{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T18:06:14Z","timestamp":1781892374140,"version":"3.54.5"},"reference-count":39,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"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":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite electroconvulsive therapy being one of the most effective treatments in psychiatry, few studies report trends in the provision of electroconvulsive therapy over time. This study aims to investigate the use of electroconvulsive therapy between 2009 and 2020 in an Australian public tertiary mental health facility, and to describe the electroconvulsive therapy patient population and change in courses of treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Routinely collected data for 677 patients who received 1669 electroconvulsive therapy courses of treatment at an Australian public tertiary mental health facility between 2009 and 2020 were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The provision of acute electroconvulsive therapy was stable across the study period; however, the number of maintenance electroconvulsive therapy courses commenced declined over the study. Schizophrenia was the most common indication for index treatment (37.4%). The majority of patients (85.7%) received acute electroconvulsive therapy only. Voluntary provision of electroconvulsive therapy declined over the study period, reducing from 44.9% in 2009 to 16.3% in 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Over the study period, there was a significant reduction in the number of maintenance electroconvulsive therapy courses commenced, and a large increase in involuntary treatment. The provision of electroconvulsive therapy was more likely to occur in males with a diagnosis of schizophrenia. Further studies are needed to generate a greater understanding of the factors influencing the provision of electroconvulsive therapy within differing geographical, social and healthcare landscapes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674241256839","type":"journal-article","created":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T00:48:27Z","timestamp":1717462107000},"page":"713-720","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Electroconvulsive therapy in a tertiary Australian mental health facility between 2009 and 2020"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3728-6685","authenticated-orcid":false,"given":"Emily","family":"Martin","sequence":"first","affiliation":[{"name":"Metro North Mental Health Service, Metro North Hospital and Health Service, Herston, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subramanian","family":"Purushothaman","sequence":"additional","affiliation":[{"name":"Metro North Mental Health Service, Metro North Hospital and Health Service, Herston, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Ballard","sequence":"additional","affiliation":[{"name":"Brain and Mental Health, QIMR Berghofer Medical Research Institute, Herston, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8062-4029","authenticated-orcid":false,"given":"Julie A","family":"Blake","sequence":"additional","affiliation":[{"name":"Brain and Mental Health, QIMR Berghofer Medical Research Institute, Herston, QLD, Australia"},{"name":"Child and Youth Mental Health Research, Queensland Centre for Mental Health Research, Wacol, QLD, Australia"},{"name":"Child and Youth Mental Health Service, Queensland Children\u2019s Hospital, South Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie","family":"Burke","sequence":"additional","affiliation":[{"name":"Metro North Mental Health Service, Metro North Hospital and Health Service, Herston, QLD, Australia"},{"name":"School of Psychology, The University of Queensland, South Brisbane, QLD, Australia"},{"name":"ARC Centre of Excellence for Children and Families Over the Life Course, Institute for Social Science Research, The University of Queensland, South Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0744-0688","authenticated-orcid":false,"given":"James G","family":"Scott","sequence":"additional","affiliation":[{"name":"Brain and Mental Health, QIMR Berghofer Medical Research Institute, Herston, QLD, Australia"},{"name":"Child Health Research Centre, The University of Queensland, South Brisbane, QLD, Australia"},{"name":"Child and Youth Mental Health Research, Queensland Centre for Mental Health Research, Wacol, QLD, Australia"},{"name":"Child and Youth Mental Health Service, Queensland Children\u2019s Hospital, South Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"e_1_3_2_2_1","volume-title":"National Safety and Quality Health Service Standards","author":"Australian Commission on Safety and Quality in Health Care","year":"2017","unstructured":"Australian Commission on Safety and Quality in Health Care (2017) National Safety and Quality Health Service Standards, 2nd Edition. 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