Routine measurement of outcomes in Australia's public sector mental health services

Pirkis, Jane; Burgess, Philip; Coombs, Tim; Clarke, Adam R.; Jones-Ellis, David; Dickson, Rosemary

doi:10.1186/1743-8462-2-8

Cited by 55 publications

(20 citation statements)

References 19 publications

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“…Female students were more likely than male students to be in the ideator-only or attempter groups. Related studies have reported a similar pattern: that both the suicide attempt and suicidal ideation rates were higher in women [32,33]. However, Liu Guo Hua et al reported different results in which 20.6% of male college students had a rate of suicide attempts and suicidal ideations that was slightly higher than female students (18.0%) [34].…”

Section: Discussionmentioning

confidence: 67%

Associations between impulsivity, aggression, and suicide in Chinese college students

Wang

et al. 2014

BMC Public Health

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BackgroundAlthough there are accumulating data regarding the epidemiology of suicide in China, there are meager data on suicidal ideation and attempts among college students. Interestingly, elevated impulsivity is thought to facilitate the transition from suicidal thoughts to suicidal behavior. Therefore, the objective of this research was to identify the associations between suicide and the personality factors of impulsivity and aggression.MethodsThis study’s sampling method employed stratified random cluster sampling. A multi-stage stratified sampling procedure was used to select participants (n = 5,245). We conducted structured interviews regarding a range of socio-demographic characteristics and suicidal morbidity. The Patient Health Questionnaire depression module (PHQ-9) was used to acquire the information about thoughts of being better off dead or hurting themselves in some ways during the past two weeks. The impulsivity symptoms in this study were assessed with the BIS-11-CH (i.e., the Chinese version of the BIS-11), and the Aggressive symptoms were assessed with the BAQ. The statistical package for social science (SPSS) v.13.0 program (SPSS Inc., Chicago, IL, USA) was used for statistical analysis. Socio-demographic variables such as ethnic and gender were compared between groups, through the use of χ2 tests. The nonparametric test (k Independent Sample test, Kruskal-Wallis H) was performed to determine differences between the personality factors of impulsivity and aggression and suicide.ResultsIn total, 9.1% (n = 479) of the 5,245 students reported they have ever thought about committing suicide; and 1% (n = 51) reported a history of attempted suicide (attempters). The analyses detected significant differences in scores on cognitive impulsivity (p < 0.01), when comparing individuals who only had suicidal ideation and individuals who had attempted suicide. Moreover, significant differences were found between ideators only and attempters on scores of self-oriented attack (p < .001).ConclusionsSuicidal ideation is prevalent among Chinese university students. Students with high aggression scores were more susceptible to committing suicide. Scores on self-oriented attack and cognitive impulsivity may be important factors for differentially predicting suicide ideation and suicide attempts.

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Section: Discussionmentioning

confidence: 67%

Associations between impulsivity, aggression, and suicide in Chinese college students

Wang

et al. 2014

BMC Public Health

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“…In the UK, there have reportedly been problems with the HoNOS' data quality despite mandated reporting (Delaffon, Anwar, Noushad, Ahmed, & Brugha, 2012). In Australia, however, outcomes measurement with the HoNOS has been more robust (Pirkis, Burgess, Coombs, Clarke, Jones-Ellis, & Dickson, 2005). Burgess, Pirkis, and Coombs (2006) reported on routinely collated data from 38,351 inpatient and community acute mental health patients.…”

Section: Introductionmentioning

confidence: 99%

Reliable and Clinically Significant Change in Outcomes for Forensic Mental Health Inpatients: Use of the HoNOS-Secure

Dickens

2017

International Journal of Forensic Mental Health

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Secure mental health service outcomes are commonly derived from post-discharge recidivism, readmission and mortality rates. Information about less rare behavioural, functional, and symptom-related outcomes across the sometimes lengthy span of admission is scant. We aimed to determine whether patients underwent reliable and clinically significant change in risk-related need, behaviour, functioning, and symptoms during admission from analysis of routinely collected HoNOS-Secure data. Outcomes (N=418) were examined to determine between-group differences in baseline scores and rates of change, the proportion of patients for whom change was reliable, and, of those, the proportion whose scores fell during treatment by a clinically significant margin. Reliable change was demonstrated for just 4.8% and 5.7% of patients on the HoNOS-Secure scale and security scale respectively, and was rarely clinically significant. In a context in which services rarely report routinely collected data for a range of outcomes, this study found that HoNOS-Secure captured little of any clinical change that may have occurred. Further research is needed to determine whether the HoNOS-Secure is the most suitable tool for routine outcomes reporting, but, in any event, patients, clinicians, and the public should reasonably expect services to routinely demonstrate their effectiveness.

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“…Moreover, it helps the policy makers to create prevention and intervention strategies. (17)(18)(19)(20) Using SDQ, the current study revealed that 44.5% of the adolescent students in Assiut district had emotional/ behavioral problems. This wasin agreement with the finding of a study conducted among Malaysian University Students.…”

Section: Discussionmentioning

confidence: 77%

Behavioral and Emotional Problems among Adolescent Students

Osman

Khalaf

Omar

et al. 2019

Journal of High Institute of Public Health

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Background & Objective(s): Emotional and behavioral problems among adolescents represent a considerable public health problem in developing countries. These problems are considered a source of stress for adolescents as well as their families, schools and community. Emotional health and wellbeing of young people have implications on their self-esteem, behavior, school attendance, educational achievement, social cohesion and future health and life chances. To estimate the prevalence of emotional and behavioral problems and to determine the association between these problems and socio-demographic variables among adolescent students in Assiut district. Methods: A cross sectional study was conducted in randomly selected secondary schools (2 urban and 2 rural) in Assiut district, and 400 students were included in the study. Self-administered questionnaires were used to collect study data which included: personal data, socioeconomic status scale and self-reported version of Strengths and Difficulties Questionnaire (SDQ) (Arabic version) which included 25 items divided into 5 subscales (conduct problems, hyperactivity, emotional symptoms, peer problems and prosocial behavior) Results: About 45 % of adolescents were identified with emotional and/or behavioral problems using the SDQ. These problems included conduct, emotional, peer problems, prosocial and hyperactivity difficulties (36.0%, 42.3%, 5.0%, 28.5% and 24.8% respectively). Emotional difficulties were significantly higher (p value= 0.02) among females (40.4%), while conduct difficulties were more prevalent among males (47.5%). The majority of students with emotional/ behavioral problems (90%) reported high negative impact of such problems that was significantly associated with female sex, rural residents, students of low socioeconomic level and whose mothers were housewives. Conclusion: Screening secondary school adolescents in Assiut district revealed high prevalence of emotional and behavioral problems that was associated with perceived enormous negative impact. Further studies and intervention programs are greatly needed to address adolescent mental health needs.

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Routine measurement of outcomes in Australia's public sector mental health services

Abstract: Objective: This paper describes the Australian experience to date with a national 'roll out' of routine outcome measurement in public sector mental health services.Methods: Consultations were held with 123 stakeholders representing a range of roles.

Cited by 55 publications

References 19 publications

Associations between impulsivity, aggression, and suicide in Chinese college students

Associations between impulsivity, aggression, and suicide in Chinese college students

Reliable and Clinically Significant Change in Outcomes for Forensic Mental Health Inpatients: Use of the HoNOS-Secure

Behavioral and Emotional Problems among Adolescent Students

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