Pub Date : 2025-12-01Epub Date: 2025-08-14DOI: 10.1016/j.mhp.2025.200444
Sagarika Ray , Amit Kumar Pal , Partha Sarathi Kundu , Shivani Santosh
<div><h3>Introduction</h3><div>India is home to one-fifth of the world’s adolescents and is confronting a pressing need to address the challenge of mental health problems among school-going children. With the increasing prevalence of anxiety, depression, substance use, and behavioral disorders in children, school-based mental health programs (SBMHPs) have become instrumental to primary prevention and early intervention.</div></div><div><h3>Objective</h3><div>This article aims to review the national and state-level school-based mental health initiatives in India, with a focus on their theoretical frameworks, and thematic categorization, along with identifying barriers in implementation, and providing actionable recommendations for the future.</div></div><div><h3>Methods</h3><div>A comprehensive literature search following the PRISMA guidelines was undertaken to ensure a structured approach. Given the broad scope of “school mental health programs in India,” we aimed to perform a scoping review of both academic and grey literature. Sources that described, reviewed, or evaluated a school-based mental health initiative in India were included in the review, ultimately relying on 150 sources.</div></div><div><h3>Discussion</h3><div>Various theoretical models exist, like Bronfenbrenner’s ecosystem theory, Maslow’s need hierarchy, the health promotion viewpoint of the World Health Organization, Social-Emotional Learning Framework, and newer constructs like the PERMA and the Act-Belong-Commit models, based on which the operationalization of school mental health initiatives in India can be visualized. Further, such initiatives can also be grouped based on their key themes like, Curriculum-Based Life Skills and Social-Emotional Learning (SEL) Programs, Teachers’ training and capacity-building programs, Direct Counselling and Referral Services, Stigma reduction and awareness-enhancing programs, Holistic well-being and health-promotion in schools, Peer support and community engagement programs, Special needs and disability support in schools, and Digital and technology-based interventions. Several school-based mental health initiatives are currently operational in India, both at the national and individual state levels, including both Government and non-Government initiatives. A few such notable initiatives include the <span><span>National Education Policy 2020</span></span>, Rashtriya Kishore Swasthya Karyakram, Adolescent Education Program, National and District Mental Health Programmes, and Ayushman Bharat, supported by state-specific models in various Indian states, which prioritize integration of mental health into education. These initiatives range from teacher intervention, appointing school counsellors, and resilience training, to digital platforms and mobile health units.</div></div><div><h3>Conclusion</h3><div>Though there are several school-based mental health programs in India, implementation is hampered by factors like stigma, workforce shortage,
{"title":"School mental health in India: The present scenario and future directions’","authors":"Sagarika Ray , Amit Kumar Pal , Partha Sarathi Kundu , Shivani Santosh","doi":"10.1016/j.mhp.2025.200444","DOIUrl":"10.1016/j.mhp.2025.200444","url":null,"abstract":"<div><h3>Introduction</h3><div>India is home to one-fifth of the world’s adolescents and is confronting a pressing need to address the challenge of mental health problems among school-going children. With the increasing prevalence of anxiety, depression, substance use, and behavioral disorders in children, school-based mental health programs (SBMHPs) have become instrumental to primary prevention and early intervention.</div></div><div><h3>Objective</h3><div>This article aims to review the national and state-level school-based mental health initiatives in India, with a focus on their theoretical frameworks, and thematic categorization, along with identifying barriers in implementation, and providing actionable recommendations for the future.</div></div><div><h3>Methods</h3><div>A comprehensive literature search following the PRISMA guidelines was undertaken to ensure a structured approach. Given the broad scope of “school mental health programs in India,” we aimed to perform a scoping review of both academic and grey literature. Sources that described, reviewed, or evaluated a school-based mental health initiative in India were included in the review, ultimately relying on 150 sources.</div></div><div><h3>Discussion</h3><div>Various theoretical models exist, like Bronfenbrenner’s ecosystem theory, Maslow’s need hierarchy, the health promotion viewpoint of the World Health Organization, Social-Emotional Learning Framework, and newer constructs like the PERMA and the Act-Belong-Commit models, based on which the operationalization of school mental health initiatives in India can be visualized. Further, such initiatives can also be grouped based on their key themes like, Curriculum-Based Life Skills and Social-Emotional Learning (SEL) Programs, Teachers’ training and capacity-building programs, Direct Counselling and Referral Services, Stigma reduction and awareness-enhancing programs, Holistic well-being and health-promotion in schools, Peer support and community engagement programs, Special needs and disability support in schools, and Digital and technology-based interventions. Several school-based mental health initiatives are currently operational in India, both at the national and individual state levels, including both Government and non-Government initiatives. A few such notable initiatives include the <span><span>National Education Policy 2020</span></span>, Rashtriya Kishore Swasthya Karyakram, Adolescent Education Program, National and District Mental Health Programmes, and Ayushman Bharat, supported by state-specific models in various Indian states, which prioritize integration of mental health into education. These initiatives range from teacher intervention, appointing school counsellors, and resilience training, to digital platforms and mobile health units.</div></div><div><h3>Conclusion</h3><div>Though there are several school-based mental health programs in India, implementation is hampered by factors like stigma, workforce shortage, ","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"40 ","pages":"Article 200444"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895902","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}
Despite the promising results of school-based depression prevention, only a few adolescents are currently reached by prevention due to low participation rates. Previous research mainly focused on increasing the effect sizes of prevention, while increasing low participation rates could be more effective to improve the impact of prevention. Therefore, we conducted a systematic review to explore how adolescents are currently engaged in school-based screening for depressive symptoms and depression prevention and which (elements of) screening and prevention approaches lead to higher or lower participation rates.
Methods
We used three databases and four meta-analyses to search for relevant studies. Twenty studies were included. First, we extracted data from the method sections in terms of three themes, willingness to participate, the organisational structure of the intervention, and recruitment method. Next, we determined a participation rate for each study and compared studies with higher and lower participation rates on the three themes.
Results
Studies with higher participation rates often had a smaller sample size and a more active communication strategy compared to studies with lower participation rates. Studies with lower participation rates were more likely to have an intervention after school hours, requested more parental involvement and had more often psycho-education as a control condition.
Conclusion
While the study design did not allow drawing causal relationships, we identified several strategies that could contribute to increasing participation rates in school-based prevention. To gain more insight in best practices, future research should report more information about their screening and prevention referral procedure.
{"title":"Increasing participation in school-based depression prevention: A systematic review on screening and prevention referral strategies","authors":"Marloes W.G. Braam , Daan H.M. Creemers , Jan Spijker , Sanne P.A. Rasing","doi":"10.1016/j.mhp.2025.200452","DOIUrl":"10.1016/j.mhp.2025.200452","url":null,"abstract":"<div><h3>Objective</h3><div>Despite the promising results of school-based depression prevention, only a few adolescents are currently reached by prevention due to low participation rates. Previous research mainly focused on increasing the effect sizes of prevention, while increasing low participation rates could be more effective to improve the impact of prevention. Therefore, we conducted a systematic review to explore how adolescents are currently engaged in school-based screening for depressive symptoms and depression prevention and which (elements of) screening and prevention approaches lead to higher or lower participation rates.</div></div><div><h3>Methods</h3><div>We used three databases and four meta-analyses to search for relevant studies. Twenty studies were included. First, we extracted data from the method sections in terms of three themes, willingness to participate, the organisational structure of the intervention, and recruitment method. Next, we determined a participation rate for each study and compared studies with higher and lower participation rates on the three themes.</div></div><div><h3>Results</h3><div>Studies with higher participation rates often had a smaller sample size and a more active communication strategy compared to studies with lower participation rates. Studies with lower participation rates were more likely to have an intervention after school hours, requested more parental involvement and had more often psycho-education as a control condition.</div></div><div><h3>Conclusion</h3><div>While the study design did not allow drawing causal relationships, we identified several strategies that could contribute to increasing participation rates in school-based prevention. To gain more insight in best practices, future research should report more information about their screening and prevention referral procedure.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"40 ","pages":"Article 200452"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145266583","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}
Pub Date : 2025-09-01Epub Date: 2025-06-12DOI: 10.1016/j.mhp.2025.200433
Emma Bruce , Jillian Halladay , Sadanee Pathiranawasam , Catharine Munn
{"title":"Co-designing and evaluating the acceptability of a mental health literacy training program for graduate teaching assistants on a university campus","authors":"Emma Bruce , Jillian Halladay , Sadanee Pathiranawasam , Catharine Munn","doi":"10.1016/j.mhp.2025.200433","DOIUrl":"10.1016/j.mhp.2025.200433","url":null,"abstract":"","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200433"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321351","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}
The mental health of healthcare workers suffered greatly during the COVID- 19 pandemic. Globally, various preventive and therapeutic strategies were explored. Rajyoga, one of the oldest yogic systems practiced in India for millennia, is accessible to all irrespective of place or time, making it a viable option for promotion of mental wellbeing.
Objectives
To assess the feasibility, acceptability, and effectiveness of Rajyoga meditation among healthcare professionals working in hospital settings during the COVID-19 pandemic.
Methods
A single-blinded, randomized interventional study was conducted from April 2021 to January 2022. A total of 240 healthcare professionals were recruited through snowball sampling using online Google Forms. Participants were assigned either to a control group receiving online relaxation music or an intervention group practicing Rajyoga meditation online. Pre- and post-intervention anxiety, stress, and well-being were assessed using validated tools: Generalized Anxiety Scale, Corona Anxiety Scale, Perceived Stress Scale, and WHO Well-being Index.
Findings
High levels of psychological distress were reported: 45.8 % had moderate to severe anxiety, 20.4 % had dysfunctional anxiety related to COVID-19, 6.7 % experienced elevated stress, and 68.7 % reported poor well-being. Rajyoga meditation led to significant reductions in anxiety and stress and improvements in well-being. Its effects were comparable to music therapy in relieving COVID-related psychological symptoms.
Novelty
The study is distinctive in focusing on healthcare workers and assessing a cost- effective, accessible intervention. Its online format enhances feasibility and adherence to social distancing norms, making it suitable during public health crises.
{"title":"Impact of rajyoga meditation on stress and psychological well being during COVID-19 in India: A randomized control trial","authors":"Divya Jain , Vivek Verma , Neha Parashar , Usha Kiran , Aanchal Satija , Babita Upadhyay , Aashima Narula , Pratibha Singh","doi":"10.1016/j.mhp.2025.200441","DOIUrl":"10.1016/j.mhp.2025.200441","url":null,"abstract":"<div><h3>Background</h3><div>The mental health of healthcare workers suffered greatly during the COVID- 19 pandemic. Globally, various preventive and therapeutic strategies were explored. Rajyoga, one of the oldest yogic systems practiced in India for millennia, is accessible to all irrespective of place or time, making it a viable option for promotion of mental wellbeing.</div></div><div><h3>Objectives</h3><div>To assess the feasibility, acceptability, and effectiveness of Rajyoga meditation among healthcare professionals working in hospital settings during the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>A single-blinded, randomized interventional study was conducted from April 2021 to January 2022. A total of 240 healthcare professionals were recruited through snowball sampling using online Google Forms. Participants were assigned either to a control group receiving online relaxation music or an intervention group practicing Rajyoga meditation online. Pre- and post-intervention anxiety, stress, and well-being were assessed using validated tools: Generalized Anxiety Scale, Corona Anxiety Scale, Perceived Stress Scale, and WHO Well-being Index.</div></div><div><h3>Findings</h3><div>High levels of psychological distress were reported: 45.8 % had moderate to severe anxiety, 20.4 % had dysfunctional anxiety related to COVID-19, 6.7 % experienced elevated stress, and 68.7 % reported poor well-being. Rajyoga meditation led to significant reductions in anxiety and stress and improvements in well-being. Its effects were comparable to music therapy in relieving COVID-related psychological symptoms.</div></div><div><h3>Novelty</h3><div>The study is distinctive in focusing on healthcare workers and assessing a cost- effective, accessible intervention. Its online format enhances feasibility and adherence to social distancing norms, making it suitable during public health crises.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200441"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144829538","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}
Pub Date : 2025-09-01Epub Date: 2025-08-09DOI: 10.1016/j.mhp.2025.200442
Debasruti Ghosh , Saurabh Raj , Moneerah Mohammad ALmerab , Mohammed A. Mamun
Background
In pronatalist societies like India, infertility and impotence are not just biomedical issues but carry deep psychosocial stigma. These reproductive challenges often lead to emotional distress, social exclusion, and suicidality. Although suicides linked to infertility and impotence account for a small percentage of total suicides, they represent a critical and under-recognized cause of death. This article aims to conceptualize infertility-linked suicide as a public mental health concern shaped by gender norms, societal expectations, and systemic healthcare gaps.
Methods
This conceptual and policy-focused article adopts an interdisciplinary framework that integrates psychological theory, policy analysis, and demographic trend examination. It draws on data from the Accidental Deaths and Suicides in India (ADSI) reports (2014–2022) by the National Crime Records Bureau (NCRB), specifically focusing on suicides where infertility or impotence is reported as a contributing factor. Supplementary insights are drawn from academic literature on stigma, gender, and reproductive mental health in India.
Results
The analysis reveals that suicides related to infertility and impotence, though numerically few, remain consistent across the years and are disproportionately under-addressed. Young women (18–29 years) are especially vulnerable due to early reproductive expectations, while men (30–44 years) experience delayed psychological distress linked to masculine identity and reproductive failure. Rural location, caste identity, and limited access to mental health services intensify this suffering.
Conclusion
Infertility-related suicides demand urgent public health attention. The article advocates for gender-sensitive, culturally informed mental health services embedded within reproductive healthcare and calls for stigma reduction, policy reforms, and inclusive reproductive rights frameworks in India.
{"title":"The childlessness crisis: A mental health framework for infertility-linked suicides in India","authors":"Debasruti Ghosh , Saurabh Raj , Moneerah Mohammad ALmerab , Mohammed A. Mamun","doi":"10.1016/j.mhp.2025.200442","DOIUrl":"10.1016/j.mhp.2025.200442","url":null,"abstract":"<div><h3>Background</h3><div>In pronatalist societies like India, infertility and impotence are not just biomedical issues but carry deep psychosocial stigma. These reproductive challenges often lead to emotional distress, social exclusion, and suicidality. Although suicides linked to infertility and impotence account for a small percentage of total suicides, they represent a critical and under-recognized cause of death. This article aims to conceptualize infertility-linked suicide as a public mental health concern shaped by gender norms, societal expectations, and systemic healthcare gaps.</div></div><div><h3>Methods</h3><div>This conceptual and policy-focused article adopts an interdisciplinary framework that integrates psychological theory, policy analysis, and demographic trend examination. It draws on data from the Accidental Deaths and Suicides in India (ADSI) reports (2014–2022) by the National Crime Records Bureau (NCRB), specifically focusing on suicides where infertility or impotence is reported as a contributing factor. Supplementary insights are drawn from academic literature on stigma, gender, and reproductive mental health in India.</div></div><div><h3>Results</h3><div>The analysis reveals that suicides related to infertility and impotence, though numerically few, remain consistent across the years and are disproportionately under-addressed. Young women (18–29 years) are especially vulnerable due to early reproductive expectations, while men (30–44 years) experience delayed psychological distress linked to masculine identity and reproductive failure. Rural location, caste identity, and limited access to mental health services intensify this suffering.</div></div><div><h3>Conclusion</h3><div>Infertility-related suicides demand urgent public health attention. The article advocates for gender-sensitive, culturally informed mental health services embedded within reproductive healthcare and calls for stigma reduction, policy reforms, and inclusive reproductive rights frameworks in India.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200442"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858172","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}
Pub Date : 2025-09-01Epub Date: 2025-06-13DOI: 10.1016/j.mhp.2025.200434
Nina Tamminen , Teemu Vauhkonen , Johanna Cresswell-Smith , Charlotte Meilstrup , Saara Rapeli , Pia Solin
Objective
This study examines the barriers and facilitators influencing the implementation of the Act-Belong-Commit - ABCs for Mental Wellbeing in four Finnish municipalities. The study aims to identify factors that support or hinder successful implementation and provide recommendations for scaling up mental health promotion initiatives.
Methods
The interventions included altogether 37 participants in various municipal settings, with intervention periods ranging from 10 weeks to five months. A qualitative study design was used, employing semi-structured interviews with intervention providers (n=5) and participants (n=11). Data were analysed using thematic analysis method. The Consolidated Framework for Implementation Research (CFIR) was employed to identify key themes related to implementation challenges and enablers.
Results
Altogether, 27 implementation factors were identified covering each CFIR domain, consisting of 8 barriers and 19 facilitators. These highlight the critical implementation factors that influence the successful adoption of the ABCs for Mental Wellbeing intervention.
Conclusion
The ABCs for Mental Wellbeing is a promising approach for promoting mental health and wellbeing. Addressing recruitment strategies, securing sufficient resources, and embedding the actions into municipal frameworks are essential for sustainable and effective implementation. By adopting a structured yet flexible approach, municipalities can tailor the model to meet the needs of diverse populations, ultimately improving mental health and wellbeing.
{"title":"Barriers and facilitators to implementing the Act-Belong-Commit - ABCs for Mental Wellbeing in Finland","authors":"Nina Tamminen , Teemu Vauhkonen , Johanna Cresswell-Smith , Charlotte Meilstrup , Saara Rapeli , Pia Solin","doi":"10.1016/j.mhp.2025.200434","DOIUrl":"10.1016/j.mhp.2025.200434","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the barriers and facilitators influencing the implementation of the Act-Belong-Commit - ABCs for Mental Wellbeing in four Finnish municipalities. The study aims to identify factors that support or hinder successful implementation and provide recommendations for scaling up mental health promotion initiatives.</div></div><div><h3>Methods</h3><div>The interventions included altogether 37 participants in various municipal settings, with intervention periods ranging from 10 weeks to five months. A qualitative study design was used, employing semi-structured interviews with intervention providers (n=5) and participants (n=11). Data were analysed using thematic analysis method. The Consolidated Framework for Implementation Research (CFIR) was employed to identify key themes related to implementation challenges and enablers.</div></div><div><h3>Results</h3><div>Altogether, 27 implementation factors were identified covering each CFIR domain, consisting of 8 barriers and 19 facilitators. These highlight the critical implementation factors that influence the successful adoption of the ABCs for Mental Wellbeing intervention.</div></div><div><h3>Conclusion</h3><div>The ABCs for Mental Wellbeing is a promising approach for promoting mental health and wellbeing. Addressing recruitment strategies, securing sufficient resources, and embedding the actions into municipal frameworks are essential for sustainable and effective implementation. By adopting a structured yet flexible approach, municipalities can tailor the model to meet the needs of diverse populations, ultimately improving mental health and wellbeing.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200434"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313367","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}
Pub Date : 2025-09-01Epub Date: 2025-07-09DOI: 10.1016/j.mhp.2025.200436
Sorif Hossain, Tonmoy Alam Shuvo, Nelufa Aktar
Introduction
Thailand faces mental health challenges, with adolescent suicide rates being a public health concern. Various factors influence suicide ideation and attempts, highlighting the need for targeted prevention.
Methods
We analyzed data from the 2021 Thailand Global School-based Student Health Survey to identify factors associated with suicidal ideation and suicide attempts. Initially, mixed-effects logistic regression models were fitted separately for each independent variable to estimate odds ratios. Using significant variables and interaction terms, we developed several comprehensive models and evaluated their improvement with the Likelihood Ratio Test. The best-fitting model was selected based on the Akaike Information Criterion (AIC), Bayesian Information Criterion (BIC), McFadden’s R², and deviance. Final adjusted odds ratios were estimated from this model. All analyses were performed using R programming.
Results
Gender differences showed that males had lower odds of suicide-related behaviors than females. Adolescents aged 15 and older had lower odds of these behaviors than their younger peers. Mental health issues, including cyberbullying, sadness, and anxiety, were strongly associated with increased suicide ideation and attempts, emphasizing the need for targeted interventions for adolescents facing mental distress. Parental attachment acted as a protective factor, suggesting that strong family bonds may reduce the risk of suicide-related behaviors. Certain behaviors, such as a sedentary lifestyle, alcohol consumption, and tobacco use, were linked to higher odds of ideation and attempts, pointing to the importance of addressing these habits in prevention efforts. Interaction effects revealed complex relationships, such as gender and tobacco use, and the influence of sadness and lack of close friends.
Conclusion
Suicide-related behaviors among adolescents reflect the influence of gender, age, mental health, and lifestyle factors. Strengthening mental health support, family bonds, and addressing risky behaviors are key to preventing adolescent suicide.
{"title":"Determinants of suicidal ideation and attempts among Thai adolescents: A mixed-effects modeling approach","authors":"Sorif Hossain, Tonmoy Alam Shuvo, Nelufa Aktar","doi":"10.1016/j.mhp.2025.200436","DOIUrl":"10.1016/j.mhp.2025.200436","url":null,"abstract":"<div><h3>Introduction</h3><div>Thailand faces mental health challenges, with adolescent suicide rates being a public health concern. Various factors influence suicide ideation and attempts, highlighting the need for targeted prevention.</div></div><div><h3>Methods</h3><div>We analyzed data from the 2021 Thailand Global School-based Student Health Survey to identify factors associated with suicidal ideation and suicide attempts. Initially, mixed-effects logistic regression models were fitted separately for each independent variable to estimate odds ratios. Using significant variables and interaction terms, we developed several comprehensive models and evaluated their improvement with the Likelihood Ratio Test. The best-fitting model was selected based on the Akaike Information Criterion (AIC), Bayesian Information Criterion (BIC), McFadden’s R², and deviance. Final adjusted odds ratios were estimated from this model. All analyses were performed using R programming.</div></div><div><h3>Results</h3><div>Gender differences showed that males had lower odds of suicide-related behaviors than females. Adolescents aged 15 and older had lower odds of these behaviors than their younger peers. Mental health issues, including cyberbullying, sadness, and anxiety, were strongly associated with increased suicide ideation and attempts, emphasizing the need for targeted interventions for adolescents facing mental distress. Parental attachment acted as a protective factor, suggesting that strong family bonds may reduce the risk of suicide-related behaviors. Certain behaviors, such as a sedentary lifestyle, alcohol consumption, and tobacco use, were linked to higher odds of ideation and attempts, pointing to the importance of addressing these habits in prevention efforts. Interaction effects revealed complex relationships, such as gender and tobacco use, and the influence of sadness and lack of close friends.</div></div><div><h3>Conclusion</h3><div>Suicide-related behaviors among adolescents reflect the influence of gender, age, mental health, and lifestyle factors. Strengthening mental health support, family bonds, and addressing risky behaviors are key to preventing adolescent suicide.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200436"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633852","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}
This novel study aims to compare the efficacy of emotion regulation training (ERT), cognitive-behavioral stress management (CBSM) intervention, and eye movement desensitization and reprocessing (EMDR) therapy to find the best intervention for reducing anxiety, depression, stress, and repetitive negative thinking (RNT) and improving resilience in women with COVID-19.
Methods
This is a clinical trial. Participants were 80 female outpatients with COVID-19 (positive PCR) referred to three hospitals in Qazvin, Iran in 2021. They were randomly divided into four groups of ERT (n = 20, received group ERT at 10 sessions), CBSM (n = 20, received group CBSM at 10 sessions), EMDR (n = 20, received group EMDR therapy at 8 sessions), and control (n = 20). The instruments were the depression, anxiety, stress scale (DASS-21), the 10-item repetitive thinking questionnaire (RTQ-10), and the Connor-Davidson Resilience Scale (CD-RISC) completed before, immediately after, and one month after the interventions.
Results
After treatment, the mean DASS-21 and RTQ-10 scores decreased and the CD-RISC score increased in all groups, mostly in three intervention groups, where the effects of interventions were maintained for one month. The differences in all study variables were significant over time in the intervention groups compared to the control group (P < 0.05), but there were no significant differences among the intervention groups.
Conclusion
All three therapies are effective in reducing psychological disorders and negative thoughts and improving resilience of women with COVID-19. There is no significant difference between their efficacies. These interventions are recommended for these women in medical centers during major catastrophic health-related events in the future.
{"title":"Comparing the effects of CBSM, ERT, and EMDR on psychological disorders and resilience of women with COVID-19: A clinical trial","authors":"Parnaz Mardani , Seyedeh Elnaz Mousavi , Gholamreza Ahmadi , Hossein Javdani","doi":"10.1016/j.mhp.2025.200437","DOIUrl":"10.1016/j.mhp.2025.200437","url":null,"abstract":"<div><h3>Objective</h3><div>This novel study aims to compare the efficacy of emotion regulation training (ERT), cognitive-behavioral stress management (CBSM) intervention, and eye movement desensitization and reprocessing (EMDR) therapy to find the best intervention for reducing anxiety, depression, stress, and repetitive negative thinking (RNT) and improving resilience in women with COVID-19.</div></div><div><h3>Methods</h3><div>This is a clinical trial. Participants were 80 female outpatients with COVID-19 (positive PCR) referred to three hospitals in Qazvin, Iran in 2021. They were randomly divided into four groups of ERT (<em>n</em> = 20, received group ERT at 10 sessions), CBSM (<em>n</em> = 20, received group CBSM at 10 sessions), EMDR (<em>n</em> = 20, received group EMDR therapy at 8 sessions), and control (<em>n</em> = 20). The instruments were the depression, anxiety, stress scale (DASS-21), the 10-item repetitive thinking questionnaire (RTQ-10), and the Connor-Davidson Resilience Scale (CD-RISC) completed before, immediately after, and one month after the interventions.</div></div><div><h3>Results</h3><div>After treatment, the mean DASS-21 and RTQ-10 scores decreased and the CD-RISC score increased in all groups, mostly in three intervention groups, where the effects of interventions were maintained for one month. The differences in all study variables were significant over time in the intervention groups compared to the control group (<em>P</em> < 0.05), but there were no significant differences among the intervention groups.</div></div><div><h3>Conclusion</h3><div>All three therapies are effective in reducing psychological disorders and negative thoughts and improving resilience of women with COVID-19. There is no significant difference between their efficacies. These interventions are recommended for these women in medical centers during major catastrophic health-related events in the future.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200437"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654441","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}
Pub Date : 2025-09-01Epub Date: 2025-06-16DOI: 10.1016/j.mhp.2025.200432
Víctor Juan Vera-Ponce , Joan A. Loayza-Castro , Fiorella E. Zuzunaga-Montoya , Luisa Erika Milagros Vásquez-Romero , Witre Omar Padilla , Christian Humberto Huaman-Vega , Germán Lobos , Carmen Inés Gutierrez De Carrillo
Introduction
Suicidal ideation and suicide attempts among health sciences students represent a growing concern that requires a systematic evaluation of their global prevalence.
Objective
To determine the prevalence of suicidal ideation and suicide attempts among health sciences students through a systematic review and meta-analysis.
Methods
A systematic search was conducted in SCOPUS, Web of Science, PubMed, and EMBASE. Studies that used validated instruments for suicide risk assessment, including standardized scales and self-reports, were considered eligible. Studies could employ either probabilistic or non-probabilistic sampling, with no restrictions on language. Stratified meta-analyses were performed according to assessment instrument and time frame, and meta-regression was conducted by year of study.
Results
Of 1277 identified records, 38 studies met the eligibility criteria. Suicidal ideation assessment was conducted using two instruments: the Beck Scale, which assesses lifetime suicidal thoughts, showing a prevalence of 14.09 % (95 % CI: 11.39–17.02 %), and item 9 of the PHQ-9 (Patient Health Questionnaire-9), which evaluates death thoughts in the past two weeks, with a prevalence of 19.18 % (95 % CI: 12.65–26.69 %). Suicide attempts, evaluated by time frame, showed a prevalence of 7.06 % (95 % CI: 4.35–10.35 %) for "lifetime" and 4.45 % (95 % CI: 2.62–6.71 %) for the "past 12 months. " Temporal meta-regression showed no significant trends.
Conclusions
The prevalence of suicidal ideation and suicide attempts among health sciences students is substantial, varying by assessment instrument and time frame. These findings, though affected by considerable heterogeneity across studies and limited representativeness of samples, underscore the need to implement systematic screening and prevention programs in health sciences educational institutions.
{"title":"Prevalence of suicidal ideation and suicide attempts among health sciences students: a systematic review and meta-analysis","authors":"Víctor Juan Vera-Ponce , Joan A. Loayza-Castro , Fiorella E. Zuzunaga-Montoya , Luisa Erika Milagros Vásquez-Romero , Witre Omar Padilla , Christian Humberto Huaman-Vega , Germán Lobos , Carmen Inés Gutierrez De Carrillo","doi":"10.1016/j.mhp.2025.200432","DOIUrl":"10.1016/j.mhp.2025.200432","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicidal ideation and suicide attempts among health sciences students represent a growing concern that requires a systematic evaluation of their global prevalence.</div></div><div><h3>Objective</h3><div>To determine the prevalence of suicidal ideation and suicide attempts among health sciences students through a systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in SCOPUS, Web of Science, PubMed, and EMBASE. Studies that used validated instruments for suicide risk assessment, including standardized scales and self-reports, were considered eligible. Studies could employ either probabilistic or non-probabilistic sampling, with no restrictions on language. Stratified meta-analyses were performed according to assessment instrument and time frame, and meta-regression was conducted by year of study.</div></div><div><h3>Results</h3><div>Of 1277 identified records, 38 studies met the eligibility criteria. Suicidal ideation assessment was conducted using two instruments: the Beck Scale, which assesses lifetime suicidal thoughts, showing a prevalence of 14.09 % (95 % CI: 11.39–17.02 %), and item 9 of the PHQ-9 (Patient Health Questionnaire-9), which evaluates death thoughts in the past two weeks, with a prevalence of 19.18 % (95 % CI: 12.65–26.69 %). Suicide attempts, evaluated by time frame, showed a prevalence of 7.06 % (95 % CI: 4.35–10.35 %) for \"lifetime\" and 4.45 % (95 % CI: 2.62–6.71 %) for the \"past 12 months. \" Temporal meta-regression showed no significant trends.</div></div><div><h3>Conclusions</h3><div>The prevalence of suicidal ideation and suicide attempts among health sciences students is substantial, varying by assessment instrument and time frame. These findings, though affected by considerable heterogeneity across studies and limited representativeness of samples, underscore the need to implement systematic screening and prevention programs in health sciences educational institutions.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200432"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297733","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}
Pub Date : 2025-09-01Epub Date: 2025-07-03DOI: 10.1016/j.mhp.2025.200435
Anna Haste , Nicholas Gray , Hannah Poulter , Robert Crow , Lee Copping , Jeanet Ingwersen , Helen Limbrick , Hannah Tindall , Helen J. Moore
Objective
Increasing levels of children and young people are experiencing mental health problems which can impact on educational attainment and increase the likelihood of risky behaviours. The aim of the study was to evaluate a programme that provides mental health support into local education settings.
Methods
Qualitative interviews were conducted with school staff and a focus group was conducted with mental health support team staff to understand barriers and facilitators to the programme. Reflexive thematic analysis was used to analyse the data.
Results
Four themes were identified 1) Liaising with the school to meet the students’ needs, 2) Importance of familiarity and consistency within the team, 3) Applying a holistic approach to mental health and 4) Streamlining of referrals and the service.
Conclusion
Overall, the view was positive for the inclusion of a mental health support team within a school setting, not only with regards to tackling the current mental health levels within schools but also to change the culture within schools to incorporate mental health as a topic within the fabric of the school education system.
{"title":"Embedding mental health provision within schools – Evaluation of a North East England mental health support team","authors":"Anna Haste , Nicholas Gray , Hannah Poulter , Robert Crow , Lee Copping , Jeanet Ingwersen , Helen Limbrick , Hannah Tindall , Helen J. Moore","doi":"10.1016/j.mhp.2025.200435","DOIUrl":"10.1016/j.mhp.2025.200435","url":null,"abstract":"<div><h3>Objective</h3><div>Increasing levels of children and young people are experiencing mental health problems which can impact on educational attainment and increase the likelihood of risky behaviours. The aim of the study was to evaluate a programme that provides mental health support into local education settings.</div></div><div><h3>Methods</h3><div>Qualitative interviews were conducted with school staff and a focus group was conducted with mental health support team staff to understand barriers and facilitators to the programme. Reflexive thematic analysis was used to analyse the data.</div></div><div><h3>Results</h3><div>Four themes were identified 1) Liaising with the school to meet the students’ needs, 2) Importance of familiarity and consistency within the team, 3) Applying a holistic approach to mental health and 4) Streamlining of referrals and the service.</div></div><div><h3>Conclusion</h3><div>Overall, the view was positive for the inclusion of a mental health support team within a school setting, not only with regards to tackling the current mental health levels within schools but also to change the culture within schools to incorporate mental health as a topic within the fabric of the school education system.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200435"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572856","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}
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