Early Intervention in Psychiatry最新文献

{"title":"Trauma-Informed Individual Placement and Support in a Youth Community Service in Regional Australia: Trauma-Exposed Young People's Experiences","authors":"Wilma Peters,&nbsp;Ilias Kamitsis,&nbsp;Fatima Ibrahim,&nbsp;Jannette Kavanagh,&nbsp;Gina Chinnery,&nbsp;Sarah Bendall","doi":"10.1111/eip.70271","DOIUrl":"10.1111/eip.70271","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Individual Placement and Support (IPS) is an evidence-based intervention to support people with severe mental ill health to engage in work or education. However, how it should be integrated into a service for young people with high levels of exposure to trauma is unclear. This project involved the development of a trauma-informed training and supervision model to augment IPS training and the implementation of the trauma-informed-IPS (TI-IPS) training and supervision model TI-IPS into a youth community service in regional Australia. The aim of the research project was to understand how young people experienced receiving the TI-IPS model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>TI-IPS was implemented at Veritas House. Ten trauma-exposed young people who had received TI-IPS participated in in-depth qualitative interviews about their experiences. Results were analysed using Reflexive Thematic Analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Young people described how important trust in the TI-IPS worker was and how trust supported them in being motivated to look for work. They also described feeling safe interacting with their IPS worker. Young people talked about trauma with their IPS workers in a brief and contained way and experienced this as helpful and supportive.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The trauma-informed and IPS models of care can be integrated successfully in youth services. Young people highly value the relationship with their worker when undertaking TI-IPS.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 10","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Early Youth Engagement (EYE-2) Intervention in First Episode Psychosis Services: Definition and Implementation of a Therapeutic Motivational–Engagement Model for Early Intervention in Psychosis Key Workers","authors":"Kathryn Greenwood,&nbsp;Richard O. de Visser,&nbsp;Victoria Smallman,&nbsp;Claire Vella,&nbsp;Stuart Clark,&nbsp;Rebecca Webb,&nbsp;Anastacia O'Donnell,&nbsp;Louise Johns,&nbsp;Philippa Garety,&nbsp;Emmanuelle Peters,&nbsp;Shanaya Rathod,&nbsp;Peter Phiri,&nbsp;Sunil Nandha,&nbsp;Belinda Lennox,&nbsp;Paul French,&nbsp;Jo Hodgekins,&nbsp;David Fowler,&nbsp;Heather Law,&nbsp;Andrew Healey,&nbsp;Stephen Bremner,&nbsp;Rose Thompson,&nbsp;Carl May","doi":"10.1111/eip.70270","DOIUrl":"https://doi.org/10.1111/eip.70270","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychosis is associated with high disability and societal costs. Early Intervention in Psychosis (EIP) services enhance mental health outcomes, but 15% disengage and more engage intermittently. There is no EIP-specific therapeutic model for how Key Workers should maximize engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To identify factors that define the Early Youth Engagement (EYE) therapeutic model for Key Workers in EIP services and affect implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The design was a cross-sectional qualitative thematic analysis and the final phase of an iterative mixed-methods model development. Participants were 15 EIP clinicians who took part in the EYE pilot project and were interviewed regarding core therapeutic ingredients and implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final EYE-2 therapeutic model was defined by 10 sub-themes forming three therapeutic process themes (Psychoeducation; The Motivational–Engagement relationship; An Early Systemic Approach) and an outcome theme (Achieving Meaningful Recovery Outcomes). Fourteen implementation-related subthemes were mapped onto Normalization Process Theory constructs. They revolved largely but not exclusively around the more tangible psychoeducation component.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study defines, for the first time, the key components of a Therapeutic Motivational–Engagement Model for Key Workers in EIP services derived from service user and carer perspectives on needs. The clarity regarding core therapeutic processes to better support engagement enables the potential to standardize and reduce complexity in the Key Worker role. This clarity is important because key workers' role confidence impacts on therapeutic relationships and outcomes. The model is well-liked, easy to implement and supported by psychoeducational resources adapted for people from minority ethnic populations. Effectiveness and cost-effectiveness evaluations have revealed positive cost and societal outcomes. The model is highly compatible with the EIP approach but requires organizational support, staff induction and booster training for long-term sustainability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 10","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70270","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicidal Behaviour and Non-Suicidal Self-Injury in Adolescents With Childhood Sexual Abuse: Associated Clinical Factors and Psychological Correlates","authors":"Birsen Şentürk Pilan,&nbsp;Yiğit Özaydın,&nbsp;İlayda Barankoğlu Sevin,&nbsp;Tuğçe Özcan,&nbsp;Sezen Köse,&nbsp;Fevzi Tuna Ocakoğlu,&nbsp;Serpil Erermiş,&nbsp;Tezan Bildik","doi":"10.1111/eip.70251","DOIUrl":"https://doi.org/10.1111/eip.70251","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Childhood sexual abuse is a major developmental trauma associated with elevated risk for non-suicidal self-injury and suicidal behaviour in adolescence. Yet, it remains unclear whether abused adolescents show distinct motivational profiles for self-injury and how depression and emotion dysregulation jointly relate to suicide risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To compare suicide risk, depressive severity, and emotion dysregulation across adolescents with childhood sexual abuse and self-injury, adolescents with self-injury without sexual abuse, and controls; to identify unique predictors of suicide risk; and to examine construct-level symptom and motivation networks using a network analytic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study included 120 adolescents (12–18 years; <i>n</i> = 40 per group) assessed with measures of suicide risk, depressive symptoms, emotion dysregulation, and self-injury characteristics/motives. Group differences were tested using appropriate parametric/nonparametric methods. Multiple regression models evaluated predictors of suicide risk. Networks were estimated using regularized partial correlation models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Adolescents with childhood sexual abuse and self-injury showed the highest overall suicide risk, hopelessness, and suicidal ideation, alongside greater depressive severity and emotion dysregulation, particularly in impulse control and limited access to regulation strategies. In regression analyses, depressive severity was the strongest correlate of overall suicide risk, while specific emotion dysregulation facets showed domain-specific associations with hostility and negative self-image. Network analysis identified suicidal ideation and limited access to regulation strategies as the most central nodes. Motivation networks appeared more diffuse in the CSA group, although pronounced floor effects and zero-inflation in this subgroup's responses warrant caution in this interpretation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Adolescents with childhood sexual abuse and self-injury represent a high-priority early intervention subgroup with elevated suicidality and regulatory difficulties. Rapid assessment should prioritize depressive severity, suicidal ideation, and emotion regulation strategy deficits, while trauma-informed interventions may be required to address less explicit self-injury motivations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 10","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterising Body Dissatisfaction in Australian Adolescents: Results From Year One of the Body Kind Youth Survey","authors":"Stephanie Miles,&nbsp;Helen Bird,&nbsp;Stephanie Damiano,&nbsp;Andrea Phillipou","doi":"10.1111/eip.70269","DOIUrl":"10.1111/eip.70269","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Body image has been highlighted by young people as a significant concern; however, there is limited research on the impact of appearance ideals and negative body image. The aim was to undertake a national community survey exploring body dissatisfaction and related factors in young Australians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>1550 Australians aged 12–18 (M = 16.02, SD = 1.53) completed an online survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One quarter of participants were mostly or completely dissatisfied with how their body looks and 90% reported some level of concern about their body image. Further, participants' feelings about their bodies stopped them from engaging in a range of life activities, such as spending time with friends and family. Approximately two thirds of participants reported being teased about their body.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings suggest that body image is a salient concern for young people and has notable impacts on quality of life, emphasising the importance of implementing body image-related programs for young people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 10","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Help-Seeking Among University Students: Symptom, Attitudinal, and Demographic Correlates of Formal Care Use Versus Inaction","authors":"Shinichi Iwasaki,&nbsp;Yasuhiko Deguchi,&nbsp;Shohei Okura,&nbsp;Koki Inoue","doi":"10.1111/eip.70268","DOIUrl":"10.1111/eip.70268","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Despite the importance of early intervention, a substantial proportion of students experiencing psychological distress do not access professional care. This study compared the coping responses that Japanese university students without a history of psychological distress anticipate with those that students with such a history report and examined factors associated with the use of formal professional care rather than inaction among the latter group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was completed by 2025 undergraduates (Grades 1–4) at a large Japanese public university, representing 16.9% of the eligible undergraduate population. Students who reported no history of psychological distress described hypothetical help-seeking intentions; those with such a history reported the coping responses they had used, classified as Formal Help, Informal Help, Self-Care, or Inaction by a hierarchical priority rule. A binomial logistic regression (<i>N</i> = 402) examined adjusted associations with Formal Help versus Inaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The distribution of hypothetical intentions differed from the distribution of reported behaviour across groups (<i>χ</i>²(3) = 109.0, <i>p</i> &lt; 0.001). Informal help accounted for 50.5% of hypothetical intentions and 30.8% of reported behaviour, whereas formal care accounted for 20.7% and 36.6%, respectively, and inaction for 7.0% and 13.0%. Higher generalized-anxiety scores were associated with formal care rather than inaction (OR = 2.51, <i>p</i> &lt; 0.001); depression was not associated with the binary outcome (OR = 0.81, <i>p</i> = 0.434). Positive attitudes toward professional help (OR = 1.23, <i>p</i> &lt; 0.001), female sex (OR = 2.06, <i>p</i> = 0.011), and independent living (OR = 1.82, <i>p</i> = 0.035) were also associated with formal care, whereas perceived stigma was not significant (<i>p</i> = 0.385). The model showed adequate discrimination (area under the ROC curve = 0.82).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In this cross-sectional sample, generalized anxiety, positive attitudes toward professional help, female sex, and independent living were associated with formal care relative to inaction; depression was not independently associated with the outcome. The findings support prospective evaluation of low-threshold outreach and multidimensional literacy and access interventions but do not establish causality or intervention effectiveness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 10","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automated Analysis of Smiling Mimicry Across the Psychosis-Risk Continuum","authors":"M. Parisi,&nbsp;J. Lozano-Goupil,&nbsp;C. Bertrand,&nbsp;L. Marin,&nbsp;S. Raffard,&nbsp;J. Gold,&nbsp;J. Waltz,&nbsp;J. Schiffman,&nbsp;L. M. Ellman,&nbsp;G. Strauss,&nbsp;E. Walker,&nbsp;S. Woods,&nbsp;A. R. Powers,&nbsp;J. Kenney,&nbsp;P. Corlett,&nbsp;S. Silverstein,&nbsp;V. A. Mittal","doi":"10.1111/eip.70272","DOIUrl":"10.1111/eip.70272","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Early identification and support for individuals with psychotic-like experiences (PLEs) are essential for timely intervention and improved outcomes. Emotional mimicry, which refers to the automatic imitation of another person's emotional expression, such as a smile, is a fundamental social process that supports smooth interpersonal interaction and is known to be impaired in schizophrenia. However, its role across the broader psychosis-risk continuum remains unclear. This study examined smiling mimicry (the emotional mimicry of smiling) in individuals with PLEs and explored its relationship with key negative symptoms. Secondary analyses explored whether such patterns were particularly characteristic of a clinical high-risk (CHR) subgroup.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 102 participants were categorised into a PLE group (<i>n</i> = 75) or a healthy control group (HCs; <i>n</i> = 27) using structured clinical interviews. Within the PLE group, a subset met CHR criteria (<i>n</i> = 41). Negative symptoms were assessed using the Negative Symptom Inventory—Psychosis Risk (NSI-PR). Zoom recordings from clinical assessments were analyzed using FaceReader, an automated facial expression analysis tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Primary analyses showed no overall group differences between PLE and HC participants in smiling mimicry. However, within the PLE group, mimicry was significantly negatively associated with blunted affect (<i>r</i> = −0.36, <i>p</i> = 0.002). In secondary analyses, CHR participants did not differ from HCs in smiling mimicry.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings highlight the value of automated facial analysis for detecting subtle interpersonal deficits and suggest that reduced smiling mimicry is specifically linked to blunted affect across the psychosis-risk spectrum, with implications for early identification and intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 10","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Intergenerational Injustice Impacts Young People's Mental Health: A Qualitative Study","authors":"Gerald Jordan,&nbsp;Sophie Webb,&nbsp;Beckye Williams,&nbsp;Catrin Street-Mattox,&nbsp;Emma Černis,&nbsp;Stephanie Burnett-Heyes","doi":"10.1111/eip.70273","DOIUrl":"10.1111/eip.70273","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Emerging adulthood is a significant period of developmental transition, and recent increases have been observed in mental health diagnoses and service use among people at this stage of life. Coinciding with these increases is a perceived decrease in young people's quality of life across advanced economies such as the UK, on account of rising economic, social and political precarity. The disparity between the relative stability experienced by previous generations and the instability with which younger generations contend is known in policy spaces as ‘intergenerational injustice’. Despite its importance, no study has examined how intergenerational disparities are subjectively impacting young people's mental health. To address this gap, our study sought to understand (1) <i>how intergenerational injustice is subjectively experienced by young people in the UK? and</i> (2) <i>how intergenerational inequities impact young people's mental health.</i></p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive approach was used. 18 young people participated in semi-structured interviews addressing the research questions. Interviews were transcribed verbatim and analysed using reflexive thematic analysis to generate themes and patterns from the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our analysis generated three interrelated themes: (1) political abandonment, (2) greater precarity around the means to support one's existence and potential, and (3) limited opportunities for living a full, healthy life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This is the first qualitative study to explore how intergenerational injustice subjectively impacts young people's lives and mental health. Governments, policymakers, and researchers should better address intergenerational inequalities, given the importance of emerging adulthood for life trajectories, including mental health diagnoses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 10","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13634784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychoeducation for Youth at Clinical High-Risk of Psychosis","authors":"Jean Addington,&nbsp;Lu Liu,&nbsp;Cari Jahraus,&nbsp;Erin Jones,&nbsp;Joyce Singh","doi":"10.1111/eip.70274","DOIUrl":"10.1111/eip.70274","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Psychoeducation may be a useful first-step intervention for youth at clinical high risk of developing psychosis (CHR). The aim of this study was to describe clinical improvement after receiving psychoeducation and adherence to the treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 54 participants who began the treatment and 48 completed a follow-up assessment 2–6 months after baseline. Clinical assessments included measures of attenuated psychotic symptoms (APS), negative symptoms, depression, anxiety, distress and social and role functioning. Treatment consisted of eight individual sessions of psychoeducation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At the follow-up assessments, significant improvements were observed in total ratings on APS (<i>p</i> &lt; 0.0001, effect size (ES) = 0.36), depression and anxiety ratings on the CDSS (<i>p</i> &lt; 0.001, ES = 0.51) and the OASIS (<i>p</i> &lt; 0.05, ES = 0.31), the K-10 distress scale (<i>p</i> &lt; 0.01, ES = 0.36) and defeatist beliefs (<i>p</i> &lt; 0.01, ES = 0.34). For negative symptoms, significant improvements were observed in blunted affect (<i>p</i> &lt; 0.01, ES = 0.45) and avolition (<i>p</i> &lt; 0.05, ES = 0.21). No improvements were observed in social or role functioning. Fifty-nine percent completed all psychoeducation sessions, and 18.5% chose to attend fewer sessions due to existing knowledge. Only 7.4% dropped out, while the remaining 14.7% left early but provided explanations for doing so.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Generally, participants attended most of the sessions, with limited dropout. Clinical improvement was observed but cannot necessarily be attributed to the psychoeducation since this was an open trial. However, this appears to be a valuable and easy-to-deliver intervention that can be offered in a real-world clinical setting.</p>\u0000 \u0000 <p><b>Trials Registration:</b> Clinical Trials.gov identifier NCT04829292.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 10","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distinct Psychological Profiles of Adolescent Psychiatric Outpatients With Non-Suicidal Self-Injury Stratified by Suicidal Ideation","authors":"Erina Nakane,&nbsp;Hiroyuki Ogata,&nbsp;Masaki Seki,&nbsp;Sohei Saima,&nbsp;Hiroshi Ihara","doi":"10.1111/eip.70262","DOIUrl":"10.1111/eip.70262","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Non-suicidal self-injury (NSSI) is a critical clinical marker in early psychiatric intervention for adolescents. It often co-occurs with suicidal ideation (SI), but it remains unclear which component—NSSI or SI—more accurately reflects the underlying psychological burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this retrospective cross-sectional study, 417 adolescent outpatients (13–18 years) were classified into four groups: no NSSI/no SI (<i>n</i> = 292), SI without NSSI (<i>n</i> = 66), NSSI without SI (<i>n</i> = 31) and NSSI with SI (<i>n</i> = 28). At intake, participants completed the QIDS (depressive symptoms; QIDS_noSI), HQ-25 (social withdrawal), TACS-22 (modern-type depressive traits) and BRS (resilience). Group differences were tested using ANOVA with variance-robust procedures as needed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Non-suicidal self-injury (NSSI) was present in 14.1% of participants, and suicidal ideation (SI) was endorsed by 22.5%. Depressive symptom severity (excluding suicidal ideation) was higher in both groups with SI regardless of their NSSI status; furthermore, among adolescents with NSSI, the presence of SI was associated with greater depressive severity. Social withdrawal was elevated primarily in adolescents who reported SI without NSSI compared to those with neither behaviour. Scores for modern-type depressive traits were also higher in the two groups experiencing SI. Psychological resilience showed only a marginal overall group effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In routine outpatient settings, psychological profiles often attributed to NSSI were more strongly driven by the presence of SI. These findings suggest that for early intervention, stratifying adolescent patients by SI status—rather than focusing on NSSI alone—is essential for identifying those with greater depressive burden and social withdrawal. This approach allows for more precise risk assessment and individualised care planning at the point of initial clinical contact.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 10","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antipsychotic Polypharmacy in Hospitalised Adolescents and Young Adults: Predictors, Clinical Correlates and Post-Discharge Outcomes","authors":"Koki Haruguchi,&nbsp;Sean Lynch,&nbsp;Nishtha Ahuja,&nbsp;Natalie Burlant,&nbsp;Sungmin Hong,&nbsp;Chaden Noureddine,&nbsp;Caroline Wang,&nbsp;Timothy Rice,&nbsp;Manuela Zisu,&nbsp;Lisa Cohen,&nbsp;Ashley Sterchele","doi":"10.1111/eip.70265","DOIUrl":"10.1111/eip.70265","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Antipsychotic polypharmacy (APP), defined as the concurrent use of two or more antipsychotics, is common in real-world psychiatric practice despite guidelines favouring monotherapy. While APP is linked to greater illness severity and behavioural dysregulation in adults, its correlates and outcomes in adolescents and young adults are less understood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective chart review examined psychiatrically hospitalised patients under 25 prescribed at least one antipsychotic for psychosis between 2018 and 2022 at a single academic medical center (<i>N</i> = 229). APP was defined as two or more antipsychotics at discharge. Sociodemographic, clinical, and treatment variables were compared between APP and monotherapy groups. Multivariable logistic regression identified independent predictors of APP, and Kaplan–Meier analysis examined time to one-year readmission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>APP was prescribed in 14% of patients. Compared with monotherapy, APP patients had longer hospital stays, more home medications at admission, higher long-acting injectable (LAI) use, and greater documented history of violence. In regression, history of violence was the only independent positive predictor of APP (OR = 3.30, 95% CI [1.28–8.52]), while no LAI on discharge and positive urine drug screening were associated with lower odds. APP was not associated with higher one-year readmission rates or shorter time to readmission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In adolescents and young adults with psychotic disorders, APP was primarily driven by acute behavioural risk rather than illness chronicity. Despite higher clinical complexity, APP did not worsen readmission risk. When selectively applied, short-term APP may not be associated with worse short-term outcomes in high-risk youth.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 10","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}