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Too little is known about suicidal thoughts and behaviors at a population level to recommend appropriate preventive strategies. Using data from the Australian National Survey of Mental Health and Wellbeing (NSMHWB), this study examined rates of, and risk factors for, suicidal ideation and suicide attempts. For 10,641 respondents, the 12-month and lifetime(More)
BACKGROUND The Australian National Survey of Mental Health and Well-being was designed to detect and describe psychiatric morbidity, associated disability, service use and perceived need for care. The survey employed a single-phase interview methodology, delivering a field questionnaire to a clustered probability sample of 10,641 Australians. Perceived need(More)
BACKGROUND Recent major epidemiological studies have adopted increasingly multidimensional approaches to assessment. Several of these have included some assessment of perceived need for mental health care. The Australian National Survey of Mental Health and Wellbeing, conducted in 1997, included a particularly detailed examination of this construct, with an(More)
The probability of rehospitalization following the initial discharge on which a diagnosis of schizophrenia was made is described using data from psychiatric case registers in Victoria, Australia; Maryland, U.S.A.; Denmark; and Salford, England. The percentage eventually rehospitalized, after followup intervals as long as two decades, varies from about 50 to(More)
BACKGROUND Many countries have set targets for suicide reduction, and suggested that mental health care providers and general practitioners have a key role to play. METHOD A systematic review of the literature. RESULTS Among those in the general population who commit suicide, up to 41% may have contact with psychiatric inpatient care in the year prior(More)
This analysis examines the notion of progressive deterioration in schizophrenia, using long-term followup data on hospital episodes in defined cohorts from psychiatric case registers in Victoria, Australia; Denmark; and Salford, England. The analyses differentiate heterogeneity existing at the first hospitalization for schizophrenia, which produces a widely(More)
BACKGROUND An increased risk of choking associated with antipsychotic medication has been repeatedly postulated. AIMS To examine this association in a large number of cases of choking deaths. METHOD Cases of individuals who had died because of choking were linked with a case register recording contacts with public mental health services. The actual and(More)
BACKGROUND The present study investigated histories of prior psychiatric treatment in cases of sudden death reported to the coroner. METHODS A matching survey linked the register of deaths reported to the coroner with a comprehensive statewide psychiatric case register covering both in-patient and community-based services. RESULTS Sudden death was five(More)
BACKGROUND A relationship exists between mental disorder and offending behaviours but the nature and extent of the association remains in doubt. METHOD Those convicted in the higher courts of Victoria between 1993 and 1995 had their psychiatric history explored by case linkage to a register listing virtually all contacts with the public psychiatric(More)
BACKGROUND Well-designed prospective studies of substance misuse in first-episode psychosis can improve our understanding of the risks associated with comorbid substance misuse and psychosis. AIMS To examine the potential effects of substance misuse on in-patient admission and remission and relapse of positive symptoms in first-episode psychosis. METHOD(More)