Australasian Psychiatry最新文献_第2页

Does youth-friendly mental health care improve therapeutic engagement and psychosocial outcomes? 青年友好型精神卫生保健能改善治疗参与和社会心理结果吗？

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-01 DOI: 10.1177/10398562251351445

Stephen Allison, Tarun Bastiampillai, Steve Kisely, Jeffrey Cl Looi

{"title":"Does youth-friendly mental health care improve therapeutic engagement and psychosocial outcomes?","authors":"Stephen Allison, Tarun Bastiampillai, Steve Kisely, Jeffrey Cl Looi","doi":"10.1177/10398562251351445","DOIUrl":"https://doi.org/10.1177/10398562251351445","url":null,"abstract":"ObjectivesWe discuss the paradox of young people dropping out of the Australian Government national youth psychotherapy programme (headspace), which is co-designed by youth people.ConclusionsA very large percentage of young people drop out of psychotherapy before completing evidence-based treatment. Youth-friendly psychotherapy services are hypothesised to improve therapeutic engagement and psychosocial outcomes. However, empowered young people may not choose greater engagement with psychotherapy. For example, the Australian Government recognises the right to youth-friendly services and headspace emphasises providing young people with access to support where, when, and how they want. Most appear to want very short courses of psychotherapy (1-3 sessions), which are associated with lower than expected psychosocial outcomes compared to other real-world services. Only the 20% who engage in 6 or more sessions have outcomes comparable to other psychotherapies. These findings have international significance because similar youth-friendly psychotherapy programmes are being established around the world.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251351445"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537942","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

Managing borderline personality disorder within the NDIS: challenges and opportunities. 在NDIS中管理边缘型人格障碍：挑战与机遇。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-07-01 DOI: 10.1177/10398562251355156

Cale Johnstone, Ben Bernard, Alex Holmes

{"title":"Managing borderline personality disorder within the NDIS: challenges and opportunities.","authors":"Cale Johnstone, Ben Bernard, Alex Holmes","doi":"10.1177/10398562251355156","DOIUrl":"https://doi.org/10.1177/10398562251355156","url":null,"abstract":"ObjectivesThis paper describes a case of borderline personality disorder (BPD) receiving National Disability Insurance Scheme (NDIS) services and managed by an Area Mental Health Services (AMHS). It aims to explore the challenges encountered and identify useful principles of shared management.ConclusionsMental health guidelines for BPD highlight the importance of using an explicit and integrated theoretical approach and adequate clinician training. NDIS has a strong consumer-led focus, putting individuals in charge of their own care including choosing their providers and how workers address their needs. Disability support workers are not required to have any mental health training and are not provided with supervision. Initially an escalating cycle of affective instability, crisis, reduced self-agency and increasing NDIS support was observed. The support workers were placed in a vulnerable position. Integrated care required the intervention of a state-wide service.The provision of psychosocial support under the NDIS, especially for those with BPD, is in a process of development and an argument for more specific and specialised NDIS services can easily be made. Currently, at the very least, mental health clinicians need to consider whether more support is always better when considering the role of the NDIS in individuals with BPD.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251355156"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537943","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 case for the psychotherapy written case: A 21^st century argument. 心理治疗书面案例的案例：21世纪的争论。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-30 DOI: 10.1177/10398562251355134

Lynette Chazan, Jenny Randles

引用次数: 0

Uncovering the gaps: Violence risk assessment tools and their validity among Australian First Nations adults with mental disorders. 揭露差距：暴力风险评估工具及其在澳大利亚第一民族成人精神障碍中的有效性。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-29 DOI: 10.1177/10398562251353329

Edjoni Blackledge, Gemma Goodwin, Jessica Proctor, Stephane Shepherd

{"title":"Uncovering the gaps: Violence risk assessment tools and their validity among Australian First Nations adults with mental disorders.","authors":"Edjoni Blackledge, Gemma Goodwin, Jessica Proctor, Stephane Shepherd","doi":"10.1177/10398562251353329","DOIUrl":"https://doi.org/10.1177/10398562251353329","url":null,"abstract":"BackgroundThere is ongoing debate on the cultural appropriateness of violence risk assessment tools, particularly for marginalised populations such as Australian First Nations peoples, in determining court outcomes.ObjectiveThis scoping review aims to evaluate existing validated violence risk assessment tools for use among Australian First Nations adults with diagnosed mental disorders.DesignA search across databases, including PsycINFO, MEDLINE and Web of Science, identified 1202 studies, of which 31 met eligibility criteria. Two studies were ultimately included.ResultsThe review found two studies examining the cultural appropriateness of these tools, both highlighting a significant lack of cultural validation. Existing instruments were criticised for potentially misidentifying violence risk in First Nations populations.ConclusionsThe scarcity of studies underscores the urgent need for culturally sensitive research and validation of risk assessment tools for Australian First Nations adults. This review questions the ethics of using unvalidated tools in sentencing and advocates for developing culturally appropriate methodologies for First Nations populations.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251353329"},"PeriodicalIF":1.2,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526231","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

Bridging the mind and body: exploring venous thromboembolism in psychiatric inpatients. 架起心灵与身体的桥梁：探讨精神科住院病人的静脉血栓栓塞。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-29 DOI: 10.1177/10398562251353668

Ryan R D Chan, Emma Hamid, Thuy Le, Mariam Alaverdashvili, Annabelle Wanson, Katelyn Halpape

{"title":"Bridging the mind and body: exploring venous thromboembolism in psychiatric inpatients.","authors":"Ryan R D Chan, Emma Hamid, Thuy Le, Mariam Alaverdashvili, Annabelle Wanson, Katelyn Halpape","doi":"10.1177/10398562251353668","DOIUrl":"https://doi.org/10.1177/10398562251353668","url":null,"abstract":"ObjectiveThis study aimed to identify factors associated with venous thromboembolism (VTE) diagnosis in psychiatric inpatients in Saskatoon, Saskatchewan, Canada.MethodsWe conducted a retrospective case-control chart review of patients admitted to the Dube Centre for Mental Health from January 2007 to December 2021. Cases were individuals aged 18 years and older who received anticoagulation for VTE treatment. Controls were randomly selected, with case-to-control ratio 1:4, from patients with a discharge diagnosis not including VTE. Data were analyzed using descriptive analysis, univariate, followed by multivariable logistic regression analysis to identify factors associated with VTE diagnosis.ResultsA total of 32 VTE and 159 non-VTE patients were included. The mean age of VTE patients was 52 years (standard deviation [SD] = 19.7), 65.6% were female, and 65.6% had no previous VTE. Comorbidities including cancer (adjusted odds ratio [AOR] = 51.83; p = .004), cardiovascular conditions (AOR = 7.83; p = .01), and insomnia (AOR = 88.79; p = .01); psychiatric-specific interventions such as electroconvulsive therapy (AOR = 21.10; p < .001) and mechanical restraints (AOR = 12.65; p = .004); and acute medical diagnoses (AOR = 8.56; p = .01) were independently associated with developing VTE.ConclusionsPsychiatric inpatients have unique factors that increase the likelihood of developing VTE. Further research with a larger sample size and multicenter design is needed.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251353668"},"PeriodicalIF":1.2,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526302","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

Selecting an appropriate patient for the RANZCP Psychotherapy Written Case: A structured approach using Maslow's Hierarchy of Needs. 为RANZCP心理治疗选择合适的患者书面案例：使用马斯洛需求层次的结构化方法。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-27 DOI: 10.1177/10398562251351468

Peter Devadason

引用次数: 0

Australia's psychedelic experiment: reflections from a psychiatrist clinical researcher. 澳大利亚的迷幻实验：一位精神病临床研究人员的反思。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-26 DOI: 10.1177/10398562251347890

Adam Bayes

引用次数: 0

Involuntary celibacy: A brief history of the 'Incel' movement, and clinical considerations for psychiatrists. 非自愿独身：“Incel”运动的简史，以及精神科医生的临床考虑。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-26 DOI: 10.1177/10398562251351509

Katherine Watson, Scott Harden, Gemma McKeon

引用次数: 0

Pattern of emergency department presentations for deliberate self-harm at a tertiary care hospital in Pakistan: A cross-sectional study. 巴基斯坦三级医院急诊部门故意自残的表现模式：一项横断面研究。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-24 DOI: 10.1177/10398562251353370

Nazish Imran, Qasim Qadeer, Suhail Niazi, Maryam Ayub, Yar Muhammad, Ayesha Azmat, Bilawal Arshad Cheema, Sadiq Naveed

{"title":"Pattern of emergency department presentations for deliberate self-harm at a tertiary care hospital in Pakistan: A cross-sectional study.","authors":"Nazish Imran, Qasim Qadeer, Suhail Niazi, Maryam Ayub, Yar Muhammad, Ayesha Azmat, Bilawal Arshad Cheema, Sadiq Naveed","doi":"10.1177/10398562251353370","DOIUrl":"https://doi.org/10.1177/10398562251353370","url":null,"abstract":"ObjectiveDeliberate self-harm (DSH) is a complex event with multitude of contributing factors. The emergency department has an essential role as first point of contact with patients who present with DSH. We aimed to determine the pattern of DSH presenting in emergency department of a tertiary care hospital in Pakistan.MethodFollowing ethical approval, data including demographics, methods, reasons, and intent were collected for 6 months (January-June 2022) and analyzed using SPSS-26.Results485 cases (53.2% males) with mean age of 29 years (SD ± 13.16), were included. More than half (55.4%) were married with urban predominance (81.9%). One-fourth of patients were housewives. The most frequent DSH method was ingestion of a poisonous substance (95.1%), followed by firearms (1.2%). Among ingested substances, intake of wheat pills (23.1%), corrosives/acid (11.5%), and bleach (10.3%) was frequent. Immediate triggers for DSH included family conflicts (16.3%), intent to put pressure on family (17.7%), financial reasons (11.3%), and to get out of a situation (7.2%). Twenty-two percent (106) people had an intent to die. There were almost three presentations of DSH per day.ConclusionIngestion of poisonous substances, due to easy availability, highlights ongoing gaps that the policymakers can address to reduce the burden of DSH in Pakistan.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251353370"},"PeriodicalIF":1.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473905","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

Prevalence of depression and anxiety in gestational trophoblastic disease: A systematic review and meta-analysis. 妊娠滋养细胞疾病中抑郁和焦虑的患病率：一项系统回顾和荟萃分析。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-24 DOI: 10.1177/10398562251355145

Candra Novi Ricardo Sibarani, Siti Salima, Gatot Nyarumenteng Adhipurnawan Winarno, Nicholas Adrianto, Ghea Mangkuliguna

{"title":"Prevalence of depression and anxiety in gestational trophoblastic disease: A systematic review and meta-analysis.","authors":"Candra Novi Ricardo Sibarani, Siti Salima, Gatot Nyarumenteng Adhipurnawan Winarno, Nicholas Adrianto, Ghea Mangkuliguna","doi":"10.1177/10398562251355145","DOIUrl":"https://doi.org/10.1177/10398562251355145","url":null,"abstract":"ObjectiveThe objective of this systematic review and meta-analysis is to determine the prevalence of anxiety and depression among individuals diagnosed with gestational trophoblastic disease (GTD), considering the significant emotional toll associated with miscarriage, surgical procedures, and prolonged β-hCG monitoring.MethodsWe systematically searched for studies published up to February 2024 that reported on the prevalence of anxiety and depression in GTD. The databases included PubMed, ScienceDirect, Cochrane Library, EBSCOHost, ProQuest, and Google Scholar. Data from the included studies were independently extracted by four researchers and analyzed using MedCalc v19.5.1. This study was registered with PROSPERO (registration number CRD42024525746).ResultsOur analysis included seven studies involving a total of 462 participants. The findings revealed an overall prevalence of anxiety at 34.9% and depression at 22.2%, indicating a significant psychological impact on patients with GTD.ConclusionThe high prevalence of anxiety and depression underscores the necessity for physicians to provide comprehensive psychological support to patients with GTD. Educating patients about their disorder, treatment options, and potential consequences is crucial for managing the psychological aspects of GTD.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251355145"},"PeriodicalIF":1.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482927","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