Australasian Psychiatry最新文献_第10页

Women's mental health and wellbeing in Victoria. 维多利亚州妇女的心理健康和福利。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-04 DOI: 10.1177/10398562261455817

Jennifer Babb

引用次数: 0

Restrictive interventions in an adult psychiatric inpatient unit: A retrospective analysis following the implementation of the mental health and wellbeing act 2022. 成人精神病住院病房的限制性干预措施：《2022年精神健康和福利法案》实施后的回顾性分析。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-03 DOI: 10.1177/10398562261455765

Becky Zhong, Ritesh Bhandarkar

{"title":"Restrictive interventions in an adult psychiatric inpatient unit: A retrospective analysis following the implementation of the mental health and wellbeing act 2022.","authors":"Becky Zhong, Ritesh Bhandarkar","doi":"10.1177/10398562261455765","DOIUrl":"https://doi.org/10.1177/10398562261455765","url":null,"abstract":"BackgroundRestrictive interventions (RIs), including seclusion, physical and chemical restraint, remain controversial in psychiatric care. In Victoria, Australia, the Mental Health and Wellbeing Act 2022 (MHWA) strengthened expectations to reduce RIs.ObjectiveTo examine RI use in an adult acute psychiatric inpatient unit during the first year of the MHWA implementation.MethodA retrospective cohort study was conducted using routinely collected data (1 September 2023-31 August 2024). Patients with at least one RI (n = 66) were compared with patients without RI exposure (n = 66). Group comparisons and logistic regression examined factors associated with RI exposure.ResultsThree hundred RI episodes were recorded, predominantly physical restraint (66.7%) and seclusion (32.3%). Medication was administered in 54% of RI episodes, most often intramuscularly. Threatened or actual violence was the most frequent precipitant. Primary psychiatric diagnosis was independently associated with RI exposure, with psychotic and bipolar disorders showing increased odds. RI-exposed patients had longer admissions (median 23.5 vs 9 days, p < .001).ConclusionsRIs were primarily used in response to acute behavioural escalation associated with severe mental illness. These findings provide an early description of RI use following MHWA implementation and highlight the importance of consistent reporting and strategies to reduce RIs.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261455765"},"PeriodicalIF":1.2,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148292","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

Advancing the development of diagnostic criteria for clinical depression by scientific strategies. 以科学的策略推进临床抑郁症诊断标准的制定。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-02 DOI: 10.1177/10398562261457027

Gordon Parker

引用次数: 0

Stimulant and medicinal cannabis prescribing in patients referred to an early psychosis service in Queensland: A brief report. 兴奋剂和药用大麻处方患者转介到早期精神病服务在昆士兰：一个简短的报告。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-01 Epub Date: 2025-12-13 DOI: 10.1177/10398562251406048

Peter McArdle, Mike Trott, Nicola Warren, Dilprasan De Silva, Lesley Smith, Sarah Ritchie, Dan Siskind

{"title":"Stimulant and medicinal cannabis prescribing in patients referred to an early psychosis service in Queensland: A brief report.","authors":"Peter McArdle, Mike Trott, Nicola Warren, Dilprasan De Silva, Lesley Smith, Sarah Ritchie, Dan Siskind","doi":"10.1177/10398562251406048","DOIUrl":"10.1177/10398562251406048","url":null,"abstract":"ObjectiveThis study examined stimulant and medicinal cannabis prescribing in individuals before and after referral to an early psychosis (EP) service in Queensland, Australia.MethodsA retrospective review of 220 consecutive EP referrals (2019-2023) was conducted, extracting data on stimulant and medicinal cannabis prescriptions from clinical records. Longitudinal prescribing patterns were analysed, with descriptive comparisons of Δ9-tetrahydrocannabinol (THC) concentrations in medicinal cannabis prescriptions before and after the onset of psychosis.ResultsPrior to referral, 4.5% of patients were prescribed stimulants and 3.2% medicinal cannabis, with most having a history of substance use. After a psychotic episode, 3.2 % were prescribed stimulants and 6.8% were prescribed medicinal cannabis, with mean THC concentrations higher after the onset of a psychotic illness (31.4% vs 16.9%). Over 70% of those prescribed stimulants and 60% prescribed medicinal cannabis after experiencing a psychotic episode had further contact with mental health services due to concerns about a deterioration in mental state where these medications were thought to be a contributory factor.ConclusionsIt is of concern that THC concentrations were higher in prescriptions made post-EP discharge. Enhanced safeguards are required to mitigate risks and reliably identify patients where such prescription would be contraindicated.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"253-257"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145740583","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

Menopause and hospital admission with major mental health conditions: A population-based study. 更年期与主要精神健康状况住院：一项基于人群的研究

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-01 DOI: 10.1177/10398562261457072

Michelle Atchison, Samantha M Loi, Sharon Reutens, Fiona A Wilkes, Jeffrey Cl Looi, Stephen J Robson

{"title":"Menopause and hospital admission with major mental health conditions: A population-based study.","authors":"Michelle Atchison, Samantha M Loi, Sharon Reutens, Fiona A Wilkes, Jeffrey Cl Looi, Stephen J Robson","doi":"10.1177/10398562261457072","DOIUrl":"10.1177/10398562261457072","url":null,"abstract":"ObjectiveTo achieve a better understanding of whether menopause has an observable effect on major mental health conditions in midlife for women, we set out to examine population-level effects. We used national data to determine whether hospital admissions for women with severe mental health conditions were affected at the time of menopause.MethodWe accessed data on hospital separations and admitted days for the financial year 2022-2023, from the Australian Institute of Health and Welfare (AIHW). We descriptively graphed the data by age for people against hospital separations per 1000 population or admitted days per 1000 population.ResultsHospital separation rates and admissions for women with major depression and bipolar disorder show peri- and post-menopausal increases, and are relatively higher than for men of the same age, while women with schizophrenia show a peak in the perimenopausal period.ConclusionsWe have found detectable trends in hospital admissions and admitted days for peri- and post-menopausal women with bipolar disorder and depression that differ in trajectory from men. Further lifespan research is recommended to see if these are longitudinal trends across different age cohorts.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261457072"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148136118","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

Association between drinking initiation age and problematic smart device use: A large-scale nationwide survey. 开始饮酒年龄与智能设备使用问题之间的关系：一项大规模的全国性调查。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-01 Epub Date: 2025-12-26 DOI: 10.1177/10398562251408243

Young Sung Kim, In Cheol Hwang, Hong Yup Ahn

引用次数: 0

Enhancing mental health care: Referrer satisfaction with consultation liaison psychiatry service in a regional Australian hospital. 加强精神卫生保健：转诊者对澳大利亚一家地区医院咨询联络精神病学服务的满意度。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-01 Epub Date: 2025-12-29 DOI: 10.1177/10398562251408223

Clement Tan, Sandeep Reelh, Rahul Suri, Matthew I Hiskens, Akshaya Ajit, Alok Rana

{"title":"Enhancing mental health care: Referrer satisfaction with consultation liaison psychiatry service in a regional Australian hospital.","authors":"Clement Tan, Sandeep Reelh, Rahul Suri, Matthew I Hiskens, Akshaya Ajit, Alok Rana","doi":"10.1177/10398562251408223","DOIUrl":"10.1177/10398562251408223","url":null,"abstract":"IntroductionConsultation liaison psychiatry (CLP) is a subspeciality of psychiatry that integrates mental health care into non-psychiatric departments of a general hospital. The Mackay Hospital and Health Service (MHHS) commenced CLP services in 2016, with referrals increasing annually. However, literature describing and evaluating regional CLP services remains scarce.AimThis study aimed to evaluate referrer satisfaction with the MHHS CLP service through a staff satisfaction survey, and to inform service improvement and development planning.MethodsA 14-question survey, based on the Service Model for CLP in Victoria, was distributed to relevant hospital departments from May to September 2022. The survey assessed users' backgrounds, reasons for referrals, service awareness, efficiency, satisfaction, and included open feedback.ResultsDiagnostic clarification, medication review, and risk assessment were the primary reasons for referral. The service's consultationliaison aspects and response times were highly rated. Positive feedback centred on access and communication while suggested improvement highlighted outpatient care and education opportunities.ConclusionThere is a strong perceived need and high satisfaction with the local CLP service, which provides quality and efficient care. Implementing suggested improvements will require input and resources from key stakeholders.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"238-245"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145848739","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

Evaluating junior medical staff confidence in assessment and management of mental health presentations in an Australian paediatric emergency department. 评估初级医务人员对澳大利亚儿科急诊科心理健康状况评估和管理的信心。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-01 Epub Date: 2026-02-11 DOI: 10.1177/10398562261424122

Jason Daoud, Jesse Greenwood, Tanita Botha, Doris Tham, Aaron Wiggins

{"title":"Evaluating junior medical staff confidence in assessment and management of mental health presentations in an Australian paediatric emergency department.","authors":"Jason Daoud, Jesse Greenwood, Tanita Botha, Doris Tham, Aaron Wiggins","doi":"10.1177/10398562261424122","DOIUrl":"10.1177/10398562261424122","url":null,"abstract":"ObjectiveTo evaluate confidence levels of junior doctors working in the paediatric emergency department (ED) in the assessment and management of acute mental health presentations.MethodsThis cross-sectional study invited 89 eligible junior doctors in an Australian paediatric ED to complete an online survey. Information about clinical experience was collected, and self-report confidence levels assessed using 5-point Likert scale. Descriptive statistics and comparative analysis were conducted using the Mann-Whitney U test.Results28 participants responded to the survey. Participants indicated feeling less confident in domains of assessment and management such as managing acute agitation, having knowing of referral pathways and support services compared to other domains. Confidence levels did not significantly differ based on training level or prior experience. Suggestions for future training included scenario-based learning, clinical simulation, education on referral pathways and acute behavioural disturbance.ConclusionsThis study reveals generally low confidence levels of junior doctors in assessment and management of acute mental health presentations to the paediatric ED. Confidence levels did not significantly differ between groups based on clinical experience and varied across domains of assessment and management. The study highlights a need for further training to address the current skills and knowledge gap in this area.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"231-237"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146163847","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 person behind the diagnosis. 诊断背后的人。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-01 Epub Date: 2026-06-02 DOI: 10.1177/10398562261444533c

引用次数: 0

Through a glass, darkly: Providing safe care in an under-resourced mental health system. 透过玻璃，黑暗：在资源不足的精神卫生系统中提供安全护理。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-01 Epub Date: 2026-03-30 DOI: 10.1177/10398562261438759

Sharon Reutens, Ian Korbel, Jeffrey C L Looi

引用次数: 0