Australasian Psychiatry最新文献

A six-point plan to prepare psychiatrists in training for the age of AI. 为人工智能时代准备精神科医生培训的六点计划。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-09-04 DOI: 10.1177/10398562261479571

Michael James Weightman

引用次数: 0

Patterns of psychotherapy utilisation among women with trauma histories referred to a specialist women's mental health clinic: A retrospective, cross-sectional study. 有创伤病史的妇女在妇女心理健康专科诊所接受心理治疗的模式：一项回顾性横断面研究。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-30 DOI: 10.1177/10398562261481734

Georgia Bridgeman, Lakshini Gunasekera, Jayashri Kulkarni

{"title":"Patterns of psychotherapy utilisation among women with trauma histories referred to a specialist women's mental health clinic: A retrospective, cross-sectional study.","authors":"Georgia Bridgeman, Lakshini Gunasekera, Jayashri Kulkarni","doi":"10.1177/10398562261481734","DOIUrl":"https://doi.org/10.1177/10398562261481734","url":null,"abstract":"ObjectiveTo describe psychotherapy utilisation patterns, including modality, duration, and subjective satisfaction, among women with trauma histories attending a specialist women's mental health clinic.MethodsSingle-centre, retrospective, cross-sectional study of women attending a bulk-billed specialist mental health clinic between January 2016 and June 2025. Demographic and psychotherapy-related data were extracted from clinical records. Data were reported as proportions, with associations assessed using Pearson chi-square tests.ResultsOf 308 participants, mean age was 40.7 years (SD 11.9). Major depressive disorder was the most common diagnosis (54.6%). Overall, 74.0% had accessed psychotherapy, with non-specific psychotherapy (63.6%) and cognitive behaviour therapy (32.5%) most frequent. Half of those with a psychotherapy history had been engaged in psychotherapy for over 5 years. Most women reported previous trauma (83.8%), significantly associated with psychotherapy use (p = .013), particularly emotional abuse (p = .043), and peer bullying (p = .019). University-level education was also associated with psychotherapy use (p < .001). Satisfaction was predominantly positive (74.1%), though mixed (15.4%) and negative (10.5%) experiences were reported.ConclusionsPsychotherapy was commonly accessed prior to specialist consultation, with most women reporting positive experiences. Findings highlight unmet need for long-term psychotherapy services, gaps in trauma-specific treatment access, and support for policy initiatives expanding psychotherapy delivery.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261481734"},"PeriodicalIF":1.7,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863544","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

Understanding local perspectives on child mental health to strengthen school-based interventions in Darjeeling, India. 了解当地对儿童心理健康的看法，以加强印度大吉岭的学校干预。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-24 DOI: 10.1177/10398562261479577

Amita Bollapragada, Juliana L Vanderburg, Priscilla Giri, Surekha Bhattarai, Arpana Thapa, Anamika Sharma, Swastika Thapa, Aashwin Pradhan, Rinzi Lama, Michael Matergia, Christina M Cruz

{"title":"Understanding local perspectives on child mental health to strengthen school-based interventions in Darjeeling, India.","authors":"Amita Bollapragada, Juliana L Vanderburg, Priscilla Giri, Surekha Bhattarai, Arpana Thapa, Anamika Sharma, Swastika Thapa, Aashwin Pradhan, Rinzi Lama, Michael Matergia, Christina M Cruz","doi":"10.1177/10398562261479577","DOIUrl":"https://doi.org/10.1177/10398562261479577","url":null,"abstract":"BackgroundChild mental health needs in low- and middle-income countries (LMICs) often go unmet due to a scarcity of specialists. In Darjeeling, West Bengal, India, Tealeaf (Teachers Leading the Frontlines), a task-shifting model in which teachers serve as lay counselors, has shown early promise. We explored stakeholders' culturally held beliefs about causes of child mental health concerns to contextualize Tealeaf's ongoing trial.MethodsWe conducted twelve semi-structured interviews (March-April 2022) with purposively selected principals, teachers, and caregivers. Using qualitative description, transcripts underwent deductive content analysis with codes mapped to the Culturally-Infused Engagement (CIE) model; analyses focused on perceived causes of child mental health concerns.ResultsParticipants attributed children's difficulties to biological factors and the home environment, noting that parenting guidance and peer influences could shape divergent outcomes across children. Younger children were perceived to experience stress and sadness related to academics. Stakeholders described children's emotional awareness and expressive ability as still developing, influencing expectations for classroom support.ConclusionsUnderstanding communities' culturally held beliefs is foundational to interpreting Tealeaf's effects and adapting school-based supports. Findings clarify contextual mechanisms and leverage points for a task-shifted system of care, informing how Tealeaf can engage sustainably with Darjeeling's cultural context and similar LMIC settings.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261479577"},"PeriodicalIF":1.7,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811863","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

Differentiating 'burning out' and 'burnt out' states. 区分“燃尽”和“燃尽”状态。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-22 DOI: 10.1177/10398562261479286

Nicole M Russo, Andrew Camara, Gordon Parker

{"title":"Differentiating 'burning out' and 'burnt out' states.","authors":"Nicole M Russo, Andrew Camara, Gordon Parker","doi":"10.1177/10398562261479286","DOIUrl":"https://doi.org/10.1177/10398562261479286","url":null,"abstract":"ObjectiveThe terms 'burning out' and 'burnt out' are commonly used interchangeably. The reported study aimed to determine they if they capture differing stages of burnout.MethodsAn advertisement sought self-diagnosed burnout sufferers over 18 years old. Participants nominated if they were 'burning out' or 'burnt out', provided descriptors of their state and completed the Sydney Burnout Measure (SBM) and the Burnout Assessment Tool (BAT). Analyses were both qualitative and quantitative reflecting a mixed method analytic strategy.ResultsSeventeen symptoms were nominated by participants. Those self-judging as 'burnt out' reported a higher prevalence of most symptoms and higher SBM and BAT scores than those self-judging as 'burning out'. The former participants were notably more likely to state an inability to function, while the two groups generated significantly differing exhaustion and withdrawal scores in analyses evaluating independent symptom differentiation.ConclusionCompared to a 'burning out' state, a 'burnt out state' would appear more severe, with significant impairment and the individual's 'elasticity' (ability to adapt and recover) lost. Such findings suggest a staging model and might argue for differential stage-based management strategies.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261479286"},"PeriodicalIF":1.7,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787680","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

Real-world safety profile of trazodone: Evidence from FAERS pharmacovigilance data (2004-2024). 曲唑酮的实际安全性：来自FAERS药物警戒数据的证据（2004-2024）。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-21 DOI: 10.1177/10398562261479289

Junyin Zhou, Lijuan Xu, Yaqin Sun

{"title":"Real-world safety profile of trazodone: Evidence from FAERS pharmacovigilance data (2004-2024).","authors":"Junyin Zhou, Lijuan Xu, Yaqin Sun","doi":"10.1177/10398562261479289","DOIUrl":"https://doi.org/10.1177/10398562261479289","url":null,"abstract":"ObjectiveTrazodone has shown good efficacy in patients with major depressive disorder accompanied by insomnia and anxiety symptoms. However, real-world data on its long-term adverse effects remain limited. This study analyzes a large dataset to assess the relationship between trazodone and specific adverse events (AEs).MethodsData from the FAERS database covering the period from the first quarter of 2004 to the third quarter of 2024 were collected, standardized, and analyzed. Signal detection was performed using the ROR, PRR, BCPNN, and MGPS algorithms.ResultA total of 5172 reports were collected, covering 27 system organ classes and 1616 preferred terms (PTs). Contrary to the official drug label, reproductive system and breast disorders exhibited the highest correlation, with involved PTs including priapism, clitoral engorgement, and penile vein thrombosis. Surprisingly, trazodone showed the highest signal strength in association with penile amputation. The detection of wandering pacemaker and electrocardiogram PR prolongation emphasized the cardiovascular event risk. Notably, completed suicide and serotonin syndrome exhibited relatively high occurrence rates. Other uncommon but significant AEs, such as wound infection fungal, hypervigilance, and hangover, were also detected. Additionally, new and clinically significant rare AEs, such as hyper IgE syndrome and acute myopia, were identified.ConclusionsThis study provides valuable data on the AEs of trazodone, particularly its potential reproductive system adverse effects, cardiovascular risks, and other rare events. Our findings lay the foundation for further safety assessments of trazodone.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261479289"},"PeriodicalIF":1.7,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787646","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

Benzodiazepine prescribing at discharge from adult and older persons psychiatric inpatient units: A systematic review and meta-analysis. 成人和老年人精神科住院病房出院时苯二氮卓类药物处方：系统回顾和荟萃分析。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-18 DOI: 10.1177/10398562261474431

Justin McMahon, John McMaster, David Maletsky, Hesitha Abeysundera

{"title":"Benzodiazepine prescribing at discharge from adult and older persons psychiatric inpatient units: A systematic review and meta-analysis.","authors":"Justin McMahon, John McMaster, David Maletsky, Hesitha Abeysundera","doi":"10.1177/10398562261474431","DOIUrl":"https://doi.org/10.1177/10398562261474431","url":null,"abstract":"ObjectivePsychiatric inpatient discharge is a prescribing transition at which benzodiazepines initiated for short-term symptom control may unintentionally continue beyond discharge. Existing guidance is limited for prescribing decisions. We aimed to estimate benzodiazepine discharge prevalence from adult and older persons psychiatric inpatient units and examine between-study heterogeneity.MethodsWe searched five databases from inception to 31 December 2022, updated the search on 27 November 2025 (PROSPERO: CRD42022368986), and included studies reporting benzodiazepine prescribing at discharge from adult and older persons psychiatric inpatient units.ResultsTwenty-five studies contributed 28 cohorts and 15,517 discharge observations. Pooled discharge prevalence was 50% (95% CI: 37-62) in acute adult cohorts and 27% (95% CI: 18-38) in older persons cohorts, with substantial heterogeneity and very low certainty of evidence. Admission-to-discharge change was small and non-significant across 11 paired cohorts.ConclusionBenzodiazepine prescribing at psychiatric inpatient discharge was common and highly variable. Marked setting-level variation, lower prevalence in older persons settings, and divergent admission-to-discharge trajectories suggest modifiable systemic influences beyond patient-level factors. Although continuation may support community transition after inpatient stabilisation, its downstream impact remains unclear because post-discharge patient-centred outcomes were not reported. Future research should clarify the risk-benefit profile of continuation to inform transition-specific prescribing guidance.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261474431"},"PeriodicalIF":1.7,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787702","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 contribution of rare genetic variation to psychiatric presentations: An overlooked curricular topic in residency training. 罕见遗传变异对精神病学表现的贡献：住院医师培训中一个被忽视的课程主题。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-18 DOI: 10.1177/10398562261479310

Mark Ainsley Colijn

引用次数: 0

Institutional and home living status in schizophrenia: Associations with functioning, childhood trauma, and symptom severity. 精神分裂症患者的机构和家庭生活状况：与功能、童年创伤和症状严重程度的关系

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-11 DOI: 10.1177/10398562261476921

Alper Mert, Selim Çiftçioğlu, Esra Soylu, Zinar Çiftçi, Mehmet Furkan Soylu

{"title":"Institutional and home living status in schizophrenia: Associations with functioning, childhood trauma, and symptom severity.","authors":"Alper Mert, Selim Çiftçioğlu, Esra Soylu, Zinar Çiftçi, Mehmet Furkan Soylu","doi":"10.1177/10398562261476921","DOIUrl":"https://doi.org/10.1177/10398562261476921","url":null,"abstract":"IntroductionResidential status has been associated with clinical and functional outcomes in schizophrenia, yet its interaction with childhood trauma (CT) remains unclear. We examined the associations between residential status, CT, and clinical outcomes in schizophrenia.MethodsIn this cross-sectional study conducted in Türkiye, clinically stable patients with schizophrenia (n = 68) were included, comprising 34 institutionalized and 34 home living. Positive and Negative Syndrome Scale (PANSS), Functioning Assessment Short Test (FAST), Childhood Trauma Questionnaire (CTQ-28), Calgary Depression Scale for Schizophrenia (CDSS), and Beck Scale for Suicidal Ideation (BSSI) were administered. Group comparisons, correlation analyses, and multivariable regression models were conducted.ResultsInstitutionalized patients exhibited poorer functioning and higher PANSS scores (all p < 0.05). Notably, suicide risk was higher in home living patients (p = 0.014), despite similar depressive symptoms across groups. CT severity did not differ by residential status. Regression models revealed that residential status was an independent predictor for both functioning and suicide risk, while CT severity independently predicted overall symptom severity.ConclusionResidential status plays a divergent role in schizophrenia, where home living is linked to higher suicide risk and institutional care to functional decline. CT appears to represent a background risk factor influencing clinical severity.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261476921"},"PeriodicalIF":1.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148711304","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

A co-design in a regional Australian mental health service: Defining a Scope of Practice for peer workers. 澳大利亚区域精神卫生服务的共同设计：确定同行工作者的实践范围。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-11 DOI: 10.1177/10398562261475969

James McLure, Jacqueline M Kirkman, Melinda Watt, Rachel M Tindall

{"title":"A co-design in a regional Australian mental health service: Defining a Scope of Practice for peer workers.","authors":"James McLure, Jacqueline M Kirkman, Melinda Watt, Rachel M Tindall","doi":"10.1177/10398562261475969","DOIUrl":"https://doi.org/10.1177/10398562261475969","url":null,"abstract":"ObjectiveTo describe a Scope of Practice for mental health peer workers including values, practice principles and ethical guidelines. Secondly to identify the functions, activities and responsibilities pertaining to peer workers.MethodsA co-design approach was utilized to inform the design of the Scope of Practice. The team provided differing perspectives and consisted of senior peer workers, lived experience project officers and a service development manager. After reviewing existing literature, key concepts were grouped into themes. These domains were discussed, deliberated, defined and refined in the creation of a Scope of Practice.ResultsThe co-design process resulted in five core values: courage; mutuality; humanity; hope, purpose and growing-self; and wisdom. Six principles of practice: engages in companionship - being with; shares experience intentionally; walks beside during challenging situations; optimism for peers; understands individual worldviews and how this may impact others; and engages in collaborative best-practice, mutual learning and continued development. And five foundational and ethical guidelines were developed: personal/professional boundaries; peer worker/clinical boundaries; gifts; duty of care; and confidentiality and transparency.ConclusionThis Scope of Practice framework provides a structure for widespread understanding and acceptance of the role of peer workers within mental health services in Australia. The framework described aims to elevate peer work as a unique professional discipline.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261475969"},"PeriodicalIF":1.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148711276","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

More TMS is needed in Public Mental Health Services. 公共精神卫生服务需要更多的经颅磁刺激。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-10 DOI: 10.1177/10398562261476928

Madeleine Leung, Truong Hieu Pham, Osama Ali

引用次数: 0