Australasian PsychiatryPub Date : 2025-06-01Epub Date: 2024-12-23DOI: 10.1177/10398562241308711
Yvonne Nguyen, Nick Glozier, Jacqueline Huber
{"title":"Assessing the prevalence of personality pathology in Australian psychiatric emergency care centres: A feasibility study.","authors":"Yvonne Nguyen, Nick Glozier, Jacqueline Huber","doi":"10.1177/10398562241308711","DOIUrl":"10.1177/10398562241308711","url":null,"abstract":"<p><p>ObjectivesTo assess feasibility and acceptability of self-report measures in estimating prevalence of measurable personality disorder (PD) pathology in a Psychiatric Emergency Care Centre (PECC) unit.MethodPatients meeting eligibility criteria admitted to an inner-city PECC unit were invited to complete the (1) Standardised Assessment of Personality - Abbreviated Scale (SAPAS), (2) Personality Inventory of DSM-5 Brief Form (PID-5-BF), and (3) Level of Personality Functioning Scale - Brief Form 2.0 (LPFS-BF-2.0).ResultsThere were 24 participants - 80% of invited patients but only 51% of eligible patients and 21% of total PECC inpatients. Barriers to recruitment included: not meeting eligibility criteria, rapid discharge, and high workload. All participants completed the self-report measures. There was a very high prevalence of likely PD (87.5%) (SAPAS), personality trait dysfunction (87.5%) (PID-5-BF) and impaired personality functioning (91.7%) (LPFS-BF 2.0) but there was a low rate of agreement between discharge summary diagnoses and self-report measures.ConclusionsUsing self-report measures to assess PD pathology in a PECC unit was acceptable and may improve discharge summary diagnosis accuracy. Logistical challenges may limit this approach unless it can be embedded in routine care measures. Having accurate prevalence estimates would enable appropriate research, treatment and resourcing in PECCs.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"511-518"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876052","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}
Australasian PsychiatryPub Date : 2025-06-01Epub Date: 2025-01-12DOI: 10.1177/10398562241312978
Dean Membrey, Thileepan Naren, Jon Cook, Paul MacCartney, Dianne Brown
{"title":"Patient factors associated with treatment completion in a 12-week inpatient dual diagnosis treatment program.","authors":"Dean Membrey, Thileepan Naren, Jon Cook, Paul MacCartney, Dianne Brown","doi":"10.1177/10398562241312978","DOIUrl":"10.1177/10398562241312978","url":null,"abstract":"<p><p>ObjectiveTo identify whether mental health wellbeing, age, gender or recent substance use pattern affected completion rates of a dual diagnosis inpatient program.MethodThis retrospective cohort study reviewed medical records of patients admitted between October 2018 and December 2021 of Westside Lodge, a dual diagnosis inpatient program. Demographic information, mental health screening tool results (BASIS-24) and self-reported substance use data were accessed from the patients' electronic medical records.Results181 admissions were included in the study, of which the majority were male (53.6%). Recently used common substances were alcohol (52%), cannabis (40%) and methamphetamine (43%). None of the factors studied demonstrated any statistically significant effect on the likelihood of program completion.ConclusionThis study found that age, gender, mental health wellbeing and recent substances used were not associated with the likelihood of completing inpatient dual diagnosis treatment though further high-powered studies are required to validate these claims.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"530-538"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969526","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}
Australasian PsychiatryPub Date : 2025-06-01Epub Date: 2024-12-22DOI: 10.1177/10398562241308437
Mark Abie Horowitz, David Taylor
{"title":"Deprescribing antidepressants: An integral and neglected component of high-quality prescribing practice.","authors":"Mark Abie Horowitz, David Taylor","doi":"10.1177/10398562241308437","DOIUrl":"10.1177/10398562241308437","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"329-332"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876056","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}
Australasian PsychiatryPub Date : 2025-06-01Epub Date: 2025-03-12DOI: 10.1177/10398562251326063
Jeffrey Cl Looi, Sharon Reutens, Natasha Robinson, Steve Kisely, Tarun Bastiampillai, Stephen Allison
{"title":"The NSW public psychiatric care crisis: For whom the bell tolls.","authors":"Jeffrey Cl Looi, Sharon Reutens, Natasha Robinson, Steve Kisely, Tarun Bastiampillai, Stephen Allison","doi":"10.1177/10398562251326063","DOIUrl":"10.1177/10398562251326063","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"318-321"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613173","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}
Australasian PsychiatryPub Date : 2025-06-01Epub Date: 2025-02-18DOI: 10.1177/10398562251322011
Andrew James Amos
{"title":"Ten years gone: Response to Cavve (2024).","authors":"Andrew James Amos","doi":"10.1177/10398562251322011","DOIUrl":"10.1177/10398562251322011","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"577-578"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Australasian PsychiatryPub Date : 2025-06-01Epub Date: 2025-03-17DOI: 10.1177/10398562251327036
Matthew Jenkins, Pablo Richly
{"title":"Examining the role of psychiatrists in involuntary admissions under the Mental Health Act in New Zealand.","authors":"Matthew Jenkins, Pablo Richly","doi":"10.1177/10398562251327036","DOIUrl":"10.1177/10398562251327036","url":null,"abstract":"<p><p>ObjectivesThis perspective examines the role of psychiatrists in section 10 assessments under the Mental Health Act (MHA) in Aotearoa New Zealand, focusing on their involvement, concordance with preliminary assessments, and implications for service delivery. It also explores the potential impact of a capacity-based model.MethodsData was requested from all 20 District Health Boards (DHBs) on section 10 assessments completed between July 2022 and July 2023, including how many resulted in a section 11 certificate. Response rates and concordance between section 8(b) and section 10 assessments were analyzed.ResultsData from six DHBs showed over 95% of section 10 assessments led to a section 11 certificate, demonstrating high concordance. Psychiatrists conducted most section 10 assessments. However, approximately 1 in 20 cases involved non-concordance, suggesting psychiatrist-led assessments serve as a critical safeguard.ConclusionsHigh concordance rates suggest inefficiencies, yet the 1 in 20 non-concordance highlights an important safeguard. Given psychiatrist shortages and after-hours workload, reconsideration of the MHA process is warranted. Possible reforms include streamlining assessments, enabling non-psychiatrist practitioners to conduct final evaluations in some cases, and adopting a capacity-based model to optimize service delivery while maintaining safeguards.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"348-351"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Australasian PsychiatryPub Date : 2025-06-01Epub Date: 2025-06-06DOI: 10.1177/10398562251338110b
{"title":"Obituary - Dr William Bor.","authors":"","doi":"10.1177/10398562251338110b","DOIUrl":"https://doi.org/10.1177/10398562251338110b","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":"33 3","pages":"584"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233026","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}