An evaluation of the practice of electroconvulsive therapy (ECT) in a Victorian health service before and after the Mental Health Act 2014

Lee, Jia L; George, Kuruvilla; Price, Leah; Couper, Jeremy

doi:10.1177/1039856220901466

Cited by 3 publications

(9 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 A key finding of Lee et al was a significant reduction in the total number of patients per month with the MHA 2014. 1 We found a similar decline in ECT use, i.e. 14.83% reduction in ECT use per 1000 admissions and 19.91% reduction in the ECT of utilisation per 100,000 persons.…”

Section: Psychiatrysupporting

confidence: 69%

“…Lee et al found a significant reduction in the number of compulsory ECT treatments. 1 We only found a marginal decline in the rate of involuntary consent in the beginning of ECT course. However, a significantly lower proportion of patients finished ECT episodes under involuntary consent.…”

mentioning

confidence: 58%

“…The Mental Health Act (MHA) 2014 and the use of electroconvulsive therapy (ECT) in Victoria Dear Sir, We read with interest the article by Lee et al 1 because it replicated one of our key findings. 2 Unlike Lee et al, our research was focused on inpatients and we studied the effect of practice change in the year that followed the new Mental Health Act (MHA).…”

Section: Psychiatrymentioning

confidence: 74%

“…Lee et al wondered whether the mental health tribunal (MHT) process could have contributed to the decrease in compulsory ECT. 1 We found the Victorian MHT to be time efficient. 2…”

mentioning

confidence: 82%

“…Both the studies 1,2 have shown a reduction in ECT use following the MHA 2014 in Victoria. We do not know whether these changes are reflective of an adjustment phase to the new Act or reflective of a true change in ECT practice following the MHA 2014 that fundamentally promotes recovery and least restrictive practices.…”

mentioning

confidence: 98%

See 4 more Smart Citations

The Mental Health Act (MHA) 2014 and the use of electroconvulsive therapy (ECT) in Victoria

Das

Jagadheesan

Lakra

2020

Australas Psychiatry

View full text Add to dashboard Cite

Section: Psychiatrysupporting

confidence: 69%

mentioning

confidence: 58%

Section: Psychiatrymentioning

confidence: 74%

“…Lee et al wondered whether the mental health tribunal (MHT) process could have contributed to the decrease in compulsory ECT. 1 We found the Victorian MHT to be time efficient. 2…”

mentioning

confidence: 82%

mentioning

confidence: 98%

See 3 more Smart Citations

The Mental Health Act (MHA) 2014 and the use of electroconvulsive therapy (ECT) in Victoria

Das

Jagadheesan

Lakra

2020

Australas Psychiatry

View full text Add to dashboard Cite

Factors associated with electroconvulsive therapy treatment for adults with serious psychiatric conditions in Australia

Chen,

Loo,

Salvador-Carulla

et al. 2024

Aust N Z J Psychiatry

View full text Add to dashboard Cite

Objective: To identify factors associated with receiving electroconvulsive therapy (ECT) for serious psychiatric conditions. Methods: Retrospective observational study using hospital administrative data linked with death registrations and outpatient mental health data in New South Wales (NSW), Australia. The cohort included patients admitted with a primary psychiatric diagnosis between 2013 and 2022. The outcome measure was receipt of ECT. Results: Of 94,950 patients, 3465 (3.6%) received ECT. The likelihood of receiving ECT was higher in older (hazard ratio [HR] = 1.03), female (HR = 1.24) patients. Compared to depression, patients with schizophrenia/schizoaffective disorder (HR = 0.79), schizophrenia-related disorders (HR = 0.37), mania (HR = 0.64) and other mood disorders (HR = 0.45) had lower odds of receiving ECT. Patients with depression and one other serious psychiatric condition had higher odds of receiving ECT than depression alone. Bipolar disorder likelihood of ECT did not differ from depression. A higher number of mental health outpatient visits in the prior year and an involuntary index admission with depression were also associated with receiving ECT. Likelihood of receiving ECT increased with year of admission (HR = 1.32), private patient status (HR = 2.06), higher socioeconomic status (HR = 1.09) and being married (HR = 1.25). Conclusions: ECT use for depression and bipolar disorder in NSW aligns with clinical national guidelines. Patients with schizophrenia/schizoaffective, schizophrenia-related disorders, mania and other mood disorders had lower likelihood of ECT than depression, despite ECT being recommended by clinical guidelines for these diagnoses. Variations in ECT were strongly associated with healthcare access, with private patients twice as likely to receive ECT than their public counterparts, suggesting a need to explore ECT accessibility.

show abstract

Psychological and Medico-Legal Perspectives on Electroconvulsive Therapy and Patient-Centered Care: A Short Review of Cross-Cutting Issues

Tullio

Zerbo²,

Lanzarone³

et al. 2020

TOPSYJ

View full text Add to dashboard Cite

Electroconvulsive therapy is a treatment that, since its first administration, has been a major topic for debate within the scientific world. In recent years, the debate has become increasingly focused on the short- and/or long-term efficacy of electroconvulsive therapy, its appropriateness in clinical settings, its mechanism of action, the impact evaluation of transient and/or persistent adverse effects, and the drafting of international guidelines, etc. From the authors’ point of view, these themes are inevitably crossed by three other fundamental issues of significant psychological, relational, ethical, and medico-legal impact. Still, they are less studied than purely biomedical issues in recent times. Therefore, the aim of this article is to focus on the following cross-cutting issues: the therapist-patient relationship, the patient’s perspective, the attitude on electroconvulsive therapy, and informed consent. This short review refers to the international literature on ECT published since 2000. Analyses of the three previously listed topics are, in part, made within the context of Italian medical settings.

show abstract

An evaluation of the practice of electroconvulsive therapy (ECT) in a Victorian health service before and after the Mental Health Act 2014

Cited by 3 publications

References 3 publications

The Mental Health Act (MHA) 2014 and the use of electroconvulsive therapy (ECT) in Victoria

The Mental Health Act (MHA) 2014 and the use of electroconvulsive therapy (ECT) in Victoria

Factors associated with electroconvulsive therapy treatment for adults with serious psychiatric conditions in Australia

Psychological and Medico-Legal Perspectives on Electroconvulsive Therapy and Patient-Centered Care: A Short Review of Cross-Cutting Issues

Contact Info

Product

Resources

About