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Comment on Halasz and Amos Australas. Psychiatry (IF 1.8) Pub Date : 2024-03-13 Christopher James Ryan, Amy Corderoy
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Association between CRP levels and depressive mood among Korean adolescents Australas. Psychiatry (IF 1.8) Pub Date : 2024-03-07 Min-Seok Seo, Dae-Kyun Kim, JaeHyuck Lee, In Cheol Hwang
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Direct induction onto high-dose long-acting injectable buprenorphine: A case series Australas. Psychiatry (IF 1.8) Pub Date : 2024-03-06 Thileepan Naren, Jon Cook, Paul MacCartney
IntroductionThis case series reports on five patients with opioid use disorder (OUD) who were commenced directly onto high-dose long-acting injectable buprenorphine (LAIB).MethodA retrospective audit and manual review of the electronic medical record at cohealth Innerspace was conducted for patients who had been directly inducted onto high-dose LAIB.ResultsFive cases were identified on retrospective
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Silent reflections remain unheard Australas. Psychiatry (IF 1.8) Pub Date : 2024-03-06 Matthew Higgins, Radhika Palepu, John Little
ObjectiveTo consider the contribution of non-clinical factors in the rising rate of mental health presentations and explore the associated silence within the psychiatric profession.ConclusionMedicalisation, concept creep and group think, alongside societal demand and expectations, have collectively contributed toward a distorted view of mental health and illness. Equitable service provision has been
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The Thought Broadcast – Renewing Australasian Psychiatry: The Art and Science of Psychiatry Australas. Psychiatry (IF 1.8) Pub Date : 2024-03-04
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Vaping in mental health inpatient units: A qualitative study of consumer and staff views on electronic nicotine delivery systems Australas. Psychiatry (IF 1.8) Pub Date : 2024-03-02 Henry Naylor, Alex Howie, Susanna Every-Palmer
ObjectivesThe aim of this qualitative study was to explore the subjective experiences of consumers and staff members regarding the availability of electronic nicotine delivery systems (ENDS) in inpatient mental health units.MethodsMental health consumers and staff members ( n = 16) from rehabilitation and forensic inpatient units were interviewed in 2022. Thematic analysis of the transcripts was undertaken
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Differentiating ‘pure’ and comorbid self-identified burnout: Diagnostic and management implications Australas. Psychiatry (IF 1.8) Pub Date : 2024-03-01 Gabriela Tavella, Gordon Parker
ObjectiveA previous study identified categorically differing scores on the Sydney Burnout Measure (SBM) between individuals with self-identified burnout with ( n = 354) or without ( n = 188) a history of mental illness. The current study examined whether the SBM’s validity held in both scenarios.MethodThe factorial structure and scores on the SBM measure were compared between the two groups.ResultsSimilar
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Off-label prescribing of psychotropics in a psychiatric patient population in Australia Australas. Psychiatry (IF 1.8) Pub Date : 2024-03-01 Mietta Kyrios, Jesse Levido, Daniel Talbot, Anthony Harris
BackgroundThis study aimed to investigate the practice of off-label prescribing in both in- and outpatient psychiatry practice.MethodsOne-hundred inpatient and 100 outpatient medical records from adult patients of an Australian psychiatry service from 2020 to 2021 were examined to determine the prevalence of off-label prescribing as defined by Therapeutic Goods Administration (TGA) indications, adherence
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The role of parental divorce in the later vulnerability to perinatal depression and early parenting stress Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-27 Drew Mc Carthy, Stuart Watson, Megan Galbally
ObjectiveThis study will examine the role of childhood experience of parental divorce on later perinatal depression and parenting stress.Methods546 women were recruited at less than 20 weeks pregnancy into an ongoing pregnancy cohort study and followed up in pregnancy and the postpartum. Depression at recruitment was measured using the Structured Clinical Interview for the DSM and the Edinburgh Postnatal
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Merit, equity, and administrative competence in the retirement of the objective structured clinical exam Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-26 Andrew Amos, Michael Weightman, Edward Miller
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A clinical pathway for the management of people with borderline personality disorder in emergency departments must not include a ‘risk assessment’ Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-26 Amy Corderoy, Jacqueline Huber, Chris Ryan, Matthew Large
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Attention deficit hyperactivity disorder conundrum: Access to care and psychiatric training Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-23 Karuppiah Jagadheesan, Roger Patterson, David Chapman, Gordana Jovanova, Tatjana Ewais, Peter Heffernan, Edward Koko Aung
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Defining the passage of wisdom: A taxonomy of supervision for RANZCP trainees and Fellows Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-14 Edward Miller, Michael James Weightman, Andrew Amos, Stephen Parker
ObjectiveTrainees and Fellows of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) work in complex interpersonal and organisational environments. Engagement in supervision can be a helpful way for trainees and Fellows to achieve interpersonal, professional, and organisational success. Supervision comes in many forms depending on the stage and state of one’s career. An awareness
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Brand and addiction: A network analysis of scientific literature Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-10 Suraj Kushe Shekhar
ObjectiveThe paper conducts a network analysis of the fragmented literature on brand and addiction.MethodA thematic map, thematic evolution, word cloud, co-citation analysis, and cooperation networks were utilized to identify brand addiction study trends and topics.ResultsThe data show that marketing and psychiatry have interdisciplinary groupings and multidisciplinary publications. These groups reflect
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Forensic mental health issues for women in contact with the criminal justice system Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-09 Leigh Haysom
ObjectiveThis review demonstrates that women who encounter the Australian criminal justice system include some of the most disadvantaged and mentally unwell people in society, particularly Aboriginal women. Women in custody are a heterogeneous group and have different psychosocial needs when compared to male prisoners.ConclusionThe approaches to female offending must address their significant psychosocial
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Health, mental health, and hearing indigenous voices Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-08 Andrew Amos
ObjectiveTo identify the issues raised by the unsuccessful Voice referendum and propose removal of barriers to reporting and prevention of family violence in remote communities as the most ambitious measure of success in hearing First Nations voices.ConclusionsThe Voice referendum was partly justified to improve the mental health of First Nations Australians, despite concern the process and its outcome
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An overview of the peer review process in biomedical sciences Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-08 Edward Miller, Michael James Weightman, Ashna Basu, Andrew Amos, Vlasios Brakoulias
ObjectiveThis paper aims to provide an introductory resource for beginner peer reviewers in psychiatry and the broader biomedical science field. It will provide a concise overview of the peer review process, alongside some reviewing tips and tricks.ConclusionThe peer review process is a fundamental aspect of biomedical science publishing. The model of peer review offered varies between journals and
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Is antipsychotic augmentation associated with improved functioning in patients on clozapine? Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-08 Jae Hee Cho, Hindol Mukherjee, Vladimir Sazhin
ObjectiveWe aimed at exploring the relationship between functional outcomes in patients on clozapine augmented with antipsychotics in treatment-resistant schizophrenia using standard outcome measures Health of Nation Outcome Scales (HoNOS) and Life Skills Profile (LSP-16).MethodIn a cross-sectional study of 83 patients on clozapine treated in a psychiatric rehabilitation hospital, the association between
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Do benzodiazepines reduce the efficacy of transcranial magnetic stimulation? Australas. Psychiatry (IF 1.8) Pub Date : 2024-02-01 Lana Tran, Lisa Hahn, Shane Gill, Felicity Ng, Patrick Clarke, Tom Paterson, Cherrie Galletly
ObjectiveTo investigate the effect of concomitant use of benzodiazepines on the efficacy of repetitive transcranial magnetic stimulation (rTMS) in patients with treatment-resistant major depressive disorder (TR-MDD).MethodsThis is a retrospective study comparing rTMS treatment outcomes between patients taking benzodiazepines ( n = 59) and those who were not ( n = 136). Participants completed the HAM-A
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A hospital-wide group approach to promote open dialogues of workplace issues and staff wellbeing with Schwartz Rounds Australas. Psychiatry (IF 1.8) Pub Date : 2024-01-30 Kelvin CY Leung, Kiran Lele, Carmelle Peisah
ObjectivesThis study aims to explore the feasibility and impact of Schwartz Rounds® led by psychiatrists/mental health professionals in an urban Australian public hospital setting and to develop strategies for optimising participants’ experiences.MethodsBeing a mixed-methods study collecting qualitative and quantitative data through post-Rounds evaluation surveys, this study thematically analysed responses
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Psychiatric electronic health records in the era of data breaches – What are the ramifications for patients, psychiatrists and healthcare systems? Australas. Psychiatry (IF 1.8) Pub Date : 2024-01-29 Jeffrey CL Looi, Richard CH Looi, Paul A Maguire, Steve Kisely, Tarun Bastiampillai, Stephen Allison
ObjectiveTo update psychiatrists and trainees on the realised risks of electronic health record data breaches.MethodsThis is a selective narrative review and commentary regarding electronic health record data breaches.ResultsRecent events such as the Medibank and Australian Clinical Labs data breaches demonstrate the realised risks for electronic health records. If stolen identity data is publicly
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Clozapine-related tachycardia: A conundrum to identify and treat Australas. Psychiatry (IF 1.8) Pub Date : 2024-01-02 Dermot Brennan, Sweta Lal, Frans Hugo, Flavie Waters, Gordon Shymko
ObjectiveThis study examined the rates and persistence of clozapine-induced tachycardia and heart-rate differences in patients treated with β-blockers in the largest sample of patients with a psychotic disorder to date.MethodAn audit of medical files for 101 patients who attended a clozapine community clinic and analysis of monthly measurements of resting heart rates.Results51% met the clinical criteria
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The relationship between self-efficacy and locus of control in medical students related to nomophobia tendency. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-21 Yunatan Iko Wicaksono,Margarita Maria Maramis
BACKGROUND The purpose of this study was to investigate the relation of self-efficacy and locus of control on nomophobia in medical students. METHODS This is a cross-sectional study of Indonesian medical students that employs correlational statistical analysis methods. The research instrument included the General Self-Efficacy Scale (GSES), the Internality Powerful-Others Chance (IPC) Levenson Multidimensional
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Outdoor mental healthcare: What, who, why and where to? Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-16 Amanda L Neil,Anita Pryor,Jessica Kneebone,Emily J Flies,
Objective: Outdoor mental healthcare can increase the breadth of multidisciplinary interventions available to people with a therapeutic need. The aim of this article is to educate readers about the field of outdoor mental healthcare through the exploration of a series of basic questions.Conclusions: Outdoor mental healthcare spans a range of therapies that apply a variety of theoretical approaches
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The socio-demographics and clinical profile of patients referred to the GP liaison psychiatry service within a metropolitan Aboriginal medical service. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-15 Belinda Clark,Sonya Green,Neeraj Gill
OBJECTIVE This study aimed to describe the social demographics and clinical profile of patients referred to the psychiatry service within the local Queensland metropolitan Aboriginal Medical Service (AMS). METHOD This was a retrospective cohort study of patients referred to the psychiatry service provided at three clinics of a metropolitan AMS, over an 18-month period. Medical records were accessed
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Evaluation of a mental health service reform program, the Pathways to Community Living Initiative, for people with severe mental illness and complex needs. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-15 Kathryn E Williams,Conrad Kobel,Anita Westera,Peri O'Shea,Cristina Thompson,Kate Jackson,Robyn Murray
OBJECTIVE The Pathways to Community Living Initiative (PCLI) aims to reform mental health care for people with severe and persistent mental illness (SPMI) and complex needs. This study reports independent evaluation findings on transitions from hospital and practice change in mental health services. METHODS Data for this mixed-methods evaluation were obtained from administrative collections and semi-structured
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Effective management of patients with borderline personality disorder in a busy acute inpatient ward using dialectical behaviour therapy principles. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-15 Jumi Banjo,Kathy Madson,Sanya Hromis
OBJECTIVE The study aimed to highlight principles of Dialectical Behaviour Therapy (DBT) that can provide a framework in the management of patients with borderline personality disorder (BPD) and outline some guiding principles in the effective management of these patients on a busy acute inpatient ward. CONCLUSIONS The inpatient environment is often a place where invalidating experiences can occur
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Ketamine as an Induction Agent in Electroconvulsive Therapy for Catatonia Not Responding to Electroconvulsive Therapy Alone: A Case Report. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-14 Minurika A Perusinghe,Kripa S Chakravarthy,Thomas John
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What clinicians need to know about intranasal esketamine for treatment-resistant depression? Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-14 Judy Hope,David Copolov,John Tiller,Megan Galbally,Malcolm Hopwood,Richard Newton,Nicholas A Keks
OBJECTIVE To review the usefulness of esketamine for treatment-resistant depression. METHOD Pivotal trials of intranasal esketamine in treatment-resistant depression were synthesized as a narrative review. RESULTS Esketamine is postulated to act through antagonism of N-methyl-D-aspartate (NMDA) glutamate receptors, but opioidergic effects may also be involved. Unlike intravenous ketamine, esketamine
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Pathways to community living in practice: Local development and adaptation within an older peoples mental health service. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-11 Lillian Findlay,Rowena Kellett,Sean Lubbe,Anne Pf Wand
OBJECTIVE To describe the local adaptation of the Pathways to Community Living (PCLI) program in an Older Peoples Mental Health (OPMH) service to guide other services. METHOD A retrospective observational study was conducted. Data were obtained from service planning meetings and newly developed documents, Clinical Advisory Committee meetings, and OPMH PCLI database. RESULTS The PCLI program was adapted
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Attitudes of South Australian psychiatrists towards attention deficit hyperactivity disorder in adults. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-09 Claudia Cao,Callum Deakin,Shane Gill
OBJECTIVE A lack of access to psychiatric services for adult ADHD is a recognised issue in South Australia and nationally. This study aims to explore the practices of local psychiatrists and their attitudes towards adult ADHD, with a view to determining any barriers influencing accessibility to treatment. METHODS We developed an online survey to examine the aims of the study. Free text boxes were included
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Gender dysphoria: Reconsidering ethical and iatrogenic factors in clinical practice. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-09 George Halasz,Andrew Amos
OBJECTIVE To examine the treatment of gender dysphoria described in Bell v Tavistock (UK 2020). Bell documents the treatment and sequelae of a 16-year-old adolescent referred to the Tavistock with gender dysphoria. Her case highlights contrasts between gender affirming care and comprehensive care. CONCLUSIONS Consistent with other western centres, in the 2010s, the Tavistock began treating patients
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General practitioners' attitudes and knowledge about attention-deficit hyperactivity disorder (ADHD): Insights from a survey. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-07 Susie Kwon,Habib Bhurawala,Anita Munoz,John Kramer,Alison Poulton
OBJECTIVE The Review of health services for children, young people and families within the NSW Health system identified that novel models of care were needed to improve access to clinical management for people with ADHD. The present study aimed to evaluate GPs' knowledge of and attitudes towards ADHD and the challenges and opportunities for a more substantial role for GPs in ADHD management. METHOD
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Position statements of the Royal Australian and New Zealand College of Psychiatrists: An historical perspective. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-06 Sidney Bloch,Felicity Kenn,Laura Bajurny,Morgan Griffiths,Izaak Lim,Jennifer Smith,Nicola Wright
OBJECTIVE To review the concept, purpose, and subjects of Position Statements of the Royal Australian and New Zealand College of Psychiatrists since their inception in 1971, and to consider changes to enhance their value. METHOD We scrutinised the procedure in producing, revising, and rescinding Position Statements, and the nature of the subjects covered. RESULTS Position Statements were initiated
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Cosmetic psychiatry: A concept in urgent need of consideration. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-06 William Lugg
OBJECTIVE To explore the concept of, ethics surrounding, and arguments for and against cosmetic psychiatry. CONCLUSIONS Cosmetic psychiatry may be defined as the science and practice of interventions that subjectively enhance the mental states of healthy people. Cosmetic medicine (including surgery) is a professionally and socially accepted part of contemporary medical practice; cosmetic psychiatry
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There ain't such a thing as a free lunch: Pharmaceutical company payments to Australian psychiatrists. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-03 Malcolm Forbes,Yeshna Bhowon,Lisa Parker
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Experiences of transition from hospital to community living via the Pathways to Community Living Initiative: A qualitative evaluation study of service users and family members. Australas. Psychiatry (IF 1.8) Pub Date : 2023-11-02 Peri O'Shea,Kathryn E Williams
OBJECTIVE People with severe and persistent mental illness (SPMI) may be excluded from community-based care if their complex support needs cannot be met and are at risk of institutionalisation. The Pathways to Community Living Initiative (PCLI) aims to address barriers to community living. This study evaluated the PCLI from the perspective of service users and family members. METHODS Evaluation questions
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Riding the tides: Directions in mental health rehabilitation in NSW. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-31 Andrew McDonald,Megan Still,Joanne Sommer,Francesca Coniglio
OBJECTIVE This paper outlines the evolution of mental health rehabilitation in NSW, where allocation of health resources has repeatedly contradicted the policy intention to reorient services from inpatient to community-based services, leaving community rehabilitation the poor and disconnected cousin of inpatient services. The expanding role of community-managed organisations (CMOs) in psychosocial
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Practical psychiatry: Taking gaming seriously - a primer for psychiatrists on gamers and gaming culture. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-31 Jeffrey Cl Looi,Fiona A Wilkes,Tarun Bastiampillai,Stephen Allison
OBJECTIVE Up to three billion, of the eight billion people in the world, play videogames. Gaming is a significant global sociocultural influence. This primer will aid psychiatrists in understanding sociocultural milieux of gamers, who include patients and their communities. METHOD A rapid narrative review. RESULTS Benefits include expression of personality, identity and culture through social aspects
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Advancing psychiatry trainee wellbeing and safety: Building on RANZCP Position Statement 48. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-31 Michael James Weightman,Andrew Amos,Edward Miller
OBJECTIVE The RANZCP recently released Position Statement 48 on the 'safety and wellbeing of psychiatrists and those in psychiatry training'. This article will examine the five key domains highlighted by this statement and provide suggestions on how this guidance might relate to trainees. The domains covered are (i) safe workplaces free from discrimination, bullying, harassment, and violence; (ii)
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Climate change and mental health: Global challenges for psychosocial resilience and recovery. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-31 Lauren Chiu
OBJECTIVE As the greatest global challenge of our time, climate change is not only an ecological crisis but also a humanitarian one. Climate action is a defining opportunity to not only collectively mend ecological health and biodiversity but also to advance psychosocial resilience and social cohesion. This essay aims to understand the interconnectedness between climate change and mental health, as
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Is workplace-based assessment achievable in practice? Response to Holmes. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-30 Nick O'Connor,Lambert Schuwirth,Anita Bhatt,Anna Lyubomirsky
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Practical psychiatry: On therapeutic equipoise - Principles of a balanced approach to psychiatric treatments. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-30 Jeffrey Cl Looi,Stephen Allison,Luke Woon,Tarun Bastiampillai
OBJECTIVE There are many burgeoning treatments, and a large range of therapeutic options for 21st century psychiatry. This paper briefly comments upon considerations for balancing treatment to suit the patient, their illness, and their milieu. CONCLUSIONS Therapeutic equipoise, for psychiatric care, is an aspiration rather than a position easily achieved. In day-to-day clinical practice, there will
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A guided framework for assessing off-label medication use in psychiatry. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-30 Kirk Lehman,Emeil Aroney
OBJECTIVE The objective of this article is to present a decision aid in the form of a flowchart, designed to assist psychiatrists in navigating the challenges of off-label medication use. This tool is believed to be the only one currently available that combines guidance from medical indemnity insurers, RANZCP guidelines, CATG frameworks, and relevant legislation to provide a practical guide for everyday
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Perceived injustice: a historical and clinical review of a useful concept for psychiatry. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-30 David Plevin,Peter Herriot
OBJECTIVE Perceived injustice, a concept that arose in pain medicine, refers to an individual's experiences and perceptions of victimisation from injuries resulting in chronic pain. Here, we have undertaken a historical and clinical review on the role of perceived injustice medicine in psychiatry and a systematic review on psychotherapeutic interventions for perceived injustice. METHOD For the systematic
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Impact of mood stabilizers on creativity. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-30 Gordon Parker
OBJECTIVE While a DSM-5 criterion for both hypomania and mania is impaired functioning, the majority of those with a bipolar condition report improved functioning. When offered a mood stabilizer, many express concerns about any impact on their creativity. This piece seeks to address the question and attendant issues. METHOD Reference is made to the impact of differing mood stabilizers on cognitive
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Effectiveness of suicide prevention gatekeeper training: 12-month follow-up of SafeTALK training to community members. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-12 Glenn Holmes,Amanda Clacy,Anita Hamilton,Kairi Kõlves
OBJECTIVE Long-term assessments of gatekeeper training (GKT) with multiple follow-ups are rare. Therefore, the aim of the current analysis is to examine 12-month follow-up outcomes of SafeTALK training in addition to the earlier analysis of pre-, post-, and 6-month follow-up. METHOD Two hundred and sixty two community volunteers participated in half-day (4-h) gatekeeper training sessions. Before, after
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Private health insurance, methodology and interpretation of 'Variation in outpatient consultation fees of psychiatrists in Australia by state and territory'. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-05 Jeffrey Cl Looi,Stephen Allison,Tarun Bastiampillai,William Pring
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Continuing professional development (CPD) - Feedback. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-04 Saxby Pridmore,William Pridmore
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A new roadmap to take action on psychiatrist and trainee wellbeing. Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-01
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The Thought Broadcast - Discussing changes to the RANZCP's centrally administered examinations with Nick O'Connor (part 1 and part 2). Australas. Psychiatry (IF 1.8) Pub Date : 2023-10-01 Edward Miller
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Closing the equity gap as we move to the elimination of seclusion: Early results from a national quality improvement project. Australas. Psychiatry (IF 1.8) Pub Date : 2023-09-29 Clive Bensemann,Deirdre Maxwell,Karen O'Keeffe,Lee Tresize,Karl Wairama,Wikepa Keelan
OBJECTIVE Use of seclusion within mental health inpatient facilities is harmful for consumers and staff, but it is still used in many Aotearoa New Zealand and Australian facilities, at higher, inequitable rates for the indigenous populations of both countries. We report early results from a national programme to eliminate seclusion in mental health services in Aotearoa New Zealand, using a bicultural
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Framing the mind: Forensic psychiatry and the theft of the Mona Lisa. Australas. Psychiatry (IF 1.8) Pub Date : 2023-09-20 Alexander Smith,Michael Liebrenz