Psychosis and its Correlates in a Remote Indigenous Population

Hunter, Ernest; Gynther, Bruce; Anderson, Carrick; Onnis, Leigh-ann; Groves, Aaron; Nelson, Jeffrey R.

doi:10.3109/10398562.2011.583068

Cited by 19 publications

(21 citation statements)

References 21 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…People from these backgrounds are three times more likely to have diabetes than the general Australian population [ 53 ]. Increased risk of psychosis among Aboriginal and Torres Strait Islander peoples [ 54 ] has been partially attributed to high rates of substance misuse [ 55 ]. Western conceptualisations of illness tend to focus on modifiable risk factors such as diet and exercise (in the case of T2D) or genetic and biological markers (in the case of schizophrenia).…”

Section: Discussionmentioning

confidence: 99%

Primary care access for mental illness in Australia: Patterns of access to general practice from 2006 to 2016

et al. 2018

View full text Add to dashboard Cite

General practice has an important role within the Australian healthcare system to provide access to care and effective management of chronic health conditions. However, people with serious mental illness experience challenges associated with service access. The current paper seeks to examine drivers of access to general practice for people with common and serious mental disorders, compared with people who access care for type II diabetes, a common physical health problem managed in general practice. The Bettering the Evaluation and Care of Health (BEACH) programme provides the most comprehensive and objective measurement of general practitioner activity in Australia. Using BEACH data, this study compared general practice encounters for depression, anxiety, bipolar disorder, schizophrenia, and type II diabetes during a 10-year period between 2006 and 2016. Analysis revealed more frequent encounters for depression compared to anxiety, and a higher representation of women in encounters for bipolar disorder compared to men. The relationship between number of encounters and patient age was strongly associated with the life course and mortality characteristics associated with each disorder. The findings highlight specific challenges associated with access to primary care for people with serious mental illness, and suggest areas of focus to improve the ability of these patients to access and navigate the health system.

show abstract

Section: Discussionmentioning

confidence: 99%

Primary care access for mental illness in Australia: Patterns of access to general practice from 2006 to 2016

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Our study also showed a substantial difference between the rates of intellectual disability in the Aboriginal (38.9%) and Torres Strait Islander (6.9%) patients. Evidence supporting acquired rather than genetic explanations for these differences have been explored elsewhere 19 …”

Section: Discussionmentioning

confidence: 99%

Psychosis in Indigenous populations of Cape York and the Torres Strait

Hunter

Gynther

Anderson

et al. 2012

Medical Journal of Australia

View full text Add to dashboard Cite

Objective: To describe and characterise treated psychotic disorders in the Indigenous populations of Cape York and the Torres Strait. Design: Cross‐sectional analysis of patients with a psychotic disorder identified by treating psychiatrists. Setting and participants: Indigenous patients aged ≥ 15 years in Cape York and Torres Strait communities receiving treatment for a psychotic disorder over 3 months in 2010. Main outcome measures: Prevalence of psychosis diagnoses, intellectual disability, and substance use comorbidities. Results: 171 patients were included. The prevalence rate in this population was 1.68%, higher for males (2.60%) than females (0.89%), and twice as high in the Aboriginal (2.05%) than in the Torres Strait Islander (0.95%) population. High rates of alcohol and cannabis use were found. Comorbid intellectual disability was common and more frequent among Aboriginal patients. Conclusions: The burden of psychosis in the Indigenous population of Cape York and the Torres Strait is high. Further research is needed to understand the social determinants of these disorders and to design effective social and clinical measures to alleviate this burden.

show abstract

“…High rates of cannabis use have been linked to hallucinations, suicidal ideation, depression and anxiety in Indigenous individuals in the Northern Territory [7,9,10]. A recent study investigating psychosis in Indigenous individuals from remote north Queensland communities revealed that cannabis contributed to psychosis onset in 52% of cases, and was impacting current clinical condition in 32% of cases [11].…”

Section: Introductionmentioning

confidence: 99%