Australasian Psychiatry最新文献_第7页

Balancing risks and resilience: Evaluating the impact of Australia's social media ban on adolescent mental health. 平衡风险和复原力：评估澳大利亚社交媒体禁令对青少年心理健康的影响。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-03-12 DOI: 10.1177/10398562251325728

Tamoor Mirza

引用次数: 0

It is time to dethrone suicidal ideations as a risk predictor. 是时候把自杀想法作为一种风险预测因素。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-03-12 DOI: 10.1177/10398562251325720

Abbas Alameddine

{"title":"It is time to dethrone suicidal ideations as a risk predictor.","authors":"Abbas Alameddine","doi":"10.1177/10398562251325720","DOIUrl":"https://doi.org/10.1177/10398562251325720","url":null,"abstract":"ObjectiveTo evaluate the practice of using reported suicidal ideations (SI) as an important predictor of suicide and as a major indicator to decide the eligibility and priority of access to mental health services.FindingsExamples on the widespread use of SI in triage, screening, and management protocols of mental health presentations, both in emergency and community settings, are presented. Such widespread use comes in contrast to the evidence clearly indicating the limited utility of SI as a suicide predictor. SI limitations are expected when put in the larger context of the generalized failure of suicide prediction tools. The potential detrimental effects of an exaggerated SI status on several aspects of the clinical encounter are discussed. Finally, potential systemic downsides in humanitarian and resource-limited settings are hypothesized, such as hindering mental health integration into primary care, as well as over-reporting of SI by beneficiaries seeking aid and vulnerability status.ConclusionsSI still holds a \"canonical\" status as a risk indicator and triage guide. This exaggerated status, in addition to lacking evidence, can also lead to potential downsides, especially in overloaded health systems.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251325720"},"PeriodicalIF":1.2,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613050","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

Silencing psychiatry. 沉默精神病学。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-03-03 DOI: 10.1177/10398562251324815

John Tiller

引用次数: 0

Violence and nicotine replacement therapy in a high dependency mental health unit. 高依赖精神卫生单位的暴力和尼古丁替代疗法。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-26 DOI: 10.1177/10398562251324412

Alistair Spiers, Chew Sok Chin, Kyle YuWei Ng, Michael Taran, Phoebe Thornton, Theo Theodoros, Mat Coleman

{"title":"Violence and nicotine replacement therapy in a high dependency mental health unit.","authors":"Alistair Spiers, Chew Sok Chin, Kyle YuWei Ng, Michael Taran, Phoebe Thornton, Theo Theodoros, Mat Coleman","doi":"10.1177/10398562251324412","DOIUrl":"https://doi.org/10.1177/10398562251324412","url":null,"abstract":"Introduction: Nicotine withdrawal is associated with aggression on mental health wards. This study examined whether the introduction of an inhaled form of Nicotine Replacement Therapy (NRT) improved acceptability and reduced observed aggression on a high dependency mental health unit (HDU), at a tertiary level metropolitan hospital.Method: This retrospective cohort study included tobacco smokers admitted to the HDU over two consecutive years, following a smoking ban at the hospital. Transdermal patch and gum forms of NRT were available in the first year, with an inhaled form introduced the following year. Aggression was quantified using the Brøset violence checklist. Statistical analysis included the chi-squared test of independence and student's t-test.Results: Of the 89 people admitted, 85% smoked tobacco. Of these, 71% had a history of violence and 33% had been incarcerated for this. NRT use increased from 26% to 33% in the second year. Use of NRT was associated with a significant reduction in aggression across the study period, and the overall aggression was lower in the second year.Conclusion: Greater choice of NRT agents can lead to improved use and acceptance, associated with reduced inpatient aggression. Acceptance, dosing and administration of NRT can all be improved by assertive policy.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251324412"},"PeriodicalIF":1.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514437","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

Acute stress exposure in healthy oil and gas field workers and early post-traumatic stress disorder symptoms: A lesson from the COVID-19 crisis. 健康油气田工作人员急性应激暴露和早期创伤后应激障碍症状：来自COVID-19危机的教训

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-20 DOI: 10.1177/10398562251320529

Dewi Y Fitriani, Muchtaruddin Mansyur, Natalia W Raharjanti, Nuri P Adi, Marsen Isbayuputra, Adhitya S Ramadianto, Nadia R Nugrahadi, Edward C Yo, Jean M Pujo, Hatem Kallel

{"title":"Acute stress exposure in healthy oil and gas field workers and early post-traumatic stress disorder symptoms: A lesson from the COVID-19 crisis.","authors":"Dewi Y Fitriani, Muchtaruddin Mansyur, Natalia W Raharjanti, Nuri P Adi, Marsen Isbayuputra, Adhitya S Ramadianto, Nadia R Nugrahadi, Edward C Yo, Jean M Pujo, Hatem Kallel","doi":"10.1177/10398562251320529","DOIUrl":"https://doi.org/10.1177/10398562251320529","url":null,"abstract":"Introduction: During the COVID-19 pandemic, the oil and gas industry had to adopt coping strategies. These changes might contribute to early increased mental health issues among workers. This study aimed to assess the prevalence and associated factors to early post-traumatic stress disorder (PTSD) symptoms among healthy Indonesian oil and gas field workers during the COVID-19 pandemic.Method: A cross-sectional study was conducted from November 2020 to January 2021. We investigated healthy field employees working during the pandemic. Data on the subjects' PTSD symptoms were collected using the PTSD Checklist-Civilian (PCL-C) Version.Results: A total of 1542 completed forms were analyzed. The prevalence of PTSD symptoms was 44.8%, with 9.1% of very severe forms. Independent factors associated with PTSD symptoms were female gender (p = .013, OR 1.72 [95% CI 1.12-2.63]), change in work system (p = .006, OR 1.37 [95% CI 1.09-1.71]), increased workload (p < .001, OR 2.10 [95% CI 1.63-2.71]), and decreased income (p = .041, OR 1.44 [95% CI 1.02-2.05]).Conclusion: The COVID-19 crisis and its impact on working conditions were significant stressors that contributed to a high prevalence of PTSD symptoms among oil and gas company workers. Therefore, implementing well-being programs is essential during acute challenges that lead to changes in work systems.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251320529"},"PeriodicalIF":1.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456759","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

Ten years gone: Response to Cavve (2024). 十年过去了：对洞穴的回应（2024）。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-18 DOI: 10.1177/10398562251322011

Andrew James Amos

引用次数: 0

Psychiatrists should champion the care of those with severe mental illnesses experiencing climate change-related heat stress. 精神科医生应该支持照顾那些患有严重精神疾病的人，他们正在经历与气候变化相关的中暑。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-16 DOI: 10.1177/10398562251319921

Stephen Allison, Tarun Bastiampillai, Steve Kisely, Hayden Cornell, Jeffrey C L Looi

{"title":"Psychiatrists should champion the care of those with severe mental illnesses experiencing climate change-related heat stress.","authors":"Stephen Allison, Tarun Bastiampillai, Steve Kisely, Hayden Cornell, Jeffrey C L Looi","doi":"10.1177/10398562251319921","DOIUrl":"10.1177/10398562251319921","url":null,"abstract":"ObjectiveThe Australian climate has warmed by 1.51°C since preindustrial times, and the Commonwealth Scientific and Industrial Research Organisation (CSIRO) predicts further warming with an increased risk of extreme heat events. This article discusses how the most recent Royal Australian and New Zealand College of Psychiatrists' (RANZCP) position statement dealt with the impact of climate change-related heat stress on people living with severe mental illness.ConclusionsThe RANZCP statement focuses on the impact of climate change on common mental disorders and suicide rates without specific mention of severe mental illnesses such as schizophrenia, bipolar disorder and severe major depression. However, people with severe mental illness face higher risks of morbidity and mortality in a hotter Australian climate. Based on equity for those with greater needs and higher levels of risk, we argue that psychiatrists should advocate for enhanced social and psychiatric care to improve heat-resilience amongst patients with severe mental illness. Future research is needed on the biopsychosocial mechanisms of increased heat-related morbidity and mortality for people with severe mental illness.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251319921"},"PeriodicalIF":1.2,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432397","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

Establishing a psychiatry clinic within an Australian publicly funded specialist obesity service. 在澳大利亚公共资助的肥胖症专家服务机构内建立精神病学诊所。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-12 DOI: 10.1177/10398562251318892

Louise Brightman, Deborah Inman, James Goodbourn

{"title":"Establishing a psychiatry clinic within an Australian publicly funded specialist obesity service.","authors":"Louise Brightman, Deborah Inman, James Goodbourn","doi":"10.1177/10398562251318892","DOIUrl":"https://doi.org/10.1177/10398562251318892","url":null,"abstract":"Objective: In January 2023, the Canberra Health Services Department of Bariatric Medicine introduced a psychiatry clinic into its model of care to optimise the management of patients with comorbid obesity and mental illness. This paper describes the scope of the psychiatry clinic and reviews patient characteristics and management during the first year of operation.Methods: This study is an outline of the clinic and a retrospective review of patient demographics, body mass index, psychiatric diagnoses and initial management. Descriptive statistics were performed (2024.LRE.00027).Results: Clinic scope, staffing and patient eligibility were presented. Of the 22 patients referred, 20 attended initial assessment and at least one review (102 encounters). Females outnumbered males (82%). Mean age was 44 years (18-73 years). Mean body mass index was 51.74 kg/m2 (29.36-74.23 kg/m2). Depressive and anxiety disorders were the most prevalent existing diagnoses. Trauma and stressor-related disorders and feeding and eating disorders were common new diagnoses. 75% of patients had two or more psychiatric disorders. Management comprised medications, supportive psychotherapy and referral recommendations.Conclusions: This is the first time the Department of Bariatric Medicine has embedded a psychiatry clinic into its model of care. The clinic provides specialist-level psychiatric care within a multi-disciplinary team which may have benefits in managing comorbid obesity and mental illness.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251318892"},"PeriodicalIF":1.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397932","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

Exploring care of persons with dementia and significant violence risk in Victoria: A Delphi study. 探索维多利亚州痴呆症患者的护理和显著暴力风险：德尔菲研究。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-07 DOI: 10.1177/10398562251317342

Zoe Cousins, Sam Pang, Thomas Rego

{"title":"Exploring care of persons with dementia and significant violence risk in Victoria: A Delphi study.","authors":"Zoe Cousins, Sam Pang, Thomas Rego","doi":"10.1177/10398562251317342","DOIUrl":"https://doi.org/10.1177/10398562251317342","url":null,"abstract":"Background: Significant violence associated with dementia is uncommon, though care for these people is an important issue. This group is heterogeneous and encompasses people with no forensic history to those living in forensic and custodial settings. It is expected that over the next 40 years, the Australian population aged over 65 years will double, and persons over 85 years will increase threefold. This ageing population will likely mean increased persons living with dementia who may enact significant violence and place increased pressure on services to provide care. To date, there is no research on their specific care needs in Victoria.Objectives: This study aimed to explore the current service landscape for persons with dementia and significant violence risk in Victoria through a small group of medical practitioners with expertise in dementia, psychiatry of old age, and forensic psychiatry.Methods: A modified Policy Delphi study was used to interview 12 medical practitioners with backgrounds including Forensic Psychiatry, Psychiatry of Old Age, General Practice, and Geriatric Medicine.Findings: The research identified five key recommendations to enhance service provision for this population in Victoria, including recommendations for specific care pathways, service agreements, physical environment considerations, educational needs, and consideration of a specialised service.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251317342"},"PeriodicalIF":1.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363444","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

Childhood ADHD and the importance of empathy and understanding - lessons from Bluey. 儿童多动症和同理心和理解的重要性——来自布鲁伊的教训。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-04 DOI: 10.1177/10398562251314308

Alexander Smith, Michael Liebrenz, Ana Buadze

引用次数: 0