Australasian Psychiatry最新文献_第9页

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 : 2025-06-01 Epub 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":"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":"352-355"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","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

Evaluation of a psychosocial group program for older adults: The Healthy Ageing Service Wellbeing Skills Group. 评估老年人的社会心理团体计划：健康老龄化服务福利技能小组。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-03-19 DOI: 10.1177/10398562251327518

Stephanie Perin, Grace Billing, Julia McCurry, Tanya Cottrell, Terence Wh Chong

{"title":"Evaluation of a psychosocial group program for older adults: The Healthy Ageing Service Wellbeing Skills Group.","authors":"Stephanie Perin, Grace Billing, Julia McCurry, Tanya Cottrell, Terence Wh Chong","doi":"10.1177/10398562251327518","DOIUrl":"10.1177/10398562251327518","url":null,"abstract":"ObjectiveTo conduct a quality assurance study assessing the implementation of the Healthy Ageing Service Wellbeing Skills Group Program (HAS-WSGP), a novel psychosocial skills group designed to support older adults' mental health.MethodsEligible participants were aged 65 years or older, presenting with mild-moderate mental health symptoms or interested in learning skills to enhance their emotional wellbeing, and living in community and residential aged care settings. Sessions were conducted weekly and facilitated by mental health clinicians and a peer support worker. Data collection involved a combination of demographic variables, outcome measures, and feedback surveys.ResultsA total of 40 consumers participated in the HAS-WSGP during the study period. Overall, participants demonstrated improvements in psychiatric, social, and occupational functioning, however no improvements in depressive and anxiety symptoms were observed. Improvements in self-reported knowledge of group program topics were observed, and participants endorsed the program as relevant, supportive, and helpful for improving their overall wellbeing.ConclusionsIt is feasible to run a psychosocial group program with older adults, and older adults report good benefits from this form of service provision. Further research will be needed to determine the efficacy of these programs on improving older adults' mental health.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"463-468"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656170","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

Experiences in Trainee Advocacy. 实习生宣传的经验。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1177/10398562251328464b

引用次数: 0

Prevalence of anxiety disorders in a clinical sample of Chinese children with autism spectrum disorder in Hong Kong. 香港中国自闭症谱系障碍儿童临床样本中焦虑障碍的患病率。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI: 10.1177/10398562251323749

Yiu Chung Vincent Tang, Grace Fong Chun Chan

{"title":"Prevalence of anxiety disorders in a clinical sample of Chinese children with autism spectrum disorder in Hong Kong.","authors":"Yiu Chung Vincent Tang, Grace Fong Chun Chan","doi":"10.1177/10398562251323749","DOIUrl":"10.1177/10398562251323749","url":null,"abstract":"Little is known about the prevalence of anxiety disorders in Han Chinese children with Autism Spectrum Disorder (ASD). This is an important topic for research as symptoms may be written off as being due to ASD alone.ObjectiveTo provide prevalence rates of anxiety disorders in a clinical sample of Han Chinese children with ASD and identify correlates which may be amenable to intervention.MethodThe pre-existing ASD diagnosis of 165 Hong Kong Han Chinese was confirmed with the Chinese version of the Developmental, Dimensional and Diagnostic Interview (3Di). Anxiety comorbidities were confirmed with the Chinese version of the Diagnostic Interview Schedule for Children-Version Four (DISC-IV): parent version.ResultsThe prevalence of comorbid anxiety disorders was 52.1%. The prevalence rate of specific phobis was 44.8%, separation anxiety disorder was 11.5%, social anxiety disorder was 9.1%, agoraphobia 0.6%, selective mutism 0.6%, panic disorder 0% and generalized anxiety disorder 0%. Autistic disorder subtype and more severe 3Di scores were significantly associated with anxiety rates, whereas high household income was protective.ConclusionPrevalence rates of comorbid anxiety are high in Hong Kong Han Chinese children with ASD and imperative to catch for early intervention.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"424-432"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613169","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

Comment on "Online interest in ADHD predicts ADHD medication prescriptions in Australia from 2004 to 2023: A time-series analysis revealing COVID-19-related acceleration". 在线对ADHD的兴趣预测了2004年至2023年澳大利亚ADHD药物处方：一项揭示covid -19相关加速的时间序列分析”。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-03-24 DOI: 10.1177/10398562251328153

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Metabolic profiling of blood plasma in depression in pregnant women during early pregnancy. 孕早期抑郁症孕妇血浆代谢谱分析。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2024-10-09 DOI: 10.1177/10398562241286679

Hui Yang, Shuqin Jia, Xunyi Guo, Jin Chen, Tao Zou

{"title":"Metabolic profiling of blood plasma in depression in pregnant women during early pregnancy.","authors":"Hui Yang, Shuqin Jia, Xunyi Guo, Jin Chen, Tao Zou","doi":"10.1177/10398562241286679","DOIUrl":"10.1177/10398562241286679","url":null,"abstract":"ObjectiveThe study aimed to perform metabolic profiling of serum samples using liquid chromatography with mass spectroscopy (LC-MS) and to explore potential biomarkers of early trimester depression.MethodUsing the Edinburgh Postnatal Depression Scale (EPDS), participants were randomly divided into study and control groups. Serum metabolic profiles of the two groups were analysed by using LC-MS. Differential metabolite and pathway analysis were identified by using orthogonal projections to latent structure-discriminant analysis (OPLS-DA) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis. Additionally, least absolute shrinkage and selection operator (LASSO) logistic and receiver operating characteristic (ROC) curve analyses were also conducted to explore potential biomarkers of antenatal depression (AD).ResultsThe study included 41 participants, consisting of 16 subjects with AD and 25 controls. A total of 22 different metabolites were identified (p < .005), mainly affecting glycerophospholipid metabolism, linoleic acid metabolism, synthesis and degradation of ketone bodies, phenylalanine metabolism, and butanoate metabolism. The area under the ROC curve (AUC) for the LysoPC (24:0) was 0.858. This suggests that LysoPC (24:0) may be a potentially effective predictor of risk factors for AD.ConclusionsThe study suggests that LysoPC (24:0) may be an effective and specific lipid biomarker for early trimester depression.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"448-456"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387547","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

Time taken to reach treatment for eating disorders in New Zealand. 新西兰饮食失调症患者接受治疗所需的时间。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2024-11-15 DOI: 10.1177/10398562241298082

Rachel Lawson, Roma Watterson, Martin A Kennedy, Cynthia M Bulik, Jennifer Jordan

{"title":"Time taken to reach treatment for eating disorders in New Zealand.","authors":"Rachel Lawson, Roma Watterson, Martin A Kennedy, Cynthia M Bulik, Jennifer Jordan","doi":"10.1177/10398562241298082","DOIUrl":"10.1177/10398562241298082","url":null,"abstract":"ObjectiveThe significant cost burden of eating disorders (EDs) could be lessened with quicker access to treatment. Little is known about the time it takes to reach treatment. We aimed to examine the time to access treatment in New Zealand.Method468 respondents of the Costs of Eating Disorders online survey provided data including demographics; diagnoses; treatment journey, length of time to seek help; time to diagnosis after seeking help; GP referral to a specialist after diagnosis; and waiting time to see an EDs specialist.ResultsHalf the sample took more than a year to seek help. Those with bulimia nervosa (BN) and binge-eating disorder (BED) took significantly longer to seek help than those with anorexia nervosa and Other EDs. Once participants sought help, half the sample was diagnosed within 1 week. GPs referred most participants to an EDs specialist. Of those placed on a waiting list to see an EDs specialist, just under half were seen within 6 weeks, with no significant differences by diagnosis in waiting time.ConclusionsImproving the acceptability of seeking help, particularly in those with BN and BED, early recognition of symptoms, and improving treatment pathways are key to minimising longer term impacts.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"525-529"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643775","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

Trends in access to clinical mental healthcare by very old people in Australia since 'Better Access' commenced in 2006. 自2006年“更好的获取途径”启动以来，澳大利亚老年人获得临床精神保健的趋势。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2024-12-12 DOI: 10.1177/10398562241290031

Roderick McKay, Shirlony Morgan, Sharon Lawn, Janne McMahon Oam

{"title":"Trends in access to clinical mental healthcare by very old people in Australia since 'Better Access' commenced in 2006.","authors":"Roderick McKay, Shirlony Morgan, Sharon Lawn, Janne McMahon Oam","doi":"10.1177/10398562241290031","DOIUrl":"10.1177/10398562241290031","url":null,"abstract":"ObjectivesTo examine trends in access to mental healthcare by old and very old people since the commencement of Australia's Better Access Initiative in 2006.MethodsDescriptive analysis of changes in access by people aged 75-84 and over 85 using data analysed and published by the AIHW.ResultsSince the introduction of Better Access, rates of access to specialist inpatient and community mental healthcare have reduced for those aged 75 years and older. The reduction is greatest for those aged 85 and over; with a 21% fall in community care access, 54% fall in inpatient access, and Medicare-funded psychologists and clinical psychologists access failing to rise above 1%. Rates of admissions by those 85 and older to inpatient care without specialised mental healthcare have increased by 92%, with emergency department presentations with mental health problems increasing by 33% since 2014-2015.ConclusionsThe oldest people in Australia have missed most benefits from mental healthcare reforms. The contribution of these changes to high rates of mental illness on entering residential aged care, persistent high suicide rates in older men, and increased use of emergency departments and general hospital beds demands further inquiry and action.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"469-474"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812101","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

A systematic review of reasons for and against euthanasia and physician-assisted suicide in older people with a non-terminal condition. 对非终末期老年人安乐死和医生协助自杀的赞成和反对理由的系统回顾。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-01-11 DOI: 10.1177/10398562251313917

James Baée, Brian Draper, Chanaka Wijeratne

{"title":"A systematic review of reasons for and against euthanasia and physician-assisted suicide in older people with a non-terminal condition.","authors":"James Baée, Brian Draper, Chanaka Wijeratne","doi":"10.1177/10398562251313917","DOIUrl":"10.1177/10398562251313917","url":null,"abstract":"ObjectiveSome European jurisdictions have legalised euthanasia and physician-assisted suicide (EUT/PAS) for people with dementia and 'multiple geriatric syndromes'. We therefore sought to determine the published rationales for and against providing EUT/PAS to older people without a terminal illness.MethodA systematic review was undertaken according to PRISMA guidelines. Content, thematic and discourse analyses were used to identify papers that delineated ethical arguments for and against the provision of EUT/PAS to older people without a terminal illness, and to synthesise arguments into overarching themes.ResultsSeventeen studies were included, eight of which were written by medical practitioners, the rest by ethicists. All but two of the papers were written by authors from western nations. A total of 70 arguments were identified, 16 (22.9%) being in favour of EUT/PAS, and 54 (77.1%) against. The themes identified were: a person with dementia had a duty to die, precedent capacity, ageism, abuse/coercion, psychological factors, healthcare economics, sociocultural factors and legislation.ConclusionDespite broad scepticism about the provision of EUT/PAS to older people without a terminal illness, the literature is preliminary. There is a need for ethicists and policymakers to engage with a range of older people with physical, cognitive and social needs, as well as their supporters.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"366-375"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963700","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

Explicating the implicit: An Australian medical student's reflection on the Perspectives of Psychiatry Program for International Learners (PoPPIL). 解释隐含：一名澳大利亚医学生对国际学习精神病学课程（PoPPIL）观点的反思。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-04-14 DOI: 10.1177/10398562251333520

Allen J Huang

{"title":"Explicating the implicit: An Australian medical student's reflection on the Perspectives of Psychiatry Program for International Learners (PoPPIL).","authors":"Allen J Huang","doi":"10.1177/10398562251333520","DOIUrl":"10.1177/10398562251333520","url":null,"abstract":"BackgroundMedical schools are essential in promoting psychiatry as an appealing career, especially amid workforce shortages and prevailing negative perceptions that deter interest in the field. Research suggests that increasing mentorship opportunities and access to enrichment programs and electives can significantly improve attitudes towards psychiatry, encouraging more to consider it as a career path.ObjectiveTo reflect on an Australian medical student's experience in the Perspectives of Psychiatry Program for International Learners (PoPPIL) at Johns Hopkins University School of Medicine, demonstrating how the program, based on its structured multi-perspective framework, serves as an example of an enrichment activity that aligns with these recommendations.ConclusionThe PoPPIL serves as a compelling model for integrating enrichment activities and mentorship within psychiatric education. Participants engage in discourse-driven learning, encouraging reflection on diagnostic formulations and explication of inherent reasoning processes. By establishing its foundations on an adaptable, conceptually sound framework, the PoPPIL aims to facilitate the development of psychiatrists who are holistic and integrative in their daily practice. Integrating educational opportunities such as these into Australia's psychiatric curricula may prove advantageous for future generations.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"361-365"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974477","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}

引用次数: 0