous 12 months did not use health services following their attempt, and two-thirds also self-harmed without suicidal intent.</p><p><strong>Conclusion: </strong>The implications of these findings for the forthcoming National Suicide Prevention Strategy are discussed. Suicidal thoughts and behaviours confer risk for suicide and are significant problems in their own right. Their prevention requires a strong whole-of-government response.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"500-509"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141299902","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":"Positive outcomes for individuals participating in psychosis research.","authors":"Marko Milicevic, Cláudia C Gonçalves, Carl Moller, James McLure, Tracey Watson, Alison R Yung","doi":"10.1177/00048674251333573","DOIUrl":"10.1177/00048674251333573","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"482-484"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967134","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}