Asia‐Pacific Psychiatry最新文献

{"title":"Symptom Complexity Subtypes Show Distinct Individualism–Collectivism Orientations in Adolescents With Depressive Episodes, With Loneliness Mediating Their Relationship","authors":"Rui Zhou,&nbsp;Yi-Hui Liu,&nbsp;Yong-Yi He,&nbsp;Jia-Rong Liang,&nbsp;Mu-Tong Chen,&nbsp;Nan Chen,&nbsp;Fu-Jun Jia,&nbsp;Cai-Lan Hou","doi":"10.1111/appy.70011","DOIUrl":"10.1111/appy.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adolescent depressive episodes exhibit significant symptom complexity and heterogeneity, necessitating an integrated approach to identify distinct subtypes. Cultural orientations (individualism and collectivism) and loneliness are crucial factors impacting adolescent mental health. This study identifies symptom complexity subtypes in Chinese adolescents with depressive episodes, investigates cultural orientation differences between these subtypes, and explores the role of loneliness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 110 adolescents were included. K-means clustering was used to generate symptom complexity subtypes based on disease duration, self-injury, mood disorder, depressive, and anxiety symptoms. Cultural orientations were assessed using the Individualism–Collectivism Scale, loneliness using the UCLA Loneliness Scale, and other relevant variables were collected via self-report. Structural equation modeling (SEM) was used to explore associations among cultural orientations, loneliness, and symptom complexity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two subtypes were identified: low-complexity and high-complexity. The high-complexity subtype exhibited elevated loneliness levels (t = −6.16, <i>p</i> &lt; 0.001), more severe childhood trauma and bullying, and greater social media addiction. This group also reported higher vertical individualism (t = −2.02, <i>p</i> = 0.046) and lower vertical collectivism (t = 2.05, <i>p</i> = 0.043). SEM revealed a significant indirect association between higher individualism tendency and increased symptom complexity mediated by loneliness (β = 0.21, <i>p</i> &lt; 0.001 and β = 0.53, <i>p</i> &lt; 0.001, respectively).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Incorporating cultural orientation assessments into clinical practice may improve treatment outcomes for adolescents with depressive episodes by identifying those at risk for complex symptom presentations and informing subsequent culturally-tailored therapeutic interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Major Depressive Disorder With Psychiatric Emergency in Hong Kong: A Review and Practice Recommendation of the Asian Association of Neuropsychopharmacology","authors":"Ho Bun Lam,&nbsp;Tak Lam Lo,&nbsp;Kwok Leung Au Yeung,&nbsp;Ngo Cheung,&nbsp;Eric Yat-Wo Cheung,&nbsp;Chi Kin Fu,&nbsp;Chun Lam,&nbsp;Yiu Ki Lee,&nbsp;Ronnie Sze-Yuan Pao,&nbsp;Wing Kuen Sung,&nbsp;Sik Chuen Ting,&nbsp;Fan Kwong Tsang,&nbsp;Chi Keung Wong,&nbsp;Ting-Chi Vanessa Wong,&nbsp;Ming Cheuk Wong,&nbsp;Pui-Lam Isaac Yip,&nbsp;Ki Yan Mak","doi":"10.1111/appy.70010","DOIUrl":"10.1111/appy.70010","url":null,"abstract":"<div>\u0000 \u0000 <p>Psychiatric emergency (PE) as related to major depressive disorder (MDD) is most commonly understood as the presentation of suicidality or a risk of violence to others. However, MDD-PE can have a wide variety of clinical presentations. The challenges in treating PE arise from the difficulty in fully defining and diagnosing this condition, especially by emergency department and non-psychiatric medical personnel. Additionally, determining the appropriate level of care, as well as resource and other constraints, further complicates the management of MDD-PE. This manuscript reviews the definition, diagnosis, and management of MDD-PE globally, and provides recommendations for clinicians in the context of Hong Kong clinical practice. It reflects the outcomes of a meeting of psychiatrists in Hong Kong convened by the Asian Association of Neuropsychopharmacology. The primary goal of the diagnostic process is to determine a patient's level of risk to themselves and others. The main recommendations include educating clinicians on the diverse presentation of MDD-PE and non-clinical factors that may contribute to risk assessment—emphasizing contextual factors during history-taking. The recommendations also include the stratification of patients into three categories depending on (1) whether hospitalization is warranted and (2) the urgency and intensity of required intervention, with the aim of optimizing resources. Finally, the role of novel interventions, such as fast-acting or non-invasive ones, is discussed.</p>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 4","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Hope on Functional Recovery in Patients With Schizophrenia: A Cross-Sectional Study","authors":"Eda Ay,&nbsp;Hatice Polat","doi":"10.1111/appy.70009","DOIUrl":"https://doi.org/10.1111/appy.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine the effect of hope on functional recovery in individuals diagnosed with schizophrenia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This correlational, cross-sectional study was conducted at the Psychiatry Outpatient Clinic of a hospital in eastern Türkiye between June 2022 and January 2023. Data were collected using a personal information form, the Herth Hope Index (HHI), and the Functional Remission of General Schizophrenia (FROGS) scale. The study included 136 patients diagnosed with schizophrenia according to the DSM-5 diagnostic criteria. Data were analyzed using percentage distributions and mean values, as well as Pearson correlation and regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean total FROGS score of the patients was found to be 47.25 ± 15.2, while the mean total HHS score was 45.22 ± 22.63. A statistically significant positive correlation was identified between the mean scores of all subscales of the FROGS and HHS, as well as between their total scores (<i>p</i> &lt; 0.05). Regression analysis revealed that the level of hope in patients with schizophrenia had a 60% effect on functional recovery (<i>F</i> = 203.61; <i>R</i>² = 0.603; <i>p</i> ≤ 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings of this study indicated that patients diagnosed with schizophrenia had moderate levels of hope but low functional recovery scores. Additionally, a significant and positive relationship was observed between hope and functional recovery, demonstrating that hope is an influential factor in enhancing functional recovery. Therefore, it is recommended that interventions aimed at increasing levels of hope be planned and implemented within treatment and rehabilitation programs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 4","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145479971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Square Dancing With Depression and Anxiety: Nationwide Study Findings From a Network Perspective","authors":"Meng-Yi Chen,&nbsp;Wei Bai,&nbsp;Ling Zhang,&nbsp;Sha Sha,&nbsp;Zhaohui Su,&nbsp;Teris Cheung,&nbsp;Robert D. Smith,&nbsp;Gabor S. Ungvari,&nbsp;Todd Jackson,&nbsp;Qinge Zhang,&nbsp;Yu-Tao Xiang","doi":"10.1111/appy.70008","DOIUrl":"10.1111/appy.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Depression and anxiety are global public health challenges among older adults. Square dancing, a popular activity for older Chinese adults, is believed to relieve these disturbances. This study compared the prevalence, severity, and network structures of depression and anxiety among older square dancers versus non-dancers (i.e., those who do not engage in square dancing).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Propensity score matching (PSM) created square dancer and non-dancer groups using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Depressive and anxiety symptoms were assessed with the 10-item Center for Epidemiological Studies Depression Scale (CESD-10) and the 7-item Generalized Anxiety Disorder Scale (GAD-7), respectively. Central symptoms and bridge symptoms were estimated in each group using expected influence (EI) and bridge EI, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study included 401 square dancers and a matched sample of 1163 non-dancers. The prevalence and severity of depression and anxiety were significantly lower among square dancers compared to non-dancers. In contrast, network structures of depressive and anxiety symptoms were similar between the two groups. “Uncontrollable worrying” and “Felt sadness” were the most central symptoms, and “Nervousness”, “Bothered by things” and “Felt nervous/fearful” were key bridge symptoms across both groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Participation in square dancing is associated with reduced overall prevalence and severity of depression and anxiety among older adults, but is not associated with a unique network structure of these syndromes compared to non-participation. Consequently, psychosocial interventions developed for depression and anxiety based on the network structure of non-dancers may also be applicable for square dancers who experience anxiety and depression.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 3","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145123911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Call to Enhance Pediatricians' Capacity in Delivering Child and Adolescent Mental Health Services in China","authors":"Meirong Pan,&nbsp;Ni Tang,&nbsp;Jianguang Qi,&nbsp;Zhengjie Zhu,&nbsp;Qingjiu Cao,&nbsp;Tianmei Si","doi":"10.1111/appy.70007","DOIUrl":"https://doi.org/10.1111/appy.70007","url":null,"abstract":"&lt;p&gt;Mental disorders are leading causes of disability in children and adolescents in China, affecting 30.8 million individuals (Dong et al. &lt;span&gt;2025&lt;/span&gt;). Despite escalating needs, China's child and adolescent mental health services (CAMHS) face severe workforce shortages, exacerbated by systemic inefficiencies with unmet lower-tier services demands (Jiang et al. &lt;span&gt;2024&lt;/span&gt;). Strengthening pediatricians' CAMHS capacity is a viable solution aligned with WHO's stepped-care model (WHO Team &lt;span&gt;2021&lt;/span&gt;). Despite global consensus on essential mental health competencies among pediatricians (Foy et al. &lt;span&gt;2019&lt;/span&gt;), significant gaps persist in China, both in targeted surveys and policy frameworks, specifically addressing child and adolescent psychiatry (CAP) competency development among pediatricians.&lt;/p&gt;&lt;p&gt;Our national survey of 537 pediatricians highlights urgency: 496 (92.36%) encountered pediatric mental health cases. Of these, 75.60% reported moderate-to-high stress when delivering CAMHS, primarily due to insufficient CAP skills. Only 32.77% received CAP-specific training, primarily through self-directed learning (&lt;i&gt;n&lt;/i&gt; = 84, 47.73%) and conferences (&lt;i&gt;n&lt;/i&gt; = 82, 46.59%). Strong consensus existed for CAMHS competency development (&lt;i&gt;n&lt;/i&gt; = 517, 96.27%), prioritizing communication skills, early recognition of mental health conditions, and multidisciplinary teamwork (Figure 1).&lt;/p&gt;&lt;p&gt;To address the gaps, we urgently call for immediate actions, including: (1) mandatory CAP training adapting best practices to local needs focusing on communication skills and early disorder recognition to boost pediatricians' willingness and competence in CAMHS; (2) a national CAP e-library, grounded on foundational resources like mhGAP (World Health Organization &lt;span&gt;2017&lt;/span&gt;), to provide standardized content, reduce geographic disparities, and integrate guidelines, lectures, case studies, and regional resources for referrals; and (3) support from the National Health Commission and academic leadership, including policy directives, increased CAMHS funding, and CAP rotation quality assessment.&lt;/p&gt;&lt;p&gt;Enhancing pediatricians' CAMHS capacity through these steps will help China build a sustainable CAMHS workforce for youth needs, improve outcomes, and offer a scalable model for other Asia-Pacific nations facing similar workforce shortages and seeking to expand CAMHS within primary care frameworks.&lt;/p&gt;&lt;p&gt;Meirong Pan conceived the study design and performed data collection, extraction, and analysis, and drafted the paper. Ni Tang conceived the study design and performed data collection, extraction, and analysis. Jianguang Qi conceived the study design and performed data extraction. Zhengjie Zhu performed data extraction. Tianmei Si conceived the study design and performed data collection, extraction, and analysis; drafted and reviewed the paper. All authors reviewed the final manuscript.&lt;/p&gt;&lt;p&gt;The authors have nothing to report.&lt;/p&gt;&lt;p&gt;This study","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 3","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/appy.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on “Cross-Cultural Differences in the Pathways to Internet Gaming Disorder”","authors":"Mei-Yun Lu,&nbsp;Lien-Chung Wei","doi":"10.1111/appy.70006","DOIUrl":"https://doi.org/10.1111/appy.70006","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 3","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Network Analysis of Psychiatric Symptoms in Patients With Schizophrenia Treated With Antipsychotic Polypharmacy Using Propensity Score Matching: Findings From the Research on Asian Psychotropic Prescription Patterns (REAP) Study","authors":"Wen Li,&nbsp;Qinge Zhang,&nbsp;Gabor S. Ungvari,&nbsp;Seon-Cheol Park,&nbsp;Lian-Yu Chen,&nbsp;Kok Yoon Chee,&nbsp;Roy Abraham Kallivayalil,&nbsp;Kang Sim,&nbsp;Yan-Ling He,&nbsp;Norman Sartorius,&nbsp;Naotaka Shinfuku,&nbsp;Shih-Ku Lin,&nbsp;Ajit Avasthi,&nbsp;Sandeep Grover,&nbsp;Takahiro A. Kato,&nbsp;Chee H. Ng,&nbsp;Yu-Tao Xiang","doi":"10.1111/appy.70005","DOIUrl":"https://doi.org/10.1111/appy.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Antipsychotic polypharmacy (APP) is prevalent among patients with schizophrenia across countries in Asia. This study aimed to explore the relationships between psychiatric symptoms and APP using network analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data on nine major psychiatric symptoms and the number of prescribed antipsychotics were extracted from the fourth survey of the Research on Asian Psychotropic Prescription Patterns (REAP-AP). A network model of the nine psychiatric symptoms was constructed for patients treated with APP and antipsychotic monotherapy (APM) respectively. The interconnections between psychiatric symptoms and APP use were further analyzed using network analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1528 patients with schizophrenia treated with APP were matched with 1528 patients treated with APM in Asia. The top three central psychiatric symptoms in the networks of psychiatric symptoms were consistent, but in different orders for APP-treated patients (verbal aggression, hallucinations, and social/occupational dysfunction) and APM-treated patients (social/occupational dysfunction, verbal aggression, and hallucinations). Network analysis of APP and psychiatric symptoms revealed that disorganized/catatonic behavior was strongly linked with APP, followed by delusions, hallucinations, and verbal aggression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Psychiatric symptoms closely associated with APP included verbal aggression, grossly disorganized/catatonic behavior, delusions, and hallucinations. For patients with schizophrenia who are primarily exhibiting such symptoms, alternative appropriate treatment strategies should be considered.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 3","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144861744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adjunctive Antidepressant Use in Bipolar Disorder and Its Clinical Correlates: An Asian Psychotropic Prescription Patterns Consortium Study","authors":"Yi Hu,&nbsp;Qian Hui Chew,&nbsp;Shih-Ku Lin,&nbsp;Wen-Chen Ouyang,&nbsp;Chih-Ken Chen,&nbsp;Seon-Cheol Park,&nbsp;Ok-Jin Jang,&nbsp;Kok-Yoon Chee,&nbsp;Kwong Sen Ding,&nbsp;Jamaline Chong,&nbsp;Ling Zhang,&nbsp;Keqing Li,&nbsp;Xiaomin Zhu,&nbsp;Chonnakarn Jatchavala,&nbsp;Pornjira Pariwatcharakul,&nbsp;Roy A. Kallivayalil,&nbsp;Sandeep Grover,&nbsp;Ajit Avasthi,&nbsp;Moin Ansari,&nbsp;Margarita M. Maramis,&nbsp;Phyo Aung Paing,&nbsp;Chay Hoon Tan,&nbsp;Yu-Tao Xiang,&nbsp;Mian-Yoon Chong,&nbsp;Yong Chon Park,&nbsp;Takahiro A. Kato,&nbsp;Naotaka Shinfuku,&nbsp;Ross J. Baldessarini,&nbsp;Kang Sim","doi":"10.1111/appy.70004","DOIUrl":"https://doi.org/10.1111/appy.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adjunctive antidepressant (AD) use is prevalent for the treatment of bipolar disorder (BD) in many countries, but there is little information about this practice in Asia. Accordingly, we addressed the prevalence, dosing, and clinical correlates of adjunctive AD use with BD in a large Asian sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients with BD were recruited across 13 Asian sites (PR China, Hong Kong, India, Indonesia, Japan, South Korea, Malaysia, Myanmar, Pakistan, Singapore, Sri Lanka, Taiwan, and Thailand) for this cross-sectional study. We examined differences between patients with versus without adjunctive AD treatment. Multivariable logistic regression was used to identify factors associated with the use of adjunctive AD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among a total of 2114 adult participants (47.7% men; age 42.4 years [CI: 41.8–43.0]; BMI 25.0 kg/m² [24.8–25.2]), the prevalence of AD use averaged 19.8% [18.1–21.6], at a mean imipramine-equivalent dose of 113 [110–116] mg/day. Adjunctive AD use was associated with factors including older age, outpatient status, more depression, suicidal behavior, rapid cycling, and lower doses of MS and antipsychotics (APs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Usage of AD treatment for BD in Asia was less than half that reported in Western samples. Such use of AD treatment appeared to be well tolerated but underscores the need for close clinical follow-up to avoid risks of excessive elevation of mood or behavior.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 2","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Predictive Nomogram for Suicide Attempts in Chinese Adolescents With Both Non-Suicidal Self-Injury and Suicidal Ideation","authors":"Yi-Hui Liu,&nbsp;Ming Chen,&nbsp;Hao-Zhang Huang,&nbsp;Jia-Rong Liang,&nbsp;Yong-Yi He,&nbsp;Jia-Hui Hu,&nbsp;Ting-Ting Zhang,&nbsp;Fu-Jun Jia,&nbsp;Cai-Lan Hou","doi":"10.1111/appy.70003","DOIUrl":"https://doi.org/10.1111/appy.70003","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Non-suicidal self-injury (NSSI) and suicidal ideation (SI) are prevalent and co-occurring among adolescents, serving as critical predictors of suicide. This study aimed to develop a predictive model and nomogram for suicide attempts (SA) in Chinese adolescents with mood disorders exhibiting NSSI and SI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected from 134 participants. Predictors were selected via LASSO regression from data collected using the Self-Injurious Thoughts and Behaviors Interview-Revised and self-report scales, followed by multivariate logistic regression to build the nomogram. Model performance was assessed through discriminatory ability, calibration curves, and clinical decision analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Adolescents with SA history had fewer education years, higher prevalence and future likelihood of self-injurious thoughts and behaviors, earlier NSSI onset, more frequent and severe NSSI, and more intense and persistent SI compared to those without SA. Three key predictors for SA were identified: NSSI emotion regulation scores, average SI persistence duration, and history of interrupted attempts. The developed nomogram exhibited robust predictive accuracy with an AUC of 0.756.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study presents a predictive model for suicide risk in adolescents with mood disorders exhibiting NSSI and SI. The model demonstrates high predictive accuracy and clinical applicability, offering a practical tool for clinicians to prioritize high-risk cases and guide personalized interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 2","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexsomnia-Like Behaviors Associated With Zolpidem","authors":"Hui-Yuan Liao,&nbsp;Huang-Chi Lin","doi":"10.1111/appy.70002","DOIUrl":"https://doi.org/10.1111/appy.70002","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}