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Mental health

Mental health For debate 19 October 2015 Free

Using accountability for mental health to drive reform

A new set of indicators to improve mental health care and help prevent suicide

Sebastian P Rosenberg MPubAdmin · Ian B Hickie MD · Patrick D McGorry PhD, MD, FRANZCP · Luis Salvador-Carulla MD, PhD · Jane Burns BA(Hons), PhD · Helen Christensen MPsych(Hons), PhD, FASSA · John Mendoza BEd, GradDipHealthEd · Alan Rosen MB BS, FRANZCP · Lesley M Russell BSc(Hons), BA, PhD · Sally Sinclair BSc(Hons)

15 00447
Cardiovascular diseases Short reports 17 August 2015 Free

Impact of grief delivered via media technology

Advances in media technology have had a significant impact on our daily lives, in terms of how we conduct business and leisure. Recent events have also had significant emotional impact and we wish to highlight the potential health impact. The grief experienced following the death of a loved one can be one of the greatest stressors for those surviving — spouse and/or relatives. It is not only the emotional strain but also physiological changes in the immediate period after bereavement1,2 that affect health. Bereavement may also affect non-relatives, which was only captured by these two patients referred independently for ambulatory blood pressure (ABP) monitoring as part of their clinical management. Both watched the televised broadcast of funeral proceedings for Australian cricketer Phillip Hughes. Although neither was a relative of Phillip Hughes and neither had met him, they both reported an emotional response to the broadcast. Panel A in the Box shows the ABP recording for a woman who was taking an angiotensin II receptor antagonist. The recording shows that she had an increase in systolic blood pressure (25 mmHg) while she was sitting watching the funeral that was comparable with her responses to physical activity. The ABP recording for the second woman is shown in Panel B in the Box; her antihypertensive therapy included β-blockade. There was a 25 mmHg increase in systolic blood pressure while she sat watching the broadcast of the funeral. The increase was comparable with that for people with mild hypertension receiving mental stressor tests3 and may have been greater in the absence of β-blockade. Such increases in blood pressure reflect overall changes in the cardiovascular system at the time of emotional stress and are associated with heightened cardiovascular risk.4,5 We therefore need to be aware of the significant impact that media technology may have on our health and consider preventive treatment strategies. 1 Ambulatory blood pressure recordings for two patients who watched a televised funeral* *Neither patient was related to the deceased.

Anastasia S Mihailidou BSc, PhD · Thomas Buckley BSc(Hons), MN, PhD · Alexandra JC Bune MB BS, FRACP, DSc(Hon) · Geoffrey Tofler MB BS, MB, FRACP

Mental health Letters 4 May 2015 Free

Let children cry

Psychological and behavioural interventions that focus on building coping skills, resilience and a healthy lifestyle are important

Patrick D McGorry MD, PhD, FRANZCP · Debra J Rickwood BA(Hons), PhD, FAPS · Ian B Hickie MD, FRANZCP, FASSA

14 01681

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