Better mental health context image

Last week, I wrote about the misrepresentation of mental health in a common graphic about the “mental health spectrum”. If only I had had time to read the Productivity Commission’s report into its inquiry on mental health. On page 10 is this image which provides a more accurate context for mental health in Australia.

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Suicide statistics could benefit from a different analysis

Regular readers of this blog would be aware that I feel that the prevention of suicide gains less attention than early intervention and that mental health has dominated suicide discussions to the point that suicides without a mental health context are largely ignored. This situation is starting to change with non-psychological pressures gaining some acknowledgement, if not examination. Mental health still dominates but the pool of contributory factors is expanding.

On 30 November 2020, the Medical Journal of Australia published the best recent example of this change, an article called “Suicide by young Australians, 2006-20415: a cross-sectional analysis of national coronial data.” The most useful statement in the research report, and the media release, is:

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Thanks, but we need more

Statistics are vital to any decisions about occupational health and safety (OHS). Safe Work Australia (SWA) does a great job providing statistical packages based on the data sources it can access. Last week SWA released its 2019 report on “Work-related Traumatic Injury Fatalities” which identified vehicle collisions as, by and large, the most common cause of worker fatalities. This category may be a surprise to many readers but perhaps the most important part of the report is what is omitted.

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Evidence of COVID19 anxiety AND optimism

One of the first research reports into the psychological impacts of the COVID19 pandemic has been published in the Medical Journal of Australia.  It studied the first month of the infection’s appearance in Australia and seems much more evidential than some of the marketing-based survey reports that have also appeared in the last three months.  Below is a reformatted summary of findings from the report’s Abstract:

  • “The estimated prevalence of clinically significant symptoms of depression was 27.6% and
  • of clinically significant symptoms of anxiety 21.0%
  • 14.6% of respondents reported thoughts of being better off dead or self-harm on at least some days and
  • 59.2% that they were more irritable.
  • An estimated 28.3% of respondents reported great optimism about the future.”

The structure of this study was limited to a specific timeframe – April 3-May 3 2020 – so it is no surprise that most of the respondents who had contracted COVID19 were from New South Wales which had outbreaks from the Ruby Princess cruise ship and several aged care facilities prior to the survey period.

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Concussed sportspeople are workers too

David Michaels devoted a whole chapter to sport-related concussions and brain damage in his 2020 book “The Triumph of Doubt“. He wrote about how the National Football League obfuscated over the appearance of concussions and chronic traumatic encephalopathy, and how the the NFL downplayed the injury’s significance by referring to repeated head trauma as Mild Trauma Brain Injury.

The Australian experience is different and this was examined recently in an excellent edition of the ABC radio program, The Ticket. Significantly several interviewees mentioned the injuries in relation to occupational health and safety (OHS) and workers compensation.

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More workplace bullshit, but in a good way

Bullshit is starting to gain some serious analysis with four researchers recently publishing “Confronting indifference toward truth: Dealing with workplace bullshit” in Business Horizons. One attraction of this research paper is its focus on workplace business communications and conversations, but it is almost impossible to read it without thinking of the recently ousted United States President and how lies and “fake news” have dominated international political discourse.

Another attraction is that it is not just an analysis but one that also suggests pathways to detect and reduce the bullshit. What I was unprepared for was to start to feel sympathy for the bullshitter.

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The certainty of diagnosis

Occupational health and safety (OHS) is not famous for its certainty. The days of prescriptive compliance to OHS laws are, probably, never to return. But the flexibility offered by modern OHS laws and the pervasiveness of “reasonably practicable” has complicated the management of workplace health safety by increasing that uncertainty.

The attention being given to workplace mental health, over the last 20 years and since work-related stress was identified as a major problem, has highlighted this flexibility/uncertainty. However, some certainty on workplace mental health is accessible if one is prepared to challenge the dominant workplace wellness paradigms.

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