Mental Health and Prevention最新文献_第10页

Factors associated with psychological distress among sexuality and/or gender diverse students at an Australian university: A cross-sectional study 澳大利亚一所大学的性取向和/或性别不同的学生中心理困扰的相关因素：一项横断面研究

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-03-01 Epub Date: 2024-12-05 DOI: 10.1016/j.mhp.2024.200386

Xuan Luu , Max R. Tran , Natalie A. Johnson , Melinda J. Hutchesson

Objectives

While mental ill-health — such as psychological distress — is prevalent among university students, less is known about sexuality and/or gender diverse university students’ mental health. This study aimed to determine whether sociodemographic factors, basic needs security, resilience, and health-related behaviours were associated with psychological distress among a sample of sexuality and/or gender diverse students at an Australian university.

Methods

This study involved a quantitative cross-sectional subgroup analysis of eligible student responses to a larger institutional survey at an Australian university. A multiple linear regression analysis assessed sociodemographic factors (age and gender identity), basic needs security (financial stress, food security, and experience of sexual assault and/or sexual harassment during time at university), resilience (specifically ‘bounce back’ resilience), and health-related behaviours (alcohol use, other drugs use, physical activity, and sleep duration), with psychological distress as the outcome of interest.

Results

Analysis of 411 sexuality and/or gender diverse students’ responses yielded significant results (F [6,387] = 50.493, p < .001) explaining over 40% of the variance in psychological distress (adj. R² = .430). Identifying as a woman and experiencing food insecurity were associated with higher psychological distress. Younger age, greater ‘bounce back’ resilience, and longer sleep duration were associated with lower psychological distress.

Conclusion

Further research should investigate how these associations may change among sexuality and/or gender diverse university students in Australia — across different institutions, over time, and amid broader social and structural factors. Implications for future practice — particularly institutional interventions and data-gathering — are also discussed.

虽然心理疾病——如心理困扰——在大学生中很普遍，但人们对性取向和/或性别多元化大学生的心理健康知之甚少。本研究旨在确定社会人口因素、基本需求安全、适应力和健康相关行为是否与澳大利亚一所大学的性取向和/或性别不同的学生的心理困扰有关。方法：本研究采用定量横断面亚组分析，对澳大利亚一所大学进行的大型机构调查中符合条件的学生的反应进行分析。多元线性回归分析评估了社会人口因素（年龄和性别认同）、基本需求安全（经济压力、食品安全以及在大学期间遭受性侵犯和/或性骚扰的经历）、复原力（特别是“反弹”复原力）和与健康相关的行为（饮酒、使用其他药物、体育活动和睡眠时间），并将心理困扰作为研究结果。结果对411名性向和/或性别差异学生的回答进行分析，得出了显著的结果(F [6,387] = 50.493, p <；.001)解释了超过40%的心理困扰差异（相对值R2 = .430）。认为自己是女性和经历粮食不安全与更高的心理困扰有关。更年轻、更强的“反弹”能力和更长的睡眠时间与更低的心理困扰有关。进一步的研究应该调查这些关联如何在澳大利亚的性取向和/或性别多样化的大学生中发生变化——在不同的机构中，随着时间的推移，在更广泛的社会和结构因素中。还讨论了对未来实践的影响，特别是机构干预和数据收集。

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引用次数: 0

Understanding and tackling academic stress and school attendance problems within the school system; a co-creation approach 了解和解决学校系统内的学习压力和出勤问题；共同创造的方法

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-03-01 Epub Date: 2024-12-16 DOI: 10.1016/j.mhp.2024.200388

Margot Peeters , Ellen Braakhekke , Marije Kesselring , Saskia Wijsbroek , Ilse Schramel , Iris Putter , Erik Klaassen , Juliette Groenendijk , Nely Sieffers , Sharon de Wildt , Marloes Kleinjan

Introduction

Academic stress and school-attendance problems are a rising problem among youth. Preventive efforts at schools are crucial to reduce this increase though knowledge is lacking on how schools can address this complex problem. Building on the Multi-Tiered System of support, the purpose of this study was to identify leverage points for prevention at multiple levels of support (universal, selective, intensive).

Method

19 professionals (18 women, 2 men), 8 adolescents between 12 and 25 years (7 girls, 1 boy) and 5 parents (4 women, 1 men) participated in four different focus groups. The focus groups were set-up and guided using a co-creation method.

Results and discussion

Thematic analyses of the recordings and written content identified three themes; (1) adolescents and learning; (2) the school context; (3) parental involvement. For each theme leverage point for prevention of academic stress and school attendance problems were identified, taking into account the multiple levels of support. This research highlights that addressing academic stress and attendance problems requires a broader focus beyond individual factors, emphasizing the importance of the learning context and school level influences. Effective prevention strategies should be tailored to specific school characteristics, incorporating both individual support and school-wide approaches to reduce academic stress and enhance school attendance of adolescents.

学习压力和出勤率问题在青少年中是一个日益严重的问题。学校的预防工作对于减少这种增长至关重要，尽管缺乏关于学校如何解决这一复杂问题的知识。在多层支持系统的基础上，本研究的目的是确定多层次支持（普遍的、选择性的、密集的）预防的杠杆点。方法19名专业人员（女18人，男2人）、8名12 ~ 25岁青少年（女7人，男1人）和5名家长（女1人，男1人）参加4个不同的焦点小组。焦点小组是用共同创造的方法建立和指导的。结果和讨论对录音和书面内容的专题分析确定了三个主题；(1)青少年与学习；(2)学校背景；(3)父母参与。为每个主题确定了预防学业压力和上学问题的杠杆点，同时考虑到多层次的支持。本研究强调，解决学业压力和出勤问题需要更广泛的关注，而不是个人因素，强调学习环境和学校水平影响的重要性。有效的预防战略应针对具体的学校特点，结合个人支助和全校办法，以减轻学业压力和提高青少年的出勤率。

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引用次数: 0

Protocol for Fit4Study: A non-randomised controlled trial of a physical activity intervention for university students’ mental health and wellbeing fit4研究方案：一项针对大学生心理健康和幸福的体育活动干预的非随机对照试验

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-03-01 Epub Date: 2024-12-17 DOI: 10.1016/j.mhp.2024.200390

Kevin Huang , Emma M. Beckman , Norman Ng , Genevieve A. Dingle , Sjaan R. Gomersall

Purpose of Research

University students experience higher rates of mental ill health compared to other age groups, with physical activity emerging as a potential preventative strategy. However, few physical activity interventions for university students are designed using behaviour change theories, limiting their potential effectiveness. The purpose of this paper is to outline the protocol for a non-randomised controlled trial evaluating Fit4Study, a physical activity intervention aimed at improving mental health outcomes in undergraduate students, informed by the Capability, Opportunity and Motivation model of behaviour change (COM-B).

Procedure

A 2 × 2 (condition: Fit4Study, Control Group; time: pre, post) repeated measures ANOVA will be used to analyse the effectiveness of Fit4Study in improving mental health outcomes compared to a no-intervention control group across two time points. Primary outcomes include symptoms of anxiety and depression, psychological wellbeing, loneliness, and use and knowledge of physical activity to support mental health and wellbeing. Secondary outcomes include physical activity and sedentary behaviour. Feasibility will be assessed quantitatively via reach and retention and qualitative data will be collected to analyse participants’ acceptability of the content and delivery of Fit4Study.

Main Results

No main results are reported as it is a protocol paper.

New Findings

If the results are significant, Fit4Study has the potential to serve as an easily replicable physical activity intervention aimed at improving university students’ mental health and wellbeing. It will also be among the first mental health-focused physical activity interventions to incorporate behaviour change theories in the design and implementation phases.

研究目的与其他年龄组相比，大学生的心理健康状况不佳的比例更高，而体育活动正成为一种潜在的预防策略。然而，很少有针对大学生的体育活动干预是根据行为改变理论设计的，这限制了它们的潜在有效性。本文的目的是概述一项评估Fit4Study的非随机对照试验的方案，Fit4Study是一项旨在改善大学生心理健康结果的体育活动干预，由行为改变的能力、机会和动机模型（COM-B）提供信息。2 × 2（条件：fit4）研究，对照组；时间：前后)重复测量方差分析将用于分析Fit4Study在两个时间点上与无干预对照组相比在改善心理健康结果方面的有效性。主要结局包括焦虑和抑郁症状、心理健康、孤独感，以及利用和了解身体活动来支持心理健康和福祉。次要结果包括身体活动和久坐行为。可行性将通过覆盖面和保留率进行定量评估，并收集定性数据，以分析参与者对Fit4Study内容和交付的接受程度。主要结果由于这是一篇协议论文，因此没有报告主要结果。如果结果是显著的，Fit4Study有潜力作为一种易于复制的体育活动干预，旨在改善大学生的心理健康和福祉。它还将是首批将行为改变理论纳入设计和实施阶段的以精神健康为重点的身体活动干预措施之一。

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引用次数: 0

Vaccination and mental health: Evidence from ASEAN countries 疫苗接种和心理健康：来自东盟国家的证据

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-03-01 Epub Date: 2025-02-11 DOI: 10.1016/j.mhp.2025.200407

Duc Hong Vo, Ngoc Duc Lang

Objectives

This study examines whether vaccination is associated with improved mental health during the COVID-19 pandemic in the Association of Southeast Asian Nations (ASEAN), addressing a critical gap in the literature.

Methods

This study utilizes data from the 2021 Gallup World Poll (GWP), including approximately 8,000 individuals across eight ASEAN countries, including Cambodia, Indonesia, Laos, Malaysia, Philippines, Singapore, Thailand, Vietnam. Mental health was assessed using the Negative Experience Index, which captures stress, anger, sadness, anxiety, and pain.

Results

We find that vaccination is significantly associated with improved mental health for the entire ASEAN region (β = -3.828, 95 % CI: [-6.085, -1.572]). After taking endogeneity into account, this association remains significant. We find that increased opportunities to make friends in the living area is a pathway through which vaccination can improve mental health. Notably, the association between vaccination and mental health is significant among both urban (β = -3.583, 95 % CI: [-5.674, -1.492]) and rural (β = -3.275, 95 % CI: [-6.142, -0.409]) populations, as well as among females (β = -5.918, 95 % CI: [-7.380, -4.457]), but it is not significant among males (β = -1.242, 95 % CI: [-4.107, 1.624]). Furthermore, at the country's level, the association between vaccination and mental health is significant in Cambodia, Laos, the Philippines, Singapore, and Thailand but not significant in Malaysia, Indonesia. and Vietnam. These findings are robust across various robustness checks.

Conclusion

These findings underscore the role of vaccination in improving mental health amidst health crises such as the COVID-19 pandemic in the ASEAN region. Implications for policymakers derived from our findings are discussed.

本研究探讨了疫苗接种是否与东南亚国家联盟（ASEAN） COVID-19大流行期间心理健康状况的改善有关，解决了文献中的一个关键空白。本研究利用了2021年盖洛普世界民意调查（GWP）的数据，调查对象包括柬埔寨、印度尼西亚、老挝、马来西亚、菲律宾、新加坡、泰国和越南等八个东盟国家的约8000人。心理健康是用负面体验指数来评估的，该指数包括压力、愤怒、悲伤、焦虑和痛苦。结果我们发现，在整个东盟地区，接种疫苗与改善心理健康显著相关（β = -3.828, 95% CI:[-6.085, -1.572]）。考虑到内生性后，这种关联仍然很重要。我们发现，在生活区结交朋友的机会增加，是接种疫苗改善心理健康的途径。值得注意的是，在城市人群（β = -3.583, 95% CI:[-5.674, -1.492]）和农村人群（β = -3.275, 95% CI:[-6.142, -0.409]）以及女性人群（β = -5.918, 95% CI:[-7.380, -4.457]）中，接种疫苗与心理健康之间的关联是显著的，但在男性人群中不显著（β = -1.242, 95% CI:[-4.107, 1.624]）。此外，在国家层面，疫苗接种与精神健康之间的关联在柬埔寨、老挝、菲律宾、新加坡和泰国显著，但在马来西亚和印度尼西亚不显著。和越南。这些发现在各种稳健性检查中是稳健性的。这些发现强调了疫苗接种在改善东盟地区COVID-19大流行等卫生危机中心理健康方面的作用。讨论了我们的研究结果对政策制定者的影响。

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引用次数: 0

Systematic review of outcome measures used in evaluation of school-based mental health interventions 对校本心理健康干预措施评价结果指标的系统评价

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-03-01 Epub Date: 2025-01-21 DOI: 10.1016/j.mhp.2025.200401

Jemimah Ride , Oskar Weimar , Magdolna Kovacs , Harriet Hiscock , Jon Quach

Aims

The past decade has seen an increase in policy initiatives and school-based interventions aimed at improving children's mental health. However, to know if an intervention or policy is making an impact, to support data comparisons across interventions, and to enable schools to track student mental health, we need to identify instrument(s) that can detect change. This study seeks to identify instruments that have been shown to detect change in child mental health when implemented universally in schools.

Methods

We conducted a systematic review of instruments measuring mental health symptoms or skills in randomised controlled trials of schools-based universal mental health interventions in primary (elementary) schools published between 2012 and 2023 in English. The aim was to synthesise evidence on instruments’ ability to detect change. Risk of bias assessment was conducted using the RoB-2 tool.

Results

Forty-two instruments were identified across the 39 included studies and captured a range of dimensions of mental health. Only one study was found to be at low risk of bias, 27 studies were at some risk of bias, and 11 studies were at high risk of bias. Nine instruments were used in more than one study. The teacher-reported Strengths and Difficulties Questionnaire (SDQ) was the most commonly used instrument and showed statistical evidence of its ability to detect change arising from interventions addressing children's mental health.

Conclusions

The teacher-reported SDQ shows promise as an instrument that could be used universally in primary schools to evaluate interventions and monitor changes in child mental health.

在过去十年中，旨在改善儿童心理健康的政策举措和以学校为基础的干预措施有所增加。然而，要了解干预措施或政策是否产生影响，支持跨干预措施的数据比较，并使学校能够跟踪学生的心理健康，我们需要确定能够检测变化的工具。本研究旨在确定在学校普遍实施时已被证明可以检测儿童心理健康变化的工具。方法：我们对2012年至2023年间发表的以学校为基础的小学普遍心理健康干预措施的随机对照试验中测量心理健康症状或技能的工具进行了系统回顾。其目的是综合有关仪器探测变化能力的证据。使用rob2工具进行偏倚风险评估。结果在39项纳入的研究中确定了42种工具，并捕获了心理健康的一系列维度。只有1项研究存在低偏倚风险，27项研究存在一定偏倚风险，11项研究存在高偏倚风险。在不止一项研究中使用了九种仪器。教师报告的优势和困难问卷（SDQ）是最常用的工具，并有统计证据表明，它能够发现针对儿童心理健康的干预措施所产生的变化。结论教师报告的SDQ是一种可以在小学普遍使用的评估干预措施和监测儿童心理健康变化的工具。

{"title":"Systematic review of outcome measures used in evaluation of school-based mental health interventions","authors":"Jemimah Ride , Oskar Weimar , Magdolna Kovacs , Harriet Hiscock , Jon Quach","doi":"10.1016/j.mhp.2025.200401","DOIUrl":"10.1016/j.mhp.2025.200401","url":null,"abstract":"<div><h3>Aims</h3><div>The past decade has seen an increase in policy initiatives and school-based interventions aimed at improving children's mental health. However, to know if an intervention or policy is making an impact, to support data comparisons across interventions, and to enable schools to track student mental health, we need to identify instrument(s) that can detect change. This study seeks to identify instruments that have been shown to detect change in child mental health when implemented universally in schools.</div></div><div><h3>Methods</h3><div>We conducted a systematic review of instruments measuring mental health symptoms or skills in randomised controlled trials of schools-based universal mental health interventions in primary (elementary) schools published between 2012 and 2023 in English. The aim was to synthesise evidence on instruments’ ability to detect change. Risk of bias assessment was conducted using the RoB-2 tool.</div></div><div><h3>Results</h3><div>Forty-two instruments were identified across the 39 included studies and captured a range of dimensions of mental health. Only one study was found to be at low risk of bias, 27 studies were at some risk of bias, and 11 studies were at high risk of bias. Nine instruments were used in more than one study. The teacher-reported Strengths and Difficulties Questionnaire (SDQ) was the most commonly used instrument and showed statistical evidence of its ability to detect change arising from interventions addressing children's mental health.</div></div><div><h3>Conclusions</h3><div>The teacher-reported SDQ shows promise as an instrument that could be used universally in primary schools to evaluate interventions and monitor changes in child mental health.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200401"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parental self-efficacy for reducing the risk of adolescent depression and anxiety during a pandemic: Scale development and validation. 父母自我效能在大流行期间降低青少年抑郁和焦虑风险的作用：规模发展和验证。

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI: 10.1016/j.mhp.2025.200394

Brydie M R Garner , Mairead C Cardamone-Breen , Anthony F Jorm , Marie B H Yap

Background

The COVID-19 pandemic has negatively impacted adolescent mental health. Parents can play an important role in preventing adolescent mental health problems like depression and anxiety disorders. Pandemic situations present new challenges that are likely to impact parents’ confidence in their parenting. Given the possibility of future pandemics, parents need self-efficacy for taking action to protect the mental health of their adolescents. Improving parental self-efficacy requires suitable outcome measures. However, there is no validated measure to assess parental self-efficacy in relation to parenting behaviours implicated in the prevention of adolescent depression and anxiety disorders within a pandemic context.

Method

This study aimed to develop and validate the Parental Self-Efficacy Scale for Pandemic situations (PSES-Pandemic) using a sample of 587 Australian parents of adolescents aged 12 to 17 participating in a preventive parenting intervention trial.

Results

The PSES-Pandemic demonstrated good internal consistency and confirmatory factor analysis supported a single factor. Convergent validity was supported by moderate to large correlations with validated measures of both parental self-efficacy and parenting behaviours. Smaller, significant correlations with measures of parent distress and adolescent depressive and anxiety symptoms supported divergent validity.

Conclusions

These findings provide preliminary support for the reliability and validity of the PSES-Pandemic, which could help inform and facilitate the evaluation of preventive parenting interventions for adolescent mental health in a pandemic context, and could be adapted for future large-scale disasters (e.g., future pandemics, natural disasters).

2019冠状病毒病大流行对青少年心理健康产生了负面影响。父母可以在预防青少年心理健康问题，如抑郁症和焦虑症方面发挥重要作用。大流行病带来了新的挑战，可能会影响父母对其养育子女的信心。考虑到未来流行病的可能性，父母需要自我效能感来采取行动保护青少年的心理健康。提高父母自我效能感需要适当的结果测量。然而，在大流行背景下，没有有效的措施来评估父母自我效能感与预防青少年抑郁和焦虑症的父母行为之间的关系。方法采用587名参加预防性父母干预试验的12 - 17岁青少年父母为样本，编制并验证大流行情境下父母自我效能感量表（PSES-Pandemic）。结果PSES-Pandemic具有良好的内部一致性，验证性因子分析支持单因素。收敛效度与父母自我效能感和父母行为的验证测量有中等到较大的相关性。父母痛苦与青少年抑郁和焦虑症状之间较小的显著相关性支持发散效度。结论本研究结果为PSES-Pandemic的可靠性和有效性提供了初步支持，可为大流行背景下青少年心理健康的预防性父母干预措施提供信息和促进评估，并可适用于未来的大规模灾害（如未来的大流行、自然灾害）。

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引用次数: 0

Peer teaching in Psychological First Aid Training to promote students’ self-efficacy: A pilot randomised control trial 同伴教学在心理急救训练中提高学生自我效能感：一项先导随机对照试验

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-03-01 Epub Date: 2025-01-14 DOI: 10.1016/j.mhp.2025.200396

Ayu Cyntia Tanto , Conrad L.H. Folamauk , R.Pasifikus C. Wijaya , Nicholas E. Handoyo

Introduction

Students’ mental health disorders are increasing. However, there is a lack of studies on using the peer teaching method, where students teach other students to address the problem and improve students’ general self-efficacy.

Aim

To measure the feasibility of the peer teaching method in PFA training to promote self-efficacy.

Materials and Methods

This feasibility pilot study has a randomised controlled design. Data were collected pre- and post-intervention using the online general self-efficacy scale and reflection sheet. The number of enrolled participants, the proportion of enrolled participants who attended at least one session, the retention rate, and program acceptability were analysed.

Results

A total of 85 out of 208 students (40,9 %) who enrolled and randomised joined the study. Twenty-eight out of 104 participants (26,9 %) in the intervention group attended their training, much lower than that of the control group (74 out of 104 participants completed post-tests). However, only 25 out of 28 participants (89,3 %) completed their training. Results indicated positive responses from the participants, who felt the training was enjoyable and increased their knowledge of basic PFA.

Conclusion

The study found that the peer teaching method in a simplified PFA training session, without supervision, was feasible as a mental health intervention in a low-resource setting and acceptable for students to gain skills and knowledge about basic PFA. However, to increase students' participation, approaches need to be modified to increase program flexibility tailored to their time.

学生的心理健康问题越来越多。然而，缺乏使用同伴教学方法的研究，即学生教其他学生解决问题，提高学生的总体自我效能感。目的探讨同伴教学法在PFA培训中提高自我效能感的可行性。材料与方法本可行性初步研究采用随机对照设计。使用在线一般自我效能量表和反思表收集干预前后的数据。分析了参与人数、至少参加一次课程的参与者比例、保留率和课程可接受性。结果208名学生中有85名（40.9%）被随机纳入研究。干预组104名参与者中有28人（26.9%）参加了培训，远低于对照组（104名参与者中有74人完成了后测试）。然而，28名参与者中只有25人（89.3%）完成了他们的培训。结果显示，参与者反应积极，他们觉得培训是愉快的，并增加了他们的基本PFA知识。结论在低资源环境下，同伴教学法在无监督的简易PFA培训中是一种可行的心理健康干预方法，可使学生获得基本的PFA技能和知识。然而，为了提高学生的参与度，需要修改方法，增加项目的灵活性，以适应他们的时间。

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引用次数: 0

Maximising the management of self-harm in schools: A collaborative, implementation science approach by secondary schools and child and adolescent mental health services 最大限度地管理学校的自我伤害：由中学和儿童和青少年心理健康服务机构合作实施的科学方法

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI: 10.1016/j.mhp.2025.200391

L. Bowden , S.E. Hetrick , T. Cargo , M. Woodfield , I. Meinhardt , T.C. Clark , S. Fortune

Background

Self-harm among young people is a complex global problem. Schools could facilitate young people who self-harm to access multilevel interventions. However, schools require support and collaboration from support services such as specialist mental health to implement evidence-based best practices for self-harm. Objectives: This study in Aotearoa New Zealand sought to identify the barriers and solutions to responding to youth self-harm in schools. Methods: We utilised a co-design methodology, with schools and child and youth mental health services and examined barriers and solutions within the Consolidated Framework for Implementation Research (CFIR).

Results

Key stakeholders identified multiple systemic barriers including lack of guidelines and mental health service criterion, lack of trust between schools and mental health services and poor previous experiences. Within the CFIR framework, systemic failure rather than individual people and/or individual attributes were identified driving these barriers.

Conclusion

The need for standardised best practice guidelines that are implemented consistently in schools, reassurance, strong community networks and communication to deliver localised, culturally safe responses to self-harm is urgently required. Cross-government leadership and nationally mandated roles and responsibilities are needed to help schools implement best practices for youth who self-harm in schools. The innovative combination of co-design and implementation science could advance solutions for the prevention of self-harm.

青少年自残是一个复杂的全球性问题。学校可以帮助自残的年轻人获得多层次的干预。然而，学校需要专业心理健康等支持服务的支持和合作，以实施以证据为基础的自我伤害最佳做法。目的：这项在新西兰奥特罗阿进行的研究旨在确定学校中应对青少年自残的障碍和解决方案。方法：我们采用联合设计方法，与学校和儿童和青少年心理健康服务机构合作，并在实施研究的综合框架（CFIR）内检查障碍和解决方案。结果主要利益相关者发现了多个系统性障碍，包括缺乏指导方针和心理卫生服务标准，学校与心理卫生服务机构之间缺乏信任以及以往经验不足。在CFIR框架内，系统失败而不是个人和/或个人属性被确定为驱动这些障碍的因素。迫切需要制定标准化的最佳实践指南，在学校中持续实施，保证，强大的社区网络和沟通，以提供本地化的，文化上安全的自残反应。需要跨政府领导和国家规定的角色和责任，以帮助学校实施针对在校自残青年的最佳做法。共同设计和实施科学的创新结合可以推进预防自残的解决方案。

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引用次数: 0

Implementation of the Zero Suicide framework with suicide prevention and intimate partner violence at outpatient clinics: Implementation & clinical impact 在门诊诊所实施预防自杀和亲密伴侣暴力的零自杀框架：实施和临床影响

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-03-01 Epub Date: 2024-12-18 DOI: 10.1016/j.mhp.2024.200389

Tong Han Chung , Kathleen R. Hanley , Yunbo Xie , Ingrid M Castillo , Sascha E Johnston , Jennifer Noblet , Rhonda Conyers , Bobby Nix , Sudhakar Selvaraj , Yen-Chi L Le

Objective

As the COVID-19 pandemic persisted for an extended time, rates of depression, anxiety, alcohol consumption, intimate partner violence (IPV), and suicidal ideation surged in the United States during 2020–2022. The aim is to describe the process and relevant outcomes of implementing the Zero Suicide framework with IPV intervention.

Methods

We evaluated depression and suicide screening and treatment outcomes among patients, ages 25 years and older, and IPV screening and follow-up outcomes for female adult patients who were seen at UT Physicians ambulatory primary care clinics from November 2020 to November 2021.

Results

68 % of patients (N = 13,957) were screened for depressive symptoms and suicidality using the Patient Health Questionnaire (PHQ-9). Among patients (N = 633) identified as at risk of suicide using the PHQ-9, 299 patients were further assessed using the Columbia Suicide Severity Rating Scale (C-SSRS) and/or referred to the Crisis Care Transition team for immediate follow-up. Among patients identified at risk for suicide, 92 % of patients received a safety plan. Among patients with suicidal ideation with any methods, 88 % of patients received counseling on access to lethal means to reduce the risk of suicide. 30 % of female patients (N = 4,008) were screened for IPV using the HARK (Humiliation, Afraid, Rape, Kick) assessment. All female patients (N = 82) who reported IPV were connected to services, including therapy and access to a safe place.

Conclusions

The Zero Suicide framework with IPV intervention had a positive impact on screening and treatment outcomes among our patients, indicating the feasibility in implementation and program adoption.

随着COVID-19大流行持续时间的延长，2020-2022年美国抑郁、焦虑、饮酒、亲密伴侣暴力（IPV）和自杀意念的比例激增。目的是描述在IPV干预下实施零自杀框架的过程和相关结果。方法：我们评估了年龄在25岁及以上的患者的抑郁和自杀筛查和治疗结果，以及2020年11月至2021年11月在UT内科门诊初级保健诊所就诊的女性成年患者的IPV筛查和随访结果。结果68% （N = 13,957）的患者使用患者健康问卷（PHQ-9）筛查抑郁症状和自杀倾向。在使用PHQ-9确定有自杀风险的患者（N = 633）中，299名患者使用哥伦比亚自杀严重程度评定量表（C-SSRS）进一步评估和/或转到危机护理过渡小组进行立即随访。在确定有自杀风险的患者中，92%的患者接受了安全计划。在有任何自杀意念的患者中，88%的患者接受了关于获得致命手段以降低自杀风险的咨询。30%的女性患者（N = 4008）使用HARK（羞辱，害怕，强奸，踢）评估进行IPV筛查。所有报告IPV的女性患者（N = 82）均与服务相关，包括治疗和安全场所。结论零自杀框架结合IPV干预对患者的筛查和治疗结果有积极影响，表明该框架在实施和采用上是可行的。

{"title":"Implementation of the Zero Suicide framework with suicide prevention and intimate partner violence at outpatient clinics: Implementation & clinical impact","authors":"Tong Han Chung , Kathleen R. Hanley , Yunbo Xie , Ingrid M Castillo , Sascha E Johnston , Jennifer Noblet , Rhonda Conyers , Bobby Nix , Sudhakar Selvaraj , Yen-Chi L Le","doi":"10.1016/j.mhp.2024.200389","DOIUrl":"10.1016/j.mhp.2024.200389","url":null,"abstract":"<div><h3>Objective</h3><div>As the COVID-19 pandemic persisted for an extended time, rates of depression, anxiety, alcohol consumption, intimate partner violence (IPV), and suicidal ideation surged in the United States during 2020–2022. The aim is to describe the process and relevant outcomes of implementing the Zero Suicide framework with IPV intervention.</div></div><div><h3>Methods</h3><div>We evaluated depression and suicide screening and treatment outcomes among patients, ages 25 years and older, and IPV screening and follow-up outcomes for female adult patients who were seen at UT Physicians ambulatory primary care clinics from November 2020 to November 2021.</div></div><div><h3>Results</h3><div>68 % of patients (<em>N</em> = 13,957) were screened for depressive symptoms and suicidality using the Patient Health Questionnaire (PHQ-9). Among patients (<em>N</em> = 633) identified as at risk of suicide using the PHQ-9, 299 patients were further assessed using the Columbia Suicide Severity Rating Scale (C-SSRS) and/or referred to the Crisis Care Transition team for immediate follow-up. Among patients identified at risk for suicide, 92 % of patients received a safety plan. Among patients with suicidal ideation with any methods, 88 % of patients received counseling on access to lethal means to reduce the risk of suicide. 30 % of female patients (<em>N</em> = 4,008) were screened for IPV using the HARK (Humiliation, Afraid, Rape, Kick) assessment. All female patients (<em>N</em> = 82) who reported IPV were connected to services, including therapy and access to a safe place.</div></div><div><h3>Conclusions</h3><div>The Zero Suicide framework with IPV intervention had a positive impact on screening and treatment outcomes among our patients, indicating the feasibility in implementation and program adoption.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200389"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anxiety sensitivity in the perinatal period: A scoping review 围产期焦虑敏感性：范围综述

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-03-01 Epub Date: 2025-01-14 DOI: 10.1016/j.mhp.2025.200397

Martha Zimmermann , Allexis Mahanna , Elizabeth Shashkova , Rebecca Drouhard , Catherine Carr , R. Christopher Sheldrick , Edwin D. Boudreaux , Norman B. Schmidt , Nancy Byatt

Background

Anxiety Sensitivity (AS), the trait-like tendency to interpret anxiety-related sensations as harmful, is a well-established risk factor for anxiety disorders and other mental health conditions. Less is known about the role of AS in perinatal mental health—encompassing pregnancy and the postpartum period—despite the heightened risk for anxiety and anxiety-related disorders such as Obsessive Compulsive Disorder and Posttraumatic Stress Disorder (PTSD).

Objective

The goal of this scoping review was to examine 1) the state of research on AS in perinatal populations, 2) its relationship with mental health and pregnancy-specific outcomes, and 3) its integration into clinical interventions.

Methods

We conducted a systematic literature search using PubMed, Scopus, PsycInfo, CINAHL. Study inclusion criteria were: 1) participants were pregnant or <1 year postpartum, and 2) AS was assessed.

Results

Twenty studies met inclusion criteria. Most studies examined cross-sectional or prospective relationships between AS and mental health and related outcomes, finding positive associations between AS and PTSD symptoms, depression symptoms, anxiety symptoms, fetal health anxiety, pregnancy-related anxiety, and fear of childbirth. Results were more mixed for aspects of pain during labor. Two randomized controlled trials and two case studies included AS as an outcome measure.

Conclusions

This review extends previous findings in the general population by highlighting associations between AS and perinatal mental health. Future research should expand the scope of outcomes assessed and investigate AS as a modifiable target in interventions to enhance perinatal mental health outcomes.

焦虑敏感性（AS）是一种倾向于将焦虑相关感觉解释为有害的特质，是焦虑症和其他精神健康状况的一个公认的风险因素。尽管焦虑和焦虑相关障碍（如强迫症和创伤后应激障碍）的风险增加，但对AS在围产期心理健康（包括怀孕和产后）中的作用知之甚少。目的本综述的目的是检查1)围产期人群中AS的研究现状，2)其与心理健康和妊娠特异性结局的关系，以及3)其与临床干预的结合。方法采用PubMed、Scopus、PsycInfo、CINAHL进行系统文献检索。研究纳入标准为：1)参与者怀孕或产后1年，2)评估AS。结果20项研究符合纳入标准。大多数研究考察了AS与心理健康和相关结果之间的横断面或前瞻性关系，发现AS与创伤后应激障碍症状、抑郁症状、焦虑症状、胎儿健康焦虑、妊娠相关焦虑和分娩恐惧之间存在正相关。分娩疼痛方面的结果则更为复杂。两项随机对照试验和两项病例研究将AS作为结局指标。结论：本综述通过强调AS与围产期心理健康之间的关联，扩展了以往在普通人群中的研究结果。未来的研究应扩大评估结果的范围，并调查AS作为干预措施的可修改目标，以提高围产期心理健康结果。

{"title":"Anxiety sensitivity in the perinatal period: A scoping review","authors":"Martha Zimmermann , Allexis Mahanna , Elizabeth Shashkova , Rebecca Drouhard , Catherine Carr , R. Christopher Sheldrick , Edwin D. Boudreaux , Norman B. Schmidt , Nancy Byatt","doi":"10.1016/j.mhp.2025.200397","DOIUrl":"10.1016/j.mhp.2025.200397","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety Sensitivity (AS), the trait-like tendency to interpret anxiety-related sensations as harmful, is a well-established risk factor for anxiety disorders and other mental health conditions. Less is known about the role of AS in perinatal mental health—encompassing pregnancy and the postpartum period—despite the heightened risk for anxiety and anxiety-related disorders such as Obsessive Compulsive Disorder and Posttraumatic Stress Disorder (PTSD).</div></div><div><h3>Objective</h3><div>The goal of this scoping review was to examine 1) the state of research on AS in perinatal populations, 2) its relationship with mental health and pregnancy-specific outcomes, and 3) its integration into clinical interventions.</div></div><div><h3>Methods</h3><div>We conducted a systematic literature search using PubMed, Scopus, PsycInfo, CINAHL. Study inclusion criteria were: 1) participants were pregnant or <1 year postpartum, and 2) AS was assessed.</div></div><div><h3>Results</h3><div>Twenty studies met inclusion criteria. Most studies examined cross-sectional or prospective relationships between AS and mental health and related outcomes, finding positive associations between AS and PTSD symptoms, depression symptoms, anxiety symptoms, fetal health anxiety, pregnancy-related anxiety, and fear of childbirth. Results were more mixed for aspects of pain during labor. Two randomized controlled trials and two case studies included AS as an outcome measure.</div></div><div><h3>Conclusions</h3><div>This review extends previous findings in the general population by highlighting associations between AS and perinatal mental health. Future research should expand the scope of outcomes assessed and investigate AS as a modifiable target in interventions to enhance perinatal mental health outcomes.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200397"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0