Medicine

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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty

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    Bridging the gap: Policy recommendations to address suicides committed by Indigenous youth in Victoria
    (AccScience Publishing, 2024-12) Shoib, S.; Das, S.; Saeed, F.; Chandradasa, M.; Zaidi, I.
    The Aboriginal population comprises 3.3% of the total Australian population, and youth represent 19% of this segment. In general, the Aboriginal inhabitants of Australia experience discrimination, limited access to education, and low socioeconomic conditions, and exhibit high mental disorder rates. The rate of suicide attempts by the Indigenous people of Victoria increased by 75% in 2021. This study examined the possible risk factors associated with suicides committed by Indigenous youth in Victoria. It focused on the health profiles of Victorian Aboriginal individuals, identified stakeholders who could help improve their mental well-being, addressed the needs and issues related to Aboriginal mental health, and examined substance abuse in this population segment. Finally, recommendations are offered to mitigate the studied problem. Rising suicide rates represent an urgent concern because they reflect the diminished mental health conditions of a society, particularly among its marginalized populations. It is crucial to develop an integrated suicide prevention act that takes into account the biological, psychological, social, cultural, and spiritual determinants of this population.
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    Factors behind suicides in Muslim countries: a global ecological study
    (Taylor and Francis Group, 2024) Shoib, S.; Tayyeb, M.; Armiya’u, A.Y.; Raaj, S.; Elmahi, O.K.O.; Swed, S.; Saeed, F.; Nahidi, M.; Bashir, A.; Chandradasa, M.
    This study examines the relationship between suicide rates and social, political, and economic factors in Muslim-majority countries, considering the influence of Islam and unique socio-cultural factors. Conducted from January to December 2022, it covered 46 countries, collecting data on suicide rates, income, Human Development Index (HDI), poverty rate, life expectancy, literacy rate, and political system. Suicide rates in Muslim-majority countries could be predicted based on HDI, poverty rates, life expectancy, and literacy rates. Frequency of suicide rates varied across continents, with the highest rates in Africa. Culturally sensitive suicide prevention programs are crucial for Muslim-majority countries.
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    Suicide among psychiatrists: From healers to seekers of mental health care
    (Elsevier, 2024) Shoib, S.; Saeed, F.; Ahmed, S.; Park, C.; Roza, T.H.; Nazari, S.K.; Armiya'u, A.Y.; Berardis, D.; Mahesar, R.A.; Chandradasa, M.
    Addressing suicide and mental health issues among psychiatrists, particularly during a crisis such as the COVID-19 pandemic is important. several factors contribute to this risk, such as long duty hours, burnout, emotional exhaustion, exposure to secondary trauma, and the impact of the pandemic on the mental health of healthcare workers. This paper emphasizes the urgent need for interventions at individual and organizational levels to address burnout and mental health issues among psychiatrists. Supporting the mental resilience of mental health professionals will improve the mental health of the community.
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    Early career psychiatrists' perspectives on managing stigma and discrimination related to suicide
    (Elsevier, 2024) Shoib, S.; Chandradasa, M.; Lengvenyte, A.; Armiya'u, A.Y.; Saleem, T.; Ahmed, S.; Noor, I.M.; Nazari, S.K.; de Berardis, D.; Park, C.; Gürcan, A.; Saeed, F.
    No abstract available
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    Parity of esteem: A global COVID‑19 vaccination approach for people with mental illnesses, based on facts from 34 countries; recommendations and solutions
    (Medknow Publications, 2024) Shoib, S.; Saeed, F.; Philip, S.; Chandradasa, M.; Das, S.; de Filippis, R.; Yousaf, Z.; Ojeahere, M.; Gad, H.K.; Yadivel, R.; Legris, Z.; Jatchavala, C.; Paul, R.; Gupta, A.K.; Handuleh, J.I.M.; Gürcan, A.; Costa, M.P.D.; Dannatt, L.; Ahmad, A.R.; Jaguga, F.; Saleem, S.M.; Sawitri, B.; Ari, N.; Islam, M.S.; Haque, M.A.; Őri, D.; Chumakov, E.; Swed, S.; Roza, T.H.; Islam, S.M.S.
    BACKGROUND: The coronavirus disease (COVID 19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS CoV 2), has detrimental effects on physical and mental health. Patients with severe mental illness are at higher risk of contracting the virus due to social determinants of health. Vulnerable populations include the elderly, people with pre existing conditions, and those exposed to SARS CoV 2. Unfortunately, only a few countries have updated vaccination strategies to prioritize patients with mental illnesses. Therefore, we aimed to explore whether individuals with mental disorders are prioritized in vaccine allocation strategies in different world regions. They are often neglected in policymaking but are highly vulnerable to the threatening complications of COVID 19. METHODS: A questionnaire was developed to record details regarding COVID 19 vaccination and prioritizations for groups of persons with non communicable diseases (NCDs), mental disorders, and substance use disorders (SUDs). NCDs were defined according to the WHO as chronic diseases that are the result of a combination of genetic, physiological, environmental, and behavioral factors such as cardiovascular diseases, cancer, respiratory diseases, and diabetes. RESULTS: Most countries surveyed (80%) reported healthcare delivery via a nationalized health service. It was found that 82% of the countries had set up advisory groups, but only 26% included a mental health professional. Most frequently, malignancy (68%) was prioritized followed by diabetes type 2 (62%) and type 1 (59%). Only nine countries (26%) prioritized mental health conditions. CONCLUSION: The spread of the coronavirus has exposed both the strengths and flaws of our healthcare systems. The most vulnerable groups suffered the most and were hit first and faced most challenges. These findings raise awareness that patients with mental illnesses have been overlooked in immunization campaigns. The range of their mortality, morbidity, and quality of life could have widened due to this delay.
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    The importance of addressing intergenerational trauma in refugees
    (Nature Pub, 2024) Shoib, S.; Armiya’u, A.Y.; Swed, S.; Naskar, C.; Chandradasa, M.; Tsagkaris, C.; Zaidi, I.; Saeed, F.
    Intergenerational trauma, passed down through generations, is a significant concern for refugees and their descendants. Millions of people are forcibly displaced worldwide, with profound effects on mental and physical health. Refugees face many challenges, from acculturation to legal uncertainties, leading to a range of emotional struggles.
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    Prevention of suicides associated with global warming: perspectives from early career psychiatrists
    (Frontiers Research Foundation, 2023) Shoib, S.; Hussaini, S.S.; Armiya'u, A.Y.; Saeed, F.; Őri, D.; Roza, T.H.; Gürcan, A.; Agrawal, A.; Solerdelcoll, M.; Lucero-Prisno Iii, D.E.; Nahidi, M.; Swed, S.; Ahmed, S.; Chandradasa, M.
    Climate change poses significant challenges to global mental health, with potential consequences including increased rates of suicide and mental health disorders. Early Career Psychiatrists (ECPs) play a crucial role in addressing these challenges. The Climate Psychiatry Alliance, a group of psychiatrists dedicated to improving mental health amidst climate change, recognizes the importance of cultivating climate-aware ECPs. Training ECPs to become confident climate-aware clinicians enables them to effectively treat patients experiencing anxiety, depression, and PTSD in the context of climate-related distress. Together with other mental health professionals, ECPs can contribute to efforts by implementing strategies for monitoring and treating mental health problems arising from climate events. Additionally, they can raise awareness about the psychological consequences and risks of suicide associated with climate change. Collaboration among ECPs from various regions is essential in developing community-based approaches and reducing vulnerabilities. ECPs must prioritize supporting vulnerable populations by advocating for increased funding for mental health support and research in affected areas. Long-term solutions to address the mental health impacts of climate change and global warming should be pursued to mitigate future suicidality. Integrating climate considerations into local mental health programs and expanding psychological support services is crucial. By promoting emotional resilience and self-awareness, ECPs can contribute to building a more climate-resilient and mentally healthy society.
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    The effectiveness of telehealth interventions in suicide prevention: A systematic review and meta-analysis
    (Sage Publishing, 2024) Shoib, S.; Shaheen, N.; Anwar, A.; Saad, A.M.; Akr, L.M.; Saud, A.I.; Kundu, M.; Nahidi, M.; Chandradasa, M.; Swed, S.; Saeed, F.
    BACKGROUND: Suicidal attempt is a significant risk factor for future attempts, with the highest risk during the first-year post-suicide. Telepsychiatry has shown promise by providing easy access to evidence-based interventions during mental health crises. AIMS: investigation the effectiveness of telehealth interventions in suicide prevention. METHODS: Four electronic databases (PubMed, Scopus, Web of Science, and Ovid) were systematically searched for studies on patients undergoing telepsychiatry intervention (TPI) up to June 2022. Following PRISMA guidelines, a systematic review and meta-analysis were conducted to investigate the effectiveness of telehealth interventions in suicide prevention. Continuous data were pooled as standardised mean difference (SMD), and dichotomous data were pooled as risk ratio using the random effects model with the corresponding 95% confidence intervals (CI). RESULTS: Sixteen studies were included in the review. Most studies were case-control and randomised controlled trials conducted in Europe and North America. The findings of the studies generally showed that TPIs are effective in reducing suicide rates (odds ratio = 0.68; 95% CI [-0.47, 0.98], p = .04) and suicidal reattempts. The interventions were also found to be well-accepted, with high retention rates. CONCLUSION: Our results suggest that TPIs are well-accepted and effective in reducing suicide rates and reattempts. It is recommended to maintain telephone follow-ups for at least 12 months. Further research is needed to understand the potential of telepsychiatry in suicide prevention fully.
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    Association between loneliness and suicidal behaviour: A scoping review
    (Ankara:Türkiye Sinir ve Ruh Sağliği Derneği, 2023) Shoib, S.; Amanda, T.W.; Saeed, F.; Ransing, R.; Bhandari, S.S.; Armiya'u, A.Y.; Gürcan, A.; Chandradasa, M.
    OBJECTIVE: Suicide is a public health issue, and there are several factors leading to suicide, like mental illness and psychosocial stressors. Actual loneliness (living alone) and subjective loneliness (feeling of being alone) and different suicidal behaviors have been reported to have some link. This scoping review aimed to assess the association between loneliness and suicidal behaviour by exploring the existing literature. METHODS: A scoping review was conducted implementing the appropriate framework and in accord with the PRISMA-ScR extension. A PubMed database search was made using a combination of terms to find publications in English from 2011 to 2021. Studies were included if they reported quantitative outcomes of the association between loneliness and suicidal experiences, including suicidal thoughts, plans, and/or attempts. Screening and data charting of the published literature was conducted by a panel of authors. The accuracy and clarity of extracted data was checked by three reviewers. RESULTS: Among 421 articles found, 31 full texts were evaluated based on exclusion and inclusion criteria, out of which, 18 papers that reported quantitative outcomes of the association between loneliness and suicidal experiences were included. We found that association between loneliness and suicidal behaviour is determined by individual, social and cultural factors. Co-existing mental illness, substance use disorder and economic hardship play an important role for the completion of suicide. CONCLUSION: Loneliness is correlated with suicide, and the knowledge about this association could assist in the identification of suicidal individuals or those at elevated risk of suicidal behaviour. Future studies should focus on loneliness and its relation to suicidal ideation in individuals with different mental health disorders and personalities.
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    Mental health insurance reform in India
    (Elsevier, 2023) Shoib, S.; Zaidi, I.; Saeed, F.; Banerjee, D.; Swed, S.; Chandradasa, M.
    No abstract available
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