Australasian Psychiatry最新文献

Why we need a timely debate of the review by the Royal Australian and New Zealand College of Psychiatrists into long-term psychodynamic psychotherapy. 为什么我们需要对澳大利亚和新西兰皇家精神科医学院关于长期精神动力心理治疗的评论进行及时的辩论。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-24 DOI: 10.1177/10398562251362734

Steve Kisely

引用次数: 0

An academic psychiatry training position: Benefits and challenges. 精神病学学术培训职位：益处与挑战。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-24 DOI: 10.1177/10398562251362751

Jeffrey Cl Looi, Fiona A Wilkes, Matthew Brazel, Daniel Bonner, Michael Tedeschi, Rebecca E Reay, Peggy Craigie, Paul A Maguire

引用次数: 0

Australian healthcare is crippled by oppressive politicisation: Calling policy-makers and administrators to account. 澳大利亚的医疗保健因压迫性政治化而瘫痪：要求政策制定者和管理者承担责任。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-24 DOI: 10.1177/10398562251362745

Jeffrey Cl Looi, Natasha Robinson, Stephen Allison

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No country for old men - Finding homes for older people who have committed crimes. 老无所依——为犯罪的老人寻找住所。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-08 DOI: 10.1177/10398562251357412

Sharon Reutens, Andrew Watt, Cindy Stoupas, Jeffrey C L Looi, Kimberlie Dean, Danny H Sullivan

引用次数: 0

The parable of the TGA approval of esketamine (Spravato) in Australia: Part 2 - Submission for listing on the PBS. 澳大利亚TGA批准艾氯胺酮（Spravato）的寓言：第2部分-提交在PBS上市。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-08 DOI: 10.1177/10398562251358137

William Lugg

引用次数: 0

Rates of metabolic syndrome in Queensland adult community mental health consumers with schizophrenia and related disorders: A brief report. 昆士兰州精神分裂症及相关疾病的成人社区心理健康消费者代谢综合征的发生率：一份简短报告

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-04 DOI: 10.1177/10398562251358760

Mike Trott, Sally Plever, Mellisa Anzolin, Irene McCarthy, Dan Siskind

{"title":"Rates of metabolic syndrome in Queensland adult community mental health consumers with schizophrenia and related disorders: A brief report.","authors":"Mike Trott, Sally Plever, Mellisa Anzolin, Irene McCarthy, Dan Siskind","doi":"10.1177/10398562251358760","DOIUrl":"https://doi.org/10.1177/10398562251358760","url":null,"abstract":"ObjectivePeople with schizophrenia are at increased risk of metabolic syndrome (MetS), contributing to excess morbidity and mortality. This study examined MetS monitoring rates and prevalence in people with schizophrenia receiving public mental health care in Queensland.MethodsData from the Consumer Integrated Mental Health and Addiction Application (CIMHA) were extracted for individuals aged 18-64 with a schizophrenia diagnosis. MetS was determined using International Diabetes Federation criteria.ResultsOf 5802 individuals, 16.0% had sufficient data to determine MetS status. Among those with complete data, MetS prevalence was 53.2%. MetS was significantly more common in regional than metropolitan areas. Blood pressure and BMI were recorded for most patients (≥74%), but biochemical indices (fasting glucose, HDL, triglycerides) were recorded in only 26.4%-35.5%.ConclusionsMetS is highly prevalent in schizophrenia, yet routine monitoring is incomplete, particularly for biochemical markers. Strengthening data integration across healthcare systems and ensuring access to evidence-based interventions for MetS management, particularly in regional areas, is critical to addressing this major health disparity.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251358760"},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567013","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

Negative emotional states and technological addictions: The buffering and paradoxical role of perceived social support. 消极情绪状态和技术成瘾：感知社会支持的缓冲和矛盾作用。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-04 DOI: 10.1177/10398562251358134

Peter Kh Chew, Elissa Yh Poh

{"title":"Negative emotional states and technological addictions: The buffering and paradoxical role of perceived social support.","authors":"Peter Kh Chew, Elissa Yh Poh","doi":"10.1177/10398562251358134","DOIUrl":"https://doi.org/10.1177/10398562251358134","url":null,"abstract":"ObjectiveNegative emotional states are well-established risk factors for technological addictions because some individuals use games, social media, or pornography excessively as a coping strategy. Given these links, perceived social support should act as a buffer against the effects of negative emotional states. Consequently, the current exploratory study aimed to examine the role of perceived social support in moderating the effects of negative emotional states on technological addictions.MethodsThere was a total of 169 participants (71.6% females, 27.2% males, and 1.2% others). They completed instruments that assess negative emotional states, perceived social support, internet gaming disorder (IGD), social media addiction (SMA), and problematic pornography use (PPU).ResultsThe results showed that perceived social support had buffering effects (reducing symptoms of technological addictions), paradoxical effects (exacerbating symptoms of technological addictions), and no significant effects. Specifically, individuals with low negative emotional states had lower PPU with perceived social support from significant other and family. However, individuals with high negative emotional states had higher IGD and PPU with perceived social support from family.ConclusionLimitations include the lack of distinction between online and offline perceived social support and the omission of the last item of the instrument for PPU. Limitations notwithstanding, the study extended on previous research and highlighted the complex relationships between negative emotional states, perceived social support, and technological addictions.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251358134"},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564321","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

Effectiveness of a standardised approach to the emergency assessments of psychiatric patients. 精神病患者紧急评估标准化方法的有效性。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-04 DOI: 10.1177/10398562251358146

Tierney Spillane

{"title":"Effectiveness of a standardised approach to the emergency assessments of psychiatric patients.","authors":"Tierney Spillane","doi":"10.1177/10398562251358146","DOIUrl":"https://doi.org/10.1177/10398562251358146","url":null,"abstract":"ObjectivesThis study sought to review implementation of a tool designed to standardise emergency assessments of psychiatric patients. Primary objectives were to reduce stay times and increase evidence-based work-up. Secondary objectives were to review triages and analyse confidence.MethodsA closed loop audit cycle was performed to determine the difference between assessments prior to and after implementation of the tool. A baseline audit was followed by 2 month's implementation. Emergency staff were then instructed to utilise the tool for psychiatric presentations and complete surveys. A Student's t-test and two Chi-squared tests were conducted to examine stay time; evidence-based care; and triage, respectively.ResultsFor pre-implementation, 355 participants were included with 333 for post-implementation. Stay time decreased by over 10% (p = .067) whilst participants receiving recommended work-up increased by almost 15% (p < .0001). The post-implementation period showed a decrease in triage ≥4 by almost 10% (p = .0004). The survey was unable to be assessed.ConclusionThe substantial reductions in stay time and triage ≥4, coupled with the increase in appropriate work-up are promising findings. These indicate implementation of a tool designed to standardise emergency assessment of psychiatric patients will reduce care disparity between psychiatric and medical presentations. Further studies are needed.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251358146"},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564319","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

Initiating clozapine in the outpatient setting: A retrospective study examining the cost-effectiveness, feasibility and safety. 在门诊开始使用氯氮平：一项检查成本效益、可行性和安全性的回顾性研究。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-04 DOI: 10.1177/10398562251358132

Jarrad Paul, Bolanle Ayeni, Rinaldo Ienco, Flavie Waters, Sunny Varghese, Thinh Nguyen, Gordon Shymko

{"title":"Initiating clozapine in the outpatient setting: A retrospective study examining the cost-effectiveness, feasibility and safety.","authors":"Jarrad Paul, Bolanle Ayeni, Rinaldo Ienco, Flavie Waters, Sunny Varghese, Thinh Nguyen, Gordon Shymko","doi":"10.1177/10398562251358132","DOIUrl":"https://doi.org/10.1177/10398562251358132","url":null,"abstract":"AimEvidence supporting an outpatient initiation model for clozapine is lacking and would add to prescriber, service and consumer confidence in the safety and benefits of this approach. Our study aims to determine whether outpatient initiation and titration of clozapine is feasible, safe and cost-effective in Australia.MethodsWe retrospectively identified 27 consumers aged 18-65 admitted to our service between 2007 and 2019 for day initiation and outpatient titration of clozapine. We collected demographic and clinical data from medical records including diagnosis, adverse drug reactions, hospitalisations and adherence. We compared costs over the initial fortnight of initiating clozapine through our outpatient model versus an inpatient admission for schizophrenia of equivalent duration using local standardised costing data.ResultsWe demonstrated that the cost differential between our model for clozapine initiation in the outpatient setting versus an inpatient admission was $24421.96 per patient over the first fortnight. Adherence, side effects and safety, including access to hospitalisation as needed, were comparable to prior studies.ConclusionsClozapine initiation in an outpatient setting is likely to produce significant cost savings whilst being feasible and safe. There were no appreciable effects on treatment adherence or adverse drug reactions. Limitations include a small sample size and retrospective methodology.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251358132"},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564320","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

The role of electroconvulsive therapy in the treatment of violence in patients with major mental illness: A systematic literature review. 电惊厥疗法在治疗严重精神疾病患者暴力中的作用：系统文献综述。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-01 DOI: 10.1177/10398562251353667

Georgina Gorman, Andrew Ellis

{"title":"The role of electroconvulsive therapy in the treatment of violence in patients with major mental illness: A systematic literature review.","authors":"Georgina Gorman, Andrew Ellis","doi":"10.1177/10398562251353667","DOIUrl":"https://doi.org/10.1177/10398562251353667","url":null,"abstract":"ObjectiveMajor mental illness can be associated with violent or aggressive behaviour. Electroconvulsive therapy (ECT) plays a role in managing violence in clinical practice, but there is limited evidence in the literature demonstrating its efficacy. This systematic literature review therefore sought to highlight the available data on ECT and violence in patients with major mental illness.MethodA search of MEDLINE, Embase, and PsycInfo identified 10 relevant papers. The studies were predominantly retrospective and analysed small study populations of participants with psychotic disorders, as well as one study looking at affective disorders, who had received ECT.ResultsAll studies found a reduction in violence following ECT, although there was substantial variation in methodology and outcome measures. Of the five papers using clear quantitative measures, four noted a statistically significant improvement in violence and the fifth demonstrated a non-statistically significant improvement. The remaining papers respectively demonstrated an improvement in general psychopathology, an overall reduction in assaultive behaviour, and a reduction in the use of restraint.ConclusionAlthough it is difficult for this review to draw definitive conclusions due to the low quality and heterogeneity of studies included, ECT may play a role in reducing violence in patients with severe mental illness.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251353667"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537944","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