People living with psychotic illness in 2010: the second Australian national survey of psychosis
Open accessAbstract
OBJECTIVE: The 2010 Survey of High Impact Psychosis (SHIP) is Australia's second national psychosis survey. This paper provides an overview of its findings, including comparisons with the first psychosis survey and general population data. METHODS: The survey covered 1.5 million people aged 18-64 years, approximately 10% of Australians in this age group. A two-phase design was used. In phase 1, screening for psychosis took place in public mental health services and non-government organizations supporting people with mental illness. In phase 2, 1825 of those screen-positive for psychosis were randomly selected and interviewed. Data collected included symptomatology, substance use, functioning, service utilization, medication use, education, employment, housing, and physical health including fasting blood samples. RESULTS: The estimated 1-month treated prevalence of psychotic disorders in public treatment services was 3.1 people per 1000 population; the 12-month treated prevalence was 4.5 people per 1000. The majority (63.0%) of participants met ICD-10 criteria for schizophrenia/schizoaffective disorder. One-half (49.5%) reported attempting suicide in their lifetime and two-thirds (63.2%) were rated as impaired in their ability to socialize. Over half (54.8%) had metabolic syndrome. The proportion currently smoking was 66.1%. Educational achievement was low. Only 21.5% were currently employed. Key changes in the 12 years since the first survey included: a marked drop in psychiatric inpatient admissions; a large increase in the proportion attending community mental health clinics; increased use of rehabilitation services and non-government organizations supporting people with mental illness; a major shift from typical to atypical antipsychotics; and large increases in the proportions with lifetime alcohol or drug abuse/dependence. CONCLUSION: People with psychotic illness face multiple challenges. An integrated approach to service provision is needed to ensure that their living requirements and needs for social participation are met, in addition to their very considerable mental and physical health needs.
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Furthermore, an emphasis on availability of basic needs as exemplified in the theme "Economic recovery" was also found to be a key concern for users in the review conducted by (91) and the Australian National Survey of Psychotic Illness (92).
“Furthermore, an emphasis on availability of basic needs as exemplified in the theme “Economic recovery” was also found to be a key concern for users in the review conducted by (91) and the Australian National Survey of Psychotic Illness (92).”
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [92]
Cites
International physical activity questionnaire: 12-country reliability and validity
CRAIG, C. L., MARSHALL, A. L., SJ??STR??M, M., BAUMAN, A. E., BOOTH, M. L., AINSWORTH, B. E., PRATT, M., EKELUND, U., YNGVE, A., SALLIS, J. F., et al. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000078924.61453.fb · Cited by 21,619 · see citing works
Alberti, K. G. M. M., Eckel, R. H., Grundy, S. M., Zimmet, P. Z., Cleeman, J. I., Donato, K. A., Fruchart, J.-C., James, W. P. T., Loria, C. M., & Smith, S. C. (2009) · Circulation · doi:10.1161/circulationaha.109.192644 · Cited by 14,860 · see citing works
The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire
HEATHERTON, T. F., KOZLOWSKI, L. T., FRECKER, R. C., & FAGERSTROM, K. (1991) · British Journal of Addiction · doi:10.1111/j.1360-0443.1991.tb01879.x · Cited by 10,738 · see citing works
Physical Status: The Use and Interpretation of Anthropometry
Frisancho, A. R. (1996) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/64.5.830 · Cited by 6,569 · see citing works
(2001) · Cited by 5,455 · see citing works
SCAN: Schedules fonr Clinical Assessment in Neuropsychiatry
Wing, J. K. (1990) · Archives of General Psychiatry · doi:10.1001/archpsyc.1990.01810180089012 · Cited by 2,517 · see citing works
The CAGE Questionnaire: Validation of a New Alcoholism Screening Instrument
Mayfield, D. G., McLeod, G. A., & Hall, P. B. (1974) · American Journal of Psychiatry · doi:10.1176/ajp.131.10.1121 · Cited by 2,261 · see citing works
Cardiovascular disease risk profiles
Anderson, K. M., Odell, P. M., Wilson, P. W. F., & Kannel, W. B. (1991) · American Heart Journal · doi:10.1016/0002-8703(91)90861-b · Cited by 2,163 · see citing works
McGuffin, P. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810320088015 · Cited by 1,483 · see citing works
The IDF consensus worldwide definition of the metabolic syndrome
- (2005) · Obesity and metabolism · doi:10.14341/2071-8713-4854 · Cited by 1,397 · see citing works
Morosini, P. L., Magliano, L., Brambilla, L., Ugolini, S., & Pioli, R. (2000) · PubMed · Cited by 1,168 · see citing works
Morosini, P. L., Magliano, L., Brambilla, L., Ugolini, S., & Pioli, R. (2000) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2000.101004323.x · Cited by 1,097 · see citing works
The schedule for the deficit syndrome: An instrument for research in schizophrenia
Kirkpatrick, B. R., Buchanan, R. W., McKenny, P. D., Alphs, L. D., & Carpenter, W. T. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90153-4 · Cited by 802 · see citing works
Hawthorne, G., Richardson, J. R. J., & Osborne, R. H. (1999) · Quality of Life Research · doi:10.1023/a:1008815005736 · Cited by 787 · see citing works
The mental health of Australians: (676572010-001)
Andrews, G., Hall, W., Teesson, M., & Henderson, S. (2000) · PsycEXTRA Dataset · doi:10.1037/e676572010-001 · Cited by 423 · see citing works
Psychotic Disorders in Urban Areas: An Overview of the Study on Low Prevalence Disorders
Jablensky, A. V., McGrath, J. J., Herrman, H., Castle, D. J., Gureje, O., Evans, M., Carr, V. J., Morgan, V. A., Korten, A. E., & Harvey, C. A. (2000) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2000.00728.x · Cited by 394 · see citing works
Self-citationSlade, T., Grove, R., & Burgess, P. (2011) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048674.2010.543653 · Cited by 372 · see citing works
The diagnostic interview for psychoses (DIP): development, reliability and applications
Castle, D. J., Jablensky, A. V., McGrath, J. J., Carr, V. J., Morgan, V. A., Waterreus, A. J., Valuri, G. M., Stain, H. J., McGuffin, P., & FARMER, A. E. (2005) · Psychological Medicine · doi:10.1017/s0033291705005969 · Cited by 323 · see citing works
Self-citationSlade, T., Johnston, A., Teesson, M., Whiteford, H., Burgess, P., Pirkis, J., & Saw, S. (2009) · PsycEXTRA Dataset · doi:10.1037/e676562010-001 · Cited by 313 · see citing works
Self-citationSchedules for clinical assessment in neuropsychiatry
Rehman, F. (2011) · BMJ · doi:10.1136/bmj.c7160 · Cited by 298 · see citing works
Death rate from ischaemic heart disease in Western Australian psychiatric patients 1980–1998
Lawrence, D. M., D'Arcy, C., Holman, J., Jablensky, A. V., & Hobbs, M. S. T. (2003) · British Journal of Psychiatry · doi:10.1192/bjp.182.1.31 · Cited by 269 · see citing works
Self-citationPeople Living with Psychotic Illness: An Australian Study 1997-98
Jablensky, A. V., McGrath, J. J., Herrman, H., Castle, D. J., Gureje, O., Morgan, V. A., & Korten, A. E. (1999) · PsycEXTRA Dataset · doi:10.1037/e677292010-001 · Cited by 203 · see citing works
Self-citationScreening for stratification in two-phase ('two- stage') epidemiological surveys
Pickles, A. R., Dunn, G., & Vázquez‐Barquero, J. L. (1995) · Statistical Methods in Medical Research · doi:10.1177/096228029500400106 · Cited by 190 · see citing works
Jaeger, J., Berns, S. M., & Czobor, P. (2003) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a006987 · Cited by 146 · see citing works
East Asian Archives of Psychiatry
(2019) · doi:10.12809/easap · Cited by 135 · see citing works
Prevalence of metabolic syndrome among Australians with severe mental illness
John, A. P., Koloth, R., Dragović, M., & Lim, S. C. B. (2009) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2009.tb02342.x · Cited by 129 · see citing works
People Living with Psychotic Illness 2010: Report on the Second Australian National Survey
Morgan, V. A., Waterreus, A. J., Jablensky, A. V., Mackinnon, A. J., McGrath, J. J., Carr, V. J., Bush, R. A. B., Castle, D. J., Cohen, M. A., Harvey, C. A., et al. (2011) · PsycEXTRA Dataset · doi:10.1037/e505512012-001 · Cited by 125 · see citing works
Self-citationObesity and Metabolic Syndrome in a Psychiatric Rehabilitation Service
Tirupati, S., & Chua, L.-E. (2007) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670701392841 · Cited by 93 · see citing works
Estimating disease prevalence in two-phase studies
Alonzo, T. A. (2003) · Biostatistics · doi:10.1093/biostatistics/4.2.313 · Cited by 65 · see citing works
Australian Census Analytic Program: counting the homeless, 2001
Chamberlain, C., & MacKenzie, D. C. (2024) · Swinburne figshare (Swinburne University of Technology) · doi:10.25916/sut.26292127 · Cited by 52 · see citing works
(2019) · OECD labour force statistics · doi:10.1787/6342ab87-en · Cited by 32 · see citing works
National Study of Psychotic Disorders in Australia: Feedback from Individuals with Psychosis
Morgan, V. A., Janča, A., & Jablensky, A. V. (2002) · UWA Profiles and Research Repository (UWA) · Cited by 4 · see citing works
Self-citationEvolution of the human life cycle
Bogin, B., & Smith, B. H. (1996) · American Journal of Human Biology · doi:10.1002/(sici)1520-6300(1996)8:6
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Galletly, C., Castle, D., Dark, F., Humberstone, V., Jablensky, A., Killackey, E., Kulkarni, J., McGorry, P., Nielssen, O., & Tran, N. (2016) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867416641195 · Cited by 877 · see citing works
Self-citationMalhi, G. S., Bassett, D., Boyce, P., Bryant, R., Fitzgerald, P. B., Fritz, K., Hopwood, M., Lyndon, B., Mulder, R., Murray, G., et al. (2015) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867415617657 · Cited by 842 · see citing works
“In the Australian Survey of High Impact Psychosis, 55% of patients with a psychotic disorder, such as schizophrenia, had depressed mood in the year prior to the survey (Morgan et al., 2012).”
BackgroundThe mental health benefits of employment: results of a systematic meta-review
Modini, M., Joyce, S., Mykletun, A., Christensen, H., Bryant, R. A., Mitchell, P. B., & Harvey, S. B. (2016) · Australasian Psychiatry · doi:10.1177/1039856215618523 · Cited by 453 · see citing works
Morgan, A. J., Reavley, N. J., Ross, A., Too, L. S., & Jorm, A. F. (2018) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2018.05.017 · Cited by 372 · see citing works
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Price-Robertson, R., Obradovic, A., & Morgan, B. (2017) · Advances in Mental Health · doi:10.1080/18387357.2016.1243014 · Cited by 344 · see citing works
Galletly, C. A., Foley, D. L., Waterreus, A., Watts, G. F., Castle, D. J., McGrath, J. J., Mackinnon, A., & Morgan, V. A. (2012) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867412453089 · Cited by 203 · see citing works
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Self-citationLoneliness in psychotic disorders and its association with cognitive function and symptom profile
Badcock, J. C., Shah, S., Mackinnon, A., Stain, H. J., Galletly, C., Jablensky, A., & Morgan, V. A. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.10.027 · Cited by 168 · see citing works
Self-citationRoss, A. M., Morgan, A. J., Jorm, A. F., & Reavley, N. J. (2019) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-018-1608-9 · Cited by 146 · see citing works
Vera San Juan, N., Gronholm, P. C., Heslin, M., Lawrence, V., Bain, M., Okuma, A., & Evans-Lacko, S. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.712026 · Cited by 78 · see citing works
Williams, A., Fossey, E., Farhall, J., Foley, F., & Thomas, N. (2018) · JMIR Mental Health · doi:10.2196/mental.9934 · Cited by 76 · see citing works
Santelmann, H., Franklin, J., Bußhoff, J., & Baethge, C. (2015) · Bipolar Disorders · doi:10.1111/bdi.12340 · Cited by 53 · see citing works
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Bornheimer, L. A., Li, J., Im, V., Taylor, M., & Himle, J. A. (2020) · Clinical Social Work Journal · doi:10.1007/s10615-019-00735-x · Cited by 40 · see citing works
Arnold, C., Farhall, J., Villagonzalo, K.-A., Sharma, K., & Thomas, N. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100411 · Cited by 34 · see citing works
Harvey, C., Zirnsak, T.-M., Brasier, C., Ennals, P., Fletcher, J., Hamilton, B., Killaspy, H., McKenzie, P., Kennedy, H., & Brophy, L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1259944 · Cited by 37 · see citing works
Self-citationEngel, L., Alvarez-Jimenez, M., Cagliarini, D., D’Alfonso, S., Faller, J., Valentine, L., Koval, P., Bendall, S., O’Sullivan, S., Rice, S., et al. (2024) · Schizophrenia Bulletin · doi:10.1093/schbul/sbad071 · Cited by 34 · see citing works
Self-citationLight, E. M., Robertson, M. D., Boyce, P., Carney, T., Rosen, A., Cleary, M., Hunt, G. E., O’Connor, N., Ryan, C., & Kerridge, I. H. (2014) · Australasian Psychiatry · doi:10.1177/1039856214540759 · Cited by 34 · see citing works
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Shi, J., Wang, L., Yao, Y., Su, N., Zhan, C., Mao, Z., & Zhao, X. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2017.00209 · Cited by 13 · see citing works
Gulliver, A., Morse, A. R., Wilson, N., Sargent, G., & Banfield, M. (2018) · Evaluation and Program Planning · doi:10.1016/j.evalprogplan.2018.03.001 · Cited by 6 · see citing works
). The pathways to participation (P2P) program: A pilot outcomes study
Hitch, D., Vernon, L., Collins, R., Dun, C., Palexas, S., & Lhuede, K. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19106088 · Cited by 6 · see citing works
Reilly, J., Meurk, C., Sara, G. E., & Heffernan, E. (2025) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674241312790 · Cited by 4 · see citing works
- Authors
- Morgan, V. A., Waterreus, A., Jablensky, A., Mackinnon, A., McGrath, J. J., Carr, V., Bush, R., Castle, D., Cohen, M., Harvey, C., Galletly, C., Stain, H. J., Neil, A. L., McGorry, P., Hocking, B., Shah, S., & Saw, S.
- Affiliations
- The University of Western Australia (AU)
- The University of Melbourne (AU)
- The University of Queensland (AU)
- UNSW Sydney (AU)
- Hunter New England Local Health District (AU)
- Ramsay Health Care (Australia) (AU)
- Centre for Rural and Remote Mental Health (AU)
- Health Economics Consultant, Brisbane, Australia
- SANE Australia, Melbourne, Australia
- Australian Government (AU)
- ORCID
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2012-06-13
- Volume
- 46
- Issue
- 8
- Pages
- 735-752
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2004149548
- Cited by
- 504
- References
- 33
- Citations by year
- 2026: 18 · 2025: 17 · 2024: 17 · 2023: 24 · 2022: 35 · 2021: 47 · 2020: 44 · 2019: 33 · 2018: 43 · 2017: 47 · 2016: 58 · 2015: 44 · 2014: 33 · 2013: 29 · 2012: 15
- FWCI
- 27.55
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Durham Research Online (Durham University) (acceptedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Durham Research Online (Durham University) (submittedVersion, cc-by)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Funders
- Australian Government
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- psychosis, schizophrenia, schizoaffective disorder, prevalence, lifetime suicide attempts, social functioning, metabolic syndrome, smoking, substance use, employment, psychiatric hospital admissions, community mental health services, atypical antipsychotics, rehabilitation services, non-governmental organizations, physical health, Australia
- MeSH terms
- Activities of Daily Living, Adult, Australia, Catchment Area, Health, Female, Health Surveys, Hospitalization, Humans, Male, Mental Health Services, Middle Aged, Psychotic Disorders, Random Allocation, Socioeconomic Factors, Suicide, Attempted, Antipsychotic Agents, Comorbidity, Prevalence, Substance-Related Disorders, International Classification of Diseases, Health Status Disparities
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