Do mental health clinicians elicit a history of previous trauma in female psychiatric inpatients?
Abstract
BACKGROUND: A history of trauma is linked to the development of a wide range of mental health problems, and has long-lasting physiological and psychological consequences. The importance of clinicians directly questioning trauma history has been consistently emphasised in the literature. AIMS: To investigate whether a trauma history is obtained from female psychiatry inpatients during an inpatient admission. METHODS: The study was a retrospective file audit of 100 female patients admitted to the psychiatric ward of a major metropolitan Melbourne Hospital between December 2013 and November 2014. RESULTS: In the files of 51% of patients there was no mention of whether or not the patient had a trauma-abuse history. Eight percent of patients had documentation stating there was no trauma-abuse history. Forty-one percent of the patients had documented evidence of a trauma-abuse history, although only 3% of these patients had a specific description provided. The presence of current illicit drug use and the diagnosis of borderline personality disorder were the only variables associated with an increase in the likelihood of having a documented trauma-abuse history. CONCLUSION: There is a need for clinician retraining, a trauma-informed care model and the incorporation of mandatory inquiry in best practice guidelines to generate a shift in culture in the delivery of mental health care services.
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Nine out of 10 reviews of depression prevention trials in children and adolescents report significant reductions in depressive symptoms, generally with small effect sizes.
“Nine out of 10 reviews of these trials report significant reductions in depressive symptoms, 428-436 generally with small effect sizes.”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [428]
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- Authors
- Xiao, C. L., Gavrilidis, E., Lee, S., & Kulkarni, J.
- Affiliations
- The Alfred Hospital (AU)
- Corresponding author
- Kulkarni, Jayashri
- Venue
- Journal of Mental Health
- Publisher
- Informa UK Limited
- Published
- 2016-02-05
- Volume
- 25
- Issue
- 4
- Pages
- 359-365
- ISSN
- 0963-8237 (ISSN-L)
- 1360-0567
- OpenAlex
- W2255963005
- Cited by
- 22
- References
- 64
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 1
- FWCI
- 4.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- trauma history, medical history, trauma-informed care, borderline personality disorder, illicit drug use, mental health service delivery
- MeSH terms
- Physical Abuse, Adult, Mental Disorders, Female, Humans, Inpatients, Mental Health Services, Patient Admission, Psychiatric Department, Hospital, Retrospective Studies, Battered Women, Persons with Psychiatric Disorders
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