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The Broken Hill Psychopathology Project.

P M Yellowlees1, A V Kaushik

  • 1Broken Hill Base Hospital and Health Services, New South Wales.

The Australian and New Zealand Journal of Psychiatry
|June 1, 1992
PubMed
Summary

Psychiatric disorders in rural New South Wales show high rates of alcohol abuse and dependence, particularly in men. This is linked to domestic violence, sexual assault, and incest, impacting women and children.

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Area of Science:

  • Psychiatry
  • Public Health
  • Rural Health

Background:

  • Limited data exists on psychiatric disorder prevalence in rural Australian populations.
  • Understanding rural mental health needs is crucial for equitable healthcare access.

Purpose of the Study:

  • To describe psychiatric disorders in patients seeking treatment in rural New South Wales.
  • To compare rural prevalence rates with national data.
  • To identify specific disorders more common in rural settings.

Main Methods:

  • Consecutive examination of 707 patients in community, hospital, and prison settings.
  • Comparison of findings with a previous Australia-wide psychiatric study.

Main Results:

  • Alcohol abuse and dependence were significantly more prevalent in rural patients.
  • Domestic violence, sexual assault, and incest were common among women.
  • Children (under 17) showed similar psychiatric disorder prevalence to national rates.
  • Major functional psychiatric disorders had national-level prevalence.

Conclusions:

  • High rates of alcohol abuse in rural New South Wales, especially among men, correlate with high rates of domestic violence, sexual assault, and incest.
  • A cycle of male alcohol abuse may contribute to violence against women and children, leading to anxiety and depression.
  • Addressing the maldistribution of psychiatrists between metropolitan and rural areas is essential.

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