Work-related stress and reward are not mutually exclusive; particular situations and events can be simultaneously stressful and rewarding for healthcare providers. Although patient care and interactions with children was found to be the most stressful aspect of working in this speciality, it was also the greatest source of reward. Results are discussed in relation to workplace approaches to staff well-being and stress reduction.

This study examined the feasibility of implementing the Psychosocial Assessment Tool (PAT2.0) from the perspectives of families and health-care providers (HCPs). PAT2.0 data were collected from 104 families. Individual and focus group interviews were conducted with HCPs. Parents reported that the PAT2.0 was brief and easy to complete. HCPs' perspectives on the utility of the PAT2.0 were mixed and varied according to clinical roles. A major perceived benefit was the PAT2.0 as a communication tool. Barriers included timing and an increased workload for social workers. Psychosocial screening represents a significant practice change for oncology HCPs and is an important area of ongoing research.

Psychosocial risk, as measured by the PAT2.0, and allocation of psychosocial services were not significantly associated in the early period following diagnosis. Further investigation is required to understand if differences emerge over time when psychosocial screening is implemented clinically. Development of clinical pathways of care needs to account for patients who may predominantly be treated in the outpatient setting.

Australia has one of the largest multicultural populations in the world, with cultural and linguistic diversity (CALD) a defining feature. CALD populations have unique identities and experiences of mental health and suicide, with multicultural differences, trauma and experiences of discrimination and stigma pertinent to effective suicide prevention approaches. Very little is known however about suicide and suicidality among this population in Australia. This systematic review explored literature on suicidality and suicide prevention in CALD communities as a means of informing suicide prevention research, policy and practice in the Australian context. Five electronic databases (Medline, PsycINFO, Embase, Emcare, and CINAHL) were searched. Studies were included if they examined factors associated with suicidality or described suicide prevention initiatives in CALD populations, and were conducted in OECD countries. Study quality was assessed using the CASP qualitative checklist for qualitative studies and the Quality Assessment Tool for quantitative studies. Thematic analysis was used to identify key themes in the included studies. Eighteen studies met the criteria for inclusion, including ten qualitative and eight quantitative studies. No Australian studies were identified. Key themes included acculturation difficulties, stigma, the influence of social networks and family, heterogeneity of CALD populations, and suggested prevention strategies. The review found no Australian studies looking at suicidality or suicide prevention in CALD communities. It highlights the need for a greater focus across policy, research and evaluation on suicide prevention in Australian CALD communities.

Background: Childhood cancer is associated with child adjustment difficulties including, eating and sleep disturbance, and emotional and other behavioral difficulties. However, there is a lack of validated instruments to measure the specific child adjustment issues associated with pediatric cancer treatments. The aim of this study was to develop and evaluate the reliability and validity of a parent-reported, child adjustment scale.Procedure: One hundred thirty-two parents from two pediatric oncology centers who had children (aged 2-10 years) diagnosed with cancer completed the newly developed measure and additional measures of child behavior, sleep, diet, and quality of life. Children were more than 4 weeks postdiagnosis and less than 12 months postactive treatment. Factor structure, internal consistency, and construct (convergent) validity analyses were conducted. Conclusion:The ChOCs provides a new measure of child adjustment difficulties designed specifically for pediatric oncology. Preliminary analyses indicate strong theoretical and psychometric properties. Future studies are required to further examine reliability and validity of the scale, including test-retest reliability, discriminant validity, as well as change sensitivity and generalizability across different oncology samples and ages of children. The ChOCs shows promise as a measure of child adjustment relevant for oncology clinical settings and research purposes.