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  1. Article ; Online: COVID-19 and suicide: Evidence from Japan.

    Spittal, Matthew J

    The Lancet regional health. Western Pacific

    2022  Volume 27, Page(s) 100578

    Language English
    Publishing date 2022-09-05
    Publishing country England
    Document type Journal Article
    ISSN 2666-6065
    ISSN (online) 2666-6065
    DOI 10.1016/j.lanwpc.2022.100578
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Grading pharmacists' risk of complaints to a regulator: A retrospective cohort study.

    Morris, Katherine / Spittal, Matthew J

    Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques

    2023  Volume 26, Page(s) 11228

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Humans ; Male ; Female ; Pharmacists ; Retrospective Studies ; Risk
    Language English
    Publishing date 2023-03-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1422972-9
    ISSN 1482-1826 ; 1482-1826
    ISSN (online) 1482-1826
    ISSN 1482-1826
    DOI 10.3389/jpps.2023.11228
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  3. Article ; Online: A decline in Australian suicide during COVID-19? A reflection on the 2020 cause of death statistics in the context of long-term trends.

    Page, Andrew / Spittal, Matthew J

    Journal of affective disorders reports

    2022  Volume 9, Page(s) 100353

    Abstract: This correspondence considers the overall decline in suicide in 2020 in the context of longer-term sex and age-specific trends over the period 1907-2020. When considering suicide rates from the beginning of the 20th century, the decrease in the total ... ...

    Abstract This correspondence considers the overall decline in suicide in 2020 in the context of longer-term sex and age-specific trends over the period 1907-2020. When considering suicide rates from the beginning of the 20th century, the decrease in the total suicide rate from 2019 to 2020 is less noteworthy.
    Language English
    Publishing date 2022-04-23
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2666-9153
    ISSN (online) 2666-9153
    DOI 10.1016/j.jadr.2022.100353
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  4. Article ; Online: The effectiveness of installing trackside fencing in preventing railway suicides: a pre-post study design in Victoria, Australia.

    Clapperton, Angela / Dwyer, Jeremy / Spittal, Matthew / Pirkis, Jane

    Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

    2023  Volume 29, Issue 6, Page(s) 525–527

    MeSH term(s) Humans ; Suicide ; Victoria/epidemiology ; Suicide Prevention ; Railroads
    Language English
    Publishing date 2023-11-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1433667-4
    ISSN 1475-5785 ; 1353-8047
    ISSN (online) 1475-5785
    ISSN 1353-8047
    DOI 10.1136/ip-2023-044897
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    Zs.A 4910: Show issues Location:
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  5. Article ; Online: Using Real-Time Suicide Monitoring Systems to Inform Policy and Practice.

    Spittal, Matthew J / Roberts, Leo / Clapperton, Angela

    Crisis

    2023  Volume 44, Issue 6, Page(s) 445–450

    Language English
    Publishing date 2023-11-09
    Publishing country Canada
    Document type Editorial
    ZDB-ID 801380-9
    ISSN 2151-2396 ; 0227-5910
    ISSN (online) 2151-2396
    ISSN 0227-5910
    DOI 10.1027/0227-5910/a000931
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  6. Article ; Online: Health impairment allegations against doctors: Qualitative analysis and insights for Australian general practitioners.

    Bradfield, Owen / Spittal, Matthew / Bismark, Marie

    Australian journal of general practice

    2023  Volume 52, Issue 5, Page(s) 307–315

    Abstract: Method: A thematic analysis was conducted of semistructured interviews with 21 doctor-patients and four doctors' health experts.: Results: Doctor-patient participants had experienced a past or family psychiatric history, personal loss or trauma, ... ...

    Abstract Method: A thematic analysis was conducted of semistructured interviews with 21 doctor-patients and four doctors' health experts.
    Results: Doctor-patient participants had experienced a past or family psychiatric history, personal loss or trauma, access to drugs at work, workplace stress or recent patient death or suicide. Many avoided seeking care and were significantly unwell when notified to medical regulators. Regulatory processes caused distress, symptom relapse, suicidality, financial pressures and work difficulties. Doctor-patient participants sought assistance from GPs, doctors' health services, medical defence organisations, recovery groups and benevolent associations.
    Discussion: When treating doctor-patients, GPs can consider targeted mental health screening, openly discussing mandatory reporting obligations and accessing advice from their medical defence organisation or local doctors' health service. Trust and clear communication benefits doctor-patients and the wider communities they serve.
    MeSH term(s) Humans ; Australia ; General Practitioners/psychology
    Language English
    Publishing date 2023-05-06
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2924889-9
    ISSN 2208-7958 ; 2208-794X
    ISSN (online) 2208-7958
    ISSN 2208-794X
    DOI 10.31128/AJGP-08-22-6524
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Identification of young females at high risk of suicide following hospital-treated self-harm in Victoria, Australia.

    Clapperton, Angela J / Dwyer, Jeremy / Spittal, Matthew J

    The Australian and New Zealand journal of psychiatry

    2023  Volume 57, Issue 8, Page(s) 1163–1171

    Abstract: Objective: We conducted a data linkage study in Victoria, Australia, to determine the proportion of young females who are treated in hospital for self-harm who go on to die by suicide within 5 years and to identify factors associated with increased ... ...

    Abstract Objective: We conducted a data linkage study in Victoria, Australia, to determine the proportion of young females who are treated in hospital for self-harm who go on to die by suicide within 5 years and to identify factors associated with increased suicide risk in this same cohort.
    Method: We undertook a cohort study following 3689 female patients aged 10-24 years, who were initially treated in hospital for self-harm during the 2-year period January 2011 to December 2012. We followed each patient for 5 years unless they died first, in which case, they were followed until their date of death. We used inpatient admissions from the Victorian Admitted Episodes Dataset and emergency department presentations from the Victorian Emergency Minimum Dataset linked to death data from two sources, the Victorian Suicide Register and the National Death Index.
    Results: Twenty-eight individuals (0.76% of the total cohort) died by suicide within 5 years of their index admission. In multivariate survival analysis, only suicide ideation at the time of self-harm (hazard ratio = 4.59; 95% confidence interval: 1.70, 12.38) and a decreasing time between successive self-harm episodes (hazard ratio = 4.38; 95% confidence interval: 1.28, 15.00) were associated with increased suicide risk.
    Conclusion: Although the vast majority of young females who present to hospital for self-harm do not die by suicide within 5 years, our results suggest young females expressing suicide ideation and those presenting frequently with decreasing time between successive episodes should be prioritised for suicide-prevention efforts.
    MeSH term(s) Humans ; Female ; Cohort Studies ; Victoria/epidemiology ; Self-Injurious Behavior/epidemiology ; Suicide Prevention ; Hospitals ; Emergency Service, Hospital ; Risk Factors
    Language English
    Publishing date 2023-04-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 221140-3
    ISSN 1440-1614 ; 0004-8674
    ISSN (online) 1440-1614
    ISSN 0004-8674
    DOI 10.1177/00048674231165226
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    Zs.A 856: Show issues Location:
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  8. Article: Regulation in Need of Therapy? Analysis of Regulatory Decisions Relating to Impaired Doctors from 2010 to 2020.

    Bradfield, Owen M / Spittal, Matthew J / Bismark, Marie M

    Journal of law and medicine

    2023  Volume 29, Issue 4, Page(s) 1090–1108

    Abstract: Doctors' mental wellbeing is a critical public health issue. Rates of depression, anxiety, and substance use are higher than in the general population. Regulating unwell doctors who pose a public risk is challenging, yet there is little research into how ...

    Abstract Doctors' mental wellbeing is a critical public health issue. Rates of depression, anxiety, and substance use are higher than in the general population. Regulating unwell doctors who pose a public risk is challenging, yet there is little research into how medical regulators balance the need to protect the public from harm against the benefits of supporting and rehabilitating the unwell doctor. We analysed judgments from Australia, New Zealand, Ireland, United Kingdom, Ontario, and Singapore between 2010 and 2020 relating to impaired doctors. We found similarities in how decision-makers conceptualise impairment, how they disentangle impairment from associated conduct or performance complaints, and how regulatory principles and sanctions are applied. However, compared to other jurisdictions, Australian courts and tribunals tended to prioritise deterrence above the rehabilitation of the impaired doctor. Supporting impaired doctors' recovery, when appropriate, is critical to public protection and patient safety.
    MeSH term(s) Humans ; Australia ; Physicians ; Substance-Related Disorders ; New Zealand ; United Kingdom
    Language English
    Publishing date 2023-02-10
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1236328-5
    ISSN 1320-159X
    ISSN 1320-159X
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    Zs.A 4288: Show issues Location:
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  9. Article ; Online: The rate of transition to a suicide attempt among people with suicidal thoughts in the general population: A systematic review.

    Haregu, Tilahun / Cho, Edward / Spittal, Matthew / Armstrong, Gregory

    Journal of affective disorders

    2023  Volume 331, Page(s) 57–63

    Abstract: Introduction: While suicidal thoughts are relatively common in the general population, roughly affecting one in ten people during their lifetime, the transition from suicidal thoughts to a suicide attempt is rarer. There is limited consensus on the ... ...

    Abstract Introduction: While suicidal thoughts are relatively common in the general population, roughly affecting one in ten people during their lifetime, the transition from suicidal thoughts to a suicide attempt is rarer. There is limited consensus on the transition rate from suicidal ideation to suicide attempts.
    Objective: To review and summarize evidence on the rate of transition from suicidal ideation to a suicide attempt, and the factors associated with this transition, in the general population.
    Methods: A comprehensive search was conducted using MEDLINE, PsycINFO, and Embase for relevant articles published between January 1, 2000, and March 3, 2021. We identified 18 eligible studies that examined the transition from suicidal ideation to a suicide attempt in non-clinical populations. We assessed the quality of the included studies using the MASTER scale. The review has been registered with PROSPERO (CRD42021248325).
    Results: Rates of transitioning to a suicide attempt among people with suicidal ideation varied substantially across studies, from 2.6 % to 37 %. Follow-up periods also varied substantially, from 12 to 300 months, impeding reliable comparisons across studies or pooling data for further analyses. The most examined risk factors were mental health disorders such as major depressive and anxiety disorders, which were typically associated with higher odds of transition to a suicide attempt.
    Limitations: High level of heterogeneity and limited quality of the studies.
    Conclusion: The risk of transition from suicidal thoughts to a suicide attempt is moderate to high. Further longitudinal research is required to refine the rate and explore social determinants of transition from suicidal ideation to suicide attempts.
    MeSH term(s) Humans ; Suicide, Attempted/psychology ; Suicidal Ideation ; Depressive Disorder, Major ; Anxiety Disorders ; Risk Factors
    Language English
    Publishing date 2023-03-21
    Publishing country Netherlands
    Document type Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2023.03.063
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  10. Article ; Online: Suicide within five years of hospital-treated self-harm: A data linkage cohort study.

    Clapperton, Angela / Spittal, Matthew J / Dwyer, Jeremy / Nicholas, Angela / Pirkis, Jane

    Journal of affective disorders

    2024  

    Abstract: Background: Hospital-treated self-harm is a strong predictor of suicide and hospital contacts may include missed opportunities for suicide prevention. We conducted a data linkage study to identify factors associated with suicide in people treated in ... ...

    Abstract Background: Hospital-treated self-harm is a strong predictor of suicide and hospital contacts may include missed opportunities for suicide prevention. We conducted a data linkage study to identify factors associated with suicide in people treated in hospital for self-harm in Victoria, Australia.
    Method: We undertook a cohort study following 14,307 people treated in hospital for an episode of self-harm (i.e., either admitted or non-admitted ED presentations) over the period 2011 and 2012 and used data from the Victorian Suicide Register to identify suicides within 5 years. We estimated unadjusted hazard ratios (HRs) for suicide using survival analysis for each exposure variable and then computed adjusted HRs using a multivariate model that included all exposure variables.
    Results: Among females, the risk of suicide was higher in those aged 50-74 years (HR 1.78; Cl: 1.02, 3.10), residing in areas of least disadvantage (HR 2.58; Cl: 1.21, 5.50), who used hanging as a method of self-harm (HR 5.17; Cl: 1.86, 14.35) and with organic disorders (HR 6.71; Cl: 2.61, 17.23) or disorders of adult personality and behaviour (HR 2.10; Cl: 1.03, 4.27). In males, the risk of suicide was higher in those who used motor vehicle exhaust gas as a method of self-harm (HR 3.48; Cl: 1.73, 7.01), and with disorders due to psychoactive substance abuse (HR 1.75; Cl: 1.14, 2.67).
    Conclusion: Although all patients should be routinely assessed for risk and needs following hospital-treated self-harm including appropriate follow-up care, people who use MVEG or hanging as methods of self-harm are obvious candidates for close follow-up.
    Language English
    Publishing date 2024-04-22
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2024.04.092
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