Australasian Psychiatry最新文献

{"title":"A new women-only prevention and Recovery Centre: The service, its consumers, and outcomes in the first year.","authors":"Chloe Kindred, Karishma Kulkarni, Samantha M Loi","doi":"10.1177/10398562261486321","DOIUrl":"https://doi.org/10.1177/10398562261486321","url":null,"abstract":"<p><p>ObjectivesWomen seeking mental health care do so with unique care needs relating to their unique risk factors and sociocultural contexts. Yanna Yanna Prevention and Recovery Centre in Melbourne, Australia, is a new women-only service providing sub-acute mental health care. This study set out to report consumer characteristics and outcome data for the first year of operation of the service.MethodRetrospective medical file review was used to collect data from all admissions within the study period, including Health of the Nation Outcome Scales (HoNOS). Descriptive analysis was utilised. Service operation and principles informing care at a women-only PARC are described.ResultsAll 101 admissions were analysed. Major depressive disorder and trauma-related pathology is highly prevalent in this cohort, whose interpersonal stressors frequently included family violence. Clinically significant improvement in HoNOS was seen at discharge, with Symptom, Social, and Total HoNOS scores showing the greatest improvements.ConclusionThese findings suggest this women-only PARC has a unique role in providing trauma-informed and women-centred care to this group of consumers. This study provides information relevant to improving service delivery not previously identified in the literature.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261486321"},"PeriodicalIF":1.7,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148954703","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}

{"title":"Inappropriate behaviour in the medical workplace - insights into organisational leadership from anthropology, psychology and related sciences.","authors":"Jeffrey C L Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely, Gin S Malhi","doi":"10.1177/10398562261486309","DOIUrl":"https://doi.org/10.1177/10398562261486309","url":null,"abstract":"<p><p>Medicine is based on a long apprenticeship and mentorship that entails respect for skilled and experienced leaders - a process that lends the profession prestige. However, as is often the case with such professional values, this respect for leaders can be abused, and medicine continues to struggle with high levels of bullying, harassment and discrimination by medical leaders that adversely impact on medical staff and the communities they serve. We explore why inappropriate behaviour in the medical workplace has not seemingly receded in this context. Insights from anthropological and social psychology research on dysfunctional organisational leadership may inform collective action to enact change.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261486309"},"PeriodicalIF":1.7,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910698","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}

{"title":"Suicide as a wicked problem: The case for a systems approach.","authors":"Sayantanava Mitra, Seshadri Sekhar Chatterjee, Anjana Rao Kavoor","doi":"10.1177/10398562261486320","DOIUrl":"https://doi.org/10.1177/10398562261486320","url":null,"abstract":"<p><p>ObjectiveDespite sustained investments in conventional approaches, population-level suicide rates have not improved meaningfully in Australia. Suicide's multifactorial origins - spanning mental illness, social isolation, economic hardship, housing, and cultural factors - resist the linear, clinically focused models that currently dominate prevention practices. This paper argues that the determinants of the act of suicide work as a Complex Adaptive System (CAS) and require a fundamental reorientation towards systems thinking.ConclusionThe defining properties of a CAS - feedback, delay, adaptation, and emergence - help explain the poor predictive value of risk categorisation and persistent repeat crises despite good care. Practical systems tools, including causal loop diagrams, social network analysis, and soft systems methodology, can complement clinical care. Australia's National Suicide Prevention Strategy 2025-2035 provides an opportunity to test this.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261486320"},"PeriodicalIF":1.7,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910675","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}

{"title":"Safety evaluation of zuranolone in the management of postpartum depression: A real-world pharmacovigilance study using the FDA adverse event reporting system (FAERS).","authors":"Wenzhuang Hou, Jing Sun, Xiaomin Lv","doi":"10.1177/10398562261481737","DOIUrl":"https://doi.org/10.1177/10398562261481737","url":null,"abstract":"<p><p>ObjectiveAs the first oral treatment FDA-approved for postpartum depression, the long-term adverse effects of zuranolone have not been fully investigated. This study aims to characterize the real-world safety profile of zuranolone.MethodsFAERS data from the third quarter of 2023 to the second quarter of 2025 were retrieved, covering adverse event (AEs) reports related to zuranolone. Signal detection was performed using ROR, PRR, BCPNN, and MGPS algorithms.FindingsOur study identified a total of 299 Preferred Terms with zuranolone as the primary suspect drug, involving 648 patients. Among the 24 identified System Organ Classes, nervous system disorders and psychiatric disorders were the most frequently reported AEs associated with zuranolone. Beyond the AEs already listed in the drug label, intrusive thoughts and feeling drunk exhibited strong signal intensity, though these findings require cautious interpretation. Our study identified unexpected safety concerns, including panic attack, tachyphrenia, suicidal ideation, dissociation, brain fog, and dysphemia, suggesting potential risks of depression switching to mania, suicide, addiction, and cognitive or speech-related impairments. The signal of exposure via breast milk highlights a unique population concern. Sleep-related AEs, such as somnolence, hypersomnia, and initial insomnia, highlight the central nervous system effects of zuranolone. Additionally, rare movement symptom-related AEs were observed, including tremor, muscle twitching, and motor dysfunction.ConclusionOur findings suggest that safety concerns associated with traditional GABAkines may persist in zuranolone. Given the specific patient population for zuranolone, clinicians should be particularly vigilant about its potential risks in certain clinical contexts, particularly breast milk exposure and the potential risk of sedation. Prospective clinical studies are warranted for continued monitoring of rare or long-term AEs. Further safety evaluations and clinical management strategies are essential.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261481737"},"PeriodicalIF":1.7,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910612","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}

{"title":"A unique collaboration between Queensland Health and not-for-profit selectability for delivery of Wise Choices groups for Borderline Personality Disorder: a preliminary study.","authors":"Gabrielle Matta, Suzanne Bocking, Taylor-Anne Payet, Elizabeth Korpi, Tom Ryan","doi":"10.1177/10398562261486304","DOIUrl":"https://doi.org/10.1177/10398562261486304","url":null,"abstract":"<p><p>ObjectiveThe aim of this project was to evaluate the effectiveness of Wise Choices groups for people with borderline personality disorder or emotional dysregulation delivered through a partnership between Queensland Health and a not-for-profit organisation, selectability (a company name intentionally without a capital S). The project also gathered qualitative feedback on participants' experience of the groups.MethodWe undertook a retrospective data evaluation of Wise Choices participants' pre- and post-group Kessler Psychological Distress Scale (K5) scores. A semi-structured focus group was also held for former participants of the Wise Choices groups to gather qualitative data.ResultsK5 scores decreased significantly after completion of the Wise Choices groups. The themes from the focus group were: the groups as a \"rollercoaster ride,\" need for more information pre- and post-groups, experiences of relationships with facilitators and gratitude for and appreciation of Wise Choices.ConclusionsThe Wise Choices program was associated with a significant reduction in psychological distress and was positively received by participants. Qualitative feedback highlighted strong facilitator support and therapeutic benefits and identified areas for improvement in orientation processes and intra- and post-program support. These findings support the program's value as a structured group intervention for individuals with borderline personality disorder.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261486304"},"PeriodicalIF":1.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148904955","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}

{"title":"Audit of the psychiatric extended care model's impact on emergency department length of stay.","authors":"Adil Ali Mubarak Ali, Pawan Koirala, Cherrie Galletly, Sebastian Alder-Price","doi":"10.1177/10398562261481761","DOIUrl":"https://doi.org/10.1177/10398562261481761","url":null,"abstract":"<p><p>ObjectiveProlonged Emergency Department (ED) Length of Stay (LOS) for mental health patients adversely impacts bed flow. This study evaluated the Psychiatric Extended Care (PEC) model's PEC-C pathway, implemented at Lyell McEwin Hospital in June 2022, which transfers select patients to the Mental Health Short Stay Unit (MHSSU) before psychiatric review.MethodsThis retrospective audit compared ED LOS and Total LOS between \"pre-PEC\" (January-April 2022) and \"post-PEC\" (January-April 2024) cohorts meeting PEC-C criteria (voluntary patients meeting predefined safety and medical screening criteria presenting for mental health reasons). Primary outcomes were ED LOS and Total LOS (combined ED plus MHSSU LOS).ResultsIn 2022, 28/686 (4.1%) ED psychiatric referrals met PEC-C criteria; in 2024, 29/679 (4.3%) met criteria. For patients meeting PEC-C criteria, ED LOS decreased from 18.2 hours (IQR: 13.4-22.9) pre-PEC to 9.4 hours (IQR: 6.3-12.5) post-PEC (U = 102.5, p < .001). Total LOS showed no significant difference (69.4 hours [IQR: 7.3-131.5] vs 64.9 hours [IQR: 38.6-91.2], U = 406, p = 1.00). No adverse safety events occurred for patients meeting PEC-C criteria.ConclusionA significant reduction in ED LOS was observed following PEC implementation; Total LOS was unchanged. The quasi-experimental design limits causal inference, warranting prospective evaluation.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261481761"},"PeriodicalIF":1.7,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900049","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}

{"title":"A six-point plan to prepare psychiatrists in training for the age of AI.","authors":"Michael James Weightman","doi":"10.1177/10398562261479571","DOIUrl":"https://doi.org/10.1177/10398562261479571","url":null,"abstract":"<p><p>Psychiatry training faces an inflection point precipitated by the far-reaching impacts of AI on both clinical practice and education. This editorial proposes a six-point plan outlining pragmatic steps for bolstering training to ensure it withstands the unknowns associated with an AI-augmented future.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261479571"},"PeriodicalIF":1.7,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890676","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}

{"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":"<p><p>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 (<i>p</i> = .013), particularly emotional abuse (<i>p</i> = .043), and peer bullying (<i>p</i> = .019). University-level education was also associated with psychotherapy use (<i>p</i> < .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.</p>","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}

{"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":"<p><p>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 (<b>Tea</b>chers <b>Lea</b>ding the <b>F</b>rontlines), 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.</p>","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}

{"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":"<p><p>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.</p>","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}