Publications - Primary Care Mental Health

Journal Publications

Schillok H, Gensichen J, Panagioti M, Gunn J, Junker L, Lukaschek K, Jung-Sievers C, Sterner P, Kaupe L, Dreischulte T, Ali MK, Aragonès E, Bekelman DB, Belnap BH, Carney RM, Chwastiak LA, Coventry PA, Davidson KW, Ekstrand ML, Flehr A, Fletcher S, Hölzel LP, Huijbregts K, Mohan V, Patel V, Richards DA, Rollman BL, Salisbury C, Simon G, Srinivasan K, Unützer J, Wells KB, Zimmermann T, Bühner M. Effective components of collaborative care for depression in primary care: an individual participant data meta-analysis. JAMA Psychiatry. 2025 1;82(9):868-76. https://doi:10.1001/jamapsychiatry.2025.0183

Flehr, A., Dowrick, C., Kaylor-Hughes, C., & Gunn, J. (2025). Uniting depression care through generalism: a primary care-informed response to the Lancet–World Psychiatric Association Commission’s call for action on depression. The Lancet Primary Care, 1(4). https://doi.org/10.1016/j.lanprc.2025.100042

Flehr, A., Lapadula, M. C., Hallinan, C. M., Ng, A. P. P., Mason, K., Chan, L., ... & Haeme, R. (2025). International health data trends in anxiety-related and depression-related visits to primary care before, during, and after the COVID-19 pandemic: a cross-sectional study by INTRePID. The Lancet Primary Care. https://doi.org/10.1016/j.lanprc.2025.100070

Fletcher S, Spittal MJ, Chondros P, Palmer VJ, Chatterton ML, Densley K, Potiriadis M, Harris M, Bassilios B, Burgess P, Mihalopoulos C, Pirkis J, Gunn J. Clinical efficacy of a Decision Support Tool (Link-me) to guide intensity of mental health care in primary practice: a pragmatic stratified randomised controlled trial. The Lancet Psychiatry. 2021 Feb 8. https://doi.org/10.1016/S2215-0366(20)30517-4

Fletcher S, Chondros P, Densley K, Murray E, Dowrick C, Coe A, Hegarty K, Davidson S, Wachtler C, Mihalopoulos C, Lee YY, Chatterton ML, Palmer  V, Gunn J. Matching depression management to severity prognosis in primary care: results of the Target-D randomised controlled trial. BJGP.  2021. 71 (703): e85-e94 DOI: https://doi.org/10.3399/BJGP.2020.0783

Fletcher S, Chondros P, Palmer VJ, Chatterton ML, Spittal MJ, Mihalopoulos C, et al. (2019). Link-me: Protocol for a randomised controlled trial of a systematic approach to stepped mental health care in primary care. Contemporary Clinical Trials 78: 63-75. https://doi.org/10.1016/j.cct.2018.12.014

Fletcher S, Clarke J, Sanatkar S, Baldwin P, Gunn J, Zwar N, et al. (2019). Recruiting to a randomised controlled trial of an online program for people with type 2 diabetes and depression: Lessons learned at the intersection of e-mental health and primary care. Journal of Medical and Internet Research 21: e12793. https://doi.org/10.2196/12793

Clarke J, Sanatkar S, Baldwin P, Fletcher S, Gunn J, Wilhelm K, et al. (2019). A web-based public health intervention to reduce functional impairment and depressive symptoms in adults with type 2 diabetes (the SpringboarD Trial): Results of a randomised controlled trial. Journal of Medical and Internet Research 21: E12246. https://doi.org/10.2196/12246

Palmer, Lewis M, Stylianopolous V, Furler J (2018). Primary care prevention of the cardiovascular health crisis for people with severe mental illness: the elephant in the room. The Australian Journal of General Practice. https://www1.racgp.org.au/ajgp/2018/december/primary-care-prevention-of-the-cardiovascular-heal

Palmer V, Weavell W, Callander R, Piper D, Richard L, Maher L, Boyd H, Herrman H, Furler J, Gunn J, Iedema R, Robert, G (2018). The Participatory Zeitgeist: An explanatory theoretical model of change in an era of coproduction and codesign in healthcare improvement. BMJ Medical Humanities. http://dx.doi.org/10.1136/medhum-2017-011398

Pung A, Fletcher SL, Gunn JM. (2018). Mobile app use by primary care patients to manage their depressive symptoms: Qualitative study. J Med Internet Res; 20: e10035.  https://doi.org/10.2196/10035

Chondros P, Davidson S, Wolfe R, Gilchrist G, Dowrick C, Griffiths F, Hegarty K, Herrman H, Gunn J (2018). Development of a prognostic model for predicting depression severity in adult primary care patients with depressive symptoms using the diamond longitudinal study. Journal of Affective Disorders 227: 854-860. http://dx.doi.org/10.1016/j.jad.2017.11.042

Wachtler C, Coe A, Davidson S, Fletcher S, Mendoza A, Sterling L, Gunn J (2018). Development of a mobile clinical prediction tool to estimate future depression severity and guide treatment in primary care: User-centered design. Journal of Medical Internet Research mHealth & uHealth 20(4): e95 http://dx.doi.org/10.2196/mhealth.9502

Gunn J, Cameron J, Densley K, Davidson S, Fletcher S, Palmer V, Chondros P, Dowrick C, Pirkis J (2018). Uptake of mental health websites in primary care: Insights from an Australian longitudinal cohort study of depression. Patient Education and Counselling 101(1): 105-112  https://doi.org/10.1016/j.pec.2017.07.008

Davidson S, Wadley G, Reavley N, Gunn J, Fletcher S (2017). Psychological distress and unmet mental health needs among urban taxi drivers: A cross-sectional survey. Australian and New Zealand Journal of Psychiatry 52(5): 473-482. http://dx.doi.org/10.1177/0004867417741556

Richard L, Piper D, Weavell W, Callander R, Iedema R, Furler J, Pierce D, Godbee K, Gunn J, Palmer V (2017). Advancing engagement methods for trials: The CORE study relational model of engagement for a stepped wedge cluster randomised controlled trial of experience-based co-design for people living with severe mental illnesses. Trials 18(1): 169. http://10.1186/s13063-017-1878-7

Gunn J, Wachtler C, Fletcher S, Davidson S, Mihalopoulos C, Palmer V, Hegarty K, Coe A, Murray E, Dowrick C (2017).Target-D: A stratified individually randomized controlled trial of the diamond clinical prediction tool to triage and target treatment for depressive symptoms in general practice: Study protocol for a randomized controlled trial. Trials 18(1): 342. DOI: 10.1186/s13063-017-2089-y

Ambresin G, Palmer V, Densley K, Dowrick  C, Gilchrist G, Gunn J (2015). What factors influence long-term antidepressant use in primary care? Findings from the Australian diamond cohort study. Journal of Affective Disorders 176(0): 125-132. http://dx.doi.org/10.1016/j.jad.2015.01.055

Gunn J, Elliott P, Densley K, Middleton A, Ambresin G, Dowrick C, Hegarty K, Herrman H, Gilchrist G, Griffiths F (2013). A trajectory-based approach to understand the factors associated with persistent depressive symptoms in primary care. Journal of Affective Disorders 148(2–3): 338-346. http://dx.doi.org/10.1016/j.jad.2012.12.021

Gunn J, Ayton D, Densley K, Pallant J, Chondros P, Herrman H, Dowrick C (2012). The association between chronic illness, multimorbidity and depressive symptoms in an Australian primary care cohort. Social Psychiatry and Psychiatric Epidemiology. 47: 175-184. DOI: 10.1007/s00127-010-0330-z

Gunn J, Palmer V, Dowrick C, Herrman H, Griffiths F, Kokanovic R, Blashki G, Hegarty K, Johnson C, Potiriadis M, May C. (2010). Embedding effective depression care: Using theory for primary care organisational and systems change. Implement Science 5: 62-76. https://doi.org/10.1186/1748-5908-5-62

Gunn J, Gilchrist G, Chondros P, Ramp M, Hegarty K, Blashki G, Pond D, Kyrios M, Herrman H. (2008). Who is identified when screening for depression is undertaken in general practice? Baseline findings from the Diagnosis, Management and Outcomes of Depression in Primary Care (diamond) longitudinal study. Medical  Journal of Australia 188(12 Suppl): S119-125. https://www.mja.com.au/journal/2008/188/12/who-identified-when-screening-depression-undertaken-general-practice-baseline

Book Chapters

Flehr, A., Johnson, C., Kaylor-Hughes, C., Gunn, J. DEPRESSION AND ANXIETY IN AUSTRALIA. In Sidik, S. M., & Goodyear-Smith, F. (Eds.). (2023). Anxiety and Depression in Primary Care: International Perspectives. CRC Press.