Risk Factors For Compliance With Command Hallucinations In Psychotic Disorders
Funder
National Health and Medical Research Council
Funding Amount
$180,290.00
Summary
There is widespread public concern about the danger individuals with schizophrenia or related disorders pose to themselves and to the community. Whilst a number of violence risk factors such as being male, exhibiting hostility, and having a prior history of violence are well established, they are of limited use to clinicians in making management decisions. Our study will investigate a different approach to identify individuals and occasions when a sufferer might require more intensive care or ob ....There is widespread public concern about the danger individuals with schizophrenia or related disorders pose to themselves and to the community. Whilst a number of violence risk factors such as being male, exhibiting hostility, and having a prior history of violence are well established, they are of limited use to clinicians in making management decisions. Our study will investigate a different approach to identify individuals and occasions when a sufferer might require more intensive care or observation. Most individuals with schizophrenia experience auditory hallucinations. Amongst these hallucinations, voices that command the individual to undertake a particular action are common; many of these involve significant potential harm to the hallucinator or to other persons. We will attempt to identify those factors that are associated with an individual obeying command hallucinations. Variables to be examined include the characteristics of the hallucinated voices, and the beliefs of the subject about the power of the voices. Subjects will be interviewed to find out whether they have delusions that are consistent with their hallucinations, whether they suffer from Antisocial Personality Disorder, or are dependent on alcohol or drugs. We will also determine whether subjects who report being raised by authoritarian parents, who are dependent on the approval of others, or who see external factors as determining the occurrence of major events in their lives, are more likely to act on their hallucinations. Two groups of 100 patients will be studied. One group will be representative of people living in the community with schizophrenia. The other group will be people with schizophrenia who have been treated by the State Forensic Psychiatric Services. Statistical models will be developed in order to determine the accuracy with which compliance with command hallucinations can be predicted. These models with also reveal which risk factors are the most important.Read moreRead less
Heavy Cannabis Use In Two Remote Aboriginal Communities: Prospects For A Population Based Intervention.
Funder
National Health and Medical Research Council
Funding Amount
$301,814.00
Summary
The proposed study is a combined intervention and summative evaluation with two parallel strands. We proposed to develop, deliver and evaluate an educational instrument targeting the use of cannabis amongst Aboriginal people living in remote communities in the Northern Territory. Additionally we proposed to describe and model harmful behaviours and effects of substance misuse with a focus on cannabis and to explore in some detail Aboriginal cultural knowledge and attitudes towards harm and harmf ....The proposed study is a combined intervention and summative evaluation with two parallel strands. We proposed to develop, deliver and evaluate an educational instrument targeting the use of cannabis amongst Aboriginal people living in remote communities in the Northern Territory. Additionally we proposed to describe and model harmful behaviours and effects of substance misuse with a focus on cannabis and to explore in some detail Aboriginal cultural knowledge and attitudes towards harm and harmful behaviours related to substance misuse using self-reported estimates and life histories.Read moreRead less
A Randomised Controlled Trial Of Daily Antibacterial Mouthwash To Reduce Pharyngeal Gonorrhoea Among Men Who Have Sex With Men (MSM)
Funder
National Health and Medical Research Council
Funding Amount
$376,730.00
Summary
Gonorrhoea is a common sexually transmitted infection (STI) among gay men, and the throat is the commonest site of infection. There is early data to suggest Listerine mouthwash can be used to prevent gonorrhoea. Our study will examine whether men use Listerine every day will reduce the risk of gonorrhoea in the throat compared those who use another mouthwash product which does not have an effect on gonorrhoea.
Understanding The Methamphetamine Epidemic And Its Implications For Service Provision And Harm Reduction: The VicMeth Cohort
Funder
National Health and Medical Research Council
Funding Amount
$1,270,774.00
Summary
The Victorian methamphetamine epidemic has received extensive media coverage highlighting the devastating impact of the drug and resultant public concern. We will follow up a cohort of 800 methamphetamine smokers from metropolitan and regional Victoria bi-annually for a period of 5 years to determine the natural history of methamphetamine use to inform optimal intervention strategies and arrest the increases in harm observed in Victoria recently.