Judit Pons-Baños, David Ballester-Ferrando, Lola Riesco Miranda, Cristina Tresserra Illamola, Emma Puigoriol-Juvanteny, Concepció Fuentes-Pumarola, Montserrat Serra Millàs
Introduction
Individuals who attempt suicide are at high risk of recurrence and mortality, particularly in the first year. Nurse-led follow-up programmes can mitigate this risk through structured, therapeutic engagement.
Aim
To examine adherence to a nurse-led mental health follow-up programme and its association with the recurrence of suicidal behaviours.
Method
This cohort study included 306 adults who had attempted suicide, who were enrolled in a one-year suicidal behaviour case management programme (SBCMP) led by mental health nurses. Outcomes for programme completers were compared with non-completers. Adherence was assessed at 12 months, while suicide attempts and mortality were tracked over 24 months.
Results
All five scheduled SBCMP visits were completed by 48% of patients. Programme adherence was associated with significantly lower rates of psychiatric hospitalisation (4.8% vs. 11.3%; p = 0.036) and of repeated suicide attempts at 6 months (3.4% vs. 10.1%; p = 0.02) and 12 months (8.2% vs. 15.9%; p = 0.039). No suicides occurred in the first year; however, a suicide (1%) was recorded in the second year.
Discussion
This study highlights the role of structured follow-up programmes led by mental health nurses in improving treatment adherence and reducing suicidal behaviour.
Implications for Practice
Integrating suicide prevention interventions in clinical practice is a cost-effective strategy to support high-risk individuals and improve outcomes.
{"title":"Treatment Adherence and Recurrence of Suicidal Behaviour in a Cohort of Suicide Attempters in a Nurse-Led Suicide Prevention Programme","authors":"Judit Pons-Baños, David Ballester-Ferrando, Lola Riesco Miranda, Cristina Tresserra Illamola, Emma Puigoriol-Juvanteny, Concepció Fuentes-Pumarola, Montserrat Serra Millàs","doi":"10.1111/jpm.70077","DOIUrl":"10.1111/jpm.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Individuals who attempt suicide are at high risk of recurrence and mortality, particularly in the first year. Nurse-led follow-up programmes can mitigate this risk through structured, therapeutic engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine adherence to a nurse-led mental health follow-up programme and its association with the recurrence of suicidal behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This cohort study included 306 adults who had attempted suicide, who were enrolled in a one-year suicidal behaviour case management programme (SBCMP) led by mental health nurses. Outcomes for programme completers were compared with non-completers. Adherence was assessed at 12 months, while suicide attempts and mortality were tracked over 24 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All five scheduled SBCMP visits were completed by 48% of patients. Programme adherence was associated with significantly lower rates of psychiatric hospitalisation (4.8% vs. 11.3%; <i>p</i> = 0.036) and of repeated suicide attempts at 6 months (3.4% vs. 10.1%; <i>p</i> = 0.02) and 12 months (8.2% vs. 15.9%; <i>p</i> = 0.039). No suicides occurred in the first year; however, a suicide (1%) was recorded in the second year.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study highlights the role of structured follow-up programmes led by mental health nurses in improving treatment adherence and reducing suicidal behaviour.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Integrating suicide prevention interventions in clinical practice is a cost-effective strategy to support high-risk individuals and improve outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 1","pages":"184-194"},"PeriodicalIF":2.9,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mengxue Wang, Longqing Ouyang, Yaxuan Xu, Wan Mi, Wenjuan Wang, Lihua Zhou, Ying Tang, Yi Zhang
<div> <section> <h3> Introduction</h3> <p>Identifying the causes of anxiety and depression among nursing students at an early stage is crucial for enhancing their mental health. The impact of negative life events on mental health has been insufficiently studied in nursing students, and the specific connections between these events and mental health are not yet clear.</p> </section> <section> <h3> Aim</h3> <p>This study aimed to explore the impact of negative life events on anxiety and depression among nursing freshmen, as well as the potential mediating role of mobile phone addiction in this influence.</p> </section> <section> <h3> Methods</h3> <p>This cross-sectional study included 320 nursing freshmen from the School of Nursing, Anhui Medical University, China, who were enrolled using a convenience sampling method, and the response rate was 90.65%. Data were collected using the Adolescent Self-rating Life Events Checklist (ASLEC), Mobile Phone Addiction Tendency Scale (MPATS), Generalised Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). The SPSS 23.0 and AMOS 24.0 software were used for data analysis.</p> </section> <section> <h3> Results</h3> <p>Negative life events had a significant positive predictive effect on anxiety (<i>β</i> = 0.547, <i>p</i> < 0.001) and depression (<i>β</i> = 0.603, <i>p</i> < 0.001), accounting for 28.6% and 34.7% of the variance, respectively. Mobile phone addiction played a mediating role in the relationship between negative life events and both anxiety and depression, mediating 34.70% and 29.06% of the total effect, respectively.</p> </section> <section> <h3> Discussion</h3> <p>Negative life events are significant predictors of anxiety and depression among nursing freshmen, with mobile phone addiction mediating this effect.</p> </section> <section> <h3> Implications for Practice</h3> <p>Nursing educators should incorporate mental health screening into the freshman orientation process to promptly identify and support students with tendencies towards anxiety and depression, while also fostering their ability to cope with negative life events and guiding them to develop healthy smartphone usage habits.</p> </section> <section> <h3> Relevance Statement</h3> <p>This study highlights the pivotal role of negative life events and mobile phone addiction in the mental health of nursing freshmen, providing critical insights for mental health nu
{"title":"The Impact of Negative Life Events on Anxiety and Depression Among Nursing Freshmen: The Mediating Role of Mobile Phone Addiction","authors":"Mengxue Wang, Longqing Ouyang, Yaxuan Xu, Wan Mi, Wenjuan Wang, Lihua Zhou, Ying Tang, Yi Zhang","doi":"10.1111/jpm.70078","DOIUrl":"10.1111/jpm.70078","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Identifying the causes of anxiety and depression among nursing students at an early stage is crucial for enhancing their mental health. The impact of negative life events on mental health has been insufficiently studied in nursing students, and the specific connections between these events and mental health are not yet clear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to explore the impact of negative life events on anxiety and depression among nursing freshmen, as well as the potential mediating role of mobile phone addiction in this influence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study included 320 nursing freshmen from the School of Nursing, Anhui Medical University, China, who were enrolled using a convenience sampling method, and the response rate was 90.65%. Data were collected using the Adolescent Self-rating Life Events Checklist (ASLEC), Mobile Phone Addiction Tendency Scale (MPATS), Generalised Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). The SPSS 23.0 and AMOS 24.0 software were used for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Negative life events had a significant positive predictive effect on anxiety (<i>β</i> = 0.547, <i>p</i> < 0.001) and depression (<i>β</i> = 0.603, <i>p</i> < 0.001), accounting for 28.6% and 34.7% of the variance, respectively. Mobile phone addiction played a mediating role in the relationship between negative life events and both anxiety and depression, mediating 34.70% and 29.06% of the total effect, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Negative life events are significant predictors of anxiety and depression among nursing freshmen, with mobile phone addiction mediating this effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Nursing educators should incorporate mental health screening into the freshman orientation process to promptly identify and support students with tendencies towards anxiety and depression, while also fostering their ability to cope with negative life events and guiding them to develop healthy smartphone usage habits.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance Statement</h3>\u0000 \u0000 <p>This study highlights the pivotal role of negative life events and mobile phone addiction in the mental health of nursing freshmen, providing critical insights for mental health nu","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 1","pages":"174-183"},"PeriodicalIF":2.9,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rehanna Felix, Emmerentia du Plessis, Issie Jacobs
Introduction
Grieving and funeral practices form an integral component of the culture of indigenous people. Although studies on specific indigenous grief support frameworks could not be found, the authors did find certain studies on the grieving and funeral practices of indigenous people. The study identified a lack of integrative literature reviews on these practices. A review was therefore needed to enable a comprehensive overview that would guide the establishment of an indigenous grief support framework.
Aim
This review aims to provide a literature review to identify existing components of indigenous peoples' grieving and funeral practices.
Method
The review was conducted employing an integrative literature review approach and thematic analysis of the concepts relating to indigenous people's grieving and funeral practices. A comprehensive search was conducted by author one and a librarian, whereafter the CADIMA webtool was used.
Findings
Fourteen articles (n = 14) were included which reported on indigenous people's grieving and funeral practices. From the articles, a total of 18 different indigenous groups were described.
Discussion
Indigenous people have specific grieving and funeral practices. Although some of the practices are the same across different indigenous groups, some practices are specific to each indigenous group. The review identified certain components of indigenous people's grieving and funeral practices.
Implications for Practice
Mental health nurse specialists can use the knowledge of indigenous people's grieving and funeral practices acquired through this integrative literature review to render a culturally sensitive and inclusive service.
Recommendation
Training of mental health nurse specialists should include content about the various cultures and belief systems of indigenous people. A grief support framework should be developed for indigenous people, based on the findings of this review.
{"title":"Identifying Indigenous People's Grieving and Funeral Practices as Components for Establishing a Grief Support Framework: An Integrative Literature Review","authors":"Rehanna Felix, Emmerentia du Plessis, Issie Jacobs","doi":"10.1111/jpm.70075","DOIUrl":"10.1111/jpm.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Grieving and funeral practices form an integral component of the culture of indigenous people. Although studies on specific indigenous grief support frameworks could not be found, the authors did find certain studies on the grieving and funeral practices of indigenous people. The study identified a lack of integrative literature reviews on these practices. A review was therefore needed to enable a comprehensive overview that would guide the establishment of an indigenous grief support framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This review aims to provide a literature review to identify existing components of indigenous peoples' grieving and funeral practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The review was conducted employing an integrative literature review approach and thematic analysis of the concepts relating to indigenous people's grieving and funeral practices. A comprehensive search was conducted by author one and a librarian, whereafter the CADIMA webtool was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Fourteen articles (<i>n</i> = 14) were included which reported on indigenous people's grieving and funeral practices. From the articles, a total of 18 different indigenous groups were described.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Indigenous people have specific grieving and funeral practices. Although some of the practices are the same across different indigenous groups, some practices are specific to each indigenous group. The review identified certain components of indigenous people's grieving and funeral practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Mental health nurse specialists can use the knowledge of indigenous people's grieving and funeral practices acquired through this integrative literature review to render a culturally sensitive and inclusive service.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendation</h3>\u0000 \u0000 <p>Training of mental health nurse specialists should include content about the various cultures and belief systems of indigenous people. A grief support framework should be developed for indigenous people, based on the findings of this review.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 1","pages":"155-173"},"PeriodicalIF":2.9,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rikas Saputra, Mei Sarri, Yenni Lidyawati, Kadek Suhardita
{"title":"Supporting Family Caregivers as a Core Task of Mental Health Nursing","authors":"Rikas Saputra, Mei Sarri, Yenni Lidyawati, Kadek Suhardita","doi":"10.1111/jpm.70072","DOIUrl":"10.1111/jpm.70072","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 1","pages":"153-154"},"PeriodicalIF":2.9,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The importance of recovery-focused practice is widely recognised. However, limited attention has been paid to how nurses continue to engage reflectively and creatively in long-term care settings.
Aim
This study explored how nurses provided recovery-oriented care for people with mental illness in long-term, complex, and uncertain care settings.
Method
A grounded theory approach was used to analyse data from 14 interviews. Reporting followed the Consolidated Criteria for Reporting Qualitative Research.
Results
The core category identified was ‘redefinition of care’, describing a dynamic process in which nurses revised their understanding, adjusted their perspectives, and created new meanings in practice. Key strategies included burden management, exploring new contexts and openness towards uncertainty.
Discussion
The findings suggest that high-quality care provision extends beyond technical skills, to emotional resilience, interpretive openness and relational flexibility.
Limitations
This study used nurses' retrospective narratives of past cases where recovery progressed. Ongoing cases were not explored.
Implications
Nurses could remain present and responsive even with no immediate solutions, a trait described as ‘negative capability’. Supporting this reflective stance may be key to providing quality care.
Recommendations
Educational approaches potentially strengthening recovery-oriented care include participatory workshop opportunities that foster pluralistic thinking, dialogue and openness towards uncertainty.
{"title":"Skills and Resources of Psychiatric Mental Health Nurses to Support a Long and Uncertain Recovery Journey: A Grounded Theory Approach","authors":"Ryo Odachi, Hironori Yada, Keiichiro Adachi, Momoko Buyo","doi":"10.1111/jpm.70071","DOIUrl":"10.1111/jpm.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The importance of recovery-focused practice is widely recognised. However, limited attention has been paid to how nurses continue to engage reflectively and creatively in long-term care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study explored how nurses provided recovery-oriented care for people with mental illness in long-term, complex, and uncertain care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A grounded theory approach was used to analyse data from 14 interviews. Reporting followed the Consolidated Criteria for Reporting Qualitative Research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The core category identified was ‘redefinition of care’, describing a dynamic process in which nurses revised their understanding, adjusted their perspectives, and created new meanings in practice. Key strategies included burden management, exploring new contexts and openness towards uncertainty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings suggest that high-quality care provision extends beyond technical skills, to emotional resilience, interpretive openness and relational flexibility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Limitations</h3>\u0000 \u0000 <p>This study used nurses' retrospective narratives of past cases where recovery progressed. Ongoing cases were not explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Nurses could remain present and responsive even with no immediate solutions, a trait described as ‘negative capability’. Supporting this reflective stance may be key to providing quality care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>Educational approaches potentially strengthening recovery-oriented care include participatory workshop opportunities that foster pluralistic thinking, dialogue and openness towards uncertainty.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 1","pages":"140-152"},"PeriodicalIF":2.9,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contextualising Violence Research in Mental Health Care: A Reflection From Indonesia","authors":"Ach. Sudrajad Nurismawan, Andika Ari Saputra, Dita Kurnia Sari, Issac Briyan Alisyahbana","doi":"10.1111/jpm.70074","DOIUrl":"10.1111/jpm.70074","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 1","pages":"136-137"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Reverse Effect of Cognitive and Mental Health on Physical Activity in Individuals With Mental Health Conditions: A New Perspective for Nursing Interventions","authors":"Yufeng Wang, Xinyue Zhang, Jiawei Zhao","doi":"10.1111/jpm.70073","DOIUrl":"10.1111/jpm.70073","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 1","pages":"138-139"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bingyi Wang, Shizhou Deng, Liwei Wan, Xian Zhang, Fang Yang
Background
As global populations age, anxiety disorders in older adults are emerging as a hidden yet consequential public health challenge. Despite a sharp rise in total burden, these disorders remain under-recognized at the individual, clinical, and policy levels.
Discussion
This Editorial highlights the growing disconnect between apparent epidemiological stability and rising absolute impact. It calls for targeted action across mental health literacy, screening, and age-sensitive policy design. Differences between high- and low-SDI countries underscore the need for regionally tailored responses. Reducing the future burden of late-life anxiety depends on systemic recognition of its importance—and timely investment in inclusive mental health strategies.
Relevance for clinical practice
This Editorial highlighted anxiety disorders as an under-recognized contributor to distress and disability among older adults. It underscored the importance of improving clinical awareness, integrating routine anxiety screening into primary care, and developing age-appropriate diagnostic tools. Clinicians are encouraged to consider late-life anxiety as a distinct clinical entity, rather than attributing symptoms to ageing or comorbidity. Our discussion also points to the need for regionally adapted clinical strategies to address disparities in detection and care.
{"title":"Growing Older, Growing Anxious: Recognising the Hidden Burden of Anxiety Disorders Among Older Adults","authors":"Bingyi Wang, Shizhou Deng, Liwei Wan, Xian Zhang, Fang Yang","doi":"10.1111/jpm.70069","DOIUrl":"10.1111/jpm.70069","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>As global populations age, anxiety disorders in older adults are emerging as a hidden yet consequential public health challenge. Despite a sharp rise in total burden, these disorders remain under-recognized at the individual, clinical, and policy levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This Editorial highlights the growing disconnect between apparent epidemiological stability and rising absolute impact. It calls for targeted action across mental health literacy, screening, and age-sensitive policy design. Differences between high- and low-SDI countries underscore the need for regionally tailored responses. Reducing the future burden of late-life anxiety depends on systemic recognition of its importance—and timely investment in inclusive mental health strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance for clinical practice</h3>\u0000 \u0000 <p>This Editorial highlighted anxiety disorders as an under-recognized contributor to distress and disability among older adults. It underscored the importance of improving clinical awareness, integrating routine anxiety screening into primary care, and developing age-appropriate diagnostic tools. Clinicians are encouraged to consider late-life anxiety as a distinct clinical entity, rather than attributing symptoms to ageing or comorbidity. Our discussion also points to the need for regionally adapted clinical strategies to address disparities in detection and care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 1","pages":"133-135"},"PeriodicalIF":2.9,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This reflection uses poetry to shed light on the timeless resilience and spiritual cadence of our four seasons, using them as metaphors for the lived experiences of individuals navigating mental health challenges and the often unseen emotional labour of psychiatric and mental health professionals. Each stanza evokes a season not only as a backdrop but also as a psychological landscape—embodying phases and states of hope and perseverance, challenges and uncertainties, as well as quiet renewal and loud survival. For clinical practitioners, especially allied mental health professionals, the piece serves as both an affirmation and a gentle reminder: recovery does not always arrive with grand gestures, but may dwell in the most devilishly tiny and inconspicuously familiar everyday moments of attention and connection, agency and patience, as well as grace and care. It invites clinicians to remain attuned to the quiet, often deeply personal ‘miracles’ unfolding within their care—moments of resilience, clarity, or simple presence—and to recognise their role in holding space for such transformations. Grounded in recovery-oriented values, the poem aims to underline that the healing process, especially in mental health, is often iterative and nonlinear; and that sometimes, the most meaningful changes occur when they are sought and seen, found and held, embraced and treasured—even if only slowly, quietly, and privately.
{"title":"Miracles Are Waiting for You","authors":"Zhaohui Su","doi":"10.1111/jpm.70062","DOIUrl":"10.1111/jpm.70062","url":null,"abstract":"<div>\u0000 \u0000 <p>This reflection uses poetry to shed light on the timeless resilience and spiritual cadence of our four seasons, using them as metaphors for the lived experiences of individuals navigating mental health challenges and the often unseen emotional labour of psychiatric and mental health professionals. Each stanza evokes a season not only as a backdrop but also as a psychological landscape—embodying phases and states of hope and perseverance, challenges and uncertainties, as well as quiet renewal and loud survival. For clinical practitioners, especially allied mental health professionals, the piece serves as both an affirmation and a gentle reminder: recovery does not always arrive with grand gestures, but may dwell in the most devilishly tiny and inconspicuously familiar everyday moments of attention and connection, agency and patience, as well as grace and care. It invites clinicians to remain attuned to the quiet, often deeply personal ‘miracles’ unfolding within their care—moments of resilience, clarity, or simple presence—and to recognise their role in holding space for such transformations. Grounded in recovery-oriented values, the poem aims to underline that the healing process, especially in mental health, is often iterative and nonlinear; and that sometimes, the most meaningful changes occur when they are sought and seen, found and held, embraced and treasured—even if only slowly, quietly, and privately.</p>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 1","pages":"131-132"},"PeriodicalIF":2.9,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mei-Fang Lai, Chung-Ying Lin, Mark D. Griffiths, Wen-Li Hou
<div> <section> <h3> Introduction</h3> <p>Emotional blackmail is a persistent workplace stressor that can negatively influence nurses' psychological well-being.</p> </section> <section> <h3> Aims</h3> <p>The present study examined the relationship between emotional blackmail and depression among Taiwanese nurses, incorporating the Stress Process Model (SPM) to explore the mediating role of coping strategies and the moderating effect of social support.</p> </section> <section> <h3> Methods</h3> <p>A cross-sectional survey was conducted with 297 nurses at a regional hospital in Taiwan. Self-reported questionnaires were used to assess emotional blackmail, coping strategies, social support, and depressive symptoms. Data analyses included correlation, mediation, and moderation models.</p> </section> <section> <h3> Results</h3> <p>Among 297 nurses, negative emotional blackmail was indirectly associated with depression through negative coping (B = 0.09, 95% CI [0.03, 0.16]), while positive emotional blackmail showed a direct inverse association with depression (B = −1.11, 95% CI [−2.17, −0.45]). Social support was directly associated with lower depression (B = −0.33, 95% CI [−0.47, −0.18]) and moderated the association between positive emotional blackmail and depression (B = 0.01, 95% CI [0.002, 0.02]). However, in the negative emotional blackmail model, social support had a marginal direct association with depression (B = −0.14, 95% CI [−0.31, 0.02]) but did not moderate the association between passive emotional blackmail and depression.</p> </section> <section> <h3> Discussion</h3> <p>Coping strategies and social support significantly influence how emotional blackmail affects nurses' mental health. The findings partially support the SPM, suggesting its contextual relevance.</p> </section> <section> <h3> Limitations</h3> <p>Single-site design and self-reported data may limit generalisability and introduce bias.</p> </section> <section> <h3> Implications</h3> <p>Mental health interventions in nursing must consider contextual and interpersonal dynamics of stress.</p> </section> <section> <h3> Recommendations</h3> <p>Tailored support systems and coping-skills training are essential, as social support may not uniformly buffer stress.</p> </section> <section> <h3> Repo
{"title":"Emotional Blackmail and Depression Among Taiwanese Nurses: A Cross-Sectional Study Using the Stress Process Model With Coping Strategies as Mediator and Social Support as Moderator","authors":"Mei-Fang Lai, Chung-Ying Lin, Mark D. Griffiths, Wen-Li Hou","doi":"10.1111/jpm.70067","DOIUrl":"10.1111/jpm.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Emotional blackmail is a persistent workplace stressor that can negatively influence nurses' psychological well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The present study examined the relationship between emotional blackmail and depression among Taiwanese nurses, incorporating the Stress Process Model (SPM) to explore the mediating role of coping strategies and the moderating effect of social support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted with 297 nurses at a regional hospital in Taiwan. Self-reported questionnaires were used to assess emotional blackmail, coping strategies, social support, and depressive symptoms. Data analyses included correlation, mediation, and moderation models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 297 nurses, negative emotional blackmail was indirectly associated with depression through negative coping (B = 0.09, 95% CI [0.03, 0.16]), while positive emotional blackmail showed a direct inverse association with depression (B = −1.11, 95% CI [−2.17, −0.45]). Social support was directly associated with lower depression (B = −0.33, 95% CI [−0.47, −0.18]) and moderated the association between positive emotional blackmail and depression (B = 0.01, 95% CI [0.002, 0.02]). However, in the negative emotional blackmail model, social support had a marginal direct association with depression (B = −0.14, 95% CI [−0.31, 0.02]) but did not moderate the association between passive emotional blackmail and depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Coping strategies and social support significantly influence how emotional blackmail affects nurses' mental health. The findings partially support the SPM, suggesting its contextual relevance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Limitations</h3>\u0000 \u0000 <p>Single-site design and self-reported data may limit generalisability and introduce bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Mental health interventions in nursing must consider contextual and interpersonal dynamics of stress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>Tailored support systems and coping-skills training are essential, as social support may not uniformly buffer stress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Repo","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 1","pages":"120-130"},"PeriodicalIF":2.9,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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