{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T20:51:20Z","timestamp":1789073480746,"version":"build-2803163510"},"reference-count":48,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T00:00:00Z","timestamp":1722038400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1195651"],"award-info":[{"award-number":["1195651"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1184304"],"award-info":[{"award-number":["APP1184304"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To identify factors associated with receiving electroconvulsive therapy (ECT) for serious psychiatric conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective observational study using hospital administrative data linked with death registrations and outpatient mental health data in New South Wales (NSW), Australia. The cohort included patients admitted with a primary psychiatric diagnosis between 2013 and 2022. The outcome measure was receipt of ECT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 94,950 patients, 3465 (3.6%) received ECT. The likelihood of receiving ECT was higher in older (hazard ratio [HR] = 1.03), female (HR = 1.24) patients. Compared to depression, patients with schizophrenia\/schizoaffective disorder (HR = 0.79), schizophrenia-related disorders (HR = 0.37), mania (HR = 0.64) and other mood disorders (HR = 0.45) had lower odds of receiving ECT. Patients with depression and one other serious psychiatric condition had higher odds of receiving ECT than depression alone. Bipolar disorder likelihood of ECT did not differ from depression. A higher number of mental health outpatient visits in the prior year and an involuntary index admission with depression were also associated with receiving ECT. Likelihood of receiving ECT increased with year of admission (HR = 1.32), private patient status (HR = 2.06), higher socioeconomic status (HR = 1.09) and being married (HR = 1.25).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>ECT use for depression and bipolar disorder in NSW aligns with clinical national guidelines. Patients with schizophrenia\/schizoaffective, schizophrenia-related disorders, mania and other mood disorders had lower likelihood of ECT than depression, despite ECT being recommended by clinical guidelines for these diagnoses. Variations in ECT were strongly associated with healthcare access, with private patients twice as likely to receive ECT than their public counterparts, suggesting a need to explore ECT accessibility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674241266067","type":"journal-article","created":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T08:26:02Z","timestamp":1722068762000},"page":"809-820","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Factors associated with electroconvulsive therapy treatment for adults with serious psychiatric conditions in Australia"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0941-8699","authenticated-orcid":false,"given":"Timothy","family":"Chen","sequence":"first","affiliation":[{"name":"University of New South Wales, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3267-0554","authenticated-orcid":false,"given":"Colleen","family":"Loo","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia"},{"name":"Black Dog Institute, Randwick, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5742-9866","authenticated-orcid":false,"given":"Luis","family":"Salvador-Carulla","sequence":"additional","affiliation":[{"name":"Health Research Institute, University of Canberra, Canberra, ACT, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louisa R","family":"Jorm","sequence":"additional","affiliation":[{"name":"Centre for Big Data Research in Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preeyaporn","family":"Srasuebkul","sequence":"additional","affiliation":[{"name":"Department of Developmental Disability Neuropsychiatry, Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3762-1711","authenticated-orcid":false,"given":"Grant","family":"Sara","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia"},{"name":"NSW Ministry of Health, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0241-5376","authenticated-orcid":false,"given":"Juan C","family":"Quiroz","sequence":"additional","affiliation":[{"name":"Centre for Big Data Research in Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blanca","family":"Gallego","sequence":"additional","affiliation":[{"name":"Centre for Big Data Research in Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,27]]},"reference":[{"key":"bibr1-00048674241266067","doi-asserted-by":"publisher","DOI":"10.1038\/mp.2017.139"},{"key":"bibr2-00048674241266067","volume-title":"Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA)","author":"Australian Bureau of Statistics","year":"2016"},{"key":"bibr3-00048674241266067","volume-title":"Prevalence and Impact of Mental Illness","author":"Australian Institute of Health and Welfare","year":"2023"},{"key":"bibr4-00048674241266067","unstructured":"Australian Medical Association (AMA) (2022) 2022 Public hospital report card \u2013 Mental health edition: National public hospital mental health performance. 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