Psychiatry - Research Publications

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Author: Brooker, Abigail Ă—

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    Severe and complex youth depression: Clinical and historical features of young people attending a tertiary mood disorders clinic
    Rice, SM ; McKechnie, B ; Cotton, S ; Brooker, A ; Pilkington, V ; Youzchalveen, B ; Schmaal, L ; Davey, CG (WILEY, 2022-03)
    AIM: The concept of severe and complex youth depression has evolved from clinical experience. Here we conducted a file audit study to evaluate supporting data for the construct. METHODS: A retrospective file audit was undertaken with 84 consecutively discharged patients over 6-months from Orygen's Youth Mood Clinic (YMC; 50% female). RESULTS: Over a third (36.9%) were disengaged from vocation and education, with exposure to traumatic events common (84.5%). Almost all patients (91.7%) reported past 2-week suicidal ideation at clinic entry. Hospital emergency departments were the most frequent referral source (31.0%). Most (72.6%) had received previous mental health treatment. Multimorbidity was frequently observed. The presence of a substance use disorder, or ≥ 3 comorbidities were both associated with a greater likelihood of prior suicide attempt. CONCLUSIONS: These data highlight the clinical needs associated with severe and complex depression. Findings have implications for youth experiencing mood disorders attending tertiary and community mental health settings.
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    Stimulating curriculum and teaching innovations to support the mental wellbeing of university students
    Baik, C ; Larcombe, W ; Wyn, J ; Allen, L ; Brett, M ; Field, R ; James, R ; Brooker, A (Australian Government Department of Education and Training, 2017)
    The aim of the project Stimulating Curriculum and Teaching Innovations was to build the capacity of university educators to develop policies, curriculum, and teaching and learning environments that enhance student mental wellbeing. The growing prevalence and severity of mental health difficulties across student populations in higher education is an issue of significant concern for universities. This project aimed to foster sector wide conversations, promote a whole-of-institution approach to promoting student mental wellbeing in universities and develop a suite of research-informed resources to help academic educators identify curriculum and teaching approaches that can promote and support students’ mental wellbeing.