SSM. Mental health最新文献

英文中文

Characterizing risk and protective factors for Alzheimer's disease and related dementias in American Samoa

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-04-18 DOI: 10.1016/j.ssmmh.2025.100446

Danielle Eakins , Jessica Williams-Nguyen , Nancy Schoenberg , Va'atausili Tofaeono

引用次数: 0

Social prescribing for Not in Employment, Education or Training (NEET) young people: A realist evaluation of the C.O.P.E. project in Italy and Portugal

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-04-17 DOI: 10.1016/j.ssmmh.2025.100440

Marcello Bertotti , Isabel Farina , Maria J. Marques , Regina Alves , Sonia Dias , Sara Paternoster , Anita Paza , Emanuele Torri

NEET (Not in Employment, Education, or Training) status is associated with psychological distress and suicidality. Social prescribing may offer a policy solution to this. To test this proposition, this study evaluates the mental health outcomes of a social prescribing intervention—C.O.P.E. (Capabilities, Opportunities, Places, and Engagement) project—on young people in a NEET situation in Italy and Portugal. Adopting a realist evaluation approach, this study explores how context and mechanisms interact to generate outcomes. A realist synthesis of NEET interventions and co-production with stakeholders helped to create a programme theory which was tested through a mixed-methods study, combining quantitative cohort data from 416 young people with qualitative interviews with 30 young people, 13 link workers, and 9 team members. The findings indicate significant improvements in mental wellbeing and reductions in psychological distress, particularly among those with clinical mental health issues. Qualitative insights emphasise the importance of trust between link workers and young people, highlighting flexibility, emotional support, and a holistic approach as key factors in fostering engagement. This led to the creation of three programme theories. One of these focuses on young people and is discussed in this article. The study concludes that despite some challenges related to sustainability, training and long-term impact, social prescribing can be an effective tool for supporting youth in a NEET situation, particularly those suffering clinical mental health issues. This paper contributes to the growing evidence supporting social prescribing as an approach to enhance mental health and social inclusion for youth in vulnerable situations.

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引用次数: 0

Individual and parental housing tenure and mental healthcare use among Finnish men and women in early mid-adulthood

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-04-12 DOI: 10.1016/j.ssmmh.2025.100444

Joan Damiens , Liina Junna , Lasse Tarkiainen , Pekka Martikainen

Homeownership is a valuable status associated with better mental health outcomes than being a tenant. However, research has yet to investigate the role of duration and past experiences of homeownership, particularly in a context where homeownership is getting harder to achieve, especially for younger working-age adults. We estimate how individual and parental housing tenure is associated with mental healthcare use based on random-effect logit models using Finnish National Registers for residents born in 1972–1975. Mental healthcare use is measured through medication purchases and hospital visits for mental health reasons at ages 35 to 41. Parental housing tenure is observed at age 15, and individual housing tenure is measured annually from age 35 to 41. Analyses also address previous mental healthcare use (observed at age 20 to 35) and various health-related, demographic and socioeconomic covariates that are either time-varying (observed at ages 35–41) or time-constant (age 35). Results show that individual homeownership is associated with lower mental healthcare use independently of other socioeconomic factors (education, income and occupational status), even for individuals without previous mental healthcare use. Results stratified by parental housing tenure show that those who grew up as homeowners –– who might value homeownership more than those who grew up as tenants –– and those with separated or lone parents –– who might be more socioeconomically deprived and benefit more from family wealth in the future –– profited most from homeownership. The role of homeownership duration is minimal compared to the gap between owners and tenants. Parental homeownership is also associated with less mental healthcare use in the early mid-adulthood net of individual social characteristics. The results highlight the role of past and present homeownership histories and intergenerational continuities as a central mental health determinant that is independent of other socioeconomic and demographic factors.

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引用次数: 0

The acceptability of the Good Spirit, Good Life framework for remote-living Aboriginal and Torres Strait Islander peoples

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-04-12 DOI: 10.1016/j.ssmmh.2025.100443

Lianne Gilchrist , Leon Flicker , Dawn Bessarab , Roslyn Malay , Laurie Yambo , Betty Sagigi , Chenoa Wapau , Sarah Russell , Rachel Quigley , Caleb Rivers , Zoë Hyde , Esther Chaney , Eddy Strivens , Christianne White , Kate Smith

引用次数: 0

Understanding adolescent perinatal wellbeing in rural parts of Kenya: A qualitative study

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-04-11 DOI: 10.1016/j.ssmmh.2025.100437

Evaline Lang'at , Marleen Temmerman , Margrette Hanselmann , Kethakie Lamahewa , Violet Naanyu , Mellan Lilumbi , Tatiana Taylor Salisbury

Introduction

Despite global efforts to reduce adolescent birth rates, the problem persists in low- and middle-income countries. Sub-Saharan Africa has the highest rates (97.9 births per 1000 women). In Kenya, more than 15 % of adolescent girls become pregnant. Forty-three percent of these develop depression. This study investigated adolescent pregnancy in rural Kenya to understand the challenges and context-specific factors that can help adolescents maintain good mental health during pregnancy and the motherhood.

Methods

An exploratory qualitative study was conducted in Kilifi County between October and November 2021. A total of 73 participants consented to participate in the study. Twenty adolescents took part in in-depth interviews (IDIs). Young women (12) with experience of adolescent pregnancies, partners (5), family members (24), and community influencers (12) participated in separate focus group discussions (FGDs). IDIs and FGDs were conducted in Swahili to understand experiences, challenges and opportunities for supporting mental health during the perinatal period. Data were translated and transcribed then analyzed thematically.

Results

Five themes emerged from the study: pregnancy as an isolating event, challenges accessing antenatal care, limited future potential, mental health impact of adolescent pregnancy, and protective factors for sustaining good mental health. Adolescents expressed mixed feelings about their pregnancies but shared common worries, including difficulties accessing skilled antenatal care, strained family relationships, and uncertainty about their future, particularly regarding education and employment. These challenges were exacerbated by a lack of support, cultural norms, and a desire to avoid shame. Protective factors for maintaining good mental health included self-encouragement, acceptance, and supportive relationships.

Conclusion

Pregnant adolescents face significant challenges that affect their ability to cope with pregnancy and parenthood. To promote their mental health, they need strong social support from partners, family, teachers, and healthcare workers, as well as access to life skills, education, social welfare, and employment systems.

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引用次数: 0

'Flexibility is the name of the game’: Clinicians’ views of optimal dose of psychological interventions for psychosis and paranoia

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-04-10 DOI: 10.1016/j.ssmmh.2025.100442

Carolina Fialho , Alya Abouzahr , Pamela Jacobsen , Sukhi Shergill , Daniel Stahl , Jenny Yiend

In the UK, NICE (2014) recommends a minimum of 16 sessions of Cognitive Behaviour Therapy for the treatment of psychosis. One of the barriers to implementation is that clinicians’ views of optimum doses may not fit with this guidance. This study investigates the views of clinicians on the optimal dose of interventions. Fifteen clinicians participated in four focus groups and completed a bespoke questionnaire investigating experiences of dose in different contexts. We used the framework method for data analysis, with Voils et al. (2012) conceptualisation of dose as the frame.

We identified three deductive themes on dose components; number, frequency, and length of therapy sessions. In community settings, participants recommended 1–5 sessions for shorter-term goals, 10–12 sessions for longer-term goals, and highlighted the importance of review after 20–26 sessions. While a range of 16–26 sessions was identified as optimal, a consensus formed around dose being variable to each individual. In inpatient settings, number of sessions was largely dependent on length of stay. In community settings participants found it helpful to initially have weekly sessions and then transition to fortnightly, while in inpatient settings participants met with patients 1–3 times a week. In community settings, participants reported often delivering 50–60 min sessions (although that could vary); while in inpatient settings sessions lasted from 5 min to 2 h. Dose recommendations for community settings applied to digital therapies.

We constructed four inductive themes on how clinicians adapt dose in clinical practice; (1) context matters, (2) individualised treatment approaches, (3) flexibility is key, and (4) balancing clinical idealism and service constraints. Complementing the NICE guidance, our findings endorsed the use of a variable index of sessions to address variability in clinical need. The incorporation of stakeholder views is essential to contextualise quantitative evidence-based recommendations.

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引用次数: 0

Living in peace: Exploring indigenous paradigms of mental well-being among women in Northern Nigeria

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-04-04 DOI: 10.1016/j.ssmmh.2025.100435

Olivia Duggan , Funmilayo Shittu , Nehla Djellouli , Damola Bakare , Julius Salako , Adegoke G. Falade , Rochelle A. Burgess

Mental well-being research focusing on the perspectives of women in Nigeria is severely limited. To address this knowledge gap, this secondary qualitative analysis of 19 semi-structured life-history interviews with women of child-bearing age from the INSPIRING trial in Jigawa state, Nigeria explores how the self-defined concept of “living in peace” provides insight into locally derived definitions and understandings of mental well-being. Thematic Network Analysis was employed to code data and organise key concepts. Analysis was theory-driven, blending inductive and deductive approaches, by drawing on culturally relevant themes from Islam, Hausa language proverbs, and the theory of Motherism. Among women in Jigawa, living in peace was a critical aspect of mental well-being. Living in peace was often discussed as the outcome of avoiding misunderstanding, abiding by Muslim prayers, and resolving turmoil through self-reflection rather than conflict, confrontation, or questioning. Living in peace was almost exclusively discussed regarding women's relationships with their husband, in-laws, self and God. In doing so, women routinely decentred themselves and their own aspirations from accounts of well-being, in favour of relating their wellness to the needs of their family. While living in peace was a key determinant of positive mental well-being, structural conditions of life remained important with well-being also discussed in relation to structural factors such as financial security and the social expectations placed on women as mothers and wives. By defining and illuminating local understandings of well-being, practitioners and policymakers will be better equipped to support communities in sustaining and improving culturally relevant mental wellness.

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引用次数: 0

Sociocultural perceptions of suicide in Pakistan: A systematic review & qualitative evidence synthesis

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-04-04 DOI: 10.1016/j.ssmmh.2025.100433

Ahsan Mashhood , Gul Saeed , Fatima Sami

Suicide remains a significant public health issue in Pakistan, where social stigma and religious prohibitions create formidable barriers to understanding and intervention. Despite its recent decriminalization, the broader socio-cultural perceptions of suicide remain largely unexplored. Guided by the socio-ecological framework, this qualitative evidence synthesis examines how non-terrorist suicide is perceived across individual, familial, community, and institutional layers in Pakistan. A systematic review was conducted of over six databases up until July 2024 (PsycINFO, PubMed, EBSCO, Web of Science, ProQuest Premium, SCOPUS) and pearling through grey literature (AKU eCommons, QAU repository, Google Scholar). A total of eight studies (out of 1923) met the inclusion criteria. Thematic analysis of qualitative literature identified five key dimensions shaping these perceptions. At the individual level, suicide is often attributed to supernatural influences, mental illness, or a lack of resilience; familial dynamics prioritize ‘izzat’ over individual well-being enforcing invisibility; gendered perceptions of shame and honour further restrict women's access to help; cultural and religious prohibitions, such as labeling suicide the “ultimate sin,” further amplify ostracism and inhibit discussions about mental health; structural neglect, characterized by inadequate resources and societal dismissal, perpetuates stigma and inhibits systemic change. These findings are contextualized within Pakistan's unique religo-legal and socio-cultural dynamics. Our policy recommendations include incorporating mental health education into school curricula, community-based initiatives to challenge harmful norms, and establishing accessible mental health services for local needs.

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引用次数: 0

Exploratory analysis of risk factors for suicidal ideation among young men in urban informal settlements in durban, South Africa: A cross-sectional study

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-03-28 DOI: 10.1016/j.ssmmh.2025.100417

Smanga Mkhwanazi , Yandisa Sikweyiya , Andrew Gibbs

Suicidal ideation – thoughts about suicide, but not necessarily planning or attempting - is common among young people in Low and Middle-Income Countries. There has been a significant focus on poor mental health as a key driver of suicidal ideation, yet structural challenges such as poverty, economic and social marginalisation and gender norms, have also been shown to be critical drivers of suicidal ideation among young men. We conducted an exploratory study to assess risk factors for suicidal ideation among young men living in urban informal settlements in eThekwini Municipality, South Africa. We conducted a cross-sectional survey, forming the baseline of a randomized controlled trial in 2015. We recruited 674 young men (aged 18–30 years) of which n = 669 (99.3 %) provided data on recent suicidal ideation. Past 4-week suicidal ideation was common (24.2 %) in this group. In multivariable logistic regression, food insecurity, violence in childhood and adulthood, and recent drug use were significantly associated with suicidal ideation. We suggest that suicide prevention programmes need to include a focus on addressing context specific challenges, as well as poor mental health, if they are to reduce the burden of suicidal ideation.

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引用次数: 0

Peer victimization, parental abuse and attempted suicide among sexual and gender minority youth: Population-level evidence

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-03-26 DOI: 10.1016/j.ssmmh.2025.100432

Joel Mittleman

Although a large body of research has analyzed how peer victimization shapes suicide risk for sexual and gender minority (SGM) youth, few population-representative studies have examined the impact of the abuse they face from their parents. Analyzing the 2023 National Youth Risk Behavior Survey, this study provides the first nationally representative evidence on how peer victimization and parental abuse combine to shape suicide risk among contemporary American adolescents. Results show that SGM youth are almost as likely to be abused by an adult in their home as they are to be bullied by a peer at their school: 24.1 % of SGM teens reported frequent physical or emotional abuse at home compared to 28.3 % who reported recent bullying at school. Parental abuse and peer bullying commonly cooccur, such that, among SGM teens being abused by parents, the full majority (58.3 %) reported simultaneous bullying by peers. Although bullying and abuse each shaped suicide risk, these two forms of victimization mattered most when they were experienced together. Compared to SGM teens facing abuse from neither peers nor parents, those facing abuse from just one source were roughly twice as likely to report a recent suicide attempt, but those facing abuse from both sources simultaneously were over five times more likely. Taken together, these results underscore the importance of monitoring parental abuse in population health research and more fully analyzing the compounding contexts of abuse faced by SGM youth.

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