{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:44:47Z","timestamp":1783950287701,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Perinatal depression is often underdiagnosed; consequently, many women suffer perinatal depression without follow-up care. Screening for depressive symptoms during the perinatal period has been recommended in Australia to increase detection and follow-up of women suffering from depressive symptoms. Screening rates have gradually increased over the last decades in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To explore trends in referrals of women to community mental health services during the perinatal period, and prenatal and postnatal admissions to psychiatric units, among those who gave birth in Queensland between 2009 and 2015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Retrospective analyses of data from three linked state-wide administrative data collections. Trend analyses using adjusted Poisson regression models examined 426,242 births. Outcome variables included referrals to specialised mental health services; women admitted with a mood disorder during the second half of their pregnancy and during the first 3\u2009months of the postnatal period; and women admitted with non-affective psychosis disorders during the second half of their pregnancy and during the first 3\u2009months of the postnatal period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We found an increase in mental health referrals during the perinatal period over time (adjusted incidence rate ratio, 1.07; 95% confidence interval, [1.06, 1.08]) and a decrease in admissions with mood disorders during the first 3\u2009months of the postnatal period (adjusted incidence rate ratio, 0.95; 95% confidence interval, [0.94, 0.98]). We did not find any changes in rates of admission for other outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Since the introduction of universal screening in Queensland, referrals for mental health care during the perinatal period have increased, while admissions for mood disorders in the first 3\u2009months after delivery decreased.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674221080405","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T08:09:56Z","timestamp":1646122196000},"page":"401-410","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Trends of perinatal mental health referrals and psychiatric admissions in Queensland"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0140-175X","authenticated-orcid":false,"given":"Macarena A","family":"San Martin Porter","sequence":"first","affiliation":[{"name":"Institute for Social Science Research (ISSR), The University of Queensland, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joemer","family":"Maravilla","sequence":"additional","affiliation":[{"name":"Institute for Social Science Research (ISSR), The University of Queensland, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4021-2924","authenticated-orcid":false,"given":"Steve","family":"Kisely","sequence":"additional","affiliation":[{"name":"School of Medicine, The University of Queensland, Princess Alexandra Hospital, Woolloongabba, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim S","family":"Betts","sequence":"additional","affiliation":[{"name":"School of Population Health, Curtin University, Perth, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Salom","sequence":"additional","affiliation":[{"name":"Institute for Social Science Research (ISSR), The University of Queensland, Brisbane, QLD, Australia"},{"name":"Australian Research Council Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Alati","sequence":"additional","affiliation":[{"name":"Institute for Social Science Research (ISSR), The University of Queensland, Brisbane, QLD, Australia"},{"name":"School of Population Health, Curtin University, Perth, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,1]]},"reference":[{"key":"bibr1-00048674221080405","unstructured":"Austin M-P, Highet N (2011) The beyondblue clinical practice guidelines for depression and related disorders \u2013 Anxiety, bipolar disorder and puerperal psychosis \u2013 In the perinatal period. A guideline for primary care health professionals providing care in the perinatal period. Available at: https:\/\/cope.org.au\/wp-content\/uploads\/2013\/12\/Perinatal-Mental-Health-Clinical-Practice-Guidelines.pdf (accessed 19 March 2021)"},{"key":"bibr2-00048674221080405","unstructured":"Austin M-P Expert Working Group (2017) Mental health care in the perinatal period \u2013 Australian clinical practice guideline. Available at: http:\/\/cope.org.au\/wp-content\/uploads\/2018\/05\/COPE-Perinatal-MH-Guideline_Final-2018.pdf (accessed 19 March 2021) Australian Bureau of Statistics (2011) Technical paper: Socio-Economic Indexes for Areas (SEIFA). Available at: www.ausstats.abs.gov.au\/Ausstats\/subscriber.nsf\/0\/22CEDA8038AF7A0DCA257B3B00116E34\/$File\/2033.0.55.001%20seifa%202011%20technical%20paper.pdf (accessed 03 March 2021)"},{"key":"bibr3-00048674221080405","unstructured":"Australian Commonwealth Government (2008) Framework for the National Perinatal Depression Initiative 2008-09 to 2012-13. 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