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Biomedical subjects

R D Goldney

Publications and source records attributed to R D Goldney.

At least 37 records · Page 2Linked to original sources

Jobless. Unemployment and young people's health.

Morrell, Taylor and Kerr, from the University of Sydney's Department of Public Health, review the evidence of an association between unemployment and psychological and physical ill-health in young people aged 15-24 years. Aggregate data show youth unemployment and youth suicide to be strongly associated. Youth unemployment is also associated with psychological symptoms, such as depression and loss of confidence. Effects on physical health have been less extensively studies; however, there is some evidence for an association with raised blood pressure. Finally, the prevalence of lifestyle risk factors (cannabis use and, less consistently, tobacco and alcohol consumption) is higher in unemployed compared with employed young people.

Adolescent↗

Suicidal ideation in Sudanese women.

A literature review indicated that suicidal behavior in Sudan was very infrequent. However, an assessment of suicidal ideation in two Sudanese groups of women demonstrated high levels, particularly in women in a displaced-persons area. In addition, the recent establishment of a Befrienders International volunteer service allowed anecdotal evidence of substantial suicidal behavior to be collated. These findings highlight the need for further professional and volunteer assistance with continuing evaluation and research concerning programs for this vulnerable population.

Adult↗

The Health of the Nation Outcome Scales in psychiatric hospitalisation: a multicentre study examining outcome and prediction of length of stay.

OBJECTIVE: The Health of the Nation Outcome Scales (HoNOS) is a reliable instrument, useful in detecting change in symptoms and functioning during psychiatric hospitalisation. The present study examines its utility in predicting length of stay of patients in six private psychiatric hospitals in four Australian States. METHOD: The HoNOS was administered on admission and discharge in six private psychiatric hospitals in Australia. RESULTS: There were significant differences in total score and in all sub-scales between admission and discharge. There were no significant associations between total HoNOS scores and length of stay, either for individual hospitals or for specific diagnosis-related groups. There were only very weak associations, of doubtful practical clinical significance, between length of stay of all patients and individual HoNOS sub-scales. CONCLUSION: While the HoNOS is of some value in providing a readily administered and understood measure for clinicians, on the basis of these findings it is unlikely to be of utility in predicting length of stay or in offering a 'gate-keeping' service in decision-making in regard to the allocation of resources for individual patients.

Adult↗

Unemployment and health.

The effect of unemployment on health is an emotive issue. Careful appraisal of published work is required. Furthermore, when considering potential psychiatric illness effects, the prevalence of such illness in all populations must be allowed for before assuming unemployment to be a significant causal stressor.

Australia↗

Casemix and affective disorders: a comparison of private and public psychiatric systems.

OBJECTIVE: To determine whether there is a difference in length of stay for patients with affective disorders between private and public psychiatric hospitals. METHOD: The casemix Australian national diagnosis-related group (AN-DRG) diagnoses of all inpatient separations from private and public psychiatric hospitals in South Australia for 1 year were abstracted from records. The average length of stay for patients with affective disorders was calculated. RESULTS: There was no significant difference in the average length of stay for patients with affective disorders treated in private and public psychiatric hospitals. CONCLUSIONS: These results should allay fears that the treatment of patients with affective disorders in any particular treatment setting will be compromised by the introduction of casemix.

Affective Disorders, Psychotic↗

Emotional health of Indonesian adoptees living in Australian families.

OBJECTIVE: To compare the prevalence of emotional and behavioural problems in adolescent adoptees from Indonesia living in South Australian families with that of adolescents living in the community and those referred to mental health clinics in South Australia. METHOD: Thirty-four Indonesian adoptees completed the Youth Self-Report and their adoptive mothers completed the Child Behaviour Checklist. The results on these instruments were compared with the scores of a community sample and a mental health clinic population. RESULTS: There was a striking similarity between scores on the Youth Self-Report and the Child Behaviour Checklist instruments for the adoption and community groups. Both these groups had significantly fewer problems than adolescents referred to mental health clinics. CONCLUSIONS: These results indicate that the outcome in terms of emotional and behavioural health for intercountry adoptions between Indonesia and Australia is favourable.

Acculturation↗

Grief reactions and recovery in a support group for people bereaved by suicide.

Recent controlled studies have demonstrated that there are few quantitative, but a number of qualitative differences between those bereaved by suicide and those bereaved in other ways. Observations from participants in a support group of those bereaved through suicide are presented here. Guidelines are offered concerning therapy for those who are so clearly distressed by this mode of death.

Adaptation, Psychological↗