Suicide is a serious public health concern, particularly among Chinese children affected by HIV/AIDS. However, these risks are often subtle and obscured by social desirability bias and cultural stigma. This study aims to evaluate the predictive validity of the House–Tree–Person (HTP) drawing test in assessing suicide risk among children affected by HIV/AIDS.
Methods
Conducted in western China, this study included 650 children in discovery set and 243 children affected by HIV/AIDS in validation set. Participants completed demographic questionnaires, a suicide risk scale, and the HTP drawing test. Chi-square tests compared drawing characteristics between children with and without suicidal ideation, binary logistic regression identified predictive HTP features, and receiver operating characteristic (ROC) curves assessed accuracy, with the area under the curve (AUC) indicating discriminatory power.
Results
Among children affected by HIV/AIDS, suicidal ideation and behaviour prevalence was 20.3% and 8.2%, respectively. Eleven drawing characteristics significantly predicted suicidal ideation (p < 0.05), and 8 predicted suicidal behaviour (p < 0.05). In the validation set, predictive accuracy reached 88.4% for ideation and 96.0% for behaviour. ROC analysis yielded an AUC of 0.906 for ideation (p < 0.001, 95% CI [0.859, 0.953]) and 0.981 for behaviour (p < 0.001, 95% CI [0.964, 0.997]).
Conclusion
The HTP drawing test proves a valuable, nonverbal tool for early identification of suicide risk in children affected by HIV/AIDS. Its integration into routine assessments can enhance timely interventions, improving mental health outcomes in this high-risk group.
{"title":"Assessing Suicide Risk in Children Affected by HIV/AIDS With the House–Tree–Person Drawing Test","authors":"Huibing Guo, Cong Feng, Yunze Li, Xiaoyu Chen, Qiyong Gong, Taolin Chen","doi":"10.1111/jpm.70042","DOIUrl":"10.1111/jpm.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Suicide is a serious public health concern, particularly among Chinese children affected by HIV/AIDS. However, these risks are often subtle and obscured by social desirability bias and cultural stigma. This study aims to evaluate the predictive validity of the House–Tree–Person (HTP) drawing test in assessing suicide risk among children affected by HIV/AIDS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Conducted in western China, this study included 650 children in discovery set and 243 children affected by HIV/AIDS in validation set. Participants completed demographic questionnaires, a suicide risk scale, and the HTP drawing test. Chi-square tests compared drawing characteristics between children with and without suicidal ideation, binary logistic regression identified predictive HTP features, and receiver operating characteristic (ROC) curves assessed accuracy, with the area under the curve (AUC) indicating discriminatory power.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among children affected by HIV/AIDS, suicidal ideation and behaviour prevalence was 20.3% and 8.2%, respectively. Eleven drawing characteristics significantly predicted suicidal ideation (<i>p</i> < 0.05), and 8 predicted suicidal behaviour (<i>p</i> < 0.05). In the validation set, predictive accuracy reached 88.4% for ideation and 96.0% for behaviour. ROC analysis yielded an AUC of 0.906 for ideation (<i>p</i> < 0.001, 95% CI [0.859, 0.953]) and 0.981 for behaviour (<i>p</i> < 0.001, 95% CI [0.964, 0.997]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The HTP drawing test proves a valuable, nonverbal tool for early identification of suicide risk in children affected by HIV/AIDS. Its integration into routine assessments can enhance timely interventions, improving mental health outcomes in this high-risk group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 6","pages":"1445-1452"},"PeriodicalIF":2.9,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304071","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}
Mental health peer work, in which people with lived experience of mental distress use their experience as a resource to help others, has evolved from early humane practices in Revolutionary-era France to diverse contemporary models. There is evidence that peer workers enhance recovery outcomes, but challenges remain when integrating peer workers into professional mental health teams.
Argument
This debate essay argues that Philippe Pinel and Jean-Baptiste Pussin's partnership in the 1790s and early 1800s foreshadowed elements of peer work, surveys the occupation's development through the anti-psychiatry and consumer/survivor movements, and analyses how three political rationalities—neoliberalism, technocracy and democracy—frame peer work in Australia. Drawing on governmentality theory, the essay argues that under-resourcing and market-driven health policy can co-opt peer interventions unless counterbalanced by technocratic safeguards (evidence-based role delineation) and democratic commitments (person-centred, strengths-focused care).
Conclusions
To realise peer work's full potential, mental health services should formally recognise peer workers with independent reporting lines, embed rotations across multidisciplinary teams and secure sustainable funding (including Medicare reimbursement). These reforms would strengthen relational safety, reduce stigma and empower clients, ultimately fostering more humane, recovery-oriented care.
{"title":"The History and Politics of Mental Health Peer Work: From Revolutionary France to Late-Stage Neoliberalism","authors":"Nicholas Haines","doi":"10.1111/jpm.70043","DOIUrl":"10.1111/jpm.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mental health peer work, in which people with lived experience of mental distress use their experience as a resource to help others, has evolved from early humane practices in Revolutionary-era France to diverse contemporary models. There is evidence that peer workers enhance recovery outcomes, but challenges remain when integrating peer workers into professional mental health teams.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Argument</h3>\u0000 \u0000 <p>This debate essay argues that Philippe Pinel and Jean-Baptiste Pussin's partnership in the 1790s and early 1800s foreshadowed elements of peer work, surveys the occupation's development through the anti-psychiatry and consumer/survivor movements, and analyses how three political rationalities—neoliberalism, technocracy and democracy—frame peer work in Australia. Drawing on governmentality theory, the essay argues that under-resourcing and market-driven health policy can co-opt peer interventions unless counterbalanced by technocratic safeguards (evidence-based role delineation) and democratic commitments (person-centred, strengths-focused care).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>To realise peer work's full potential, mental health services should formally recognise peer workers with independent reporting lines, embed rotations across multidisciplinary teams and secure sustainable funding (including Medicare reimbursement). These reforms would strengthen relational safety, reduce stigma and empower clients, ultimately fostering more humane, recovery-oriented care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 6","pages":"1438-1444"},"PeriodicalIF":2.9,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294241","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}
Lived experience research in suicide explores how those personally affected by suicidality, suicide bereavement, or trauma offer unique insights that deepen understanding and improve research relevance, mental health care and support. Despite growing recognition, such work remains under-documented by researchers with lived experience themselves. This paper explores both the opportunities and tensions I encountered as a lived experience researcher, addressing emotional demands, dual roles, reflexivity and ethical considerations.
Methods
This paper presents a first-person critically reflexive account of conducting suicide bereavement research as someone bereaved by suicide.
Findings
I highlight some challenges of conducting suicide bereavement research, including ethical approvals, recruiting and supporting participants and prioritising self-care. I emphasise the importance of preparation, ethical sensitivity and emotional safety for all involved as key strategies for addressing these hurdles.
Conclusions
My paper highlights the emotional and physical demands of lived experience research, emphasising its value in bridging academia and real-life experiences. I advocate for greater inclusion of lived experience voices in research to strengthen ethical, inclusive and impactful research that informs effective mental health care and policies.
{"title":"The Insider's Gaze: Informing Mental Health Practice Through Lived Experience Research","authors":"Chandra Ramamurthy","doi":"10.1111/jpm.70039","DOIUrl":"10.1111/jpm.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Lived experience research in suicide explores how those personally affected by suicidality, suicide bereavement, or trauma offer unique insights that deepen understanding and improve research relevance, mental health care and support. Despite growing recognition, such work remains under-documented by researchers with lived experience themselves. This paper explores both the opportunities and tensions I encountered as a lived experience researcher, addressing emotional demands, dual roles, reflexivity and ethical considerations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This paper presents a first-person critically reflexive account of conducting suicide bereavement research as someone bereaved by suicide.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>I highlight some challenges of conducting suicide bereavement research, including ethical approvals, recruiting and supporting participants and prioritising self-care. I emphasise the importance of preparation, ethical sensitivity and emotional safety for all involved as key strategies for addressing these hurdles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>My paper highlights the emotional and physical demands of lived experience research, emphasising its value in bridging academia and real-life experiences. I advocate for greater inclusion of lived experience voices in research to strengthen ethical, inclusive and impactful research that informs effective mental health care and policies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 6","pages":"1434-1437"},"PeriodicalIF":2.9,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287575","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":"Challenging the ‘One Size Fits All’ in Global Mental Health Nursing","authors":"Jeff Clyde G. Corpuz","doi":"10.1111/jpm.70045","DOIUrl":"10.1111/jpm.70045","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 6","pages":"1432-1433"},"PeriodicalIF":2.9,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281572","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}
Suicide is an enduring, worldwide public health issue and recent evidence demonstrates a decrease in sex ratio of suicide. New evidence suggests that cultural and socioeconomic, digital and technological shifts (e.g., digital isolation, changing gender norms and urbanisation) modify suicide ideation and behaviour. Men are still less likely to seek psychiatric treatment (for reasons related to cultural stigma) in the context of rising risk; and young women, for their part, experience converging vulnerabilities that have been linked with declines in mental health and societal expectation.
Objective
This paper addresses the gender gap in suicide prevention by drawing attention to neglected areas of care and calling for age-appropriate, integrated multimodal clinical, social and cultural interventions.
Content
Based on recent studies, the paper discusses the pressing necessity to transfer suicide trends into context more than diagnostic availability. Concepts such as low psychiatric utilisation, service utilisation barriers and the need for validation of therapeutic experiences are specifically discussed. A trisectional prevention model including clinic services, peer and digital outreach programs, as well as a culturally informed psychoeducation component is offered. Mental health professionals are strategically placed as key intermediaries who can connect health with education, labour and family assistance to create an integrated continuum of care.
Implications
Our analysis highlights that a successful prevention of suicides has to be multi-faceted and consider age- and gender-specificity. Combining clinical, community-based and digital approaches offers potential to increase outreach, reduce stigma and promote engagement across communities. Enabling mental health professionals as front-line co-actors will also add the sustainability and inculturation of actions within social systems.
Conclusion
Tackling the gender gap in terms of suicide prevention requires creative, culture-sensitive and age-adjusted solutions. Integrating clinical expertise with peer networks and intersectional collaboration will make suicide prevention efforts more equitable, effective and sustainable.
{"title":"Bridging the Gender Gap in Suicide Prevention: A Call for Age-Responsive Multimodal Interventions","authors":"Dominikus David Biondi Situmorang, Shella Satiwi Guci, Murniati Agustian, Magdalena Chori Rahmawati","doi":"10.1111/jpm.70041","DOIUrl":"10.1111/jpm.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Suicide is an enduring, worldwide public health issue and recent evidence demonstrates a decrease in sex ratio of suicide. New evidence suggests that cultural and socioeconomic, digital and technological shifts (e.g., digital isolation, changing gender norms and urbanisation) modify suicide ideation and behaviour. Men are still less likely to seek psychiatric treatment (for reasons related to cultural stigma) in the context of rising risk; and young women, for their part, experience converging vulnerabilities that have been linked with declines in mental health and societal expectation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This paper addresses the gender gap in suicide prevention by drawing attention to neglected areas of care and calling for age-appropriate, integrated multimodal clinical, social and cultural interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Content</h3>\u0000 \u0000 <p>Based on recent studies, the paper discusses the pressing necessity to transfer suicide trends into context more than diagnostic availability. Concepts such as low psychiatric utilisation, service utilisation barriers and the need for validation of therapeutic experiences are specifically discussed. A trisectional prevention model including clinic services, peer and digital outreach programs, as well as a culturally informed psychoeducation component is offered. Mental health professionals are strategically placed as key intermediaries who can connect health with education, labour and family assistance to create an integrated continuum of care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Our analysis highlights that a successful prevention of suicides has to be multi-faceted and consider age- and gender-specificity. Combining clinical, community-based and digital approaches offers potential to increase outreach, reduce stigma and promote engagement across communities. Enabling mental health professionals as front-line co-actors will also add the sustainability and inculturation of actions within social systems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Tackling the gender gap in terms of suicide prevention requires creative, culture-sensitive and age-adjusted solutions. Integrating clinical expertise with peer networks and intersectional collaboration will make suicide prevention efforts more equitable, effective and sustainable.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 6","pages":"1430-1431"},"PeriodicalIF":2.9,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276397","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}
Michael Haslam, Karen Wright, Gary Lamph, Mick McKeown
<p>As the musical and film, <i>Wicked</i> (based upon the novel by Maguire <span>1995</span>), takes us firmly by the hand, and once more leads us down the yellow brick road, its cultural resonance has become irrefutable. The film in particular has drawn online vitriol from alt-right media, prompting accusations that it is ‘woke’ (Maltby <span>2024</span>) and that it promotes an ‘LGBTQ agenda’ (Williams <span>2024</span>). Undoubtedly, at the heart of the cacophony surrounding <i>Wicked</i> are the film's central themes of identity and marginalisation, particularly at those intersections of race, gender and sexual orientation; the politics of which no doubt contribute to experiences of exclusion.</p><p>Amongst the many positive film reviews, Johnson (<span>2025</span>, np) remarks upon how <i>Wicked</i> speaks ‘directly to viewers’ personal experiences of exclusion, self-affirmation, and activism’ in response to authoritarianism. Indeed, our own observations here are that the film <i>Wicked</i>, especially when juxtaposed with the <i>Wizard of Oz</i>, also offers a powerful allegory for the ‘othering’ of those experiencing mental ill-health and distress. It is impossible, for instance, to overlook the film's overt examination of belonging and the construction of difference against an oppressive backdrop of patriarchal and paternalistic power structures; themes that are also of direct relevance to contemporary mental health services and nursing care.</p><p>Our paper draws upon social constructionism and <i>Wicked</i> as an allegory to consider how diagnostic labels are less objective, pre-existing entities, as they are narratives arising from social, political and cultural processes. When considered within the context of mental ill-health and distress, we argue here that the social construction of ‘wickedness’ in <i>Wicked</i> mirrors dominant psychiatric discourse, processes of psychiatrisation and their harmful effects. Further, despite the two films' contrasting responses to systemic oppression<sup>1</sup> we suggest that when viewed together, they reinforce both the importance of <i>seeing beyond</i> damaging and pejorative diagnostic labels and the restorative role of narrative within this context.</p><p>For the sake of clarity, while our title uses the term ‘wicked’ in a direct reference to the musical and film, we also acknowledge that the intractable themes of labelling, marginalisation and othering explored in our paper are also illustrative of those ‘wicked problems’ posed by Rittel and Webber (<span>1973</span>). It is not our intention, however, to directly engage with this theoretical framework here. Instead, our paper will consider related notions of abjection, biopower and testimonial injustice in respect of narrative and damaging psychiatric discourse. Our own position here is not one of antipsychiatry, per se. Rather, it is in pulling back the curtain and explicating these crucial themes where we hope to both make sense of them a
{"title":"Wicked Labels, and the Power of Narrative in Mental Health Nursing","authors":"Michael Haslam, Karen Wright, Gary Lamph, Mick McKeown","doi":"10.1111/jpm.70040","DOIUrl":"10.1111/jpm.70040","url":null,"abstract":"<p>As the musical and film, <i>Wicked</i> (based upon the novel by Maguire <span>1995</span>), takes us firmly by the hand, and once more leads us down the yellow brick road, its cultural resonance has become irrefutable. The film in particular has drawn online vitriol from alt-right media, prompting accusations that it is ‘woke’ (Maltby <span>2024</span>) and that it promotes an ‘LGBTQ agenda’ (Williams <span>2024</span>). Undoubtedly, at the heart of the cacophony surrounding <i>Wicked</i> are the film's central themes of identity and marginalisation, particularly at those intersections of race, gender and sexual orientation; the politics of which no doubt contribute to experiences of exclusion.</p><p>Amongst the many positive film reviews, Johnson (<span>2025</span>, np) remarks upon how <i>Wicked</i> speaks ‘directly to viewers’ personal experiences of exclusion, self-affirmation, and activism’ in response to authoritarianism. Indeed, our own observations here are that the film <i>Wicked</i>, especially when juxtaposed with the <i>Wizard of Oz</i>, also offers a powerful allegory for the ‘othering’ of those experiencing mental ill-health and distress. It is impossible, for instance, to overlook the film's overt examination of belonging and the construction of difference against an oppressive backdrop of patriarchal and paternalistic power structures; themes that are also of direct relevance to contemporary mental health services and nursing care.</p><p>Our paper draws upon social constructionism and <i>Wicked</i> as an allegory to consider how diagnostic labels are less objective, pre-existing entities, as they are narratives arising from social, political and cultural processes. When considered within the context of mental ill-health and distress, we argue here that the social construction of ‘wickedness’ in <i>Wicked</i> mirrors dominant psychiatric discourse, processes of psychiatrisation and their harmful effects. Further, despite the two films' contrasting responses to systemic oppression<sup>1</sup> we suggest that when viewed together, they reinforce both the importance of <i>seeing beyond</i> damaging and pejorative diagnostic labels and the restorative role of narrative within this context.</p><p>For the sake of clarity, while our title uses the term ‘wicked’ in a direct reference to the musical and film, we also acknowledge that the intractable themes of labelling, marginalisation and othering explored in our paper are also illustrative of those ‘wicked problems’ posed by Rittel and Webber (<span>1973</span>). It is not our intention, however, to directly engage with this theoretical framework here. Instead, our paper will consider related notions of abjection, biopower and testimonial injustice in respect of narrative and damaging psychiatric discourse. Our own position here is not one of antipsychiatry, per se. Rather, it is in pulling back the curtain and explicating these crucial themes where we hope to both make sense of them a","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 6","pages":"1423-1429"},"PeriodicalIF":2.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276299","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":"Unpacking Recovery in Mental Health: Limited Understanding Among Healthcare Workers and Students in Southeast Asia","authors":"Fandro Armando Tasijawa, Ah Yusuf","doi":"10.1111/jpm.70044","DOIUrl":"10.1111/jpm.70044","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 6","pages":"1421-1422"},"PeriodicalIF":2.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276366","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}
Nicola Geffen, Idalia Rodriguez, Marianne Wyder, Manaan Kar Ray
Introduction
The overcrowded and overstimulating Emergency Department (ED) is ill-suited to the needs of people experiencing a mental health crisis and risks exacerbating distress. To reduce ED presentations and facilitate care transitions, the role of Transition Coordinator (TC) nurse was created. However, people receiving case management continued to attend ED, experiencing mental distress and needing admission.
Aim/Question
This mixed methods study explores the lead-up to these admissions to identify barriers to proactive care transitions.
Method
Retrospective review of community mental health service clinical records for the 12 months preceding all unexpected admissions via ED in 2023.
Results
Themes included difficulty engaging with services, gaps in knowledge of case managers, support workers, and systemic issues including limited hours of service and recent hospital discharge.
Discussion
The study highlights the need for integration between hospital and community mental health services, the importance of crisis management planning, and the need for services to work together to smooth care transitions.
Implications
Understanding factors associated with unexpected mental health deterioration allows care providers to modify practice and develop services that facilitate seamless care transitions and provide care matched to individual need.
Recommendations
Integrated mental health services should consider the quality of care transitions, communication between different arms of the service, early identification of people at risk of mental health crisis, and access to services outside business hours.
{"title":"Identifying Barriers to Seamless Mental Health Care Transitions: A Mixed Methods Study Exploring the Lead-Up to Unplanned Psychiatric Admissions","authors":"Nicola Geffen, Idalia Rodriguez, Marianne Wyder, Manaan Kar Ray","doi":"10.1111/jpm.70036","DOIUrl":"10.1111/jpm.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The overcrowded and overstimulating Emergency Department (ED) is ill-suited to the needs of people experiencing a mental health crisis and risks exacerbating distress. To reduce ED presentations and facilitate care transitions, the role of Transition Coordinator (TC) nurse was created. However, people receiving case management continued to attend ED, experiencing mental distress and needing admission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim/Question</h3>\u0000 \u0000 <p>This mixed methods study explores the lead-up to these admissions to identify barriers to proactive care transitions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Retrospective review of community mental health service clinical records for the 12 months preceding all unexpected admissions via ED in 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Themes included difficulty engaging with services, gaps in knowledge of case managers, support workers, and systemic issues including limited hours of service and recent hospital discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The study highlights the need for integration between hospital and community mental health services, the importance of crisis management planning, and the need for services to work together to smooth care transitions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Understanding factors associated with unexpected mental health deterioration allows care providers to modify practice and develop services that facilitate seamless care transitions and provide care matched to individual need.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>Integrated mental health services should consider the quality of care transitions, communication between different arms of the service, early identification of people at risk of mental health crisis, and access to services outside business hours.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 6","pages":"1412-1420"},"PeriodicalIF":2.9,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240161","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}
Mental health nursing faces transformation through big data and metadata integration. These technologies create new opportunities but introduce ethical and practical complexities. Digital adoption accelerated during COVID-19, making it essential to understand implications for nursing practice.
Aim
This perspective paper aims to critically examine the transformative potential and ethical dilemmas of leveraging big data in mental health nursing, guided by systems biology and P4 (Predictive, Preventive, Personalised, and Participatory) medicine principles. It seeks to define the evolving roles of mental health nurses in this new digital landscape.
Method
This perspective essay utilises a focused literature review of key studies in nursing, psychiatry, informatics, and ethics, alongside theoretical approaches including systems biology, P4 medicine, and a personalist ethical framework. The analysis explores the integration of big data, focusing on potential benefits, risks, and ethical considerations.
Results
Big data contributes meaningfully to early diagnosis, personalised treatments, and prevention strategies. However, these contributions must supplement, not substitute, traditional nursing approaches. AI diagnostic tools and digital phenotyping for relapse prediction demonstrate practical applications. Excessive algorithmic dependence risks damaging patient–nurse relationships. Data privacy, algorithmic bias, and access inequities present significant ethical challenges requiring careful attention.
Conclusion
Big data implementation should enhance, not replace, human interaction in mental health nursing. A new synthesis is proposed where data-driven insights support efficiency, allowing nurses more time for complex emotional needs. Key recommendations include strengthening data literacy in nursing education, developing robust data governance policies, and establishing comprehensive ethical principles to preserve the essential human dimension of care and ensure equitable access.
{"title":"Ethical Big Data for Personalised Mental Health Nursing: A P4 and Systems View","authors":"Erman Yıldız","doi":"10.1111/jpm.70038","DOIUrl":"10.1111/jpm.70038","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mental health nursing faces transformation through big data and metadata integration. These technologies create new opportunities but introduce ethical and practical complexities. Digital adoption accelerated during COVID-19, making it essential to understand implications for nursing practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This perspective paper aims to critically examine the transformative potential and ethical dilemmas of leveraging big data in mental health nursing, guided by systems biology and P4 (Predictive, Preventive, Personalised, and Participatory) medicine principles. It seeks to define the evolving roles of mental health nurses in this new digital landscape.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This perspective essay utilises a focused literature review of key studies in nursing, psychiatry, informatics, and ethics, alongside theoretical approaches including systems biology, P4 medicine, and a personalist ethical framework. The analysis explores the integration of big data, focusing on potential benefits, risks, and ethical considerations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Big data contributes meaningfully to early diagnosis, personalised treatments, and prevention strategies. However, these contributions must supplement, not substitute, traditional nursing approaches. AI diagnostic tools and digital phenotyping for relapse prediction demonstrate practical applications. Excessive algorithmic dependence risks damaging patient–nurse relationships. Data privacy, algorithmic bias, and access inequities present significant ethical challenges requiring careful attention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Big data implementation should enhance, not replace, human interaction in mental health nursing. A new synthesis is proposed where data-driven insights support efficiency, allowing nurses more time for complex emotional needs. Key recommendations include strengthening data literacy in nursing education, developing robust data governance policies, and establishing comprehensive ethical principles to preserve the essential human dimension of care and ensure equitable access.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 6","pages":"1404-1411"},"PeriodicalIF":2.9,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226332","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}
Chantille Isler, Joy Maddigan, Donna Moralejo, Alice Gaudine, Robin Burry, Ahmad Deep, Hensley Mariathas
Introduction
Person-centred care can result in improved patient satisfaction and health outcomes; however, operationalisation has been challenging in mental health settings.
Aim
To describe person-centred mental health nursing practices and associated factors.
Methods
The study was underpinned by The Person-Centred Practice Framework. All mental health and addictions registered nurses in one Canadian province were invited to complete the Person-centred Practice Inventory-Staff (PCPI-S) and a short demographic questionnaire. EQUATOR network recommendations for quantitative (STROBE) data were followed.
Results
Nurses scored all three domains of the PCPI-S favourably, indicating strong evidence for person-centred practices; the practice environment domain was rated the lowest. There was a moderate, positive, statistically significant (rs = 0.451, p < 0.001) association between the practice environment domain score and the person-centred process domain score, which was the measure of delivery of person-centred care. A regression model explained 76.1% of the variance in delivery of person-centred care. Significant predictors were: (1) the prerequisites domain score of the PCPI-S, (2) the environment domain score of the PCPI-S and (3) nurses' relationship with their manager.
Discussion
Findings from our study provide strong support for the use of the Person-centred Practice Framework in mental health nursing, particularly in the context of Canadian mental health and addictions services. Study results align with existing evidence that also reported generally favourable PCPI-S scores with comparatively lower scores in the practice environment domain.
Recommendations
To address practice environment concerns, future research should focus on the context within which care takes place and its impact on the delivery of person-centred care.
{"title":"The Person-Centred Care Practices of Mental Health Nurses: A Cross-Sectional Study","authors":"Chantille Isler, Joy Maddigan, Donna Moralejo, Alice Gaudine, Robin Burry, Ahmad Deep, Hensley Mariathas","doi":"10.1111/jpm.70033","DOIUrl":"10.1111/jpm.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Person-centred care can result in improved patient satisfaction and health outcomes; however, operationalisation has been challenging in mental health settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To describe person-centred mental health nursing practices and associated factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was underpinned by <i>The Person-Centred Practice Framework</i>. All mental health and addictions registered nurses in one Canadian province were invited to complete the <i>Person-centred Practice Inventory-Staff</i> (PCPI-S) and a short demographic questionnaire. EQUATOR network recommendations for quantitative (STROBE) data were followed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nurses scored all three domains of the PCPI-S favourably, indicating strong evidence for person-centred practices; the practice environment domain was rated the lowest. There was a moderate, positive, statistically significant (<i>r</i><sub>s</sub> = 0.451, <i>p</i> < 0.001) association between the practice environment domain score and the person-centred process domain score, which was the measure of delivery of person-centred care. A regression model explained 76.1% of the variance in delivery of person-centred care. Significant predictors were: (1) the prerequisites domain score of the PCPI-S, (2) the environment domain score of the PCPI-S and (3) nurses' relationship with their manager.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings from our study provide strong support for the use of the Person-centred Practice Framework in mental health nursing, particularly in the context of Canadian mental health and addictions services. Study results align with existing evidence that also reported generally favourable PCPI-S scores with comparatively lower scores in the practice environment domain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>To address practice environment concerns, future research should focus on the context within which care takes place and its impact on the delivery of person-centred care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 6","pages":"1392-1403"},"PeriodicalIF":2.9,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092720","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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