Australasian Psychiatry最新文献

Acute stress exposure in healthy oil and gas field workers and early post-traumatic stress disorder symptoms: A lesson from the COVID-19 crisis.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-20 DOI: 10.1177/10398562251320529

Dewi Y Fitriani, Muchtaruddin Mansyur, Natalia W Raharjanti, Nuri P Adi, Marsen Isbayuputra, Adhitya S Ramadianto, Nadia R Nugrahadi, Edward C Yo, Jean M Pujo, Hatem Kallel

{"title":"Acute stress exposure in healthy oil and gas field workers and early post-traumatic stress disorder symptoms: A lesson from the COVID-19 crisis.","authors":"Dewi Y Fitriani, Muchtaruddin Mansyur, Natalia W Raharjanti, Nuri P Adi, Marsen Isbayuputra, Adhitya S Ramadianto, Nadia R Nugrahadi, Edward C Yo, Jean M Pujo, Hatem Kallel","doi":"10.1177/10398562251320529","DOIUrl":"https://doi.org/10.1177/10398562251320529","url":null,"abstract":"Introduction: During the COVID-19 pandemic, the oil and gas industry had to adopt coping strategies. These changes might contribute to early increased mental health issues among workers. This study aimed to assess the prevalence and associated factors to early post-traumatic stress disorder (PTSD) symptoms among healthy Indonesian oil and gas field workers during the COVID-19 pandemic.Method: A cross-sectional study was conducted from November 2020 to January 2021. We investigated healthy field employees working during the pandemic. Data on the subjects' PTSD symptoms were collected using the PTSD Checklist-Civilian (PCL-C) Version.Results: A total of 1542 completed forms were analyzed. The prevalence of PTSD symptoms was 44.8%, with 9.1% of very severe forms. Independent factors associated with PTSD symptoms were female gender (p = .013, OR 1.72 [95% CI 1.12-2.63]), change in work system (p = .006, OR 1.37 [95% CI 1.09-1.71]), increased workload (p < .001, OR 2.10 [95% CI 1.63-2.71]), and decreased income (p = .041, OR 1.44 [95% CI 1.02-2.05]).Conclusion: The COVID-19 crisis and its impact on working conditions were significant stressors that contributed to a high prevalence of PTSD symptoms among oil and gas company workers. Therefore, implementing well-being programs is essential during acute challenges that lead to changes in work systems.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251320529"},"PeriodicalIF":1.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Ten years gone: Response to Cavve (2024).

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-18 DOI: 10.1177/10398562251322011

Andrew James Amos

引用次数: 0

Psychiatrists should champion the care of those with severe mental illnesses experiencing climate change-related heat stress.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-16 DOI: 10.1177/10398562251319921

Stephen Allison, Tarun Bastiampillai, Steve Kisely, Hayden Cornell, Jeffrey C L Looi

{"title":"Psychiatrists should champion the care of those with severe mental illnesses experiencing climate change-related heat stress.","authors":"Stephen Allison, Tarun Bastiampillai, Steve Kisely, Hayden Cornell, Jeffrey C L Looi","doi":"10.1177/10398562251319921","DOIUrl":"https://doi.org/10.1177/10398562251319921","url":null,"abstract":"Objective: The Australian climate has warmed by 1.51°C since preindustrial times, and the Commonwealth Scientific and Industrial Research Organisation (CSIRO) predicts further warming with an increased risk of extreme heat events. This article discusses how the most recent Royal Australian and New Zealand College of Psychiatrists' (RANZCP) position statement dealt with the impact of climate change-related heat stress on people living with severe mental illness.Conclusions: The RANZCP statement focuses on the impact of climate change on common mental disorders and suicide rates without specific mention of severe mental illnesses such as schizophrenia, bipolar disorder and severe major depression. However, people with severe mental illness face higher risks of morbidity and mortality in a hotter Australian climate. Based on equity for those with greater needs and higher levels of risk, we argue that psychiatrists should advocate for enhanced social and psychiatric care to improve heat-resilience amongst patients with severe mental illness. Future research is needed on the biopsychosocial mechanisms of increased heat-related morbidity and mortality for people with severe mental illness.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251319921"},"PeriodicalIF":1.2,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Establishing a psychiatry clinic within an Australian publicly funded specialist obesity service.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-12 DOI: 10.1177/10398562251318892

Louise Brightman, Deborah Inman, James Goodbourn

{"title":"Establishing a psychiatry clinic within an Australian publicly funded specialist obesity service.","authors":"Louise Brightman, Deborah Inman, James Goodbourn","doi":"10.1177/10398562251318892","DOIUrl":"https://doi.org/10.1177/10398562251318892","url":null,"abstract":"Objective: In January 2023, the Canberra Health Services Department of Bariatric Medicine introduced a psychiatry clinic into its model of care to optimise the management of patients with comorbid obesity and mental illness. This paper describes the scope of the psychiatry clinic and reviews patient characteristics and management during the first year of operation.Methods: This study is an outline of the clinic and a retrospective review of patient demographics, body mass index, psychiatric diagnoses and initial management. Descriptive statistics were performed (2024.LRE.00027).Results: Clinic scope, staffing and patient eligibility were presented. Of the 22 patients referred, 20 attended initial assessment and at least one review (102 encounters). Females outnumbered males (82%). Mean age was 44 years (18-73 years). Mean body mass index was 51.74 kg/m2 (29.36-74.23 kg/m2). Depressive and anxiety disorders were the most prevalent existing diagnoses. Trauma and stressor-related disorders and feeding and eating disorders were common new diagnoses. 75% of patients had two or more psychiatric disorders. Management comprised medications, supportive psychotherapy and referral recommendations.Conclusions: This is the first time the Department of Bariatric Medicine has embedded a psychiatry clinic into its model of care. The clinic provides specialist-level psychiatric care within a multi-disciplinary team which may have benefits in managing comorbid obesity and mental illness.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251318892"},"PeriodicalIF":1.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Exploring care of persons with dementia and significant violence risk in Victoria: A Delphi study.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-07 DOI: 10.1177/10398562251317342

Zoe Cousins, Sam Pang, Thomas Rego

{"title":"Exploring care of persons with dementia and significant violence risk in Victoria: A Delphi study.","authors":"Zoe Cousins, Sam Pang, Thomas Rego","doi":"10.1177/10398562251317342","DOIUrl":"https://doi.org/10.1177/10398562251317342","url":null,"abstract":"Background: Significant violence associated with dementia is uncommon, though care for these people is an important issue. This group is heterogeneous and encompasses people with no forensic history to those living in forensic and custodial settings. It is expected that over the next 40 years, the Australian population aged over 65 years will double, and persons over 85 years will increase threefold. This ageing population will likely mean increased persons living with dementia who may enact significant violence and place increased pressure on services to provide care. To date, there is no research on their specific care needs in Victoria.Objectives: This study aimed to explore the current service landscape for persons with dementia and significant violence risk in Victoria through a small group of medical practitioners with expertise in dementia, psychiatry of old age, and forensic psychiatry.Methods: A modified Policy Delphi study was used to interview 12 medical practitioners with backgrounds including Forensic Psychiatry, Psychiatry of Old Age, General Practice, and Geriatric Medicine.Findings: The research identified five key recommendations to enhance service provision for this population in Victoria, including recommendations for specific care pathways, service agreements, physical environment considerations, educational needs, and consideration of a specialised service.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251317342"},"PeriodicalIF":1.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Childhood ADHD and the importance of empathy and understanding - lessons from Bluey.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-04 DOI: 10.1177/10398562251314308

Alexander Smith, Michael Liebrenz, Ana Buadze

引用次数: 0

Evaluation of the ED MHAOD Hub at St Vincent's hospital.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-03 DOI: 10.1177/10398562251316201

Hamed Akhlaghi, Kelly Mullins, Sam Freeman, Shradha Sherry Vasan, Greta Moon, Yvonne Bonomo, Jonathan Karro

{"title":"Evaluation of the ED MHAOD Hub at St Vincent's hospital.","authors":"Hamed Akhlaghi, Kelly Mullins, Sam Freeman, Shradha Sherry Vasan, Greta Moon, Yvonne Bonomo, Jonathan Karro","doi":"10.1177/10398562251316201","DOIUrl":"https://doi.org/10.1177/10398562251316201","url":null,"abstract":"Introduction: In response to the 2021 Royal Commission into Victoria's Mental Health System, the Victorian government established six purpose-built Mental Health Alcohol and Other Drug (MHAOD) emergency department (ED) Hubs. This study evaluates the MHAOD Hub at St Vincent's Hospital Melbourne (SVHM), which opened in March 2022 as metropolitan Melbourne's first multidisciplinary Mental Health and Drug or Alcohol Hub integrated into the St Vincent's Emergency Department.Methods: This retrospective analysis covers patient admissions to the MHAOD Hub from March 2022 to June 2024, documenting demographics, clinical characteristics and outcomes.Results: 8553 MHAOD admissions were recorded. The Hub admitted a high proportion of vulnerable populations, including 8.4% Aboriginal and/or Torres Strait Islanders and 36.5% homeless individuals. 76.5% of presentations to the Hub were categorised as Australasian Triage Category (ATS) 1, 2 or 3. The most common discharge diagnosis was alcohol-related diagnosis (18.95%) followed by suicidality (14.71%) and psychosis (5.66%). 17.1% of presentations were admitted to the psychiatric ward.Conclusion: This study highlights the effectiveness of MHAOD Hub care in improving timely access to care and addressing the needs of vulnerable populations. Future research should focus on qualitative assessments to capture the nuanced patient and staff experiences and further evaluate long-term outcomes.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251316201"},"PeriodicalIF":1.2,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Exposing the primary failure of gender-affirming care: Response to Erasmus (2024). 揭露性别肯定护理的主要失败：回应伊拉斯谟（2024 年）。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-10-13 DOI: 10.1177/10398562241291952

Andrew J Amos