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"Knowing is not enough; we must apply. Willing is not enough; we must do"
Johann Wolfgang von Goethe


Strategies to prevent death by suicide

With suicide rates continuing to increase worldwide, research addressing effective suicide prevention strategies is paramount. In a review of 72 randomised controlled trials studying suicide prevention strategies, reviewers found the World Health Organisation brief intervention and contact (WHO BIC) was the only suicide prevention strategy associated with significantly lower odds of suicide.

Source: British Journal of Psychiatry 2017; online first: 20 April

Further reading:
Evaluation of cholesterol as a biomarker for suicidality in a veteran sample
Research in Nursing & Health 2017; online first: 21 April

Animal models to improve our understanding and treatment of suicidal behaviour
Translational psychiatry 2017; 7(4): e1092


Workplace mental health guidelines

The OECD estimates that "5% of working populations in high income countries are affected by severe mental health problems, with a further 15% affected by moderate mental health problems". Guidelines developed for employers to detect, prevent, and manage mental health problems in the workplace were reviewed for quality and completeness. The review authors indicate that although access to employee early assistance programs (EAPs) can be effective, intervention is only "truly preventative" when both individual and organisational factors are considered. Across the 20 guidelines assessed, the Canadian Standard scored highest for quality and comprehensiveness of content, followed by the Australian Heads-Up material from Beyond Blue

Source: Preventive Medicine 2017; online first: 25 March

Standard of the month - Mental health (via Austin Hub)


New quality & patient safety website

NHS Improvement is a UK organisation that supports the delivery of safe, high quality, compassionate care within local health systems. This new website has resources covering a range of topics including: falls prevention; clinically-led service improvement; prompt cards in emergency care; perinatal mental health; and more.


Routine suction in newborns

Suctioning of the oropharynx and nasopharynx can be successful in clearing the airway immediately after birth, however the procedure can have adverse effects. The safety and efficacy of oro/nasopharyngeal suctioning compared to no suctioning in newborns is the focus of a new Australian authored Cochrane review. The authors concluded that current evidence "neither supports nor refutes suctioning as a beneficial therapy for healthy term infants". Further research in pre-term infants or newborns with thick meconium amniotic fluid is required.

Source: Cochrane Database of Systematic Reviews 2017; online first: 18 April


Maintenance haemodialysis – riskier for women?

Patients with end stage renal disease undergoing maintenance haemodialysis experience high rates of hospitalisation. Recognising the sex and age cohorts at increased risk for hospitalisation or 30-day readmission is crucial to improving patient outcomes and reducing health care costs. An examination of 111,653 patients undergoing maintenance haemodialysis indicated that women across all age groups had significantly higher hospitalisation rates and readmission risk than men. The greatest difference was in women aged 18-34 years who had a 54% higher hospitalisation rate than men of the same age.

Source: Journal of the American Society of Nephrology 2017; online first: 21 April


Pain in chronic respiratory disease

Australian researchers have assessed the validity, reliability, responsiveness and interpretability of general pain measurement tools used in chronic obstructive pulmonary disease (COPD). The most reliable and valid tool for use in adults was the Pain Sensitivity Questionnaire. The Geriatric Pain Measure also scored highly in four of the six domains assessed.

Source: International Journal of Chronic Obstructive Pulmonary Disease 2017; 12: 923-929


Older Australians – six new snapshots

"In 2016, 15% of the Australian population (3.7 million) were aged 65 and over. The proportion of older Australians is expected to grow to 22% (8.7 million) by 2056 and to 24% (12.8 million) by 2096." The Australian Institute of Health and Welfare (AIHW) has released the following web-based snapshots providing insights into the health status of older Australians: Burden of disease; Diabetes; Oral health and disease; Biomedical risk factors; Dental services; and Aged care assessments.

AIHW has also released a series of injury fact sheets and infographics:
Hospitalised assault injuries among women and girls
Dog-related injuries
DIY injuries
Firearm injuries
Serious unintentional injury involving a railway train or tram


Did you know?

Medical Genetics Summaries is a collection of summaries which describe the impact that specific sequence variations have on health. The summaries review genetic variants that underlie inherited conditions, affect the risk of developing a disease in the future, or influence how an individual may respond to a specific drug.


Austin Health Research Online - recent submissions

Progastrin: a potential predictive marker of liver metastasis in colorectal cancer
Westwood DA, Patel O, Christophi C, et al. International Journal of Colorectal Disease 2017; online first: 21 April

Vitamin B1 in critically ill patients: needs and challenges
Collie JTB, Greaves RF, Jones OAH, et al. Clinical Chemistry and Laboratory Medicine 2017; online first: 22 April

Reflections on a life in epilepsy. Evolution of epileptology in Australia: early days
Bladin PF. Epilepsy & Behavior 2017; online first: 20 April

Bilateral obstructing ureteric calculi in pregnancy: a rare cause of acute renal failure
Manning TG, Christidis D, Wetherell D, et al. Canadian Journal of Urology 2017; 24(2):8770-8772
Full text available for Austin & MHW Heidelberg staff via document delivery

See more at AHRO, Austin Health Research Online


eBooks Spotlight

Blumgart's surgery of the liver, biliary tract and pancreas / edited by William R Jarnagin - 6th ed., Elsevier, 2017
Completely reviewed and expanded it presents guidance on pathology, diagnostics, surgery and non-operative intervention of the liver, biliary tract and pancreas. Extensively illustrated, this text covers recent developments in transplantation, minimally invasive surgery, percutaneous devices, blood transfusion and surgical techniques of the spleen.

CT and MRI of the whole body / edited by John R. Haaga and Daniel T. Boll - 6th ed., Elsevier, 2017
Covers a wide breadth of CT and MRI for every anatomic area with line drawings to explain difficult concepts. Coverage of interventional procedures includes the latest techniques in rapidly changing imaging technologies. 


Journals Spotlight

These links provide access to the current table of contents:

3D Printing in Medicine

Arthroscopy: The Journal of Arthroscopic and Related Surgery

Australian and New Zealand Journal of Psychiatry

BMJ Quality Improvement Reports


Journal of Nursing Care Quality

Journal of Physiotherapy


Lancet Diabetes & Endocrinology


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Acknowledgement flags

Austin Health acknowledges the Traditional Custodians of the land and pay our respects to Elders past, present and emerging.
We celebrate, value and include people of all backgrounds, genders, sexualities, cultures, bodies and abilities.