Helen Margaret Klieve

Suicide in selected occupations in Queensland: Evidence from the State suicide register

Objective: Prior research has suggested an association between suicide and certain occupations. The aim of the present study was to report on suicide rates in selected occupations in Queensland (QLD). Method: Suicide mortality data from the QLD Suicide Register and population data from the Australian Bureau of Statistics were obtained for the period 1990–2006. Suicide rates were calculated for each occupational group and compared to rates within the general population (15–64 year age group) and the employed population of QLD. Results: There was significantly higher risk of suicide for male subjects in the agricultural, transport and construction sectors of QLD. High suicide rates were also found in female nurses, artists, agricultural workers and cleaners, while education professionals (of both genders) appeared at lower risk. Conclusions: The significantly higher suicide rates for employees of the agriculture, construction, and transport industries indicate a need for further research into the occupation-specific conditions and individual or other social–environmental factors that may accentuate suicide risk within these professions. Use of higher quality occupational data is also warranted in future studies.

Who uses firearms as a means of suicide? A population study exploring firearm accessibility and method choice

BackgroundThe 1996 Australian National Firearms Agreement introduced strict access limitations. However, reports on the effectiveness of the new legislation are conflicting. This study, accessing all cases of suicide 1997-2004, explores factors which may impact on the choice of firearms as a suicide method, including current licence possession and previous history of legal access.MethodsDetailed information on all Queensland suicides (1997-2004) was obtained from the Queensland Suicide Register, with additional details of firearm licence history accessed from the Firearm Registry (Queensland Police Service). Cases were compared against licence history and method choice (firearms or other method). Odds ratios (OR) assessed the risk of firearms suicide and suicide by any method against licence history. A logistic regression was undertaken identifying factors significant in those most likely to use firearms in suicide.ResultsThe rate of suicide using firearms in those with a current license (10.92 per 100,000) far exceeded the rate in those with no license history (1.03 per 100,000). Those with a license history had a far higher rate of suicide (30.41 per 100,000) compared to that of all suicides (15.39 per 100,000). Additionally, a history of firearms licence (current or present) was found to more than double the risk of suicide by any means (OR = 2.09, P < 0.001). The group with the highest risk of selecting firearms to suicide were older males from rural locations.ConclusionAccessibility and familiarity with firearms represent critical elements in determining the choice of method. Further licensing restrictions and the implementation of more stringent secure storage requirements are likely to reduce the overall familiarity with firearms in the community and contribute to reductions in rates of suicide.

Communication of suicide intent by schizophrenic subjects: data from the Queensland Suicide Register

BackgroundSuicide in mentally ill subjects, like schizophrenics, remains unbearably frequent in Australia and elsewhere. Since these patients are known to constitute a high-risk group, suicide in them should be amongst the most preventable ones. The objective of this study is to investigate the frequency of suicide communication in subjects with reported history of schizophrenia who completed suicide.MethodThe Queensland Suicide Register (QSR) was utilised to identify suicide cases. Frequency of suicide communication was examined in subjects with schizophrenia, and compared with persons with other psychiatric conditions and with subjects with no reported diagnosis. Socio-demographic variables, history of suicidal behaviour, pharmacological treatment and mental health service utilisation were also compared among the three groups.Results and discussionSubjects with a reported diagnosis of schizophrenia comprised 7.2% (n = 135) of the 1,863 suicides included in this study. Subjects with schizophrenia and those with other psychiatric disorders communicated their suicide intent more frequently than those with no psychiatric diagnosis, and persons with schizophrenia communicated their intent more than those with other psychiatric diagnoses. Seventy one per cent of schizophrenia subjects had contact with a mental health professional within the three months prior to suicide.ConclusionThe fact that subjects with schizophrenia had the highest prevalence of suicide intent communication could offer concrete opportunities for suicide prevention.

Parent-reported differences between school-aged girls and boys on the autism spectrum:

More boys than girls are diagnosed with autism spectrum disorder; however, there are conflicting findings about whether they differ in their presentation. This study involved a survey of parents of school-aged children on the autism spectrum (171 parents of girls and 163 parents of boys) that was distributed via social media. The surveys provided insights regarding the characteristics of boys and girls (as perceived by parents) as well as some demographic information. There were very few differences reported regarding communication and social strengths and difficulties of boys and girls with autism. No differences were reported in the number of boys and girls on the autism spectrum with special interests or repetitive behaviours; however, significant differences were found in the types of special interests with boys and girls showing generally interests along traditional gender lines. Qualitative analysis of open comments indicated that some parents of girls on the autism spectrum described their daughter as trying to hide or mask her difficulties more but no parents of boys on the spectrum described this phenomenon.

Connecting and Strengthening Young Aboriginal Men: A Family Wellbeing Pilot Study

ABSTRACT A significant proportion of young people in Australia are currently not being engaged in school and other social systems. This article presents the results of a mixed-methods study of a pilot Family Wellbeing intervention designed to enhance the social and emotional wellbeing (SEWB) of young Aboriginal men and improve engagement in education, employment, and other social participation. A questionnaire incorporating the Kessler Psychological Distress Scale and respondent self-assessment SEWB questions was administered to program participants pre and post intervention (N  =  30) and qualitative data were collected from program organisers (N  =  6). The results suggest that the Family Wellbeing intervention has the capacity to make a marked contribution to the SEWB of young Aboriginal men; participants experienced strong improvement in capacity to manage relationships, engagement in education and employment, and mental and physical health. The factors that enabled the program to be adapted to the target group and setting are documented.

Experience, recursive awareness and understanding in autism spectrum disorders: insights of parents and teachers in Singapore

Provision of an individually responsive education requires a comprehensive understanding of the inner worlds of learners, such as their feelings and thoughts. However, this is difficult to achieve when learners, such as those with Autism Spectrum Disorders (ASD) and cognitive difficulties, have problems with communication. To address this issue, the current exploratory descriptive study sought the views of 133 Singaporean parents and teachers of school-age learners with ASD and cognitive difficulties regarding the inner experience of their children and students. The findings highlight the variety of abilities and difficulties found in how these learners experience their own mental states and understand those of others. These abilities and difficulties are characterized according to type of mental state and analysed in line with three qualia, those of experience, recursive awareness and understanding. The findings indicate that learners show a greater awareness of their own mental states compared to their ability to understand these same mental states in others. Educational implications are discussed.

Measuring Resilience and Risk Factors for the Psychosocial Well-being of Aboriginal and Torres Strait Islander Boarding School Students: Pilot Baseline Study Results

Introduction Education provides a key pathway to economic opportunities, health and wellbeing. Yet limited or no locally available secondary schooling in remote Queensland Aboriginal and Torres Strait Islander communities requires more than 500 Indigenous students to transition to boarding schools. We report baseline quantitative data from the pilot phase (2016) of a 5-year study to explore a multicomponent mentoring approach to increase resilience and wellbeing for these students. Materials and Methods An interrupted time series design is being applied to evaluate levels of change in students’ resilience and wellbeing. Surveys were collaboratively developed, with questions adapted from the Child and Youth Resilience Measure (CYRM-28), Kessler Psychological Distress Scale (K5), and questions which identified upstream risk factors for self-harm (De Leo, Sveticic et al. 2011). They were completed by 94 students from five randomly selected schools (2 primary and 3 secondary) and one remote community. Results Pre-transition, most primary school students reported high levels of resilience, but only a third reported moderate - high levels of psychological wellbeing. Secondary students attending a boarding school reported lower scores on resilience and psychosocial wellbeing measures. Students who transitioned back to community after being from boarding school reported a lower sense of connection to peers and family, and they reported even lower resilience and psychosocial wellbeing scores. Learning Outcomes Students have many strengths and can be adaptable, but their levels of resilience and psychosocial wellbeing are affected by the schooling transitions they are required to navigate. The findings are informing the development of intervention strategies to enhance student resilience and wellbeing.

International Students' Accented English-Communication Difficulties and Developed Strategies.

Abstract The purpose of the present investigation is to explore the communication challenges caused by accented English along with strategies of international students in the Australian context. A quantitative approach was employed in order to obtain a comprehensive understanding of the linguistic experience of the students. Participants comprised 182 international students who spoke English as a second language and were undertaking undergraduate and postgraduate programs at three universities in South East Queensland. Results revealed that they experienced accent-related problems particularly in an educational setting. Their preferred strategies to overcome such difficulties were in conflict with what they regarded as the most effective strategies.

The evidence needed to demonstrate impact: A synthesis of the evidence from a phased social and emotional wellbeing intervention

Policy decisions are based on evidence that demonstrates the effectiveness of interventions; however, the quantity and type of evidence that is needed to demonstrate the effectiveness of an intervention is not universally agreed upon. The aim of this study was to collaborate with researchers who have not been involved directly in Family Wellbeing interventions to lead a review of characteristics of the Family Wellbeing intervention evaluation output to date, and to assess for evidence of the FWB interventions impact on participants and their communities. The study found that where it is not appropriate or viable to conduct research, such as randomised control trials, alternative ways of providing evidence to demonstrate the effectiveness of an intervention is vital. This review suggests that Family Wellbeing interventions are having a positive impact and promoting change in the lives of participants, their families and their communities. Hence, for complex interventions, such as those with Indigenous populations, evidence should demonstrate effectiveness against prescribed outcomes, as well as critical aspects behind how and why a complex intervention was successful.

Conceptions of Learning Leadership in Remote Indigenous Communities: A Distributed Approach

Policies to address Indigenous disadvantage in Australia have long advocated for more equal partnerships between home and school characterised by collaborative relationships built on mutual trust, respect, and shared responsibility. This chapter describes a model of distributed leadership that embraces social-democratic notions of leadership in order to promote teachers as leaders and empower parents and community members. It reports on a community literacy program established in a remote Indigenous community in far north Queensland that engages families in their young children’s literacy learning. We argue that the model of distributed leadership presented is not limited in its applicability to an early childhood setting. Instead we suggest it has the potential to provide a useful model for implementing a distributed leadership approach in a broader school setting. The implications are far reaching and imply a fundamental redistribution of power and influence within the school as an organisation.