Hematological and Other Cancers in People Using Clozapine: Analysis of Australian Spontaneous Reports Between 1995 and 2020.

Background: Recent observational study evidence suggests that clozapine, unlike other antipsychotics, may be associated with a small increased risk of hematological malignancy. This study described characteristics of hematological and other cancers in those taking clozapine reported to the Australian Therapeutic Goods Administration.

Methods: We analyzed public case reports for "clozapine," "Clozaril," or "Clopine" from January 1995 to December 2020 classified as "neoplasm benign, malignant and unspecified" by the Australian Therapeutic Goods Administration.

Correction: National Disability Insurance Scheme and Lived Experience of People Presenting to the Emergency Department: Protocol for a Mixed Methods Study.

[This corrects the article DOI: 10.2196/33268.].

National Disability Insurance Scheme and Lived Experience of People Presenting to the Emergency Department: Protocol for a Mixed Methods Study.

Background: Currently, within Australia, 3.6% of all emergency department (ED) presentations are mental health-related. Information about the context of the person presenting to the ED (beyond immediate needs), including their psychosocial disability (PSD) National Disability Insurance Scheme (NDIS) plan, is reported as incomplete and fragmented.

Fatal poisonings involving clozapine: A 16-year review of Australian coronial investigations.

Objective: Concerns about intentional and unintentional poisoning present a barrier to wider use of clozapine in treatment-resistant schizophrenia. The objective of this study was to investigate decedent demographics and trends in fatal poisonings in Australia involving clozapine.

Methods: This was a retrospective case series of all fatal drug toxicity reported to an Australian coroner between 1 May 2000 and 31 December 2016 where toxicological analysis detected clozapine.

Engaging with culturally and linguistically diverse communities to reduce the impact of depression and anxiety: a narrative review.

Culturally and linguistically diverse (CALD) communities in Australia face significant challenges in terms of reducing barriers to information and support for depression and anxiety. Increased stigma surrounding mental ill-health in some cultures and related concerns about trust and confidentiality all impact upon timely access to information, services and support for consumers and carers from CALD backgrounds. For health services, there is a need to understand how to better engage CALD communities in mental healthcare.

'You just lose the people you know': relationship loss and mental illness.

The purpose of this qualitative study was to explore the nature, scope and consequences of losses resulting from mental illness. This paper presents findings from a key theme of this study-the loss of relationships. Thematic analysis revealed two categories: loss of intimate relationships, which included subcategories of (i) spouses/partners, (ii) children/parenthood, (iii) family, and (iv) friends; and (2) people within the community, such as people at church and support groups.

Losses related to everyday occupations for adults affected by mental illness.

Objective: This paper presents findings from a larger study that explored losses from mental illness. Losses associated with occupations--a key theme from this participatory action research study--are the focus of this paper.

Methods: Semi-structured in-depth interviews were carried out with 16 people who had been diagnosed with a mental illness and attended a community mental health centre.

A systematic review of personality disorder amongst people with intellectual disability with implications for the mental health nurse practitioner.

Aims And Objectives: This paper reviews and summarises the literature on assessment, diagnosis and management of personality disorder in people with intellectual disability. It will proceed to argue the implications of a mental health nurse practitioner in clinical practice.

Background: Personality disorder is a potentially severe and disabling condition causing significant distress as well as presenting considerable challenges for service providers.

Mentoring for population health in general practice divisions.

This paper describes the implementation and evaluation of a three-way model of service development mentoring. This population health mentoring program was funded by the Commonwealth Department of Health and Ageing to enable staff from eight Divisions of General Practice in South Australia to gain a sound understanding of population health concepts relevant to their workplace. The distinguishing features of service development mentoring were that the learning was grounded within an individual's work setting and experience; there was an identified population health problem or issue confronting the Division of General Practice; and there was an expectation of enhanced organisational performance.

'They first killed his heart (then) he took his own life'. Part 2: Practice implications.

This paper is the second in a two-part series dedicated to mental health needs of refugees and asylum seekers. Against a background of selective review of literature and context in paper 1, this paper describes practical steps in meeting the mental health needs of refugees and asylum seekers. Nurses see refugees and asylum seekers at the very point of their distress--often outside of or external to immigration detention facilities.

Community educators as supporters in ethnographic research.

The present article describes ethnographic research on the structure and function of bilingual community educators (CEs) as brokers of information involving culturally and linguistically diverse (CALD) communities. An important aspect of CE involvement was supporting the chief investigator to engage CALD communities to interpret their understanding of mental health and mental illness, and make appropriate choices about their health care. CEs advised the chief investigator on the appropriate use of language when dealing with mental and emotional health issues so that CALD community people were not isolated from the research process.

Emergency mental health nursing for self-harming refugees and asylum seekers.

This article describes the structure and function of emergency mental health nursing practice for self-harming refugees and asylum seekers on Temporary Protection Visas. Emergency nurses working in accident and emergency departments or as part of crisis intervention teams will see self-harming refugees and asylum seekers at the very point of their distress. This clinical paper is intended to support nurses in their practice should they encounter an adult asylum seeker needing emergency mental health care.