Evidence map›Paper›PMID 30514822›Full record

ArticleBMJ open2018

Recognition of, and attitudes towards, people with depression and psychosis with/without alcohol and other drug problems: results from a national survey of Australian paramedics.

Terence V McCann, Michael Savic, Nyssa Ferguson, Alison Cheetham, Katrina Witt, Kate Emond, Emma Bosley, Karen Smith, Louise Roberts, Dan I Lubman

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

14 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Improving prehospital and emergency care for patients with mental dysregulation: a comprehensive research agenda.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
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  13. Workplace Violence in Asian Emergency Medical Services: A Pilot Study.International journal of environmental research and public health · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Terence V McCannDepartment of Nursing and Midwifery, Institute of Health and Sport, Victoria University, Melbourne, Victoria, Australia.ORCID 0000-0003-1109-0438
Michael SavicTurning Point, Eastern Health, Melbourne, Victoria, Australia.
Nyssa FergusonTurning Point, Eastern Health, Melbourne, Victoria, Australia.
Alison CheethamTurning Point, Eastern Health, Melbourne, Victoria, Australia.
Katrina WittTurning Point, Eastern Health, Melbourne, Victoria, Australia.
Kate EmondDepartment of Rural Nursing and Midwifery, College of Health, Science and Engineering, La Trobe University, Bendigo, Victoria, Australia.
Emma BosleyQueensland Ambulance Service, Brisbane, Victoria, Australia.
Karen SmithAmbulance Victoria, Melbourne, Victoria, Australia.
Louise RobertsCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Dan I LubmanTurning Point, Eastern Health, Melbourne, Victoria, Australia.
Australian Regenerative Medicine Institute · AUAmbulance Victoria · AUEastern Health · AUFlinders University · AULa Trobe University · AUNSW Ambulance · AUVictoria School of Management · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveContinuing stigma towards mental health problems means that many individuals-especially men-will first present in crisis, with emergency services often the first point of call. Given this situation, the aims of this paper were to assess paramedics' ability to recognise, and their attitudes towards, males with clinically defined depression and psychosis with and without comorbid alcohol and other drug (AOD) problems.

methodsA cross-sectional national online survey of 1230 paramedics throughout Australia. The survey was based on four vignettes: depression with suicidal thoughts, depression with suicidal thoughts and comorbid alcohol problems, and psychosis with and without comorbid AOD problems.

resultsJust under half of respondents recognised depression, but this decreased markedly to one-fifth when comorbid AOD problems were added to the vignette. In contrast, almost 90% recognised psychosis, but this decreased to just under 60% when comorbid AOD problems were added. Respondents were more likely to hold stigmatising attitudes towards people in the vignettes with depression and psychosis when comorbid AOD problems were present. Respondents endorsed questionnaire items assessing perceived social stigma more strongly than personal stigma. Desire for social distance was greater in vignettes focusing on psychosis with and without comorbid AOD problems than depression with and without comorbid AOD problems.

conclusionsParamedics need a well-crafted multicomponent response which involves cultural change within their organisations and more education to improve their recognition of, and attitudes towards, clients with mental health and AOD problems. Education should focus on the recognition and care of people with specific mental disorders rather than on mental disorders in general. It is essential that education also focuses on understanding and caring for people with AOD problems. Educational interventions should focus on aligning beliefs about public perceptions with personal beliefs about people with mental disorders and AOD problems.

Indexed as

Attitude of Health PersonnelAdultAge FactorsAlcoholismAllied Health PersonnelAustraliaCross-Sectional StudiesDepressionEmergency Medical ServicesFemaleHumansIncidenceMaleMiddle AgedOnline SystemsPsychological Distanceadult psychiatryattitudesmental healthparamedicssubstance misusesurvey

Identifiers

PMID30514822
PMCPMC6286471
OpenAlexW2902391926

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.