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. 2023 Mar 27;218(7):309–314. doi: 10.5694/mja2.51903
Scenario
Mental health services growth × 2 × 2 × 3 × 3 × 3 × 5 × 5 × 5
Direct access proportion 10% 20% 20% 50% 50%
Perceived need for mental health services +5% +10%
ED presentations (mental health): all ages –7083 (0.96%) –8469 (1.15%) –10 324 (1.40%) –16 355 (2.21%) –13 485 (1.83%) –12 806 (1.73%) –26 616 (3.60%) –22 439 (3.04%)
ED presentations (mental health): 15–24 years –825 (0.58%) –1120 (0.79%) –1082 (0.76%) –2064 (1.46%) –1602 (1.13%) –1268 (0.89%) –3136 (2.21%) –2446 (1.72%)
Hospitalisations with self‐harm: all ages –326 (0.52%) –368 (0.58%) –469 (0.74%) –721 (1.14%) –732 (1.16%) –562 (0.89%) –1199 (1.90%) –1295 (2.05%)
Hospitalisations with self‐harm: 15–24 years –47 (0.26%) –61 (0.33%) –58 (0.31%) –116 (0.63%) –127 (0.69%) –64 (0.35%) –176 (0.96%) –213 (1.15%)
Deaths by suicide: all ages –43 (0.58%) –48 (0.64%) –64 (0.86%) –94 (1.3%) –95 (1.3%) –78 (1.1%) –158 (2.13%) –170 (2.28%)
Deaths by suicide: 15–24 years –2.3 (0.26%) –2.9 (0.33%) –2.8 (0.31%) –5.6 (0.63%) –6.1 (0.69%) –3 (0.35%) –9 (1.0%) –10 (1.2%)

ED = emergency department.

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Assumptions: extended Better Access (maximum twenty sessions per year) available until 31 December 2022; more rapid growth in specialised mental health services commences 1 January 2022; direct access and increase in perceived needs for mental health services commence 1 January 2024.