166 results on '"Reifels, L"'
Search Results
2. Attributable risk of suicide for populations in Australia
- Author
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Bandara, P, Page, A, Reifels, L, Krysinska, K, Andriessen, K, Schlichthorst, M, Flego, A, Le, LK-D, Mihalopoulos, C, Pirkis, J, Bandara, P, Page, A, Reifels, L, Krysinska, K, Andriessen, K, Schlichthorst, M, Flego, A, Le, LK-D, Mihalopoulos, C, and Pirkis, J
- Abstract
Objective: Each year approximately 3,000 Australians die by suicide. We estimated the population attributable risk for identified target populations to provide evidence on how much of the overall burden of suicide in the Australian population is experienced by each of them. Methods: We identified 17 demographic and clinical target populations at risk of suicide and calculated the population attributable fraction (PAF) using a single or pooled suicide risk and the proportional representation of each target population within Australia. Results: Large PAF estimates were found for men (52%, 95% confidence interval (CI) 51%–53%), people bereaved by suicide (35%, 95% CI 14%–64%), people with a mental health or behavioural condition (33%, 95%CI 17%–48%), people with a chronic physical condition (27%, 95%CI 18%–35%), adults aged 25–64 years (13%, 95%CI 12%–14%), LGB populations (9%, 95%CI 6%–13%), offenders (9%, 95%CI 8%–10%), and people employed in blue collar occupations (8%, 95%CI 4%–12%). Limitations: The PAF is limited by assumptions, namely, that risk factors are independent, and that the relationship between risk factors and outcomes are unidirectional and constant through time. Conclusions and implications for public health: Considerable reductions in the overall suicide rate in Australia may occur if risk factors are addressed in identified populations with large PAF estimates. These estimates should be considered as an adjunct to other important inputs into suicide prevention policy priorities.
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- 2024
3. Suicide prevention during disasters and public health emergencies: a systematic review
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Reifels, L, Krysinska, K, Andriessen, K, Reifels, L, Krysinska, K, and Andriessen, K
- Abstract
Background: Disasters and public health emergencies increasingly affect populations around the world, posing significant wide-ranging challenges for societies as well as for effective public health and suicide prevention. Intervention research is essential to inform evidence-based responses. Yet, despite evident public concern and growing research interest in heightened suicide risks and impacts, little is known about effective suicide prevention interventions in these contexts. We conducted a systematic review to examine the outcomes of suicide prevention strategies implemented in disasters and public health emergencies. Methods: We searched five databases (Medline, Embase, PsycINFO, Web of Science, PTSDpubs) from inception to December 2022 for peer-reviewed quantitative studies that reported relevant intervention outcomes (changes in the frequency of suicide, suicide attempts, self-harm) for populations affected by disasters and public health emergencies. We assessed the quality of eligible studies using the Quality Assessment Tool for Quantitative Studies, and distilled review findings through narrative synthesis. The study protocol was registered with PROSPERO (CRD42021276195). Results: Ten eligible and mostly observational studies were included in this review, which examined a range of universal, selective, and indicated interventions. Three of five studies of interventions in public health emergencies indicated the potential effectiveness and buffering effects of generic disaster related mental health support, access to urban parks, as well as the beneficial role of video-enabled tablets in facilitating treatment access and outcomes. Similarly, three of five studies of interventions in disaster contexts provided evidence of the beneficial role of universal economic security measures, national gun laws and buy back schemes, and volunteer-delivered mental health support. Overall, four of six studies with favorable outcomes examined interventions specifically dep
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- 2024
4. Burden of disease scenarios for 204 countries and territories, 2022-2050: a forecasting analysis for the Global Burden of Disease Study 2021
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Vollset, SE, Ababneh, HS, Abate, YH, Abbafati, C, Abbasgholizadeh, R, Abbasian, M, Abbastabar, H, Abd Al Magied, AHA, Abd ElHafeez, S, Abdelkader, A, Abdelmasseh, M, Abd-Elsalam, S, Abdi, P, Abdollahi, M, Abdoun, M, Abdullahi, A, Abebe, M, Abiodun, O, Aboagye, RG, Abolhassani, H, Abouzid, M, Aboye, GB, Abreu, LG, Absalan, A, Abualruz, H, Abubakar, B, Abukhadijah, HJJ, Addolorato, G, Adekanmbi, V, Adetunji, CO, Adetunji, JB, Adeyeoluwa, TE, Adha, R, Adhikary, RK, Adnani, QES, Adzigbli, LA, Afrashteh, F, Afzal, MS, Afzal, S, Agbozo, F, Agodi, A, Agrawal, A, Agyemang-Duah, W, Ahinkorah, BO, Ahlstrom, AJ, Ahmad, A, Ahmad, F, Ahmad, MM, Ahmad, S, Ahmed, A, Ahmed, H, Ahmed, S, Ahmed, SA, Akinosoglou, K, Akkaif, MA, Akrami, AE, Akter, E, Al Awaidy, S, Al Hasan, SM, Al Mosa, AS, Al Ta'ani, O, Al Zaabi, OAM, Alahdab, F, Alajlani, MM, Al-Ajlouni, Y, Alalalmeh, SO, Al-Aly, Z, Alam, K, Alam, N, Alam, T, Alam, Z, Al-Amer, RM, Alanezi, FM, Alanzi, TM, Albakri, A, Aldhaleei, WA, Aldridge, RW, Alemohammad, SY, Alemu, YM, Al-Gheethi, AAS, Al-Hanawi, MK, Ali, A, Ali, I, Ali, MU, Ali, R, Ali, SSS, Ali, VE, Ali, W, Al-Ibraheem, A, Alicandro, G, Alif, SM, Aljunid, SM, Alla, F, Almazan, JU, Al-Mekhlafi, HM, Alqutaibi, AY, Alrawashdeh, A, Alrousan, SM, Al-Sabah, SK, Alsabri, MA, Altaany, Z, Al-Tammemi, AB, Al-Tawfiq, JA, Altirkawi, KA, Aluh, DO, Alvis-Guzman, N, Al-Wardat, MS, Al-Worafi, YM, Aly, H, Alyahya, MS, Alzoubi, KH, Al-Zyoud, W, Amani, R, Ameyaw, EK, Amin, TT, Amindarolzarbi, A, Amiri, S, Amirzade-Iranaq, MH, Amu, H, Amugsi, DA, Ancuceanu, R, Anderlini, D, Anderson, DB, Andrade, PP, Andrei, CL, Andrei, T, Andrews, EA, Anil, A, Anil, S, Anoushiravani, A, Antony, CM, Antriyandarti, E, Anuoluwa, BS, Anvari, S, Anyasodor, AE, Appiah, F, Aquilano, M, Arab, JP, Arabloo, J, Arafa, EA, Arafat, M, Aravkin, AY, Ardekani, A, Areda, D, Aregawi, BB, Aremu, A, Ariffin, H, Arkew, M, Armani, K, Artamonov, AA, Arumugam, A, Asghari-Jafarabadi, M, Ashbaugh, C, Astell-Burt, T, Athari, SS, Atorkey, P, Atout, MMW, Aujayeb, A, Ausloos, M, Awad, H, Awotidebe, AW, Ayatollahi, H, Ayuso-Mateos, JL, Azadnajafabad, S, Azeez, FK, Azevedo, RMS, Badar, M, Baghdadi, S, Bagheri, M, Bagheri, N, Bai, R, Baker, JL, Bako, AT, Balakrishnan, S, Balcha, WF, Baltatu, OC, Barchitta, M, Bardideh, E, Barker-Collo, SL, Barnighausen, TW, Barqawi, HJ, Barteit, S, Basiru, A, Basso, JD, Bastan, M-M, Basu, S, Bauckneht, M, Baune, BT, Bayati, M, Bayileyegn, NS, Behnoush, AH, Behzadi, P, Beiranvand, M, Bello, OO, Belo, L, Beloukas, A, Bemanalizadeh, M, Bensenor, IM, Benzian, H, Beran, A, Berezvai, Z, Bernstein, RS, Bettencourt, PJG, Beyene, KA, Beyene, MG, Bhagat, DS, Bhagavathula, AS, Bhala, N, Bhandari, D, Bharadwaj, R, Bhardwaj, N, Bhardwaj, P, Bhargava, A, Bhaskar, S, Bhat, V, Bhattacharjee, NV, Bhatti, GK, Bhatti, JS, Bhatti, MS, Bhuiyan, MA, Bisignano, C, Biswas, B, Bjorge, T, Bodolica, V, Bodunrin, AO, Hashemi, MB, Basara, BB, Borhany, H, Bosoka, SA, Carvajal, AB, Bouaoud, S, Boufous, S, Boxe, C, Boyko, EJ, Brady, OJ, Braithwaite, D, Brauer, M, Brazo-Sayavera, J, Brenner, H, Brown, CS, Browne, AJ, Brugha, T, Bryazka, D, Bulamu, NB, Buonsenso, D, Burkart, K, Burns, RA, Busse, R, Bustanji, Y, Butt, ZA, dos Santos, FLC, Barsbay, MC, Calina, D, Campos, LA, Cao, S, Capodici, A, Cardenas, R, Carreras, G, Carugno, A, Carvalho, M, Castaldelli-Maia, JM, Castelpietra, G, Cattaruzza, MS, Caye, A, Cegolon, L, Cembranel, F, Cenko, E, Cerin, E, Chadban, SJ, Chadwick, J, Chakraborty, C, Chakraborty, S, Chalek, J, Chan, JSK, Chandika, RM, Chandy, S, Charan, J, Chaudhary, AA, Chaurasia, A, Chen, A-T, Chen, H, Chen, MX, Chen, S, Cherbuin, N, Chi, G, Chichagi, F, Chimed-Ochir, O, Chimoriya, R, Ching, PR, Chirinos-Caceres, JL, Chitheer, A, Cho, DY, Cho, WCS, Choi, D-W, Chong, B, Chong, CL, Chopra, H, Chu, D-T, Chung, E, Chutiyami, M, Clayton, JT, Cogen, RM, Cohen, AJ, Columbus, A, Comfort, H, Conde, J, Connolly, JT, Cooper, EEK, Cortese, S, Cruz-Martins, N, da Silva, AG, Dadras, O, Dai, X, Dai, Z, Dalton, BE, Damiani, G, Dandona, L, Dandona, R, Das, JK, Das, S, Dash, NR, Davletov, K, De la Hoz, FP, De Leo, D, Debopadhaya, S, Delgado-Enciso, I, Denova-Gutierrez, E, Dervenis, N, Desai, HD, Devanbu, VGC, Dewan, SMR, Dhama, K, Dhane, AS, Dhingra, S, da Silva, DD, Diaz, D, Diaz, LA, Diaz, MJ, Dima, A, Ding, DD, Do, THP, Do Prado, CB, Dodangeh, M, Doegah, PT, Dohare, S, Dong, W, D'Oria, M, Doshi, R, Dowou, RK, Dsouza, HL, Dsouza, V, Dube, J, Dumith, SC, Duncan, BB, Duraes, AR, Duraisamy, S, Durojaiye, OC, Dushpanova, A, Dutta, S, Dzianach, PA, Dziedzic, AM, Eboreime, E, Ebrahimi, A, Kalan, ME, Edinur, HA, Efendi, F, Eikemo, TA, Eini, E, Ekundayo, TC, El Arab, RA, El Sayed, I, Elamin, O, Elemam, NM, ElGohary, GMT, Elhadi, M, Elmeligy, OAA, Elmoselhi, AB, Elshaer, M, Elsohaby, I, Eltahir, ME, Emeto, TI, Eshrati, B, Eslami, M, Esmaeili, Z, Fabin, N, Fagbamigbe, AF, Fagbule, OF, Falzone, L, Fareed, M, Farinha, CSES, Faris, MEM, Faro, A, Fasihi, K, Fatehizadeh, A, Fauk, NK, Fazylov, T, Feigin, VL, Fekadu, G, Feng, X, Fereshtehnejad, S-M, Ferrara, P, Ferreira, N, Firew, BS, Fischer, F, Fitriana, I, Flavel, J, Flor, LS, Folayan, MO, Foley, KM, Fonzo, M, Force, LM, Foschi, M, Freitas, A, Fridayani, NKY, Fukutaki, KG, Furtado, JM, Fux, B, Gaal, PA, Gadanya, MA, Gallus, S, Ganesan, B, Ganiyani, MA, Gautam, RK, Gebi, TG, Gebregergis, MW, Gebrehiwot, M, Getacher, L, Getahun, GKA, Gething, PW, Ghadimi, DJ, Ghadirian, F, Ghafarian, S, Ghailan, KY, Ghasemi, M, Dabaghi, GG, Ghazy, RM, Ghoba, S, Gholami, E, Gholamrezanezhad, A, Gholizadeh, N, Ghorbani, M, Vajargah, PG, Ghotbi, E, Gil, AU, Gill, TK, Girmay, A, Glasbey, JC, Glushkova, EV, Gnedovskaya, EV, Gobolos, L, Goldust, M, Goleij, P, Golinelli, D, Gopalani, SV, Goulart, AC, Gouravani, M, Goyal, A, Grivna, M, Grosso, G, Guarducci, G, Gubari, MIM, Guicciardi, S, Guimaraes, RA, Gulati, S, Gulisashvili, D, Gunawardane, DA, Guo, C, Gupta, AK, Gupta, R, Gupta, S, Gupta, VK, Haakenstad, A, Hadi, NR, Haep, N, Hafiz, A, Haghmorad, D, Haile, D, Ali, AH, Ali, HA, Haj-Mirzaian, A, Halboub, ES, Haller, S, Halwani, R, Abdullah, KH, Hamdy, NM, Hamoudi, R, Hanifi, N, Hankey, GJ, Haq, ZA, Haque, MR, Harapan, H, Hargono, A, Haro, JM, Hasaballah, AI, Hasan, SMM, Hasanian, M, Hasnain, MS, Hassan, A, Haubold, J, Hay, SI, Hebert, JJ, Hegazi, OE, Heidari, M, Hemmati, M, Henson, CA, Herrera-Serna, BY, Herteliu, C, Heydari, M, Hezam, K, Hidayana, I, Hiraike, Y, Hoan, NQ, Holla, R, Hoogar, P, Horita, N, Hossain, MM, Hosseinzadeh, H, Hosseinzadeh, M, Hostiuc, M, Hostiuc, S, Hu, C, Huang, J, Hultstrom, M, Hundie, TG, Hunt, AJ, Hushmandi, K, Hussain, J, Hussain, MA, Hussein, NR, Huynh, H-H, Hwang, B-F, Ibitoye, SE, Iftikhar, PM, Ikiroma, AI, Ikwegbue, PC, Ilic, IM, Ilic, MD, Immurana, M, Isa, MA, Islam, MR, Islam, SMS, Ismail, F, Ismail, NE, Isola, G, Iwagami, M, Iyamu, IO, Jacob, L, Jacobsen, KH, Jafarinia, M, Jahankhani, K, Jahanmehr, N, Jain, N, Jairoun, AA, Mani, DRJ, Jamil, S, Jamora, RDG, Jatau, AI, Javadov, S, Javaheri, T, Jayaram, S, Jee, SH, Jeganathan, J, Jiang, H, Jokar, M, Jonas, JB, Joseph, N, Joshua, CE, Jurisson, M, Vaishali, K, Kabir, A, Kabir, Z, Kadashetti, V, Kalankesh, LR, Kalra, S, Kamath, A, Kamath, R, Kamireddy, A, Kanaan, M, Kanchan, T, Kanmiki, EW, Kanmodi, KK, Kansal, SK, Karim, A, Karkhah, S, Kashoo, FZ, Kasraei, H, Kassel, MB, Katikireddi, SV, Kauppila, JH, Kaur, H, Kayode, GA, Kazemi, F, Kazemian, S, Kebede, F, Kendal, ES, Kesse-Guyot, E, Khademvatan, S, Khajuria, H, Khalaji, A, Khalid, A, Khalid, N, Khalilian, A, Khamesipour, F, Khan, F, Khan, MJ, Khan, MAB, Khanmohammadi, S, Khatab, K, Khatatbeh, H, Khatatbeh, MM, Khatib, MN, Kashani, HRK, Kheirallah, KA, Khokhar, M, Khormali, M, Khorrami, Z, Khosla, AA, Khosravi, M, Khosrowjerdi, M, Khubchandani, J, Kifle, ZD, Kim, G, Kim, JS, Kim, MS, Kim, YJ, Kimokoti, RW, Kisa, A, Kisa, S, Knibbs, LD, Knudsen, AKS, Kochhar, S, Kolahi, A-A, Kompani, F, Koren, G, Korzh, O, Krishan, K, Krishna, V, Krishnamoorthy, V, Bicer, BK, Kuddus, MA, Kuddus, M, Kuitunen, I, Kujan, O, Kulimbet, M, Kulkarni, V, Kumar, GA, Kumar, H, Kumar, N, Kumar, R, Kumar, V, Kundu, A, Kusuma, D, Kyei-Arthur, F, Kyto, V, Kyu, HH, La Vecchia, C, Lacey, B, Ladan, MA, Laflamme, L, Lahariya, C, Lai, DTC, Lalloo, R, Lallukka, T, Lam, J, Lan, Q, Lan, T, Landires, I, Lanfranchi, F, Langguth, B, Lansingh, VC, Laplante-Levesque, A, Larijani, B, Larsson, AO, Lasrado, S, Lauriola, P, Lawlor, HR, Le, H-H, Le, LKD, Le, NHH, Le, TTT, Le, TDT, Leasher, JL, Lee, DW, Lee, M, Lee, PH, Lee, S-W, Lee, SW, Lee, SWH, Lee, YH, Leigh, J, Leong, E, Li, M-C, Libra, M, Ligade, VS, Lim, L-L, Lim, SS, Limenh, LW, Lindholm, D, Lindstedt, PA, Listl, S, Liu, G, Liu, S, Liu, X, Llanaj, E, Lopez-Bueno, R, Lopez-Gil, JF, Loreche, AM, Lotufo, PA, Lozano, R, Lubinda, J, Lucchetti, G, Luo, L, Lusk, JB, Lv, L, Amin, HIM, Ma, ZF, Maass, KL, Machairas, N, Machoy, M, Madureira-Carvalho, AM, Abd El Razek, HM, Maghazachi, AA, Prasad, DRM, Mahalleh, M, Mahasha, PW, Mahmoud, MA, Mahmoudi, E, Mahmoudvand, G, Makama, M, Rad, EM, Malhotra, K, Malik, AA, Malta, DC, Manla, Y, Mansour, A, Mansouri, MH, Mansouri, P, Mansouri, V, Mansourian, M, Mansournia, MA, Marasini, BP, Marateb, HR, Maravilla, JC, Mardi, P, Marjani, A, Moghadam, HM, Arnedo, CAM, Martinez, G, Martinez-Piedra, R, Martins-Melo, FR, Martorell, M, Marx, W, Marzo, RR, Masoudi, S, Mathangasinghe, Y, Mathioudakis, AG, Mathur, M, Mathur, N, Matozinhos, FP, Mattumpuram, J, Maude, RJ, Maugeri, A, Mayeli, M, Mazidi, M, Mazzotti, A, McGrath, JJ, Mckee, M, McKowen, ALW, McPhail, MA, McPhail, SM, Mehmood, A, Mehrabani-Zeinabad, K, Mehravar, S, Meto, TM, Melese, EB, Mendez-Lopez, MAM, Mendoza, W, Menezes, RG, Mensah, GA, Mensah, LG, Mentis, A-FA, Meo, SA, Meretoja, A, Meretoja, TJ, Mersha, AM, Mestrovic, T, Mettananda, KCD, Mettananda, S, Mhlanga, A, Mhlanga, L, Miazgowski, T, Michalek, IM, de Sa, ACMGN, Miller, TR, Minh, LHN, Mirahmadi, A, Mirijello, A, Mirrakhimov, EM, Mirzaei, R, Mitchell, PB, Mittal, C, Moberg, ME, Fard, AM, Mohajelin, S, Mohamadkhani, A, Mohamed, AI, Mohamed, J, Mohamed, MFH, Mohamed, NS, Mohammad, AM, Mohammadi, S, Mohammed, H, Mohammed, M, Mohammed, S, Mokdad, AH, Molokhia, M, Momani, SM, Momtazmanesh, S, Monasta, L, Mondello, S, Moni, MA, Montazeri, F, Ghalibaf, AM, Moradi, M, Moradi, Y, Moraga, P, Morawska, L, Moreira, RS, Morovatdar, N, Morrison, SD, Mosapour, A, Mosser, JF, Mossialos, E, Motappa, R, Mougin, V, Mousavi, P, Mrejen, M, Mubarik, S, Mueller, UO, Mulita, F, Munjal, K, Murillo-Zamora, E, Musallam, KM, Musina, A-M, Mustafa, G, Myung, W, Nafei, A, Nagarajan, AJ, Naghavi, P, Naik, GR, Naik, G, Nainu, F, Najdaghi, S, Ansari, NN, Nangia, V, Swamy, SN, Nargus, S, Davani, DN, Nascimento, BR, Nascimento, GG, Naser, AY, Nashwan, AJ, Natto, ZS, Nauman, J, Navaratna, SNK, Naveed, M, Nawsherwan, Nayak, BP, Nayak, VC, Negash, H, Negoi, I, Negoi, RI, Nejadghaderi, SA, Nejjari, C, Nematollahi, S, Netsere, HB, Ng, M, Nguefack-Tsague, G, Ngunjiri, JW, Nguyen, AH, Nguyen, DH, Nguyen, 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Stoian, AMP, Parikh, RR, Park, E-K, Park, S, Parsons, N, Parthasarathi, A, Pasovic, M, Passera, R, Patel, J, Pathan, AR, Patil, S, Patoulias, D, Pawar, S, Toroudi, HP, Pease, SA, Peden, AE, Pedersini, P, Pensato, U, Pepito, VCF, Peprah, P, Pereira, M, Pereira, MO, Perianayagam, A, Perico, N, Perna, S, Pesudovs, K, Petermann-Rocha, FE, Pham, HT, Philip, AK, Phillips, MR, Pigeolet, M, Piradov, MA, Pisoni, E, Plotnikov, E, Poddighe, D, Polibin, RV, Poluru, R, Ponkilainen, VT, Popovic, DS, Postma, MJ, Pour-Rashidi, A, Prabhu, D, Prada, SI, Pradhan, J, Pradhan, PMS, Prashant, A, Prates, EJS, Priscilla, T, Purnobasuki, H, Purohit, BM, Puvvula, J, Qasim, NH, Qattea, I, Qazi, AS, Qian, G, Rad, MR, Radhakrishnan, V, Shahraki, HR, Rafferty, Q, Raggi, A, Raggi, C, Raheem, N, Rahim, F, Rahim, MJ, Rahimibarghani, S, Rahman, MMMR, Rahman, M, Rahman, MA, Rahman, T, Rahmani, AM, Rahmanian, M, Rahmanian, N, Rahmati, R, Rahmawaty, S, Raimondo, D, Raja, A, Rajput, P, Ramadan, M, Ramasamy, SK, Ramazanu, 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- Abstract
BACKGROUND: Future trends in disease burden and drivers of health are of great interest to policy makers and the public at large. This information can be used for policy and long-term health investment, planning, and prioritisation. We have expanded and improved upon previous forecasts produced as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) and provide a reference forecast (the most likely future), and alternative scenarios assessing disease burden trajectories if selected sets of risk factors were eliminated from current levels by 2050. METHODS: Using forecasts of major drivers of health such as the Socio-demographic Index (SDI; a composite measure of lag-distributed income per capita, mean years of education, and total fertility under 25 years of age) and the full set of risk factor exposures captured by GBD, we provide cause-specific forecasts of mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) by age and sex from 2022 to 2050 for 204 countries and territories, 21 GBD regions, seven super-regions, and the world. All analyses were done at the cause-specific level so that only risk factors deemed causal by the GBD comparative risk assessment influenced future trajectories of mortality for each disease. Cause-specific mortality was modelled using mixed-effects models with SDI and time as the main covariates, and the combined impact of causal risk factors as an offset in the model. At the all-cause mortality level, we captured unexplained variation by modelling residuals with an autoregressive integrated moving average model with drift attenuation. These all-cause forecasts constrained the cause-specific forecasts at successively deeper levels of the GBD cause hierarchy using cascading mortality models, thus ensuring a robust estimate of cause-specific mortality. For non-fatal measures (eg, low back pain), incidence and prevalence were forecasted from mixed-effects m
- Published
- 2024
5. Burden of disease scenarios for 204 countries and territories, 2022–2050: a forecasting analysis for the Global Burden of Disease Study 2021
- Author
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R., Mahalleh, Mehrdad, Mahasha, Phetole Walter, Mahmoud, Mansour Adam, Mahmoudi, Elham, Mahmoudvand, Golnaz, Makama, Maureen, Malakan Rad, Elaheh, Malhotra, Kashish, Malik, Ahmad Azam, Malta, Deborah Carvalho, Manla, Yosef, Mansour, Ali, Mansouri, Mohammad Hadi, Mansouri, Pejman, Mansouri, Vahid, Mansourian, Marjan, Mansournia, Mohammad Ali, Marasini, Bishnu P, Marateb, Hamid Reza, Maravilla, Joemer C, Mardi, Parham, Marjani, Abdoljalal, Markazi Moghadam, Hamed, Marrugo Arnedo, Carlos Alberto, Martinez, Gabriel, Martinez-Piedra, Ramon, Martins-Melo, Francisco Rogerlândio, Martorell, Miquel, Marx, Wolfgang, Marzo, Roy Rillera, Masoudi, Sahar, Mathangasinghe, Yasith, Mathioudakis, Alexander G, Mathur, Medha, Mathur, Navgeet, Mathur, Neeta, Matozinhos, Fernanda Penido, Mattumpuram, Jishanth, Maude, Richard James, Maugeri, Andrea, Mayeli, Mahsa, Mazidi, Mohsen, Mazzotti, Antonio, McGrath, John J, McKee, Martin, McKowen, Anna Laura W, McPhail, Michael A, McPhail, Steven M, Mehmood, Asim, 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Sungchul, Parsons, Nicholas, Parthasarathi, Ashwaghosha, Pasovic, Maja, Passera, Roberto, Patel, Jay, Pathan, Aslam Ramjan, Patil, Shankargouda, Patoulias, Dimitrios, Pawar, Shrikant, Pazoki Toroudi, Hamidreza, Pease, Spencer A, Peden, Amy E, Pedersini, Paolo, Pensato, Umberto, Pepito, Veincent Christian Filipino, Peprah, Prince, Pereira, Marcos, Pereira, Maria Odete, Perianayagam, Arokiasamy, Perico, Norberto, Perna, Simone, Pesudovs, Konrad, Petermann-Rocha, Fanny Emily, Pham, Hoang Tran, Philip, Anil K, Phillips, Michael R, Pigeolet, Manon, Piradov, Michael A, Pisoni, Enrico, Plotnikov, Evgenii, Poddighe, Dimitri, Polibin, Roman V, Poluru, Ramesh, Ponkilainen, Ville T, Popovic, Djordje S, Postma, Maarten J, Pour-Rashidi, Ahmad, Prabhu, Disha, Prada, Sergio I, Pradhan, Jalandhar, Pradhan, Pranil Man Singh, Prashant, Akila, Prates, Elton Junio Sady, Priscilla, Tina, Purnobasuki, Hery, Purohit, Bharathi M, Puvvula, Jagadeesh, Qasim, Nameer Hashim, Qattea, Ibrahim, Qazi, Asma Saleem, 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Yonemoto, Naohiro, You, Yuyi, Younis, Mustafa Z, Yu, Chuanhua, Yu, Elaine A, Yu, Yong, Yuan, Chun-Wei, Yusuf, Hadiza, Zafar, Uzma, Zafari, Nima, Zahid, Mondal Hasan, Zakham, Fathiah, Zaki, Nazar, Zerfu, Taddese Alemu, Zhang, Haijun, Zhang, Jingya, Zhang, Liqun, Zhang, Yunquan, Zhang, Zhiqiang, Zhao, Xiu-Ju George, Zhao, Yang, Zhao, Zhongyi, Zhong, Chenwen, Zhou, Bolun, Zhou, Juexiao, Zhou, Shangcheng, Zhu, Bin, Zhumagaliuly, Abzal, Zielińska, Magdalena, Zoghi, Ghazal, Zumla, Alimuddin, Zyoud, Sa'ed H, Zyoud, Samer H, Smith, Amanda E, and Murray, Christopher J L
- Published
- 2024
6. Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
- Author
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Naghavi, M, Ong, K, Aali, A, Ababneh, H, Abate, Y, Abbafati, C, Abbasgholizadeh, R, Abbasian, M, Abbasi-Kangevari, M, Abbastabar, H, Abd ElHafeez, S, Abdelmasseh, M, Abd-Elsalam, S, Abdelwahab, A, Abdollahi, M, Abdollahifar, M, Abdoun, M, Abdulah, D, Abdullahi, A, Abebe, M, Abebe, S, Abedi, A, Abegaz, K, Abhilash, E, Abidi, H, Abiodun, O, Aboagye, R, Abolhassani, H, Abolmaali, M, Abouzid, M, Aboye, G, Abreu, L, Abrha, W, Abtahi, D, Abu Rumeileh, S, Abualruz, H, Abubakar, B, Abu-Gharbieh, E, Abu-Rmeileh, N, Aburuz, S, Abu-Zaid, A, Accrombessi, M, Adal, T, Adamu, A, Addo, I, Addolorato, G, Adebiyi, A, Adekanmbi, V, Adepoju, A, Adetunji, C, Adetunji, J, Adeyeoluwa, T, Adeyinka, D, Adeyomoye, O, Admass, B, Adnani, Q, Adra, S, Afolabi, A, Afzal, M, Afzal, S, Agampodi, S, Agasthi, P, Aggarwal, M, Aghamiri, S, Agide, F, Agodi, A, Agrawal, A, Agyemang-Duah, W, Ahinkorah, B, Ahmad, A, Ahmad, D, Ahmad, F, Ahmad, M, Ahmad, S, Ahmad, T, Ahmadi, K, Ahmadzade, A, Ahmed, A, Ahmed, H, Ahmed, L, Ahmed, 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- Published
- 2024
7. Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
- Author
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- Abstract
Background: Understanding the health consequences associated with exposure to risk factors is necessary to inform public health policy and practice. To systematically quantify the contributions of risk factor exposures to specific health outcomes, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 aims to provide comprehensive estimates of exposure levels, relative health risks, and attributable burden of disease for 88 risk factors in 204 countries and territories and 811 subnational locations, from 1990 to 2021. Methods: The GBD 2021 risk factor analysis used data from 54 561 total distinct sources to produce epidemiological estimates for 88 risk factors and their associated health outcomes for a total of 631 risk–outcome pairs. Pairs were included on the basis of data-driven determination of a risk–outcome association. Age-sex-location-year-specific estimates were generated at global, regional, and national levels. Our approach followed the comparative risk assessment framework predicated on a causal web of hierarchically organised, potentially combinative, modifiable risks. Relative risks (RRs) of a given outcome occurring as a function of risk factor exposure were estimated separately for each risk–outcome pair, and summary exposure values (SEVs), representing risk-weighted exposure prevalence, and theoretical minimum risk exposure levels (TMRELs) were estimated for each risk factor. These estimates were used to calculate the population attributable fraction (PAF; ie, the proportional change in health risk that would occur if exposure to a risk factor were reduced to the TMREL). The product of PAFs and disease burden associated with a given outcome, measured in disability-adjusted life-years (DALYs), yielded measures of attributable burden (ie, the proportion of total disease burden attributable to a particular risk factor or combination of risk factors). Adjustments for mediation were applied to account for relationships involving risk
- Published
- 2024
8. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
- Author
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- Abstract
Background: Detailed, comprehensive, and timely reporting on population health by underlying causes of disability and premature death is crucial to understanding and responding to complex patterns of disease and injury burden over time and across age groups, sexes, and locations. The availability of disease burden estimates can promote evidence-based interventions that enable public health researchers, policy makers, and other professionals to implement strategies that can mitigate diseases. It can also facilitate more rigorous monitoring of progress towards national and international health targets, such as the Sustainable Development Goals. For three decades, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) has filled that need. A global network of collaborators contributed to the production of GBD 2021 by providing, reviewing, and analysing all available data. GBD estimates are updated routinely with additional data and refined analytical methods. GBD 2021 presents, for the first time, estimates of health loss due to the COVID-19 pandemic. Methods: The GBD 2021 disease and injury burden analysis estimated years lived with disability (YLDs), years of life lost (YLLs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries using 100 983 data sources. Data were extracted from vital registration systems, verbal autopsies, censuses, household surveys, disease-specific registries, health service contact data, and other sources. YLDs were calculated by multiplying cause-age-sex-location-year-specific prevalence of sequelae by their respective disability weights, for each disease and injury. YLLs were calculated by multiplying cause-age-sex-location-year-specific deaths by the standard life expectancy at the age that death occurred. DALYs were calculated by summing YLDs and YLLs. HALE estimates were produced using YLDs per capita and age-specific mortality rates by location, age, sex, year, and cause.
- Published
- 2024
9. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
- Author
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A, Nikoomanesh, F, Nikpoor, AR, Nnaji, CA, Nnyanzi, LA, Noman, EA, Nomura, S, Norrving, B, Nri-Ezedi, CA, Ntaios, G, Ntsekhe, M, Nurrika, D, Nzoputam, CI, Nzoputam, OJ, Oancea, B, Odetokun, IA, O'Donnell, MJ, Oguntade, AS, Oguta, JO, Okati-Aliabad, H, Okeke, SR, Okekunle, AP, Okonji, OC, Olagunju, AT, Olasupo, OO, Olatubi, MI, Oliveira, GMM, Olufadewa, II, Olusanya, BO, Olusanya, JO, Omar, HA, Omer, GL, Omonisi, AEE, Onie, S, Onwujekwe, OE, Ordak, M, Orish, VN, Ortega-Altamirano, DV, Ortiz, A, Ortiz-Brizuela, E, Osman, WMS, Ostroff, SM, Osuagwu, UL, Otoiu, A, Otstavnov, N, Otstavnov, SS, Ouyahia, A, Ouyang, G, Owolabi, MO, P A, MP, Padron-Monedero, A, Padubidri, JR, Palicz, T, Palladino, C, Pan, F, Pandi-Perumal, SR, Pangaribuan, HU, Panos, GD, Panos, LD, Pantea Stoian, AM, Pardhan, S, Parikh, RR, Pashaei, A, Pasovic, M, Passera, R, Patel, J, Patel, SK, Patil, S, Patoulias, D, Patthipati, VS, Pawar, S, Pazoki Toroudi, H, Pease, SA, Peden, AE, Pedersini, P, Peng, M, Pensato, U, Pepito, 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Rezaei Hachesu, P, Rezaeian, M, Rickard, J, Rodrigues, CF, Rodriguez, JAB, Roever, L, Ronfani, L, Roshandel, G, Rotimi, K, Rout, HS, Roy, B, Roy, N, Roy, P, Rubagotti, E, S N, C, Saad, AMA, Saber-Ayad, MM, Sabour, S, Sacco, S, Sachdev, PS, Saddik, B, Saddler, A, Sadee, BA, Sadeghi, E, Sadeghi, M, Saeb, MR, Saeed, U, Safi, SZ, Sagar, R, Sagoe, D, Saif, Z, Sajid, MR, Sakshaug, JW, Salam, N, Salami, AA, Salaroli, LB, Saleh, MA, Salem, MR, Salem, MZY, Sallam, M, Samadzadeh, S, Samargandy, S, Samodra, YL, Samy, AM, Sanabria, J, Sanna, F, Santos, IS, Santric-Milicevic, MM, Sarasmita, MA, Sarikhani, Y, Sarmiento-Suárez, R, Sarode, GS, Sarode, SC, Sarveazad, A, Sathian, B, Sathyanarayan, A, Satpathy, M, Sawhney, M, Scarmeas, N, Schaarschmidt, BM, Schmidt, MI, Schneider, IJC, Schumacher, AE, Schwebel, DC, Schwendicke, F, Sedighi, M, Senapati, S, Senthilkumaran, S, Sepanlou, SG, Sethi, Y, Setoguchi, S, Seylani, A, Shadid, J, Shafie, M, Shah, H, Shah, NS, Shah, PA, Shahbandi, A, Shahid, S, 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Vaithinathan, AG, Van den Eynde, J, Varga, O, Varma, RP, Vart, P, Vasankari, TJ, Vasic, M, Vaziri, S, Vellingiri, B, Venketasubramanian, N, Veroux, M, Verras, G-I, Vervoort, D, Villafañe, JH, Violante, FS, Vlassov, V, Vollset, SE, Volovat, SR, Vongpradith, A, Waheed, Y, Wang, C, Wang, F, Wang, N, Wang, S, Wang, Y, Wang, Y-P, Ward, P, Wassie, EG, Weaver, MR, Weerakoon, KG, Weintraub, RG, Weiss, DJ, Weldemariam, AH, Wells, KM, Wen, YF, Whisnant, JL, Whiteford, HA, Wiangkham, T, Wickramasinghe, DP, Wickramasinghe, ND, Wilandika, A, Wilkerson, C, Willeit, P, Wimo, A, Woldegebreal, DH, Wolf, AW, Wong, YJ, Woolf, AD, Wu, C, Wu, F, Wu, X, Wu, Z, Wulf Hanson, S, Xia, Y, Xiao, H, Xu, X, Xu, YY, Yadav, L, Yadollahpour, A, Yaghoubi, S, Yamagishi, K, Yang, L, Yano, Y, Yao, Y, Yaribeygi, H, Yazdanpanah, MH, Ye, P, Yehualashet, SS, Yesuf, SA, Yezli, S, Yiğit, A, Yiğit, V, Yigzaw, ZA, Yismaw, Y, Yon, DK, Yonemoto, N, Younis, MZ, Yu, C, Yu, Y, Yusuf, H, Zahid, MH, Zakham, F, Zaki, L, Zaki, N, Zaman, BA, Zamora, N, Zand, R, Zandieh, GGZ, Zar, HJ, Zarrintan, A, Zastrozhin, MS, Zhang, H, Zhang, N, Zhang, Y, Zhao, H, Zhong, C, Zhong, P, Zhou, J, Zhu, Z, Ziafati, M, Zielińska, M, Zimsen, SRM, Zoladl, M, Zumla, A, Zyoud, SH, Vos, T, and Murray, CJL
- Published
- 2024
10. Evaluating the Effectiveness of Components of National Suicide Prevention Strategies An Interrupted Time Series Analysis
- Author
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Schlichthorst, M, Reifels, L, Spittal, M, Clapperton, A, Scurrah, K, Kolves, K, Platt, S, Pirkis, J, Krysinska, K, Schlichthorst, M, Reifels, L, Spittal, M, Clapperton, A, Scurrah, K, Kolves, K, Platt, S, Pirkis, J, and Krysinska, K
- Abstract
Background: National suicide prevention strategies support development of suicide prevention activities and their evaluation. Aims: To describe components included in national suicide prevention strategies and analyze the potential contribution of individual components to reduce suicide rates. Method: We conducted a narrative review and statistical analysis of national suicide prevention strategies. The narrative review was based on a framework of 12 components and included 29 countries (14 lower middle-income countries [LMICs] and 15 high-income countries [HICs]) with a national suicide prevention strategy. The statistical analyses covered suicide mortality data for 24 countries with a national strategy (9 LMICs and 15 HICs). Results: The number of components adopted in national strategies ranged from 4 to 11, and training and education were included in 96.5% of strategies. Estimated period effects for total suicide rates in individual countries ranged from a significant decrease in the yearly suicide rate (RR = 0.80; 95% CI 0.69-0.93) to a significant increase (RR = 1.12; 95% CI 1.05-1.19). There were no changes in suicide mortality associated with individual components of national strategies. Limitations: The limitations of existing suicide mortality data apply to our study. Conclusion: Further detailed evaluations will help identify the specific contribution of individual components to the impact national strategies. Until then, countries should be encouraged to implement and evaluate comprehensive national suicide prevention strategies.
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- 2023
11. Ethical Issues to Consider in Designing Suicide Prevention Studies: An Expert Consensus Study
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Dempster, G, Ozols, I, Krysinska, K, Reifels, L, Schlichthorst, M, Pirkis, J, Andriessen, K, Dempster, G, Ozols, I, Krysinska, K, Reifels, L, Schlichthorst, M, Pirkis, J, and Andriessen, K
- Abstract
AIM: Research is imperative to advance our understanding of suicidal behavior and its prevention. Suicide prevention research involves various ethical issues, many of which are not straightforward to address. Hence, suicide prevention researchers sometimes face particular issues when designing their research studies. This expert consensus study aimed to identify the most important ethical issues to consider when designing suicide prevention studies. METHODS: People with lived experience of suicide (N = 32) and suicide prevention researchers (N = 34) rated 80 statements on a 5-point Likert scale from "essential" to "should not be included." RESULTS: There was significant agreement between and within the two groups of participants with regard to the most highly rated statements. The most highly rated statements for both groups included the importance of the ethical principles of merit, integrity, justice, and beneficence. Additionally, lived experience participants placed emphasis on the support and care for researchers, and suicide prevention researchers placed emphasis on the risk management protocols and support services for participants. CONCLUSION: There was strong agreement between people with lived experience of suicide and suicide prevention researchers regarding what to consider when designing ethically sound suicide prevention research, including the importance of ethical principles and support for both participants and researchers.HIGHLIGHTSThere was strong agreement between people with lived experience of suicide and researchers.Researchers emphasized adherence to national guidelines.People with lived experience of suicide valued care for study participants and researchers.
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- 2023
12. Disaster Mental Health Risk Reduction: Appraising Disaster Mental Health Research as If Risk Mattered
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Reifels, L, Dückers, MLA, Reifels, L, and Dückers, MLA
- Abstract
The globally increasing frequency, intensity, and complexity of extreme climatic events and disasters poses significant challenges for the future health and wellbeing of affected populations around the world. Mental health problems in the general population, which still too often go un-attended or untreated in many countries, are known to be further elevated among those exposed to extreme climatic events and disasters.
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- 2023
13. Modelling the cost-effectiveness of brief aftercare interventions following hospital-treated self-harm
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Le, LK-D, Flego, A, Krysinska, K, Andriessen, K, Bandara, P, Page, A, Schlichthorst, M, Pirkis, J, Mihalopoulos, C, Carter, G, Reifels, L, Le, LK-D, Flego, A, Krysinska, K, Andriessen, K, Bandara, P, Page, A, Schlichthorst, M, Pirkis, J, Mihalopoulos, C, Carter, G, and Reifels, L
- Abstract
BACKGROUND: Prior self-harm represents the most significant risk factor for future self-harm or suicide. AIM: To evaluate the cost-effectiveness of a theoretical brief aftercare intervention (involving brief follow-up contact, care coordination and safety planning), following a hospital-treated self-harm episode, for reducing repeated self-harm within the Australian context. METHOD: We employed economic modelling techniques to undertake: (a) a return-on-investment analysis, which compared the cost-savings generated by the intervention with the overall cost of implementing the intervention; and (b) a cost-utility analysis, which compared the net costs of the intervention with health outcomes measured in quality-adjusted life years (QALYs). We considered cost offsets associated with hospital admission for self-harm and the cost of suicide over a period of 10 years in the base case analysis. Uncertainty and one-way sensitivity analyses were also conducted. RESULTS: The brief aftercare intervention resulted in net cost-savings of AUD$7.5 M (95% uncertainty interval: -56.2 M to 15.1 M) and was associated with a gain of 222 (95% uncertainty interval: 45 to 563) QALYs over a 10-year period. The estimated return-on-investment ratio for the intervention's modelled cost in relation to cost-savings was 1.58 (95% uncertainty interval: -0.17 to 5.33). Eighty-seven per cent of uncertainty iterations showed that the intervention could be considered cost-effective, either through cost-savings or with an acceptable cost-effectiveness ratio of 50 000 per QALY gained. The results remained robust across sensitivity analyses. CONCLUSIONS: A theoretical brief aftercare intervention is highly likely to be cost-effective for preventing suicide and self-harm among individuals with a history of self-harm.
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- 2023
14. The burden and trend of diseases and their risk factors in Australia, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019
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Islam, SMS, Uddin, R, Maddison, R, Ball, K, Livingstone, KM, Khan, A, Salmon, J, Ackerman, IN, Adair, T, Adegboye, OA, Ademi, Z, Adhikary, RK, Ahinkorah, BO, Alam, K, Alene, KA, Alif, SM, Amare, AT, Ameyaw, EK, Aminde, LN, Anderlini, D, Angell, B, Ansar, A, Antony, B, Anyasodor, AE, Arnet, VK, Astell-Burt, T, Atorkey, P, Awoke, MA, Quintanilla, BPA, Ayano, G, Bagheri, N, Barnett, A, Baune, BT, Bhandari, D, Bhaskar, S, Biswas, RK, Borschmann, R, Boufous, S, Briggs, AM, Buchbinder, R, Bulamu, NB, Burns, RA, Carvalho, AF, Cerin, E, Cherbuin, N, Chowdhury, EK, Ciobanu, LG, Clark, SR, Cross, M, Dadi, AF, de Courten, B, De Leo, D, de Luca, K, Doyle, KE, Edvardsson, D, Edvardsson, K, Efendi, F, Endalamaw, A, Fauk, NK, Feng, X, Fitzgibbon, BM, Flavel, J, Gebreyohannes, EAA, Gesesew, HA, Gill, TK, Godinho, MA, Gupta, B, Gupta, VK, Hambisa, MT, Hamiduzzaman, M, Hankey, GJ, Hassanian-Moghaddam, H, Hay, SI, Hebert, JJ, Huda, MM, Huda, TM, Islam, MM, Islam, MS, Islam, RM, Kaambwa, B, Kandel, H, Kassie, GM, Kelly, JT, Kerr, JA, Kiross, GT, Knibbs, LD, Kulkarni, VV, Lalloo, R, Le, LKD, Leigh, J, Leung, J, Li, S, Mahumud, RA, Mamun, AA, Marzan, MB, McGrath, JJ, Mehlman, ML, Meretoja, A, Mersha, AG, Miller, TR, Mitchell, PB, Mokdad, AH, Morawska, L, Mpundu-Kaambwa, C, Mude, W, Murray, CJL, Kandel, SN, Nyanhanda, T, Obamiro, KO, Peden, AE, Pesudovs, K, Polkinghorne, KR, Rahman, A, Rahman, MA, Ratan, ZA, Rawal, L, Reifels, L, Renzaho, AMN, Robinson, SR, Roshandel, D, Rumisha, SF, Saunders, PA, Sawyer, SM, Schlaich, MP, Schutte, AE, Seidu, A-A, Sharma, S, Shorofi, SA, Siabani, S, Singh, A, Singh, BB, Slater, H, Stephens, JH, Stokes, MA, Subedi, NS, Sumi, CD, Sun, J, Sundstrom, J, Szoeke, CEI, Tadakamadla, SK, Takahashi, K, Taylor, J, Tessema, MBT, Thrift, AG, To, QG, Tollosa, DN, Tran, MTN, Vandelanotte, C, Varghese, BM, Veerman, LJ, Wang, N, Ward, P, Woodward, M, Wubishet, BL, Xu, X, Ye, P, Bin Zaman, S, Zarghami, A, Zhang, J, Crawford, DA, Islam, SMS, Uddin, R, Maddison, R, Ball, K, Livingstone, KM, Khan, A, Salmon, J, Ackerman, IN, Adair, T, Adegboye, OA, Ademi, Z, Adhikary, RK, Ahinkorah, BO, Alam, K, Alene, KA, Alif, SM, Amare, AT, Ameyaw, EK, Aminde, LN, Anderlini, D, Angell, B, Ansar, A, Antony, B, Anyasodor, AE, Arnet, VK, Astell-Burt, T, Atorkey, P, Awoke, MA, Quintanilla, BPA, Ayano, G, Bagheri, N, Barnett, A, Baune, BT, Bhandari, D, Bhaskar, S, Biswas, RK, Borschmann, R, Boufous, S, Briggs, AM, Buchbinder, R, Bulamu, NB, Burns, RA, Carvalho, AF, Cerin, E, Cherbuin, N, Chowdhury, EK, Ciobanu, LG, Clark, SR, Cross, M, Dadi, AF, de Courten, B, De Leo, D, de Luca, K, Doyle, KE, Edvardsson, D, Edvardsson, K, Efendi, F, Endalamaw, A, Fauk, NK, Feng, X, Fitzgibbon, BM, Flavel, J, Gebreyohannes, EAA, Gesesew, HA, Gill, TK, Godinho, MA, Gupta, B, Gupta, VK, Hambisa, MT, Hamiduzzaman, M, Hankey, GJ, Hassanian-Moghaddam, H, Hay, SI, Hebert, JJ, Huda, MM, Huda, TM, Islam, MM, Islam, MS, Islam, RM, Kaambwa, B, Kandel, H, Kassie, GM, Kelly, JT, Kerr, JA, Kiross, GT, Knibbs, LD, Kulkarni, VV, Lalloo, R, Le, LKD, Leigh, J, Leung, J, Li, S, Mahumud, RA, Mamun, AA, Marzan, MB, McGrath, JJ, Mehlman, ML, Meretoja, A, Mersha, AG, Miller, TR, Mitchell, PB, Mokdad, AH, Morawska, L, Mpundu-Kaambwa, C, Mude, W, Murray, CJL, Kandel, SN, Nyanhanda, T, Obamiro, KO, Peden, AE, Pesudovs, K, Polkinghorne, KR, Rahman, A, Rahman, MA, Ratan, ZA, Rawal, L, Reifels, L, Renzaho, AMN, Robinson, SR, Roshandel, D, Rumisha, SF, Saunders, PA, Sawyer, SM, Schlaich, MP, Schutte, AE, Seidu, A-A, Sharma, S, Shorofi, SA, Siabani, S, Singh, A, Singh, BB, Slater, H, Stephens, JH, Stokes, MA, Subedi, NS, Sumi, CD, Sun, J, Sundstrom, J, Szoeke, CEI, Tadakamadla, SK, Takahashi, K, Taylor, J, Tessema, MBT, Thrift, AG, To, QG, Tollosa, DN, Tran, MTN, Vandelanotte, C, Varghese, BM, Veerman, LJ, Wang, N, Ward, P, Woodward, M, Wubishet, BL, Xu, X, Ye, P, Bin Zaman, S, Zarghami, A, Zhang, J, and Crawford, DA
- Abstract
BACKGROUND: A comprehensive understanding of temporal trends in the disease burden in Australia is lacking, and these trends are required to inform health service planning and improve population health. We explored the burden and trends of diseases and their risk factors in Australia from 1990 to 2019 through a comprehensive analysis of the Global Burden of Disease Study (GBD) 2019. METHODS: In this systematic analysis for GBD 2019, we estimated all-cause mortality using the standardised GBD methodology. Data sources included primarily vital registration systems with additional data from sample registrations, censuses, surveys, surveillance, registries, and verbal autopsies. A composite measure of health loss caused by fatal and non-fatal disease burden (disability-adjusted life-years [DALYs]) was calculated as the sum of years of life lost (YLLs) and years of life lived with disability (YLDs). Comparisons between Australia and 14 other high-income countries were made. FINDINGS: Life expectancy at birth in Australia improved from 77·0 years (95% uncertainty interval [UI] 76·9-77·1) in 1990 to 82·9 years (82·7-83·1) in 2019. Between 1990 and 2019, the age-standardised death rate decreased from 637·7 deaths (95% UI 634·1-641·3) to 389·2 deaths (381·4-397·6) per 100 000 population. In 2019, non-communicable diseases remained the major cause of mortality in Australia, accounting for 90·9% (95% UI 90·4-91·9) of total deaths, followed by injuries (5·7%, 5·3-6·1) and communicable, maternal, neonatal, and nutritional diseases (3·3%, 2·9-3·7). Ischaemic heart disease, self-harm, tracheal, bronchus, and lung cancer, stroke, and colorectal cancer were the leading causes of YLLs. The leading causes of YLDs were low back pain, depressive disorders, other musculoskeletal diseases, falls, and anxiety disorders. The leading risk factors for DALYs were high BMI, smoking, high blood pressure, high fasting plasma glucose, and drug use. Between 1990 and 2019, all-cause DALYs decreased
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- 2023
15. Climate change and mental health: risks, impacts and priority actions
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Hayes, Katie, Blashki, G., Wiseman, J., Burke, S., and Reifels, L.
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- 2018
- Full Text
- View/download PDF
16. Cost-effectiveness of Installing Barriers at Bridge and Cliff Sites for Suicide Prevention in Australia
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Bandara, P, Pirkis, J, Clapperton, A, Shin, S, Too, LS, Reifels, L, Onie, S, Page, A, Andriessen, K, Krysinska, K, Flego, A, Schlichthorst, M, Spittal, MJ, Mihalopoulos, Cathy, Le, LKD, Bandara, P, Pirkis, J, Clapperton, A, Shin, S, Too, LS, Reifels, L, Onie, S, Page, A, Andriessen, K, Krysinska, K, Flego, A, Schlichthorst, M, Spittal, MJ, Mihalopoulos, Cathy, and Le, LKD
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- 2022
17. Public health implications of multiple disaster exposures
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Leppold, C, Gibbs, L, Block, K, Reifels, L, Quinn, P, Leppold, C, Gibbs, L, Block, K, Reifels, L, and Quinn, P
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Disasters are an important public health issue; however, there is scarce evidence to date on what happens when communities and populations experience more than one disaster. This scoping review identifies literature on the effects of multiple disasters published until Aug 2, 2021, 1425 articles were identified, of which 150 articles were included. We analysed direct and indirect public health implications of multiple disasters. Our analysis suggests that exposure to multiple disasters can affect mental health, physical health, and wellbeing, with some evidence that the potential risks of multiple disaster exposure exceed those of single disaster exposure. We also identified indirect public health implications of multiple disaster exposure, related to changes in health-care facilities, changes in public risk perception, and governmental responses to multiple disasters. We present findings on community recovery and methodological challenges to the study of multiple disasters, and directions for future research.
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- 2022
18. Exploring Current Responses to the Climate Crisis in MHPSS Interventions in Humanitarian Settings
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Ager, W, Reifels, L, Augustinavicius, J, Pschiuk, L, Ager, W, Reifels, L, Augustinavicius, J, and Pschiuk, L
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- 2022
19. Digital Health Emergency Management-Pandemics and Beyond
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Reifels, L, Murray, V, Reifels, L, and Murray, V
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- 2022
20. Implementation Science in Suicide Prevention
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Reifels, L, Krishnamoorthy, S, Kolves, K, Francis, J, Reifels, L, Krishnamoorthy, S, Kolves, K, and Francis, J
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- 2022
21. The long-term impact of bushfires on the mental health of Australians: a systematic review and meta-analysis
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Zhang, Y, Workman, A, Russell, MA, Williamson, M, Pan, H, Reifels, L, Zhang, Y, Workman, A, Russell, MA, Williamson, M, Pan, H, and Reifels, L
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BACKGROUND: The long-term health effects of bushfires include the potential to trigger new and exacerbate existing mental health problems. OBJECTIVE: This review aimed to determine the prevalence of long-term mental health issues in Australian populations exposed to bushfires. METHOD: A systematic search was conducted in five databases (Embase, Medline, PsycINFO, Scopus, and Web of Science) to identify studies focusing on Australian populations impacted by bushfires with the prevalence of mental health issues reported at 2+ years after bushfire. The Joanna Briggs Institute prevalence critical appraisal tool was utilised. We conducted meta-analyses to determine the prevalence of general psychological distress in the general population, and a narrative synthesis. RESULTS: We included 21 articles based on 5 studies and conducted on 3 bushfire events. Meta-analyses showed a pooled prevalence of 14% (95% CI 12%-16%) for psychological distress in the general population at 2-4 years post bushfire. The overall prevalence of long-term psychological problems in firefighters at 2-7 years ranged from 28% to 47.6%. The prevalence of some psychological issues decreased with time and was directly proportional to the level of bushfire impact. CONCLUSIONS: As the magnitude of long-term bushfire-related mental health impacts in Australia is severe, it is important to monitor psychological problems and assist communities in future. Future research needs include: (a) more studies on the full range of long-term psychological impacts of bushfires, and (b) consensus on instruments and diagnostic criteria to define mental health issues. HIGHLIGHTS: First systematic review of long-term bushfire mental health issues in Australia.Indicating substantial mental health problems among affected populations.Long-term issues were linked to bushfire impact and elevated among firefighters.Highlighting need for further rigorous research on long-term disaster sequalae.
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- 2022
22. The effectiveness of an Australian community suicide prevention networks program in preventing suicide: a controlled longitudinal study
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Morgan, AJ, Roberts, R, Mackinnon, AJ, Reifels, L, Morgan, AJ, Roberts, R, Mackinnon, AJ, and Reifels, L
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BACKGROUND: Suicide is a major issue affecting communities around the world. Community-based suicide prevention approaches can tailor activities at a local level and are recognised as a key component of national suicide prevention strategies. Despite this, research exploring their effects on completed suicides is rare. This study examined the effect of a national program of community suicide prevention networks on suicide rates in catchment areas across Australia. METHODS: Australian suicide data from the National Coronial Information System for 2001-2017 were mapped to geographic catchment areas of community suicide prevention networks and matched control areas with similar characteristics. The effect of network establishment on suicide rates was evaluated using longitudinal models including fixed effects for site type (network or control), time, season, and intervention (network establishment), with site included as a random intercept. RESULTS: Sixty suicide prevention networks were included, servicing areas with a population of 3.5 million. Networks varied in when they were established, ranging from 2007 to 2016. Across the time-period, suicide rates per 100,000 per quarter averaged 3.73 (SD = 5.35). A significant reduction in the suicide rate of 7.0% was found after establishment of networks (IRR = 0.93, 95% CI 0.87 to 0.99, p = .025). CONCLUSION: This study found evidence of an average reduction in suicide rates following the establishment of suicide prevention networks in Australian communities. These findings support the effectiveness of empowering local communities to take action to prevent suicide.
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- 2022
23. Cost-effectiveness of media reporting guidelines for the prevention of suicide
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Flego, A, Reifels, L, Mihalopoulos, C, Bandara, P, Page, A, Fox, T, Skehan, J, Hill, NTM, Krysinska, K, Andriessen, K, Schlichthorst, M, Pirkis, J, Le, LK-D, Flego, A, Reifels, L, Mihalopoulos, C, Bandara, P, Page, A, Fox, T, Skehan, J, Hill, NTM, Krysinska, K, Andriessen, K, Schlichthorst, M, Pirkis, J, and Le, LK-D
- Abstract
INTRODUCTION: Media guidelines for the responsible reporting of suicide are a recognized universal suicide prevention intervention. While implemented in numerous countries, including Australia, little is known about whether they are cost-effective. We aimed to determine the cost-effectiveness of Mindframe, the national initiative implementing media guidelines in Australia. METHOD: We conducted a modelled economic evaluation (5-year time-horizon) incorporating two types of economic analysis: (i) return-on-investment (ROI) comparing estimated cost savings from the intervention to the total intervention cost, and (ii) cost-effectiveness analysis comparing the net intervention costs to health outcomes: suicide deaths prevented and quality-adjusted life-years (QALYs). We also included uncertainty analyses to propagate parameter uncertainty and sensitivity analyses to test the robustness of the model outputs to changes in input parameters and assumptions. RESULTS: The estimated ROI ratio for the main analysis was 94:1 (95% uncertainty interval [UI]: 37 to 170). The intervention was associated with cost savings of A$596M (95% UI: A$228M to A$1,081M), 139 (95% UI: 55 to 252) suicides prevented and 107 (95% UI: 42 to 192) QALYs gained. The intervention was dominant, or cost-saving, compared with no intervention with results being robust to sensitivity analysis but varying based on the conservativeness of the parameters entered. CONCLUSION: Mindframe was found to be cost-saving, and therefore, worthy of investment and inclusion as part of national suicide prevention strategies.
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- 2022
24. Suicide Prevention Research Priorities: Final Report
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Reifels, L, Krysinska, K, Andriessen, K, Ftanou, M, Machlin, A, McKay, S, Robinson, J, Pirkis, J, Reifels, L, Krysinska, K, Andriessen, K, Ftanou, M, Machlin, A, McKay, S, Robinson, J, and Pirkis, J
- Abstract
Background and aim: Suicide continues to be a major public health challenge in Australia with significant individual, community, and societal impacts. Targeted and timely research efforts are essential to effectively address this challenge in a rapidly changing world. Building on our earlier research priority setting exercise conducted in 2017, the present project aimed to inform future priorities in Australian suicide prevention research and identify shifts in research emphasis over time. Method: We examined current research priorities in Australian suicide prevention research by reviewing grants and fellowships funded and peer-reviewed journal articles published during 2017-2022, which were categorised according to an existing classification framework. We also surveyed key stakeholders with a known interest in suicide prevention research as to where future research emphasis should be placed and categorised their responses according to the same framework. Replicating the methodology from our earlier exercise, enabled us to contrast current and future research priorities and identify any shifts in research emphasis over time. Key findings: Overall research investment and publication output in Australian suicide prevention research has increased significantly in 2017-2022, with 393 journal articles published and 110 grants and fellowships funded to the tune of $45.1m. This represents more than a quadrupling of total research funding over a 5-year period and a 50% increase in annual publication output compared to our earlier exercise conducted over a 7.5-year period in 2010-2017. Recent research funding efforts are starting to manifest key changes in the types of research called for by stakeholders, while the associated evidence base is yet to fully materialise in publications. Notably, intervention studies (43%) emerged as the most frequently funded study type, while epidemiological research continued to dominate in published articles (59%). Mirroring stakeholder ide
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- 2022
25. Disaster mental health research
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Kayano, R, Murray, V, Clarke, M, Chan, EYY, O’Sullivan, T, Abrahams, J, Newnham, EA, Reifels, L, Gibbs, L, Kayano, R, Murray, V, Clarke, M, Chan, EYY, O’Sullivan, T, Abrahams, J, Newnham, EA, Reifels, L, and Gibbs, L
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- 2021
26. Immediate and long-term health impact of exposure to gas-mining induced earthquakes and related environmental stressors
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Duckers, MLA, Baliatsas, C, Spreeuwenberg, P, Verheij, RA, Reifels, L, Yzermans, CJ, Duckers, MLA, Baliatsas, C, Spreeuwenberg, P, Verheij, RA, Reifels, L, and Yzermans, CJ
- Abstract
BACKGROUND: Little is known about the public health impact of chronic exposure to physical and social stressors in the human environment. Objective of this study was to investigate the immediate and long-term health effects of living in an environment with gas-mining induced earthquakes and related stressors in the Netherlands. METHODS: Data on psychological, somatic and social problems recorded routinely in electronic health records by general practitioners during a 6-year period (2010-2015) were combined with socioeconomic status and seismicity data. To assess immediate health effects of exposure to ML≥1.5 earthquakes, relative risk ratios were calculated for patients in the week of an earthquake and the week afterwards, and compared to the week before the earthquake. To analyse long-term health effects, relative risks of different groups, adjusted for age, sex and socioeconomic status, were computed per year and compared. RESULTS: Apart from an increase in suicidality, few immediate health changes were found in an earthquake week or week afterwards. Generally, the prevalence of health problems was higher in the mining province in the first years, but dropped to levels equal to or even below the control group in subsequent years, with lower relative risks observed in more frequently exposed patients. CONCLUSIONS: From a public health perspective, the findings are fascinating. Contrary to our expectation, health problems presented in general practice in the earthquake province decreased during the study period. More frequently exposed populations reported fewer health issues to general practitioners, which might point at health adaptation to chronic exposure to stressors.
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- 2021
27. What works in community-led suicide prevention: Perspectives of wesley lifeforce network coordinators
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Reifels, L, Morgan, A, Too, LS, Schlichthorst, M, Williamson, M, Jordan, H, Reifels, L, Morgan, A, Too, LS, Schlichthorst, M, Williamson, M, and Jordan, H
- Abstract
Community coalitions have been recognised as an important vehicle to advance health promotion and address relevant local health issues in communities, yet little is known about their effectiveness in the field of suicide prevention. The Wesley Lifeforce Suicide Prevention Networks program consists of a national cohort of local community-led suicide prevention networks. This study drew on a nationally representative survey and the perspectives of coordinators of these networks to identify the key factors underpinning positive perceived network member and community outcomes. Survey data were analysed through descriptive statistics and linear regression analyses. Networks typically reported better outcomes for network members and communities if they had been in existence for longer, had a focus on the general community, and had conducted more network meetings and internal processes, as well as specific community-focused activities. Study findings strengthen the evidence base for effective network operations and lend further support to the merit of community coalitions in the field of suicide prevention, with implications for similar initiatives, policymakers, and wider sector stakeholders seeking to address suicide prevention issues at a local community level.
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- 2021
28. Ethical concerns in suicide research: thematic analysis of the views of human research ethics committees in Australia
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Barnard, E, Dempster, G, Krysinska, K, Reifels, L, Robinson, J, Pirkis, J, Andriessen, K, Barnard, E, Dempster, G, Krysinska, K, Reifels, L, Robinson, J, Pirkis, J, and Andriessen, K
- Abstract
BACKGROUND: Suicide research aims to contribute to a better understanding of suicidal behaviour and its prevention. However, there are many ethical challenges in this research field, for example, regarding consent and potential risks to participants. While studies to-date have focused on the perspective of the researchers, this study aimed to investigate the views and experiences of members of Human Research Ethics Committees (HRECs) in dealing with suicide-related study applications. METHODS: This qualitative study entailed a thematic analysis using an inductive approach. We conducted semi-structured interviews with a purposive sample (N = 15) of HREC Chairs or their delegates from Australian research-intensive universities. The interview guide included questions regarding the ethical concerns and challenges in suicide-related research raised by HREC members, how they dealt with those challenges and what advice they could give to researchers. RESULTS: The analysis identified four main themes: (1) HREC members' experiences of reviewing suicide-related study applications, (2) HREC members' perceptions of suicide, suicide research, and study participants, (3) Complexity in HREC members' decision-making processes, and (4) HREC members' relationships with researchers. CONCLUSIONS: Reliance on ethical guidelines and dialogue with researchers are crucial in the assessment of suicide-related study applications. Both researchers and HREC members may benefit from guidance and resources on how to conduct ethically sound suicide-related studies. Developing working relationships will be likely to help HRECs to facilitate high quality, ethical suicide-related research and researchers to conduct such research.
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- 2021
29. Effectiveness of Psychosocial Interventions for Family Members and Other Informal Support Persons of Individuals Who Have Made a Suicide Attempt
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Krysinska, K, Andriessen, K, Ozols, I, Reifels, L, Robinson, J, Pirkis, J, Krysinska, K, Andriessen, K, Ozols, I, Reifels, L, Robinson, J, and Pirkis, J
- Abstract
Background: Individuals recovering from a suicide attempt may benefit from support provided by informal carers, that is, family members and other support persons, who may require support themselves. Aims: This systematic review aims to identify and synthesize available literature on the effectiveness of psychosocial interventions for this carer population. Method: A search of peer-reviewed literature in five databases was carried out. Studies using any design were eligible and results were synthesized using a narrative review. Results: Eight articles reporting on seven quantitative studies met the eligibility criteria. This included three studies on interventions designed specifically for informal carers and four studies on interventions designed for persons who have made a suicide attempt, and which involved their informal carers. Overall, informal carers were satisfied with support and psychosocial interventions they received. Interventions were related to some improvements in carers' mental health outcomes, lowered burden, and improved ability to provide care. There were mixed results regarding family functioning and quality of life. Limitations: No studies from lower- and middle-income countries were identified and the small number of heterogeneous studies precluded conducting a meta-analysis. Conclusion: Given the low number of studies and their overall poor quality, this review can only draw preliminary conclusions. More high-quality intervention studies are needed to formulate recommendations for effective psychosocial support for family members and other informal support persons after a suicide attempt.
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- 2021
30. Lived experience peer support programs for suicide prevention: a systematic scoping review
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Schlichthorst, M, Ozols, I, Reifels, L, Morgan, A, Schlichthorst, M, Ozols, I, Reifels, L, and Morgan, A
- Abstract
BACKGROUND: Peer-led support models have gained increasing popularity in suicide prevention. While previous reviews show positive effects of peer-led support for people with mental health problems and those bereaved by suicide, little is known about the types of lived experience peer support programs in suicide prevention and whether these are effective in improving the health and wellbeing of people at risk of suicide. The aim of this paper is to provide an overview of peer support programs that aim to reduce suicidality and are led by people with lived experience of suicide. METHOD: We conducted a systematic scoping review, involving a search of three academic (Medline, PsycINFO, Embase) and selected grey literature databases (Google Scholar, WHO Clinical Trials Registry) for publications between 2000 and 2019. We also contacted suicide prevention experts and relevant internet sites to identify peer support programs that exist but have not been evaluated. The screening of records followed a systematic two-stage process in alignment with PRISMA guidelines. RESULTS: We identified 8 records accounting for 7 programs focussed on peer-led support programs in suicide prevention. These programs employed a range of different designs and included a variety of settings (schools, communities, rural and online). Only 3 of the 7 programs contained data on effectiveness. With the small number of eligible programs the findings from this review are limited and must be interpreted with caution. CONCLUSIONS: Despite the increased focus of policymakers on the importance of peer support programs in suicide prevention, our scoping review confirms an evidence gap in research knowledge regarding program design, implementation, and effectiveness. More rigour is required in reporting peer-led support initiatives to clarify the underlying definition of peer support and lived experience and to enhance our understanding of the types of current peer support programs available to those experie
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- 2020
31. Trends in suicide-related research in Australia
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Schlichthorst, M, Reifels, L, Krysinska, K, Ftanou, M, Machlin, A, Robinson, J, Pirkis, J, Schlichthorst, M, Reifels, L, Krysinska, K, Ftanou, M, Machlin, A, Robinson, J, and Pirkis, J
- Abstract
BACKGROUND: Despite continuous research over the past 20 years in Australia there is still limited understanding of what works and what does not work in suicide prevention and where to invest research efforts that will help to expand this knowledge base. There is a recursive relationship between research activities, knowledge gain and the development of strategy and action plans as these in turn guide future decisions on research funding. In this context, the first step to continuous improvement in knowledge is to better understand where research has been invested in the past until now and where it has not. METHODS: We conducted a study that collected data over two periods. The first data collection was done in 2006 for the period of 1999 to 2006 and the second data collection was in 2017 for the period from 2010 to 2017. This allowed us to examine changes in published suicide-related journal articles, and grants/fellowships funded between the two periods. Published articles and grants/fellowships were classified according to a pre-determined framework. RESULTS: The number of suicide-related articles and grants/fellowships increased over the two periods. We noted shifts in the types of research that were funded and published, and in the emphasis that was given to different types of suicidal behavior, suicide methods, and settings. Research target groups showed a trend towards increasing diversification. CONCLUSIONS: Our findings help to identify current research priorities and inform where future priorities for suicide-related research in Australia lie by linking findings to other external data sources (population risk data, stakeholder consultations, national strategies and action plan documents).
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- 2020
32. Wesley LifeForce Suicide Prevention Networks Evaluation: Draft Report
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Reifels, L, Williamson, M, Schlichthorst, M, Too, LS, Morgan, A, Roberts, R, Mercer, P, Munkara-Murray, K, Jordan, H, Reifels, L, Williamson, M, Schlichthorst, M, Too, LS, Morgan, A, Roberts, R, Mercer, P, Munkara-Murray, K, and Jordan, H
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- 2020
33. The Impact of the 'Pause. Call. Be Heard' Campaign on Help-Seeking and Suicidal Behaviors Within Rail Environment in Victoria, Australia
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Too, LS, Ross, A, Pirkis, J, Reavley, N, Reifels, L, Too, LS, Ross, A, Pirkis, J, Reavley, N, and Reifels, L
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OBJECTIVE: To assess the impact of the "Pause. Call. Be Heard" campaign on help-seeking and suicidal behaviors within rail environment in Victoria, Australia. METHODS: An anonymous online survey was conducted to measure noticeability of and engagement with the campaign and help-seeking intentions and behaviors among rail commuters at 10 rail stations. We generated descriptive statistics to report these data and used logistic regression models to examine the association between campaign-related factors and help-seeking. Changes in Lifeline crisis calls and rail suicide behaviors from precampaign to campaign periods were examined using proportion tests. RESULTS: About 25% of rail commuters noticed the campaign and rated the materials as "moderately noticeable." Over half of these individuals correctly identified the campaign intentions and 75% engaged with the materials. Approximately 80% indicated that the materials increased their help-seeking intentions and about half indicated that they had engaged with help-seeking and/or self-caring behaviors. Engaging with the campaign was positively associated with help-seeking. A significant increase in crisis calls but not in suicide-related calls, and a nonsignificant decrease in rail suicidal behaviors were found during the campaign period. CONCLUSIONS: Continued implementation of the campaign is warranted as it showed some desirable effects on help-seeking among rail commuters.
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- 2020
34. Outcomes of Community-Based Suicide Prevention Approaches that Involve Reducing Access to Pesticides: A Systematic Literature Review (vol 50, pg 1296, 2020)
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Reifels, L, Mishara, B, Dargis, L, Reifels, L, Mishara, B, and Dargis, L
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The article "Outcomes of Community-Based Suicide Prevention Approaches that Involve Reducing Access to Pesticides: A Systematic Literature Review" by Reifels L, Mishara B, Dargis L et al in Volume 49 (4) August 2019 pp 1019-1031 has an error in the Acknowledgements section where it is stated "Lakshmi Vijayakumar and Michael Phillips have received in the past financial support from Syngenta to conduct investigations of pesticide suicide prevention involving restriction of access to means." This statement is incorrect, and Dr Lakshmi Vijayakumar has not received any funding or financial support now or in the past for conducting any investigation/research on pesticide suicide prevention involving restriction of access to pesticide or any suicide prevention from Syngenta or the pesticide industry. The error is highly regretted.
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- 2020
35. Wesley LifeForce Suicide Prevention Networks Evaluation: Final Report
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Reifels, L, Williamson, M, Schlichthorst, M, Too, L, Morgan, A, Roberts, R, Mercer, P, Munkara-Murray, K, Jordan, H, Reifels, L, Williamson, M, Schlichthorst, M, Too, L, Morgan, A, Roberts, R, Mercer, P, Munkara-Murray, K, and Jordan, H
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- 2020
36. The Integration of Mental Health and Psychosocial Support and Disaster Risk Reduction: A Mapping and Review
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Gray, B, Hanna, F, Reifels, L, Gray, B, Hanna, F, and Reifels, L
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The field of disaster and emergency management has shifted in focus towards the goal of Disaster Risk Reduction (DRR). However, the degree to which the Mental Health and Psychosocial Support (MHPSS) field has followed this trend is relatively unknown. Therefore, the objectives of this review were to identify relevant projects, materials, and publications relating to MHPSS and DRR integration and define current domains of action in this integration. A review was conducted using a two-pronged approach for data collection. This approach included 1) a mapping exercise eliciting relevant documentation and project descriptions from MHPSS actors, and 2) a database and internet literature search. The mapping exercise was conducted between January and November 2019, while the literature search was completed in March 2019. The majority of identified materials concerned actions of capacity and systems building; preparedness; policy development, consensus building, and awareness raising; school- and child-focused DRR; inclusive DRR; and resilience promotion. Results also suggested that relatively little consensus exists in terms of formal definitions of and frameworks or guidance for integrating MHPSS and DRR. Moreover, domains of action varied in terms of current implementation practices and empirical evidence. Materials and projects are reviewed and discussed in terms of implications for advancing the integration of DRR and MHPSS and expanding MHPSS approaches to include building better before emergencies.
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- 2020
37. Effectiveness of interventions for people bereaved through suicide: A systematic review of controlled studies of grief, psychosocial and suicide-related outcomes
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Andriessen, K, Krysinska, K, Hill, NTM, Reifels, L, Robinson, J, Reavley, N, Pirkis, J, Andriessen, K, Krysinska, K, Hill, NTM, Reifels, L, Robinson, J, Reavley, N, and Pirkis, J
- Abstract
Background: Suicide bereavement is a risk factor for adverse outcomes related to grief, social functioning, mental health and suicidal behaviour. Consequently, suicide bereavement support (i.e., postvention) has been identified as an important suicide prevention strategy. However, little is known about its effectiveness. To redress this gap, this review aimed to assess the evidence of effectiveness of interventions for people bereaved by suicide, and appraise the quality of the research in this field. Methods: We conducted a systematic review according to PRISMA guidelines. Searches of peer-reviewed literature in Medline, PsycINFO, Embase and EBM Reviews identified 12 papers reporting on 11 relevant studies conducted between 1984 and 2018. Results: Across studies, there was a wide variety of intervention modalities, study populations, control groups, and grief, psychosocial and suicide-related outcome measures. Overall, the quality of studies was weak. While there was some evidence of the effectiveness of interventions for uncomplicated grief, evidence of the effectiveness of complicated grief interventions was lacking. Based on this scant evidence, interventions which seem to show promise include supportive, therapeutic and educational approaches, involve the social environment of the bereaved, and comprise a series of sessions led by trained facilitators. Conclusions: There is a clear need for additional methodologically sound studies in this area. Specifically, selection procedures, sample sizes, randomization, and the use of appropriate measures are crucial. As people bereaved by suicide are at-risk of adverse grief, mental ill-health and suicidal behaviour, further research across the life-span is essential to prevent grief and mental health ramifications.
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- 2019
38. Dealing with ethical concerns in suicide research: A survey of australian researchers
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Andriessen, K, Reifels, L, Krysinska, K, Robinson, J, Dempster, G, Pirkis, J, Andriessen, K, Reifels, L, Krysinska, K, Robinson, J, Dempster, G, and Pirkis, J
- Abstract
Given the increasing trend in suicide mortality and its burden on individuals, families and communities, ethically sound research is crucial to improve the prevention of suicidal behaviour. However, few studies have looked at the experiences of researchers in obtaining ethics approval for their studies. This study addressed this gap by investigating researchers’ experiences in obtaining ethics approval and how they dealt with the concerns raised by ethics committees. Respondents were recruited from September to November 2018 through the Australian Suicide Prevention Research Leaders Network, and 33 respondents (35%) completed the study survey, comprising forced-choice and open-ended questions. Respondents most commonly reported concerns from ethics committees regarding potential harm to participants and researchers’ responsibilities to participants within the context of intervention and evaluation studies. Most researchers modified their ethics application and/or consulted with their ethics committee to reply to the concerns raised. Most respondents perceived the impact of the modification as positive or neutral. The study concludes that researchers may anticipate potential concerns of ethics committees. Improved understanding of how ethics committees work and dialogue between researchers and ethics committees should sustain the quality in suicide-related research.
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- 2019
39. The vulnerability paradox in global mental health and its applicability to suicide
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Duckers, MLA, Reifels, L, De Beurs, DP, Brewin, CR, Duckers, MLA, Reifels, L, De Beurs, DP, and Brewin, CR
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BACKGROUND: Previous research has identified a vulnerability paradox in global mental health: contrary to positive associations at the individual level, lower vulnerability at the country level is accompanied by a higher prevalence in a variety of mental health problems in national populations. However, the validity of the paradox has been challenged, specifically for bias from modest sample sizes and reliance on a survey methodology not designed for cross-national comparisons.AimsTo verify whether the paradox applies to suicide, using data from a sizable country sample and an entirely different data source. METHOD: We combined data from the World Health Organization 2014 suicide report and the country vulnerability index from the 2016 World Risk Report. Suicide was predicted in different steps based on gender, vulnerability and their interaction, World Bank income categories, and suicide data quality. RESULTS: A negative association between country vulnerability and suicide prevalence in both women and men was found. Suicide rates were higher for men, regardless of country vulnerability. The model predicting suicide in 96 countries based on gender, vulnerability, income and data quality had the best goodness-of-fit compared with other models. The vulnerability paradox is not accounted for by income or data quality, and exists across and within income categories. CONCLUSIONS: The study underscores the relevance of country-level factors in the study of mental health problems. The lower mental disorder prevalence in more vulnerable countries implies that living in such countries fosters protective factors that more than compensate for the limitations in professional healthcare capacity.Declaration of interestNone.
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- 2019
40. The vulnerability paradox in global mental health and its applicability to suicide - CORRIGENDUM.
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Dückers, MLA, Reifels, L, De Beurs, DP, Brewin, CR, Dückers, MLA, Reifels, L, De Beurs, DP, and Brewin, CR
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- 2019
41. Community suicide prevention networks: A literature scoping review
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Williamson, M, Schlichthorst, M, Jordan, H, Too, LS, Pirkis, J, Reifels, L, Williamson, M, Schlichthorst, M, Jordan, H, Too, LS, Pirkis, J, and Reifels, L
- Abstract
Suicide is a significant concern for the Australian population, claiming the lives of 3128 men and women in 2017. Wesley Mission, through its Wesley LifeForce Suicide Prevention Networks program (Wesley LifeForce program) has been working with the community to support the development of local community suicide prevention networks since 2007. Wesley Mission defines a network as ‘A union of people and organisations, working together to change the outcome relating to a specific problem.’ Networks are further described as being community based and as being ‘for the people, by the people’. In this report, we refer to this notion as ‘community led’. While the aims and objectives of each network vary, reflecting the unique identity of each community, there is a common thread: a focus on interagency cooperation and raising community awareness. Wesley LifeForce network functions typically include activities that seek to: • identify and bring together community participants with an interest or responsibility in suicide prevention, mental health issues and/or mental health promotion • facilitate the exchange of information • co-ordinate suicide prevention activities to maximise impact • encourage sharing of skills and learning • raise community awareness of suicide risk and protective factors and help create pathways
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- 2019
42. The association between mental disorders and suicide: A systematic review and meta-analysis of record linkage studies
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Too, LS, Spittal, MJ, Bugeja, L, Reifels, L, Butterworth, P, Pirkis, J, Too, LS, Spittal, MJ, Bugeja, L, Reifels, L, Butterworth, P, and Pirkis, J
- Abstract
Background: There has long been debate about the extent to which mental disorders contribute to suicide. We aimed to examine the evidence on the contribution of mental disorders to suicide among record linkage studies. Methods: We performed a systematic search using eight major health databases for English-language studies published between 1 January 2000 and 11 June 2018 that linked collected data on mental disorders and suicide. We then conducted a meta-analysis to assess risk of suicide conferred by mental disorders. Results: Our search identified 20 articles representing 13 unique studies. The pooled rate ratio (RR) was 13.2 (95% CI 8.6–20.3) for psychotic disorders, 12.3 (95% CI 8.9–17.1) for mood disorders, 8.1 (95% CI 4.6–14.2) for personality disorders, 4.4 (95% CI 2.9–6.8) for substance use disorders, and 4.1 (95% CI 2.4–6.9) for anxiety disorders in the general population. The overall pooled RR for these mental disorders was 7.5 (95% CI 6.6–8.6). The population attributable risk of mental disorders was up to 21%. Limitations: The overall heterogeneity between studies was very high. Conclusions: Our findings underline the important role of mental disorders in suicide. This suggests that ongoing efforts are required to improve access to and quality of mental health care to prevent suicide by people with mental disorders.
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- 2019
43. Authors’ reply
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Reifels, L, Mishara, BL, Dargis, L, Vijayakumar, L, Phillips, MR, Pirkis, J, Reifels, L, Mishara, BL, Dargis, L, Vijayakumar, L, Phillips, MR, and Pirkis, J
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- 2019
44. Disaster risk reduction and health: the potential of health registers for health monitoring
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Dückers, M, Arnberg, F, Baliatsas, C, Reifels, L, Stene, L, Yzermans, J, Dückers, M, Arnberg, F, Baliatsas, C, Reifels, L, Stene, L, and Yzermans, J
- Abstract
Introduction: The Sendai Framework seeks to substantially reduce disaster risk and losses in lives, livelihoods, health, and other assets including persons, communities, and countries. The framework focuses on reducing mortality while increasing population wellbeing, early warning, and promotion of health systems resilience. The use of scientific evidence to inform policy and formulate effective initiatives and interventions is crucial to disaster risk reduction within health. Different instruments and methodologies are available to guide policy and operations. The potential value of routinely collected patient data from health registers is that they can provide pre-event health and comparison group data without burdening affected populations. Aim: The current contribution aims to illustrate how health registers can help monitor the health impact of natural and human-made disasters. Methods: Patient data from health registers of general practitioners and other health professionals, sometimes combined with other registers and data sources, have been utilized to monitor the health impact of disasters and environmental hazards in the Netherlands, Norway, and Sweden since 2000. Results: Health registers allowed monitoring of mental health problems, medically unexplained symptoms, chronic health problems, and social problems. These were compared to groups not directly exposed. The health impact and care utilization was tracked after the fireworks explosion in Enschede affecting inhabitants of the neighborhood (2000; data range 1999-2005), children and parents after the Volendam café fire (2001; data range 2000-2006), Swedish survivors of the Tsunami in Southeast Asia (2004; data range 2004-2010), and parents of children affected by the terrorist attack on Utøya (2011; data range 2008-2014). Discussion: Health systems with registers have an important advantage when it comes to the potential for monitoring population health, and perhaps offer early warnings of pandemics. H
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- 2019
45. Disaster Risk Reduction and Health: The Potential of Health Registers for Public Health Monitoring
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Dückers, M, Arnberg, F, Baliatsas, C, Reifels, L, Stene, L, Yzermans, J, Dückers, M, Arnberg, F, Baliatsas, C, Reifels, L, Stene, L, and Yzermans, J
- Abstract
Introduction: The Sendai Framework seeks to substantially reduce disaster risk and losses in lives, livelihoods, health, and other assets including persons, communities, and countries. The framework focuses on reducing mortality while increasing population wellbeing, early warning, and promotion of health systems resilience. The use of scientific evidence to inform policy and formulate effective initiatives and interventions is crucial to disaster risk reduction within health. Different instruments and methodologies are available to guide policy and operations. The potential value of routinely collected patient data from health registers is that they can provide pre-event health and comparison group data without burdening affected populations. Aim: The current contribution aims to illustrate how health registers can help monitor the health impact of natural and human-made disasters. Methods: Patient data from health registers of general practitioners and other health professionals, sometimes combined with other registers and data sources, have been utilized to monitor the health impact of disasters and environmental hazards in the Netherlands, Norway, and Sweden since 2000. Results: Health registers allowed monitoring of mental health problems, medically unexplained symptoms, chronic health problems, and social problems. These were compared to groups not directly exposed. The health impact and care utilization was tracked after the fireworks explosion in Enschede affecting inhabitants of the neighborhood (2000; data range 1999-2005), children and parents after the Volendam café fire (2001; data range 2000-2006), Swedish survivors of the Tsunami in Southeast Asia (2004; data range 2004-2010), and parents of children affected by the terrorist attack on Utøya (2011; data range 2008-2014). Discussion: Health systems with registers have an important advantage when it comes to the potential for monitoring population health, and perhaps offer early warnings of pandemics. H
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- 2019
46. Ethical Concerns in Suicide Research: Results of an International Researcher Survey
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Andriessen, K, Reifels, L, Krysinska, K, Robinson, J, Dempster, G, Pirkis, J, Andriessen, K, Reifels, L, Krysinska, K, Robinson, J, Dempster, G, and Pirkis, J
- Abstract
Researchers and research ethics committees share a common goal of conducting ethically sound research. However, little is known of researchers' experiences in obtaining ethics approval for suicide-related studies. This study aimed to investigate what concerns researchers have received on suicide-related ethics applications and how they dealt with it. Thirty-four respondents, recruited through the International Association for Suicide Prevention, filled out an online survey. The study found that researchers have received important concerns regarding potential harm and researchers' responsibilities to participants. Researchers modified their application and/or consulted their research ethics committee in response to the concerns, which had a positive/neutral impact on their given study. Anticipating concerns and improved collaboration between researchers and research ethics committees should protect the quality of suicide prevention research.
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- 2019
47. Psychiatric epidemiology and disaster exposure in Australia
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Reifels, L, Mills, K, Duckers, MLA, O'Donnell, ML, Reifels, L, Mills, K, Duckers, MLA, and O'Donnell, ML
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AIMS: To examine the lifetime prevalence and risk of psychiatric disorders associated with natural and man-made disaster exposure in Australia. METHODS: We utilised data from a nationally representative population survey (N = 8841) which were analysed through univariate and multivariate logistic regression in order to examine the full spectrum of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) affective, anxiety and substance use disorders associated with exposure to natural and man-made disaster. RESULTS: Man-made disaster exposure was primarily associated with an increased lifetime risk (odds ratio (95% CI)) of alcohol abuse disorder 2.29 (1.56-3.37), post-traumatic stress disorder (PTSD) 2.27 (1.36-3.79), obsessive-compulsive disorder (OCD) 1.95 (1.08-3.51) and major depressive disorder 1.69 (1.01-2.85). Multiple natural disaster exposure was associated with an increased lifetime risk of panic disorder 2.26 (1.11-4.61). Among the broader disorder spectrum examined, alcohol abuse disorder accounted for the single greatest increase in lifetime disorder prevalence associated with man-made disaster exposure, and the greatest number of natural or man-made disaster exposed individuals who had developed a lifetime psychiatric disorder. Despite the relatively greater disorder risk associated with man-made disaster, natural disaster exposure was associated with more cases of psychiatric disorder, likely due to the frequency with which these events occur in Australia. CONCLUSIONS: Notwithstanding the inability to draw causal inferences from cross-sectional survey data, population-based analyses provide a comprehensive and consistent method to ascertain the population imprint of psychiatric disorder and disaster exposure. Mental health policy and services should be targeting a range of psychiatric disorders in disaster contexts in addition to the usual focus on PTSD and depression, including alcohol abuse, panic disorder and OCD. Despite the r
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- 2019
48. An Evaluation of the Implementation of the Australian ATAPS Suicide Prevention Services Initiative
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Nicholas, A, Bassilios, B, King, K, Ftanou, M, Machlin, A, Reifels, L, Pirkis, J, Nicholas, A, Bassilios, B, King, K, Ftanou, M, Machlin, A, Reifels, L, and Pirkis, J
- Abstract
The Access to Allied Psychological Services (ATAPS) Suicide Prevention Services initiative is an Australian Government-funded primary mental healthcare initiative providing free intensive psychological intervention for consumers at moderate risk of self-harm or suicide. Findings from a multi-method evaluation aimed at identifying whether the initiative is being implemented as stipulated within the operational guidelines, barriers and facilitators to implementation, and preliminary outcomes suggest that the Suicide Prevention Services are largely being implemented as stipulated in the Guidelines, but with some exceptions. In particular, service delivery barriers unique to rural and remote areas place limitations on implementation. Uptake of the ATAPS Suicide Prevention Services is high (10,428 consumers were referred to the Suicide Prevention Services between October 2008 and April 2013, and 86% of those attended at least one session), as is acceptance from organizations involved in its implementation.
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- 2019
49. Using Social Media Networks to Engage Men in Conversations on Masculinity and Suicide: Content Analysis of Man Up Facebook Campaign Data
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Schlichthorst, M, King, K, Reifels, L, Phelps, A, Pirkis, J, Schlichthorst, M, King, K, Reifels, L, Phelps, A, and Pirkis, J
- Abstract
We analyzed comments published on the Man Up Facebook page (manuptvseries) during the roll-out of the Man Up digital campaign. The aim was to gain insight into how the public perceived the Man Up campaign and the conversation topics that the campaign instigated. We downloaded Facebook threads (posts and comments) from the manuptvseries page using NCapture and performed conventional content analysis on a random set of comments (n = 2,236) to identify how the campaign was perceived and what were the popular conversations. Overall, the campaign was perceived extremely positively by the Facebook audience showing many comments endorsing the content of the campaign by sharing among their Facebook community. The strongest themes were expressing emotions, help and support, and masculinity/gender roles which related to the higher level theme of expressions of masculinity. Another strong theme was suicide and topics related to suicide. Comments acknowledged the importance of discussing the issues of male suicide and masculinity publicly. Men were less engaged with topics on masculinity and expressing emotions compared with women and recognized stigma around help-seeking for mental health issues. The Man Up Facebook campaign did foster a public discussion on masculinity and suicide. A gendered approach in mental health promotion is needed with stigma still present for men when seeking help for mental health problems. Social media holds considerable potential for the use of health promotion campaigns aiming to increase interpersonal communication on challenging health topics. Yet, these campaigns need to carefully manage the risk of reinforcing stereotypes.
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- 2019
50. Examining the national profile of chronic disaster health risks in Australia
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Reifels, L, Dückers, MLA, Blashki, G, Reifels, L, Dückers, MLA, and Blashki, G
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Introduction: Despite a longstanding focus on examining acute health impacts in disaster research, only limited systematic information is available today to further our understanding of chronic physical health risks of disaster exposure. Heterogeneity of studies and disaster events of varying type and scale compounding this challenge highlight the merit of a consistent approach to examining nationally representative population data to understand distinctive profiles of chronic disaster health risks. Aim: This epidemiological study examined the full spectrum and national profile of chronic physical health risks associated with natural and man-made disaster exposure in Australia. Methods: Nationally-representative population survey data (N=8841) were analyzed through multivariate logistic regression, controlling for sociodemographic variables, exposure to natural and man-made disasters, and other traumatic events. Key outcomes included lifetime national chronic health priority conditions (asthma, cancer, stroke, rheumatism/arthritis, diabetes, heart/circulatory) and other conditions of 6 month or more duration (based on the World Health Organization’s WMH-CIDI chronic conditions module). Results: Natural disaster exposure primarily increased the lifetime risk of stroke (AOR 2.06, 95%CI 1.54-2.74). Man-made disaster exposure increased the lifetime risk of stomach ulcer (AOR 2.21, 95%CI 1.14-4.31), migraine (AOR 1.61, 95%CI 1.02-2.56), and heart/circulatory conditions (AOR 2.01, 95%CI 1.07-3.75). Multiple man-made disaster exposure heightened the risk of migraine (AOR 2.98, 95%CI 1.28-6.92) and chronic back or neck conditions (AOR 1.63, 95%CI 1.02-2.62), while multiple natural disaster exposure heightened the risk of stroke (AOR 3.28, 95%CI 1.90-5.67). No other chronic health risks were elevated. Despite the relatively greater chronic health risks linked to man-made disasters, natural disasters were associated overall with more cases of chronic health conditions. Discus
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- 2019
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