Evidence map›Paper›PMID 26880009›Full record

ArticleSocial psychiatry and psychiatric epidemiology2016

Information giving challenges and support strategies at the time of a mental health diagnosis: qualitative views from Australian health professionals.

Alyssa C Milton, Barbara Mullan, Caroline Hunt

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Article in Social psychiatry and psychiatric epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Psychiatric diagnosis on the edge: is there evidence of benefit?European child & adolescent psychiatry · 2026
    Article
  2. Article
  3. Article
  4. European Psychiatric Association policy paper on ethical aspects in communication with patients and their families.European psychiatry : the journal of the Association of European Psychiatrists · 2020
    Article
  5. Article
  6. Article
  7. Observational
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Alyssa C MiltonSchool of Psychology, The University of Sydney, Sydney, NSW, 2006, Australia. alyssa.milton@sydney.edu.au.
Barbara MullanHealth Psychology and Behavioural Medicine Research Group, School of Psychology and Speech Pathology, Curtin University, Perth, Australia.
Caroline HuntSchool of Psychology, The University of Sydney, Sydney, NSW, 2006, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCommunication of a mental health diagnosis can be a difficult process and is a poorly understood area of service provision. The aim of this qualitative study was to examine clinicians' perceptions of barriers and helpful strategies to discussing information about a mental health condition.

methodQualitative interviews with 19 Australian clinicians (general practitioners, mental health nurses, psychiatrists, and psychologists) working in several settings (community, hospital inpatient, outpatient, accident and emergency) and locations (urban, suburban and rural) were conducted and analysed thematically.

resultsAfter theme saturation was reached, four primary themes relating to barriers and facilitators to communication at the time of diagnosis were identified in the data. Outside a recognised lack of focus on this area in training, themes included (1) engagement and timing of conversations; (2) stigma and its reduction; (3) perceived and desired knowledge for diagnostic information; and (4) working with distress. The synthesis of themes is demonstrated in a flowchart of suggestions for communicating news of mental health diagnosis that tracks the patient journey in receiving information from initial engagement to follow-up.

conclusionsTalking with an individual about a mental health diagnosis is a non-linear, complex and changeable situation. However, health professionals report using specific strategies to aid this communication process, to meet the specific individual's needs. Strategies such as tailoring to the person's situation, utilising collaborative practice, effective coordination, and addressing stigma may be useful to inform clinician training and support whilst diagnosis remains a key feature of the mental health system in Australia.

Indexed as

Attitude of Health PersonnelCommunicationMental Health ServicesPhysician-Patient RelationsAdaptation, PsychologicalAdultAustraliaFemaleHumansInservice TrainingInterdisciplinary CommunicationIntersectoral CollaborationMaleMental DisordersMiddle AgedPatient Education as TopicCommunicationHealth service deliveryMental health and illnessPatient–provider relationshipsQualitative researchStigma

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.