The misleading concept of initial severity in depression clinical trials: development and results from a mathematical model.
CONCLUSIONS: Overall the data suggest that the question concerning the role of initial severity cannot be answered. Any allegations on such a role are based on flawed methodology and do not take into consideration the true nature of data. PMID: 27679636 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 27, 2016 Category: Psychiatry Authors: Fountoulakis KN Tags: Australas Psychiatry Source Type: research

Rising Indigenous suicide rates in Kimberley and implications for suicide prevention.
CONCLUSIONS: These findings highlight the need for culturally informed, and youth focussed, suicide prevention interventions within the Kimberley region. PMID: 27634840 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 15, 2016 Category: Psychiatry Authors: Campbell A, Chapman M, McHugh C, Sng A, Balaratnasingam S Tags: Australas Psychiatry Source Type: research

Violence risk instruments may be culturally unsafe for use with Indigenous patients.
CONCLUSIONS: To realize equitable forensic assessment, it is necessary to ascertain whether there are cultural differences across risk factors for violence and that risk instruments are validated as culturally appropriate. Greater cross-cultural rigour in forensic mental health risk assessment, research and practice is proposed. PMID: 27605522 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 6, 2016 Category: Psychiatry Authors: Shepherd SM Tags: Australas Psychiatry Source Type: research

Emergency psychiatry: a product of circumstance or a growing sub-speciality field?
CONCLUSIONS: Emergency psychiatry, and in particular the application of specialised psychiatric models of in-reach service and short stay units, is an increasingly important and growing field of psychiatry that warrants further exploration in research. The Emergency Psychiatry Service at Flinders Medical Centre has developed a distinct group of assessment and treatment approaches that exemplifies this growing field. PMID: 27605523 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 6, 2016 Category: Psychiatry Authors: Cammell P Tags: Australas Psychiatry Source Type: research

Zebras in the Forest: the experiences of Dual-Trained Child Psychiatrists and Paediatricians in Australia and New Zealand.
CONCLUSIONS: The Dual Fellowship Training Programme remains a valuable vehicle for gaining skills in paediatrics and child psychiatry. There is support for its continuation by previous and current participants. PMID: 27590074 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 2, 2016 Category: Psychiatry Authors: Thabrew H Tags: Australas Psychiatry Source Type: research

A birthday story.
PMID: 27590075 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 2, 2016 Category: Psychiatry Authors: Davidson D Tags: Australas Psychiatry Source Type: research

Are elite cricketers more prone to suicide? Further comments on suicides from individual countries of test cricketers.
PMID: 27590076 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 2, 2016 Category: Psychiatry Authors: Shah A, Savla-Shah S, Wijeratne C, Draper B Tags: Australas Psychiatry Source Type: research

Voltage-gated potassium channel antibody limbic encephalitis: a case illustrating the neuropsychiatric and PET/CT features with clinical and imaging follow-up.
CONCLUSIONS: Voltage-gated potassium channel limbic encephalitis characteristically presents with neuropsychiatric symptoms and temporal lobe seizures. Positron-emission tomography-computed tomography can be a useful adjunct to the clinical and biochemical work-up. PMID: 27590077 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 2, 2016 Category: Psychiatry Authors: Celliers L, Hung TJ, Al-Ogaili Z, Moschilla G, Knezevic W Tags: Australas Psychiatry Source Type: research

Olanzapine as a possible replacement choice for paliperidone-induced Pisa syndrome: a case report.
CONCLUSIONS: We propose olanzapine as a possible replacement choice for patients with paliperidone-related Pisa syndrome. PMID: 27590078 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 2, 2016 Category: Psychiatry Authors: Tsou CC, Huang SY Tags: Australas Psychiatry Source Type: research

Routine treatment duration for clients attending a community based anxiety disorders clinic.
CONCLUSION: Clients with anxiety disorders were often treated in relatively few sessions, in line with randomised controlled trials (RCTs). However, a number of clients required many more sessions and were treated for a longer period of time than clients in RCTs. Health services should be cautious in mandating limits to therapy duration for anxiety disorders given the wide range in the duration of treatment for clients in our sample. PMID: 27590079 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 2, 2016 Category: Psychiatry Authors: Hannan A, Berle D, Milicevic D, Dale E, Starcevic V, Brakoulias V, Viswasam K Tags: Australas Psychiatry Source Type: research

Metabolic monitoring and management among clozapine users.
CONCLUSIONS: There is growing awareness of the importance of metabolic monitoring, however, there remain specific gaps in the collaborative work among mental health services, primary care providers and clozapine users, to ensure appropriate physical health interventions. PMID: 27590080 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 2, 2016 Category: Psychiatry Authors: Tso G, Kumar P, Jayasooriya T, Kisely S, Siskind D Tags: Australas Psychiatry Source Type: research

Rapid amelioration of severe manic episodes with right unilateral ultrabrief pulse ECT: a case series of four patients.
CONCLUSIONS: Ultrabrief pulse ECT may be an effective treatment in cases of severe mania. Due to the very small number of cases in the current case series, no specific conclusions regarding efficacy may be drawn; however, larger, controlled studies would be indicated. PMID: 27561846 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - August 25, 2016 Category: Psychiatry Authors: Sidorov A, Mayur P Tags: Australas Psychiatry Source Type: research

Signs and symptoms associated with synthetic cannabinoid toxicity: systematic review.
Abstract AIMS: Use of synthetic cannabinoids is associated with significant physical and psychological harms. This research quantified reported toxicities from published reports and assessed the influence of size of the reported study population on rates of symptom reporting. METHODS: Systematic review of published case reports and case series of toxicity associated with use of synthetic cannabinoids. RESULTS: Symptoms associated with synthetic cannabinoid toxicity were reported for 3695 individuals, predominantly young males. Symptoms included physiological (e.g. tachycardia, hypertension, nausea/vomiti...
Source: Australasian Psychiatry - August 24, 2016 Category: Psychiatry Authors: Courts J, Maskill V, Gray A, Glue P Tags: Australas Psychiatry Source Type: research

Severe motor and vocal tics controlled with Sativex ®.
CONCLUSIONS: Our results support previous research suggesting that cannabinoids are a safe and effective treatment for TS and should be considered in treatment-resistant cases. Further studies are needed to substantiate our findings. PMID: 27558217 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - August 24, 2016 Category: Psychiatry Authors: Trainor D, Evans L, Bird R Tags: Australas Psychiatry Source Type: research

Same-sex marriage and mental health.
CONCLUSIONS: There are substantive methodological issues in the four surveys and comparisons undertaken. Difficulties with the validity of the evidence are discussed. Conceptual difficulties in the arguments relating to victimisation as well as the psychology of marriage are highlighted. It was concluded that it is premature to make claims of causality vis-a-vis same-sex marriage legislation and mental health. PMID: 27558218 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - August 24, 2016 Category: Psychiatry Authors: Liangas G, Athanasou JA Tags: Australas Psychiatry Source Type: research

The impact on clinical practice of the 2015 reforms to the New South Wales Mental Health Act.
CONCLUSIONS: The principles of care and treatment added to the MHA place a strong onus on clinicians to monitor patients' decision-making capacity, institute a supported decision-making model and obtain consent to any treatment proposed. Patients competently refusing treatment should only be subject to involuntary treatment in extraordinary circumstances. Even when patients incompetently refuse treatment, clinicians must make every effort reasonably practicable to tailor management plans to take account of any views and preferences expressed by them or made known via friends, family or advance statements. PMID: 275582...
Source: Australasian Psychiatry - August 24, 2016 Category: Psychiatry Authors: Ryan CJ, Callaghan S Tags: Australas Psychiatry Source Type: research

Treating schizophrenia and supporting recovery: aligning clinician and patient goals.
PMID: 27457138 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Authors: Castle D, Harvey C Tags: Australas Psychiatry Source Type: research

Monoamine oxidase inhibitors.
Authors: PMID: 27457139 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Book review: The Dissociative Mind in Psycholanalysis. Understanding and working with trauma.
PMID: 27457140 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Authors: Halasz G Tags: Australas Psychiatry Source Type: research

More than man's best friend: diagnostic dogs in psychiatry.
PMID: 27457141 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Authors: Parker G, Graham R Tags: Australas Psychiatry Source Type: research

Borderline personality disorder, depression, trauma and dissociation.
PMID: 27457142 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Authors: Brown P Tags: Australas Psychiatry Source Type: research

Clozapine or antibiotic induced neutropenia?
PMID: 27457143 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Authors: Gupta A, Bastiampillai T, Moore B Tags: Australas Psychiatry Source Type: research

From the President.
Authors: PMID: 27457144 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

From the CEO.
Authors: PMID: 27457145 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Congress welcomes 1300 delegates in Hong Kong and solidifies links with the Asian region.
Authors: PMID: 27457146 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

RANZCP award winners and new Fellows recognised during Congress.
Authors: PMID: 27457147 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

The College Medal of Honour - Professor Philip Boyce.
Authors: PMID: 27457148 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

The Ian Simpson Award - Dr Matthew Eggleston.
Authors: PMID: 27457149 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

The College Citation Conjoint Professor Bryanne E.W. Barnett AM.
Authors: PMID: 27457150 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Engaging the next generation of psychiatrists.
Authors: PMID: 27457151 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

New Fellows.
Authors: PMID: 27457152 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Upcoming RANZCP conferences and events.
Authors: PMID: 27457153 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Neuropsychiatric manifestations of Parkinson's disease.
CONCLUSIONS: Neuropsychiatric symptoms may precede the motor clinical presentation of PD. Early recognition is essential. PMID: 27456351 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 25, 2016 Category: Psychiatry Authors: Molina Ruiz RM, Evans AH, Velakoulis D, Looi JC Tags: Australas Psychiatry Source Type: research

Attitudes toward utility, effects and side effects of treatment for anxiety and depression.
Abstract OBJECTIVES: Negative perceptions about psychiatric treatment are likely to affect treatment adherence. We compared attitudes of patients with psychiatric illness and those of medical patients towards psychiatric treatment. METHODS: Both patients with psychiatric illness and medical patients (controls) were shown a printed copy of two vignettes depicting major depression and generalized anxiety disorder. They were asked for their perceptions on the utility, effects and possible side effects of psychiatric medications, as well as the utility of psychotherapy in treating major depression and generalized...
Source: Australasian Psychiatry - July 15, 2016 Category: Psychiatry Authors: Lim L, Goh J, Chan YH, Poon SH Tags: Australas Psychiatry Source Type: research

Diagnosing melancholic depression: some personal observations.
CONCLUSIONS: Greater precision in differentiating melancholic from non-melancholic depression is advanced by weighting signs and symptoms of psychomotor disturbance, as well as including illness correlates and family history in the diagnostic process. PMID: 27422742 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 15, 2016 Category: Psychiatry Authors: Parker G Tags: Australas Psychiatry Source Type: research

Suicide and murder-suicide involving automobiles.
CONCLUSION: Every effort must be made to help suicidal people with mental disorders or other predicaments. There is a need for public discussion of suicide by targeting an oncoming vehicle. It is less likely that suicide drivers who target other vehicles are unable to choose and more likely they have not considered the consequences of their actions. PMID: 27402643 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 8, 2016 Category: Psychiatry Authors: Pridmore S, Varbanov S, Sale I Tags: Australas Psychiatry Source Type: research

Trauma informed care: a radical shift or basic good practice?
CONCLUSION: Active consideration of the intent of TIC may aid in reducing misunderstanding and misaligned resistance while allowing services and individuals an important opportunity to reflect on how to deliver mental health treatment that is universally sensitive to the dynamics of trauma in the care environment. PMID: 27385364 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 6, 2016 Category: Psychiatry Authors: Isobel S Tags: Australas Psychiatry Source Type: research

Conceptualizing the key processes of Mindful Parenting and its application to youth mental health.
CONCLUSIONS: This preliminary analysis attempted to understand how Mindful Parenting fosters change and transformation. Whilst there are numerous change processes, the essence of Mindful Parenting appears to be the ability to be responsive to a child's needs. PMID: 27354336 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 27, 2016 Category: Psychiatry Authors: Townshend K Tags: Australas Psychiatry Source Type: research

A guide to management of neuropsychiatric manifestations of Parkinson's disease.
CONCLUSIONS: Management of neuropsychiatric manifestations in Parkinson's disease is complicated by the lack of evidence. Treatment should be individualized and benefits and risks must be balanced. PMID: 27329643 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 21, 2016 Category: Psychiatry Authors: Molina Ruiz RM, Evans AH, Velakoulis D, Looi JC Tags: Australas Psychiatry Source Type: research

Affective disorders and functional (non-epileptic) seizures in persons with epilepsy.
CONCLUSIONS: Given their high prevalence, it is important to be able to recognise affective disorders in people with epilepsy. Management principles parallel those in the general population with specific caution exercised regarding the potential interactions between antidepressant medications and antiepileptic drugs. Functional seizures are more complex and require a coordinated approach involving neurologists, psychiatrists, general practitioners, nursing and allied health. There is very limited evidence to guide psychological and behavioural interventions for neurotic disorders in epilepsy and much more research is neede...
Source: Australasian Psychiatry - June 21, 2016 Category: Psychiatry Authors: Johnson KA, Macfarlane MD, Looi JC Tags: Australas Psychiatry Source Type: research

Successful evaluation of cognitive function and the nature of cognitive deficits among people with schizophrenia in clinical rehabilitation settings.
CONCLUSIONS: The study indicates that evaluation of cognitive function using brief instruments is feasible in psychiatric rehabilitation settings. Global and domain-specific CD were prevalent among people with schizophrenia. In view of the strong association of cognitive functioning with community functioning and rehabilitation outcomes, further studies exploring the feasibility and utility of routinely evaluating cognitive function are warranted. PMID: 27329645 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 21, 2016 Category: Psychiatry Authors: John AP, Yeak K, Ayres H, Sevastos M, Moore E Tags: Australas Psychiatry Source Type: research

Successful rechallenge with clozapine after treatment associated eosinophilia.
CONCLUSION: We believe that the current report provides further evidence that it may be unnecessary to cease treatment in all patients who develop an eosinophilia without organ dysfunction whilst on clozapine. Furthermore, where clozapine has been ceased due to an eosinophilia without evidence of organ specific inflammation, clozapine rechallenge with increased haematological monitoring should be considered. PMID: 27324147 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 20, 2016 Category: Psychiatry Authors: McArdle PA, Siskind DJ, Kolur U, Parker S, Korman N, Purushothaman S Tags: Australas Psychiatry Source Type: research

Evaluation of changes in prescription medication use after a residential treatment programme for borderline personality disorder.
CONCLUSIONS: Three to six months of intensive borderline personality disorder-specific psychotherapy showed lasting benefit with regard to symptom severity of personality disorders (borderline personality disorder in particular) as well as depressive symptoms. This improvement corresponded with a reduction in prescriptions for psychoactive medications, which is consistent with current thinking regarding treatment for borderline personality disorder. PMID: 27324148 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 20, 2016 Category: Psychiatry Authors: Broadbear JH, Nesci J, Thomas R, Thompson K, Beatson J, Rao S Tags: Australas Psychiatry Source Type: research

Reflections on using a postgraduate educational environment measure.
CONCLUSIONS: The education environment measure used was able to reveal areas of the educational environment which trainees did not feel were adequate, as well as differences between how different trainees perceive some aspects of the educational environment. This allowed us to understand where improvements which we had not previously considered should be made to the educational environment. PMID: 27317423 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 17, 2016 Category: Psychiatry Authors: Joiner AB, Dearman SP Tags: Australas Psychiatry Source Type: research

Helping people with a mental illness obtain work: the Health Optimisation Program for Employment.
CONCLUSIONS: The Health Optimisation Program for Employment requires further evaluation using rigorous scientific methodology but these initial results are encouraging in terms of vocational attainment for people with a mental illness, in the Australian context. PMID: 27307449 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 14, 2016 Category: Psychiatry Authors: Castle DJ, Crosse C, Morgain D, McDowell C, Rossell S, Thomas N, Phillipou A, Gilbert M, Moore G, Fossey E, Harvey C Tags: Australas Psychiatry Source Type: research

Expert leadership - why psychiatrists should lead mental health services.
PMID: 27231316 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 29, 2016 Category: Psychiatry Authors: Allison S, Goodall A, Bastiampillai T Tags: Australas Psychiatry Source Type: research

Lurasidone.
Authors: PMID: 27231317 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 29, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Book review: Suicide of a cricket legend.
PMID: 27231318 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 29, 2016 Category: Psychiatry Authors: Pridmore S, Varbinov S Tags: Australas Psychiatry Source Type: research

The relationship between environment and mental health: How does geographic information systems (GIS) help?
PMID: 27231319 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 29, 2016 Category: Psychiatry Authors: Walsan R, Pai N, Dawes K Tags: Australas Psychiatry Source Type: research

The Millennium series and The Girl With the Dragon Tattoo - featuring yet another criminal psychiatrist: a screenplay psychiatrists should be aware of.
PMID: 27231320 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 29, 2016 Category: Psychiatry Authors: Beckmann KM Tags: Australas Psychiatry Source Type: research