Trends in GP prescribing of psychotropic medications among young patients aged 16–24 years: a case study analysis

Brijnath, Bianca; Xia, Ting; Turner, Lyle; Mazza, Danielle

doi:10.1186/s12888-017-1375-2

Cited by 9 publications

(6 citation statements)

References 27 publications

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“…The MAGNET database includes a SLK which allows the same patient to be identified at different practices and hence duplication avoided and may also support linkage to external data collections. MAGNET has been used as the basis for research investigating service use [ 52 ], prescribing [ 53 ], cohort characterisation [ 54 ] and more.…”

Section: Comparisons To Other Systemsmentioning

confidence: 99%

Using general practice clinical information system data for research: the case in Australia

Youens

Moorin

Harrison

et al. 2020

IJPDS

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General practice is often a patient’s first point of contact with the health system and the gateway to specialist services. In Australia different aspects of the health system are managed by the Commonwealth Government and individual state/territory governments. Although there is a long history of research using administrative data in Australia, this split in the management and funding of services has hindered whole-system research. Additionally, the administrative data typically available for research are often collected for reimbursement purposes and lack clinical information. General practices collect a range of patient information including diagnoses, medications prescribed, results of pathology tests ordered and so on. Practices are increasingly using clinical information systems and data extraction tools to make use of this information. This paper describes approaches used on several research projects to access clinical, as opposed to administrative, general practice data which to date has seen little use as a resource for research. This information was accessed in three ways. The first was by working directly with practices to access clinical and management data to support research. The second involved accessing general practice data through collaboration with Primary Health Networks, recently established in Australia to increase the efficiency and effectiveness of health services for patients. The third was via NPS MedicineWise’s MedicineInsight program, which collects data from consenting practices across Australia and makes these data available to researchers. We describe each approach including data access requirements and the advantages and challenges of each method. All approaches provide the opportunity to better understand data previously unavailable for research in Australia. The challenge of linking general practice data to other sources, currently being explored for general practice data, is discussed. Finally, we describe some general practice data collections used for research internationally and how these compare to collections available in Australia. Keywords: General practice; administrative data; big data, health information systems, medical records systems

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Section: Comparisons To Other Systemsmentioning

confidence: 99%

Using general practice clinical information system data for research: the case in Australia

Youens

Moorin

Harrison

et al. 2020

IJPDS

View full text Add to dashboard Cite

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“…This finding of the higher odds for benzodiazepines and antidepressants use amongst suicidal drowning victims is consistent with the report of the potential over-prescribing of benzodiazepine substances and antidepressants across Australia over the period of 1992 to 2011. [76][77][78][79][80][81] The under-exploration of psychiatric disorders among suicidal drowning victims in Australia. None of the studies investigated in this current review explored the history of mental health disorders and previous suicide attempts amongst intentional drowning victims in Australia.…”

Section: Plos Onementioning

confidence: 99%

Fatal intentional drowning in Australia: A systematic literature review of rates and risk factors

et al. 2020

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IntroductionUnintentional drowning deaths are only part of the drowning profile, with little attention being paid to intentional drowning in Australia. Strategies for the prevention of intentional drowning deaths are likely to be different from unintentional. Quality documentation, analysis and dissemination of intentional deaths data is crucial for developing appropriate strategies for prevention. ObjectiveTo conduct a systematic literature review to investigate the mortality rates and risk factors of intentional drowning deaths in Australia. MethodsA systematic search guided by PRISMA was performed using Ovid MEDLINE, CINAHL, PsycINFO (ProQuest), Scopus, Google Scholar, and BioMed Central databases to locate relevant original research articles published between 2007 and 2018. ResultsTen papers reporting the mortality rates and risk factors of intentional drowning deaths in Australia published between 2007 and 2018, with study periods of the included articles spanning from 1907 to 2012, were reviewed. Most studies investigated suicidal drowning deaths in Australia, none reported homicidal drowning deaths. The downward trend of fatal suicide drowning was identified in Australia. The annual rate of intentional drowning between 1994 and 2012 can be inferred from eight studies, ranging from 0.06 to 0.21 for nation-wide mortality rates. The highest annual state-wide mortality rate was identified in the state of Queensland, ranging from 0.02 to 0.11 per 100,000 individuals. Of four studies examining the risk factors of fatal intentional drowning in Australia, being of older age groups, being female, and the presence of substance use were identified as important

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“…According to the Norwegian Prescription Database (NorPD), the 1-year prevalence of psychotropic drug use has increased by about 29% in the last decade among 20–24 year-olds, to 14% in females and 9% in males, in 2019 ( 17 ). A case study from Australia confirmed an increasing trend in psychotropic drug prescribing to patients aged 16–24 year with mental disorders from 2009 to 2014, with higher prescription levels in women compared to men ( 18 ). Similarly, mental distress among Norwegian female medical students increased from 1993 to 2015, paralleled with a significant increase in mental health help-seeking ( 19 ).…”

Section: Introductionmentioning

confidence: 96%

Psychological Distress and Use of Psychotropic Drugs Among University Students—the SHoT Study, Norway

et al. 2021

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Background: Students pursuing higher education are struggling with psychological distress, which in turn may negatively affect their academic self-efficacy and study progress. Although psychotropic drug use is widespread and increasing, patterns of psychotropic drug use among students are not well-known.Aim: To describe prevalence and gender differences in psychotropic drug use among Norwegian students in higher education, and to examine associations with level of psychological distress.Methods: The study is based on data from the Norwegian Student's Health and Well-being Study (SHoT), 2018, a national survey including all fulltime students aged 18–35 years in higher education. Our sample included 49,836 students, 69% females. Use of psychotropic drugs and psychological distress (The Hopkins Symptoms Checklist [HSCL-25]) were self-reported. Generalised linear models were used to assess associations between psychological distress and psychotropic drug use.Results: Psychotropic drug use was more frequent among female than male students: 4 vs. 2% daily antidepressants usage; 5 vs. 3% last month use of anxiolytics/tranquillisers; and 8 vs. 5% last month use of hypnotics. In contrast, male students reported use of performance enhancing drugs more often than females (7 vs. 5%). Adjusted associations between high level of psychological distress (HSCL-25 ≥ 2.0) and use of psychotropics, showed an about 2-fold increased relative risk, largely consequent across drug classes and genders.Conclusion: Prevalence and gender patterns of intake of the most common psychotropic drug classes among Norwegian students are comparable to previous studies. Unexpectedly, among students with moderate to severe psychological distress, the patterns of psychotropic drug use were more or less identical between genders.

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Trends in GP prescribing of psychotropic medications among young patients aged 16–24 years: a case study analysis

Cited by 9 publications

References 27 publications

Using general practice clinical information system data for research: the case in Australia

Using general practice clinical information system data for research: the case in Australia

Fatal intentional drowning in Australia: A systematic literature review of rates and risk factors

Psychological Distress and Use of Psychotropic Drugs Among University Students—the SHoT Study, Norway

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