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In assessing risk, clinicians have been limited by a lack of consistent and uniform terminology and definitions for suicidal ideation and behaviour.4 For example, what one clinician might label a suicide attempt, another may call a suicidal gesture and yet another, manipulative behaviour...

Many guidelines recommend face-to-face psychological interventions, such as cognitive behaviour therapy (CBT), as a first step for the treatment of depression and anxiety.3,4 Although theoretically sound, in reality this can be difficult because of cost, availability and geographical limitations,...

Urolithiasis, or urinary tract stones, is the aggregation of crystals in the urine, most commonly composed of calcium oxalate.1 Urinary tract stones are responsible for renal colic, which is the most common symptomatic presentation of urolithiasis.The formation of calculi in the upper urinary...

Diagnosing major depressive disorder (MDD) in children (5–12 years of age) can be confronting. Important debates continue regarding the validity of psychiatric diagnoses, especially in children and adolescents.1 Longitudinal research, however, has continually demonstrated that most adult...

Emergency contraception methods, including oral and intrauterine methods, inhabit a unique position among contraceptive methods because they can be used after sex, rather than before or during, to avert pregnancy. Oral emergency contraceptive methods are the most widely used, but are not as...

Despite the increasing availability and acceptability of long-acting reversible contraceptives (LARCs), there will always be patients for whom oral contraception best addresses their contraceptive needs, while offering management of other concerns. It is important to tailor contraceptive advice...

Paediatric-onset inflammatory bowel disease is on the riseInternational trends have confirmed a global rise in the incidence of paediatric-onset inflammatory bowel disease (IBD); in particular, there has been a steep rise in the incidence of Crohn’s disease.1 Two Australian observational studies...

Patterns of abusePrescription drug abuse is a worldwide problem of increasing concern to governments and the United Nations.1 Research data indicate that prescription drug abuse is increasing in Australia. The 2013 National Drug Strategy Household Survey (NDSHS) found that 4.8% of Australian...

People who are dependent on alcohol and other drugs have very high smoking rates and are far more likely to die from a smoking-related illness than from their primary drug problem.1,2 Smoking cessation in this at-risk group is often rated as a lower priority and frequently delayed or ignored.3–5...

CaseA retired engineer, 67 years of age, visited his general practitioner (GP), complaining of increasing breathlessness with exertion over 12 months. He also noticed a dry cough and his fingernails had become increasingly rounded. Further history revealed that he was an ex-smoker with a 15 pack...