Australasian Psychiatry最新文献_第9页

The Thought Broadcast: The importance of psychiatric journal clubs. 思想广播：精神病学杂志俱乐部的重要性。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 DOI: 10.1177/10398562241282377a

引用次数: 0

Describing the burden of disease amongst inpatients with treatment resistant major depressive disorder in Australia. 描述澳大利亚重度抑郁障碍耐药住院患者的疾病负担。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-08-31 DOI: 10.1177/10398562241278959

Melanie Hurley, Angela Komiti, Malcolm Hopwood

{"title":"Describing the burden of disease amongst inpatients with treatment resistant major depressive disorder in Australia.","authors":"Melanie Hurley, Angela Komiti, Malcolm Hopwood","doi":"10.1177/10398562241278959","DOIUrl":"10.1177/10398562241278959","url":null,"abstract":"Objective: To describe the quality of life and clinical characteristics of treatment-resistant depression (TRD) patients in an Australian patient cohort recruited cross-sectionally during admission.Method: Inpatients admitted for TRD treatment completed a quality of life questionnaire (AQoL-8D) and a depression severity assessment (HAM-D). A chart review and patient interview occurred for demographic and patient characteristics. Comparisons between the mean AQoL-8D scores of the study population and Australian population norms occurred.Results: 79 TRD inpatients (70.9% female), mean age of 44.8 ± 14.9 years, were recruited, with 78.5% having an anxiety disorder, 48.1% post-traumatic stress disorder, and 30.4% a personality disorder. Adjunctive to antidepressants, 92.4% were taking antipsychotics and 55.7% were taking mood stabilisers. Approximately 42% of patients received transcranial magnetic stimulation, and 35.4% received electroconvulsive therapy. Mean HAM-D score was 20.3 ± 5.2, and AQoL-8D score (120.1 ± 16.5) was significantly higher than Australian population norms (p < .001) indicating reduced quality of life.Conclusions: Personal and clinical characteristics of patients hospitalised for TRD were similar to TRD globally with impaired quality of life relative to the general Australian population. TRD patients on average presented with moderate/severe depression, highlighting the need for greater support for these individuals.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"128-133"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103872","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

Fitness to stand trial: 415 consecutive defendants assessed by a New Zealand forensic psychiatry service. 受审资格：新西兰法医精神病学服务机构连续对415名被告进行了评估。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-10-07 DOI: 10.1177/10398562241290027

Amber Wakefield, Susanna Every-Palmer, James A Foulds

{"title":"Fitness to stand trial: 415 consecutive defendants assessed by a New Zealand forensic psychiatry service.","authors":"Amber Wakefield, Susanna Every-Palmer, James A Foulds","doi":"10.1177/10398562241290027","DOIUrl":"10.1177/10398562241290027","url":null,"abstract":"Background: New Zealand defendants found unfit to stand trial following a Court-ordered forensic mental health assessment cannot be detained in prison and must either be released, or made subject to a mental health or intellectual disability order. There is increasing awareness of the need to identify these people and protect their rights.Methods: Retrospective audit of 8 years of Court-ordered health assessor reports addressing fitness to stand trial prepared by a New Zealand regional forensic mental health service with a catchment area of around 850,000.Results: Between 2014 and 2022, Courts referred 415 defendants for assessment of fitness to stand trial. The number of reports requested increased by 20% between 2014 and 2022. Report subjects were 81% male and had a median age of 31. Commonest primary diagnoses were psychotic disorders (37%), intellectual disability (13%) and acquired neurocognitive disorders (15%). Few people with foetal alcohol spectrum disorder were identified. Despite the increase in assessments, the number of defendants considered unfit by report writers remained stable over time.Conclusion: The increasing number of referrals for assessment of fitness to stand trial has resourcing implications for forensic mental health services.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"51-56"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387546","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

Naturalistic outcomes of patients discharged from a community treatment order: QA project. 社区治疗令出院病人的自然结果：质量保证项目。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-09-27 DOI: 10.1177/10398562241286669

Manpreet Kaur Dhawan, Ramanathan Ganapathy, Anoop Sankaranarayanan, Ricardo Maldonado

{"title":"Naturalistic outcomes of patients discharged from a community treatment order: QA project.","authors":"Manpreet Kaur Dhawan, Ramanathan Ganapathy, Anoop Sankaranarayanan, Ricardo Maldonado","doi":"10.1177/10398562241286669","DOIUrl":"10.1177/10398562241286669","url":null,"abstract":"Objective: To study outcomes for patients after they are discharged from Community treatment orders (CTO) including rate of relapse, median time to relapse and to identify the risk factors associated with relapse.Method: The study population included patients discharged from CTO from July 2017 to December 2021, managed by a major metropolitan* case management team (CMT). The data were collected from electronic medical records (EMR). Descriptive analysis was conducted to study the sample characteristics. Logistic regression using univariate and multivariate analysis was performed to examine the associations between factors related to relapse.Results: A total of 128 patients were studied. The relapse rate was 27.4% with median time to relapse of 72 days. Poor insight, poor treatment compliance, duration of CTO and number of CMT contacts were significantly associated with relapse while substance use, psychiatric comorbidities and psychosocial factors were not.Conclusions: The findings suggest that people who relapsed had poor insight and poor medication adherence, had CTO for a longer period and had frequent contact from CMT even after discharge from CTO.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"140-143"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340194","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

Deprescribing antidepressants for depression - what is the evidence for and against? 取消抗抑郁药治疗抑郁症--支持和反对的证据是什么？

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-09-06 DOI: 10.1177/10398562241282377

Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely, Paul A Maguire, Luke S-C Woon, Katrina Anderson, Gin S Malhi

引用次数: 0

Implications of the Cass Review for health policy governing gender medicine for Australian minors. 卡斯审查》对澳大利亚未成年人性别医学健康政策的影响。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-08-31 DOI: 10.1177/10398562241276335

Alison Clayton, Andrew James Amos, Jillian Spencer, Patrick Clarke

引用次数: 0

New Fellows. 新同事。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2025-02-06 DOI: 10.1177/10398562241308040d

引用次数: 0

Obituary - Dr John Stuart Johnston. 讣告-约翰·斯图亚特·约翰斯顿博士。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 DOI: 10.1177/10398562241308040c

引用次数: 0

Australian community and inpatient general public sector mental health services between 2017-18 and 2021-22: Relative stasis in bed capacity, increasing outpatient demand, and stunted expenditure. 在 2017-18 年至 2021-22 年期间，澳大利亚社区和住院普通公共部门精神健康服务：病床容量相对停滞，门诊需求不断增加，支出增长缓慢。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-11-05 DOI: 10.1177/10398562241292428

Hayden Cornell, Stephen Allison, Tarun Bastiampillai, Stephen R Kisely, Jeffrey Cl Looi, Matthew Brazel

{"title":"Australian community and inpatient general public sector mental health services between 2017-18 and 2021-22: Relative stasis in bed capacity, increasing outpatient demand, and stunted expenditure.","authors":"Hayden Cornell, Stephen Allison, Tarun Bastiampillai, Stephen R Kisely, Jeffrey Cl Looi, Matthew Brazel","doi":"10.1177/10398562241292428","DOIUrl":"10.1177/10398562241292428","url":null,"abstract":"Objective: To descriptively analyse Australian public sector General Mental Health Services (GMHS) expenditure, ambulatory, and inpatient services, including key performance indicators (KPIs) in comparison with other subspeciality mental health services (MHS).Method: We descriptively analysed data published by the Australian Institute of Health and Welfare (AIHW), including inpatient, ambulatory services, expenditure, and KPIs.Results: From 2017-18 to 2021-22, per capita expenditure for Australian GMHS (18-64) rose by an average annual inflation-adjusted change of 2%. Overall bed numbers remained static, with non-acute beds declining, and commensurate expansion of acute beds. Community GMHS had high outpatient utilisation, with high rates of schizophrenia, schizoaffective disorder, and bipolar affective disorders as primary diagnoses in mid-life. From 2017-18 to 2021-22, GMHS inpatient and ambulatory episodes had decreasing rates of significant improvement and increasing rates of significant deterioration.Conclusions: Although GMHS has the highest overall population and service utilisation, there has been static bed availability and relatively small increases in expenditure which are occurring concurrently with worsening clinical outcomes. Evidence-based modelling of GMHS and outcomes is required to inform future service improvement.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"144-152"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581932","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

Public awareness of mental illness: Mental health literacy or concept creep? 公众对精神疾病的认识：心理健康扫盲还是概念蠕变？

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-10-14 DOI: 10.1177/10398562241292202

Nick Haslam, Jesse Sy Tse

引用次数: 0