Australian and New Zealand Journal of Psychiatry最新文献

筛选
英文 中文
Exploring the reliability and profile of frequent mental health presentations using different methods: An observational study using statewide ambulance data over a 4-year period. 使用不同方法探索频繁出现的精神疾病的可靠性和概况:利用全州救护车 4 年间的数据进行观察研究。
IF 4 2区 医学
Australian and New Zealand Journal of Psychiatry Pub Date : 2025-01-01 Epub Date: 2024-10-26 DOI: 10.1177/00048674241289016
Anthony Hew, Jesse T Young, Bosco Rowland, Debbie Scott, Ziad Nehme, Shalini Arunogiri, Dan I Lubman
{"title":"Exploring the reliability and profile of frequent mental health presentations using different methods: An observational study using statewide ambulance data over a 4-year period.","authors":"Anthony Hew, Jesse T Young, Bosco Rowland, Debbie Scott, Ziad Nehme, Shalini Arunogiri, Dan I Lubman","doi":"10.1177/00048674241289016","DOIUrl":"10.1177/00048674241289016","url":null,"abstract":"<p><strong>Introduction: </strong>A disproportionate number of mental health presentations to emergency services are made by frequent presenters. No current consensus definition of a frequent presenter exists. Using a statewide population-based ambulance database, this study (i) applied previous statistical methods to determine thresholds for frequent presenters, (ii) explored characteristics of the identified frequent presenter groups compared to non-frequent presenters and (iii) assessed the reliability of these methods in predicting continued frequent presenter status over time.</p><p><strong>Methods: </strong>Statistical methods utilised in previous studies to identify frequent presenters were applied to all ambulance attendances for mental health symptoms, self-harm and alcohol and other drug issues between 1 January 2017 and 31 December 2020 in Victoria, Australia. Differences in characteristics between identified frequent and non-frequent presenter groups were determined by logistic regression analysis. The consistency of agreement of frequent presenter status over time was assessed using intraclass correlation coefficients.</p><p><strong>Results: </strong>Thresholds for frequent presenters ranged from a mean of 5 to 39 attendances per calendar year, with groups differing in size, service use and characteristics. Compared to non-frequent presenters, frequent presenters had greater odds of being female, presenting with self-harm, experiencing social disadvantage or housing issues, involving police co-attendance and being transported to hospital. All frequent presenter definitions had poor reliability in predicting ongoing frequent presentations over time.</p><p><strong>Conclusion: </strong>A range of methods can define frequent presenters according to thresholds of yearly service use. Reasons for identifying frequent presenters may influence the method chosen. Future studies should explore definitions that capture the dynamic nature of presentations by this group.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"74-85"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493731","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}
引用次数: 0
Youth suicidality risk relative to ambient temperature and heatwaves across climate zones: A time series analysis of emergency department presentations in New South Wales, Australia. 不同气候带的青少年自杀风险与环境温度和热浪的关系:澳大利亚新南威尔士州急诊科就诊情况的时间序列分析。
IF 4 2区 医学
Australian and New Zealand Journal of Psychiatry Pub Date : 2025-01-01 Epub Date: 2024-10-23 DOI: 10.1177/00048674241290449
Cybele Dey, Jianyun Wu, John Uesi, Grant Sara, Michael Dudley, Katherine Knight, James G Scott, Ollie Jay, Michael Bowden, Iain E Perkes
{"title":"Youth suicidality risk relative to ambient temperature and heatwaves across climate zones: A time series analysis of emergency department presentations in New South Wales, Australia.","authors":"Cybele Dey, Jianyun Wu, John Uesi, Grant Sara, Michael Dudley, Katherine Knight, James G Scott, Ollie Jay, Michael Bowden, Iain E Perkes","doi":"10.1177/00048674241290449","DOIUrl":"10.1177/00048674241290449","url":null,"abstract":"<p><strong>Objective: </strong>Youth suicidality prevalence continues to rise alongside hot weather severity. Links between these two variables are underexplored. We examined associations between daily temperature and emergency department suicidality presentations by young people. We assessed these associations for five regions covering New South Wales as determined by 'climate zone' and analysed for heatwave effects as well as based on demographic subgroups.</p><p><strong>Methods: </strong>Daily emergency department presentations for suicidality by people aged 12-24 years across New South Wales, Australia, during warmer months (November to March) from 2012 to 2019 were examined in relation to daily mean temperature and heatwaves (⩾3 consecutive days ⩾ 95th percentile of long-term daily mean temperature) and by climate zone, using a generalised additive model with negative binomial distribution. Risks for age- and sex-based subgroups were also calculated.</p><p><strong>Results: </strong>New South Wales youth suicidality presentation rates were significantly higher on hotter days. For every 1°C rise above average daily mean temperature, youth suicidality presentations to New South Wales emergency departments increased by 1.3%. Heatwaves did not increase presentation rates beyond single-day daily mean temperature effects. These findings were predominantly replicated across climate zones and demographic subgroups, though the association between suicidality and ambient temperature was weaker in coastal regions including Eastern Sydney.</p><p><strong>Conclusion: </strong>There is a positive linear association between ambient temperature and youth suicidality presentations to emergency departments. Risks are increased on single hot days, not only during heatwaves. Public health, broader societal approaches to heat and health system planning should consider impacts on youth suicidality of predicted increases in hot weather severity and frequency.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"18-28"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493734","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}
引用次数: 0
Self-poisoning in young Australians: The impact of COVID-19 and recent trends following easing of restrictions. 澳大利亚年轻人的自毒行为:COVID-19 的影响以及放宽限制后的最新趋势。
IF 4 2区 医学
Australian and New Zealand Journal of Psychiatry Pub Date : 2025-01-01 Epub Date: 2024-11-18 DOI: 10.1177/00048674241291321
Nicholas A Buckley, Firouzeh Noghrehchi, Rohan A Elliott, Carol Wylie, Nick Merwood, Lauren Benger, Jared Brown, Rose Cairns
{"title":"Self-poisoning in young Australians: The impact of COVID-19 and recent trends following easing of restrictions.","authors":"Nicholas A Buckley, Firouzeh Noghrehchi, Rohan A Elliott, Carol Wylie, Nick Merwood, Lauren Benger, Jared Brown, Rose Cairns","doi":"10.1177/00048674241291321","DOIUrl":"10.1177/00048674241291321","url":null,"abstract":"<p><strong>Introduction: </strong>Self-poisoning is the most common form of hospitalised self-harm in young people and has been increasing over the last decade. The COVID-19 pandemic was associated with further increases in self-harm in adolescents. There are limited data on changes after pandemic restrictions ended. This study aimed to describe recent trends in self-poisoning in young people.</p><p><strong>Setting: </strong>Australia 2018-2023.</p><p><strong>Methods: </strong>A retrospective analysis of self-poisoning calls to Australia's poisons information centres. Intentional poisoning exposures in people aged 5-19 years were included in the main analysis. We also examined intentional poisonings in people aged 20 and over for comparison. We used interrupted time-series analysis to estimate the impact of COVID-19 (March 2020) and 're-opening' (December 2021), when many restrictions were lifted in Australia. We compared effects in the jurisdictions with most disruptions and lockdowns with other jurisdictions.</p><p><strong>Results: </strong>There were 201,755 self-poisonings documented, 64% female, with 19,946 children (aged 5-14, 9.9%) and 44,388 adolescents (aged 15-19, 22.0%). There was a steep increase in the rate of poisoning in female children and adolescents - with the annual increase being 1.361 (95% confidence interval = [1.074, 1.735]) and 1.154 (95% confidence interval = [1.049, 1.283]) times faster than pre-pandemic trends in these two groups between March 2020 and December 2021. Following relaxation of restrictions, there was a sudden drop and then slow decline in self-poisonings (despite rising COVID-19 infection rates). There was an overall 29.6% increase in intentional poisonings in young people over the study period. This is markedly more pronounced among young females (37.0%) vs males (11.2%). There were substantial jurisdictional variations, with larger increases in Victoria, Tasmania and the Australian Capital Territory.</p><p><strong>Conclusion: </strong>There has been a marked increase in child and adolescent female self-poisonings over the last 6 years, with increases strongly associated with COVID-19 pandemic restrictions but persisting after their removal.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"29-39"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646254","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}
引用次数: 0
Prevalence of suicidal and self-harm ideation in fathers during the perinatal and early parenting period: A systematic review and meta-analysis. 围产期和育儿初期父亲自杀和自残意念的流行率:系统回顾和荟萃分析。
IF 4 2区 医学
Australian and New Zealand Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-08-08 DOI: 10.1177/00048674241267896
Alison Fogarty, Grace McMahon, Helen Findley, Casey Hosking, Madison Schulz, Monique Seymour, Liana Leach, Rohan Borschmann, Craig F Garfield, Rebecca Giallo
{"title":"Prevalence of suicidal and self-harm ideation in fathers during the perinatal and early parenting period: A systematic review and meta-analysis.","authors":"Alison Fogarty, Grace McMahon, Helen Findley, Casey Hosking, Madison Schulz, Monique Seymour, Liana Leach, Rohan Borschmann, Craig F Garfield, Rebecca Giallo","doi":"10.1177/00048674241267896","DOIUrl":"10.1177/00048674241267896","url":null,"abstract":"<p><strong>Objective: </strong>Suicide is a leading cause of death in males aged 25-44 years, an age which often coincides with becoming a father. This review aims to synthesise the evidence of the prevalence of suicidal and self-harm ideation in fathers during the perinatal, postnatal and early parenting period.</p><p><strong>Methods: </strong>Five databases were searched (PsycINFO, Medline, Web of Science, PubMed and the Cochrane Database of Systematic Reviews) to identify papers published between 1 January 2000 and 9 March 2023. A meta-analysis was conducted to estimate the prevalence of suicidality and self-harm ideation across the included studies. Subgroup and sensitivity analyses were conducted to explore potential sources of heterogeneity.</p><p><strong>Results: </strong>A total of 4215 articles were identified, with 14 studies included in the review. The combined pooled prevalence of suicidal and self-harm ideation was 4.2% (95% CI [2.6%, 6.2%]). Prevalence estimates were higher for self-harm ideation at 5.1% (95% CI [2.6%, 6.2%]) than for suicidality at 3% (95% CI [0.9%, 6.1%]).</p><p><strong>Conclusions: </strong>This review found that a considerable proportion of fathers experience suicidal and self-harm ideation during the early years of parenting. However, the paucity of rigorous prevalence studies indicates that further research in this area is needed urgently.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"1020-1033"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905734","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}
引用次数: 0
Compulsory Community Treatment Orders and health outcomes for Ma-ori in New Zealand. 强制社区治疗令与新西兰毛利人的健康状况。
IF 4 2区 医学
Australian and New Zealand Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-09-26 DOI: 10.1177/00048674241280918
Ben Beaglehole, Chris Frampton, Giles Newton-Howes, Arahia Kirikiri, Cameron Lacey
{"title":"Compulsory Community Treatment Orders and health outcomes for Ma-ori in New Zealand.","authors":"Ben Beaglehole, Chris Frampton, Giles Newton-Howes, Arahia Kirikiri, Cameron Lacey","doi":"10.1177/00048674241280918","DOIUrl":"10.1177/00048674241280918","url":null,"abstract":"<p><strong>Background: </strong>We have previously analysed outcomes for all community treatment orders commenced during a 10-year period in New Zealand. Given Te Tiriti O Waitangi obligations to scrutinise health and consider equity for Māori, we completed this analysis to consider community treatment-order outcomes according to ethnicity.</p><p><strong>Methods: </strong>Ministry of Health databases provided demographic, service use and medication dispensing data for community treatment-order recipients between 2009 and 2018. As non-Māori on community treatment orders are older, less deprived and less likely to be diagnosed with a Psychotic Disorder, data were categorised according to age (<35/⩾35 years), level of deprivation (New Zealand Dep levels ⩽3, 4-6 and ⩾7) and diagnosis (Psychotic Disorder/non-Psychotic Disorder). The incidences of key outcome measures (admissions, community care, medication dispensing) were calculated for periods on/off community treatment orders for Māori and non-Māori to consider the differential impact of community treatment orders according to ethnicity.</p><p><strong>Results: </strong>Māori have high rates of community treatment order utilisation and are younger, more likely to be diagnosed with a Psychotic Disorder and spend longer receiving compulsory treatment than non-Māori. Non-Māori are more likely to receive more additional depot antipsychotic medication on-community treatment orders compared with periods off-community treatment order than Māori but other clear patterns of response distinguishing between Māori and non-Māori were not present.</p><p><strong>Conclusion: </strong>The differences between Māori and non-Māori for community treatment-order utilisation suggest the presence of structural inequity in underlying mental illness distribution and treatment provision. Māori cultural expertise at all levels of healthcare including healthcare planning and delivery is required to make advances and reduce disparity.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"1047-1054"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340181","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}
引用次数: 0
A non-randomised controlled trial of a community-based accommodation and psychosocial support programme for adults experiencing mental illness and homelessness. 一项针对患有精神疾病且无家可归的成年人的社区住宿和社会心理支持计划的非随机对照试验。
IF 4 2区 医学
Australian and New Zealand Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-08-16 DOI: 10.1177/00048674241270996
Melissa Savaglio, Ash Vincent, Nicholas Merklin, Helen Skouteris
{"title":"A non-randomised controlled trial of a community-based accommodation and psychosocial support programme for adults experiencing mental illness and homelessness.","authors":"Melissa Savaglio, Ash Vincent, Nicholas Merklin, Helen Skouteris","doi":"10.1177/00048674241270996","DOIUrl":"10.1177/00048674241270996","url":null,"abstract":"<p><strong>Background: </strong>The transition out of inpatient mental health is a crucial time for adults experiencing concurrent mental illness and homelessness, yet evidence regarding effective support options is mixed. Choices is an intensive 3-month psychosocial outreach and crisis accommodation support programme for adults experiencing mental illness and homelessness, delivered by Baptcare in Tasmania, Australia. This study examined the effect of Choices on adults' psychosocial functioning, clinical symptomology and psychiatric readmissions in comparison to standard care only.</p><p><strong>Method: </strong>Participants were adults aged 18-64 years experiencing mental illness and homelessness, recruited upon discharge from a psychiatric admission. Intervention participants (<i>n</i> = 124) received the Choices programme. Control participants (<i>n</i> = 122) received standard care, clinical assessment and treatment from hospital-based Mental Health Services. Outcomes were psychosocial functioning (primary), clinical symptomology, hospital readmission rate and readmission length of stay. Outcomes were assessed at programme commencement and closure (3 months) and 3 months post-closure (intervention group only). Analysis of covariance was used to analyse differences between groups at closure, while controlling for baseline differences.</p><p><strong>Results: </strong>Intervention participants had significantly improved social functioning (encompassing living conditions, social relationships, self-esteem/confidence), overall psychosocial functioning, symptoms of depression and anxiety and shorter hospital readmission length of stay in comparison to the control group. Intervention participants experienced further improvements in social and overall psychosocial functioning 3 months post-closure.</p><p><strong>Conclusion: </strong>The Choices programme is effective in enhancing the psychosocial functioning of adults experiencing concurrent mental illness and homelessness. These findings support the ongoing delivery of this combined accommodation and wrap-around psychosocial model of intensive support.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"1070-1079"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995200","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}
引用次数: 0
Prevalence of treatment-resistant schizophrenia among people with early psychosis and its clinical and demographic correlates. 早期精神病患者中耐药性精神分裂症的患病率及其临床和人口统计学相关性。
IF 4 2区 医学
Australian and New Zealand Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-08-28 DOI: 10.1177/00048674241274314
Mirza Detanac, Chelsey Williams, Milan Dragovic, Gordon Shymko, Alexander Panickacheril John
{"title":"Prevalence of treatment-resistant schizophrenia among people with early psychosis and its clinical and demographic correlates.","authors":"Mirza Detanac, Chelsey Williams, Milan Dragovic, Gordon Shymko, Alexander Panickacheril John","doi":"10.1177/00048674241274314","DOIUrl":"10.1177/00048674241274314","url":null,"abstract":"<p><strong>Objective: </strong>The prevalence of treatment-resistant schizophrenia (TRS) among people with first-episode schizophrenia (FES) has been sub-optimally researched in Australia and internationally. We evaluated the prevalence of TRS among a cohort of FES patients and compared their sociodemographic and clinical characteristics to those with FES who were treatment responsive.</p><p><strong>Methods: </strong>Over 2 years, we collated demographic, clinical and treatment-related data of all patients with ICD-10 (International Classification of Diseases, Tenth revision) diagnosis of schizophrenia who were active in October 2020 at four early psychosis intervention services (EPIS) in Western Australia. We used a modified version of Suzuki et al. criteria to diagnose TRS. The data were analysed utilising descriptive statistics, the Mann-Whitney U test, Student's <i>t</i>-test and the False-Discovery Rate method.</p><p><strong>Results: </strong>The prevalence of TRS among the 167 patients diagnosed with FES was 41.3%, and the rates did not differ significantly between the services (<i>p</i> = 0.955). Those in the TRS group were less independent (<i>p</i> = 0.011), had more prolonged unemployment (<i>p</i> = 0.014) and were more likely to be on disability pension (<i>p</i> = 0.011) compared to the treatment responsive group. Furthermore, they had greater severity of symptoms (<i>p</i> = 0.002), longer duration of psychiatric symptoms (<i>p</i> = 0.019), more hospitalisations (<i>p</i> = 0.002) and longer cumulative admission durations (<i>p</i> = 0.002).</p><p><strong>Conclusions: </strong>Our study revealed that treatment resistance to antipsychotics is prevalent among people with FES managed at EPIS. Notably, it establishes an association between TRS and heightened clinical severity and psychosocial and treatment burden. These findings highlight the imperative for early detection of treatment resistance and timely and specialised interventions for this condition in mental health services.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"1080-1089"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142091718","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}
引用次数: 0
Prevalence of mental illness among Australian and New Zealand people in prison: A systematic review and meta-analysis of studies published over five decades. 澳大利亚和新西兰监狱服刑人员的精神疾病患病率:对五十年来发表的研究进行系统回顾和荟萃分析。
IF 4 2区 医学
Australian and New Zealand Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-09-03 DOI: 10.1177/00048674241271916
Natalia Yee, Christie Browne, Farzana Rahman, Kimberlie Dean
{"title":"Prevalence of mental illness among Australian and New Zealand people in prison: A systematic review and meta-analysis of studies published over five decades.","authors":"Natalia Yee, Christie Browne, Farzana Rahman, Kimberlie Dean","doi":"10.1177/00048674241271916","DOIUrl":"10.1177/00048674241271916","url":null,"abstract":"<p><strong>Background: </strong>The higher rate of mental illness, including severe psychotic disorders, among people in prisons compared to the general community is well-established. However, there have been no reviews or attempts to pool data on the reported prevalence of mental illness across prisons in Australia and New Zealand.</p><p><strong>Methods: </strong>A systematic search of electronic databases from 1966 to the end of 2020 was conducted to identify studies reporting rates of 'any' mental illness, and separately rates of psychotic illness, among adult men and women in Australian and New Zealand prisons. A meta-analysis was performed according to PRISMA guidelines (PROSPERO ID: CRD42021241946), with separate analyses conducted for lifetime and current prevalence rates.</p><p><strong>Results: </strong>Seventeen studies, with a total of 10,209 people in prison, met inclusion criteria. The pooled lifetime prevalence of 'any' mental illness was 69.0% (95% confidence interval = [0.56, 0.79]), and the pooled lifetime prevalence for psychosis was 9.1% (95% confidence interval = [0.07, 0.12]). Meanwhile, the pooled prevalence for 'any' current mental illness was 54.0% (95% confidence interval = [0.39, 0.68]) and for any current psychosis was 6.4% (95% confidence interval = [0.04, 0.10]). There was substantial heterogeneity between studies, with evidence that lifetime rates of psychosis have increased over time, with true prevalence estimates in 95% of all comparable populations falling between 2.7% and 26.4%.</p><p><strong>Conclusion: </strong>The prevalence of mental illness, including severe psychotic illness, is high in Australian and New Zealand prisons. Furthermore, there is evidence that the prevalence of psychosis may be increasing over time, indicating more effort is needed to ensure diversion of people with mental illness away from the criminal justice system and into healthcare pathways.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"1034-1046"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142118887","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}
引用次数: 0
Online Mental Health Assessment in a psychiatry emergency department in adults using touchscreen mobile devices: A randomised controlled trial. 在精神科急诊室使用触摸屏移动设备对成人进行在线心理健康评估:随机对照试验
IF 4 2区 医学
Australian and New Zealand Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-10-11 DOI: 10.1177/00048674241286825
Irosh Fernando, Madeleine Hinwood, Mariko Carey, Rahul Gupta, Agatha Conrad, Todd Heard, Lisa Lampe
{"title":"Online Mental Health Assessment in a psychiatry emergency department in adults using touchscreen mobile devices: A randomised controlled trial.","authors":"Irosh Fernando, Madeleine Hinwood, Mariko Carey, Rahul Gupta, Agatha Conrad, Todd Heard, Lisa Lampe","doi":"10.1177/00048674241286825","DOIUrl":"10.1177/00048674241286825","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether completion of an online mental health self-assessment by patients who are waiting in the emergency department can save clinician time taken to complete clinical assessment and documentation.</p><p><strong>Methods: </strong>Patients presenting to a psychiatric emergency department for a period of 6 months were allocated by week of presentation to either the intervention arm (online mental health self-assessment, followed by a clinical interview) or the control arm (usual assessment) arm on a random basis. Time at the beginning and end of the interview was recorded and used to derive interview time. Similarly, time at the beginning and end of the clinical documentation was recorded and used to derive the time to complete clinical documentation.</p><p><strong>Results: </strong>Of 168 patients who presented during the study period, 69 (38.55%) agreed to participate, 33 completed the usual assessment and 30 completed the online mental health self-assessment followed by a clinical interview. Patients receiving usual care had a statistically significant, <i>t</i>(61) = 2.15, <i>p</i> = 0.035, longer interview duration (M = 48.7 minutes, SD = 19.8) compared with those in the online mental health self-assessment arm (M = 38.9 minutes, SD = 15.9). There was no statistically significant difference between groups for documentation time, <i>t</i>(61) = -0.64, <i>p</i> = 0.52.</p><p><strong>Conclusion: </strong>Online mental health self-assessment was associated with a statistically significant reduction in interview time by approximately 10 minutes without increasing documentation time. While online mental health self-assessment is not appropriate for all patients in the emergency department setting, it is likely to yield greater benefits in less acute settings.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"1062-1069"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399147","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}
引用次数: 0
Extending the reach of involuntary treatment to substance use disorders: Is it 'compassionate' or coercive care? 将非自愿治疗的范围扩大到药物使用障碍:是 "同情 "还是强制治疗?
IF 4 2区 医学
Australian and New Zealand Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-11-09 DOI: 10.1177/00048674241299215
Steve Kisely, Claudia Bull, Neeraj Gill
{"title":"Extending the reach of involuntary treatment to substance use disorders: Is it 'compassionate' or coercive care?","authors":"Steve Kisely, Claudia Bull, Neeraj Gill","doi":"10.1177/00048674241299215","DOIUrl":"10.1177/00048674241299215","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"1017-1019"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613869","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信