Psychiatrist in Sydney, Australia. Early psychosis, addiction, amphetamines. Epidemiology, data linkage. Health system research and policy. Views my own
Joined March 2017
- Tweets198
- Following475
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Grant Sara retweeted
Suicidology
Predicting Suicide Death
A recent study looking at >2M Americans presenting to ERs with MH concern shows the difficulty of "predicting suicide" - we can't predict suicide to help guide important clinical decisions.
The problem: Sensitivity vs PPV
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Grant Sara retweeted
👉Low screening participation rates explain only small part of the risk of more advanced breast cancer in women who use mental health (MH) services.
👉More study is needed to understand possible mechanisms contributing to more advanced breast cancer in women living with MH conditions.
👉Health systems need strategies to ensure that women living with MH conditions enjoy population gains in breast cancer outcomes.
acsjournals.onlinelibrary.wi…
@OncoAlert
#bcsm
Grant Sara retweeted
check out our new paper led by @GSara_InforMH NSW pop'n linkage data ➡️ health inequities in women mental health service users Dx with breast cancer 📢"Health systems need strategies to ensure that women living with MH conditions enjoy population gains in breast cancer outcomes".
👉Low screening participation rates explain only small part of the risk of more advanced breast cancer in women who use mental health (MH) services.
👉More study is needed to understand possible mechanisms contributing to more advanced breast cancer in women living with MH conditions.
👉Health systems need strategies to ensure that women living with MH conditions enjoy population gains in breast cancer outcomes.
acsjournals.onlinelibrary.wi…
@OncoAlert
#bcsm
Grant Sara retweeted
@GSara_InforMH men between 45 and 65 have 6 times the rate of vaccine preventable hospital admissions. #equallywellau23 @EquallyWellUK @EquallyW
Grant Sara retweeted
Congratulations to the recipients of the Equally Well 2023 Achievement Awards!
@LivedExpAust
@RANZCP
@mindgardensau
@neaminational
@NSWHealth
@CalderRosemary
@suhailah_j_ali
Grant Sara retweeted
This incredible study looked at emergency department visits in children for suicidality (attempts & ideation) before & during the pandemic and found, unsurprisingly:
a) kids more likely suicidal during school months
b) school closures associated with DECREASED ER visits
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Measuring Mental Health Crises During the COVID-19 Pandemic—The Importance of Specific and Comprehensive Data Reporting | Emergency Medicine | JAMA Network Open | JAMA Network jamanetwork.com/journals/jam…
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Only 30% of NSW mental health service users have recent BreastScreen, but 53% of other NSW women. Of nearly 40,000 service users aged 50-74, that's 7,000 fewer than expected. Women over 60 had the lowest rates @EquallyWell_AU @jackie_curtisAU
doi.org/10.1007/s00127-023-0…
Grant Sara retweeted
Tracking vaccine preventable hospitalisation for those living with MH conditions is shining a light into the corners where change needs to happen. Well done to some of our Equally Well supporters and the team on this new research @GSara_InforMH @jackie_curtisAU @patrickvgould
NSW mental health service users have 3.2x risk of vaccine-preventable hospital admission, including 2x risk admission for COVID19. We tracked 19 conditions in 418k people over 6 yrs: open access at
doi.org/10.1017/S00332917230… @jackie_curtisAU @EquallyWell_AU
MH service users avg 9 years younger when admitted, largest increases (4-6x) in 35-65 year olds. Increases for all conditions including hepatitis B, pneumonias and herpes zoster
NSW mental health service users have 3.2x risk of vaccine-preventable hospital admission, including 2x risk admission for COVID19. We tracked 19 conditions in 418k people over 6 yrs: open access at
doi.org/10.1017/S00332917230… @jackie_curtisAU @EquallyWell_AU
Grant Sara retweeted
NSW mental health service users have 3.2x risk of vaccine-preventable hospital admission, including 2x risk admission for COVID19. We tracked 19 conditions in 418k people over 6 yrs: open access at
doi.org/10.1017/S00332917230… @jackie_curtisAU @EquallyWell_AU
NSW mental health service users have 3.2x risk of vaccine-preventable hospital admission, including 2x risk admission for COVID19. We tracked 19 conditions in 418k people over 6 yrs: open access at
doi.org/10.1017/S00332917230… @jackie_curtisAU @EquallyWell_AU
Grant Sara retweeted
Congratulations to Professor @jackie_curtisAU for being awarded the 2023 Margaret Tobin Award for her administrative expertise, international reputation, and remarkable achievements. @mindgardensau
To view the other #RANZCPaward recipients visit ow.ly/oLkV50N7R6C
Grant Sara retweeted
Pediatric Suicidology
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Will be diving in deeper later, but numbers for July 2022 are out.
July, generally in the US **not confounded** by school (most school is out in July in the US) did not show any pandemic changes from baseline, and a drop in 2022.
ALT Chart title: The pediatric suicide rate for july has not increased during the pandemic in the US Y-axis: Suicide Rate (per 100,000 per year) X-axis: years (1999 through 2022) The pandemic is divided between 2019 and 20202, and the three points representing the rate for 2020, 2021, and 2022 are at (20, 21) or below (2022) the nonlinear trend prior to 2020
Our paper out today : an improved method using additional ICD Codes and text analysis more than doubles sensitivity in detecting self-harm presentations in NSW ED data
phrp.com.au/issues/online-ea…
We added additional ICD codes for medications commonly used in overdose, and phrases indicating self-harm. Revised estimates are consistent with hospital diagnoses
The method is now used for regular reporting of NSW ED data healthstats.nsw.gov.au/#/r/1…
Grant Sara retweeted
Please read our latest publication.We learnt that nursing and midwifery mentoring programs require content in Cultural Safety and most importantly need to be empirically evaluated @DrBrett_Biles @LindaDeravin @DrFayeMcMillan @JudithA92016 @GSara_InforMH tandfonline.com/doi/full/10.…
Grant Sara retweeted
Younger girls increasingly presenting to Australian hospitals in mental distress; Ongoing evidence of the need to increase access to care for those most at risk; @Mark_Butler_MP @Emma4Dobell @PatMcGorry @JoRobinson_Aus theguardian.com/society/2023…
Grant Sara retweeted
Self harm in children and teenagers shows a very different pattern to adults with significantly less harm on the weekends and during holidays: greatest harm on school days. Holidays and weekends are good circuit breakers for distress #BDISummit @blackdoginst
