Grant Sara

Psychiatrist in Sydney, Australia. Early psychosis, addiction, amphetamines. Epidemiology, data linkage. Health system research and policy. Views my own

[Tyler Black, MD @tylerblack32]

Suicidology
Predicting Suicide Death

A recent study looking at >2M Americans presenting to ERs with MH concern shows the difficulty of "predicting suicide" - we can't predict suicide to help guide important clinical decisions.

The problem: Sensitivity vs PPV

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[Grant Sara @GSara_InforMH]

@jbiles @CharlesSturtUni Congratulations Jess !!! Very richly deserved

[ACS Journal Cancer @JournalCancer]

👉Low screening participation rates explain only small part of the risk of more advanced breast cancer in women who use mental health (MH) services.

👉More study is needed to understand possible mechanisms contributing to more advanced breast cancer in women living with MH conditions.

👉Health systems need strategies to ensure that women living with MH conditions enjoy population gains in breast cancer outcomes.

https://t.co/rDqmCslU08

@OncoAlert
#bcsm

[Jackie Curtis @jackie_curtisAU]

check out our new paper led by @GSara_InforMH NSW pop'n linkage data ➡️ health inequities in women mental health service users Dx with breast cancer 📢"Health systems need strategies to ensure that women living with MH conditions enjoy population gains in breast cancer outcomes".

[Russell Roberts @rus_l]

@GSara_InforMH men between 45 and 65 have 6 times the rate of vaccine preventable hospital admissions. #equallywellau23 @EquallyWellUK @EquallyW

[Equally Well Au @EquallyWell_AU]

Congratulations to the recipients of the Equally Well 2023 Achievement Awards!

@LivedExpAust
@RANZCP
@mindgardensau
@neaminational
@NSWHealth
@CalderRosemary
@suhailah_j_ali

[Tyler Black, MD @tylerblack32]

This incredible study looked at emergency department visits in children for suicidality (attempts & ideation) before & during the pandemic and found, unsurprisingly:

a) kids more likely suicidal during school months
b) school closures associated with DECREASED ER visits
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[Grant Sara @GSara_InforMH]

Measuring Mental Health Crises During the COVID-19 Pandemic—The Importance of Specific and Comprehensive Data Reporting | Emergency Medicine | JAMA Network Open | JAMA Network https://t.co/IrmqNVfVhG

[Grant Sara @GSara_InforMH]

Only 30% of NSW mental health service users have recent BreastScreen, but 53% of other NSW women. Of nearly 40,000 service users aged 50-74, that's 7,000 fewer than expected. Women over 60 had the lowest rates @EquallyWell_AU @jackie_curtisAU
https://t.co/0jHIWQkilq

[Equally Well Au @EquallyWell_AU]

Tracking vaccine preventable hospitalisation for those living with MH conditions is shining a light into the corners where change needs to happen. Well done to some of our Equally Well supporters and the team on this new research @GSara_InforMH @jackie_curtisAU @patrickvgould

[Grant Sara @GSara_InforMH]

@timheffo Agree Tim … We hope that good local data will help break down this huge problem and show areas for action … lots of possible gains with greater vaccine equity @EquallyWell_AU

[Grant Sara @GSara_InforMH]

MH service users avg 9 years younger when admitted, largest increases (4-6x) in 35-65 year olds. Increases for all conditions including hepatitis B, pneumonias and herpes zoster

[Grant Sara @GSara_InforMH]

NSW mental health service users have 3.2x risk of vaccine-preventable hospital admission, including 2x risk admission for COVID19. We tracked 19 conditions in 418k people over 6 yrs: open access at
https://t.co/3aV7UhPeVd @jackie_curtisAU @EquallyWell_AU

[Grant Sara @GSara_InforMH]

NSW mental health service users have 3.2x risk of vaccine-preventable hospital admission, including 2x risk admission for COVID19. We tracked 19 conditions in 418k people over 6 yrs: open access at
https://t.co/3aV7UhPeVd @jackie_curtisAU @EquallyWell_AU

[Grant Sara @GSara_InforMH]

NSW mental health service users have 3.2x risk of vaccine-preventable hospital admission, including 2x risk admission for COVID19. We tracked 19 conditions in 418k people over 6 yrs: open access at
https://t.co/3aV7UhPeVd @jackie_curtisAU @EquallyWell_AU

[Grant Sara @GSara_InforMH]

@RANZCP @jackie_curtisAU @mindgardensau Richly deserved, thank you @jackie_curtisAU for your inspiring leadership!! @EquallyWell_AU

[RANZCP @RANZCP]

Congratulations to Professor @jackie_curtisAU for being awarded the 2023 Margaret Tobin Award for her administrative expertise, international reputation, and remarkable achievements. @mindgardensau

To view the other #RANZCPaward recipients visit https://t.co/mvos1cfvLk

[Tyler Black, MD @tylerblack32]

Pediatric Suicidology
=-=-=-=-=-=-=-=-=-

Will be diving in deeper later, but numbers for July 2022 are out.

July, generally in the US **not confounded** by school (most school is out in July in the US) did not show any pandemic changes from baseline, and a drop in 2022.

[Grant Sara @GSara_InforMH]

The method is now used for regular reporting of NSW ED data https://t.co/nBjevIdNpk

[Grant Sara @GSara_InforMH]

Our paper out today : an improved method using additional ICD Codes and text analysis more than doubles sensitivity in detecting self-harm presentations in NSW ED data
https://t.co/SomWmsL5nU

[Grant Sara @GSara_InforMH]

We added additional ICD codes for medications commonly used in overdose, and phrases indicating self-harm. Revised estimates are consistent with hospital diagnoses