International Journal of Mental Health Nursing最新文献

{"title":"Addressing Workforce and Ethical Gaps in AI-Driven Mental Health Care: A Response to Higgins and Wilson","authors":"Shu-Chuan Chiu,&nbsp;Lien-Chung Wei","doi":"10.1111/inm.70075","DOIUrl":"https://doi.org/10.1111/inm.70075","url":null,"abstract":"<div>\u0000 \u0000 <p>Artificial intelligence (AI)–based clinical decision support systems (CDSS) hold great promise for mental health (MH) care, offering opportunities to reduce clinician workload, improve diagnostic accuracy, and enhance patient monitoring. However, recent article, <i>Integrating Artificial Intelligence</i> (<i>AI</i>) <i>With Workforce Solutions for Sustainable Care</i>, highlights how ongoing staffing shortages and complex organisational dynamics can constrain AI's potential to resolve missed care. This letter builds on their review by emphasising two critical issues: (1) the persistent workforce gap, which undermines efforts to integrate AI effectively, and (2) the pressing need for robust ethical and regulatory frameworks to manage algorithmic bias and data fairness. Recent findings suggest that AI tools require human-AI partnerships, transparent accountability, and culturally adapted solutions to succeed in diverse and underserved populations. Large-scale, longitudinal studies, combined with sustained workforce development, remain essential. Addressing the interplay between technological advancement and systemic workforce barriers can ensure that AI-driven CDSS evolves into a truly equitable, evidence-based resource for mental health practitioners and patients alike.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improved Mental Health Support for Patients With Self-Harm Injuries in the Emergency Department: Design and Development of a Future Patient Care Pathway","authors":"Christina Østervang,&nbsp;Annmarie Touborg Lassen,&nbsp;Elsebeth Stenager,&nbsp;Camilla Lykke Møller,&nbsp;Stine Hummel,&nbsp;Mette Valdersdorf Jensen","doi":"10.1111/inm.70067","DOIUrl":"https://doi.org/10.1111/inm.70067","url":null,"abstract":"<p>The successful development of sustainable healthcare solutions necessitates an in-depth understanding of the clinical environment and its potential challenges from the user's perspective. Previous research has identified a lack of care and treatment responsibility for patients presenting to the emergency department due to self-harm injuries. The aim of this study was to investigate whether a user-driven approach and participatory design could be leveraged to propose, design, and develop future solutions to improve the pathways for patients admitted to the ED owing to self-harm injuries. Drawing from the participatory design methodology, six one-on-one workshops were conducted with patients and their family members, alongside two workshops involving 33 participants (health-care professionals and patient representatives) with diverse roles in the patient care pathway. The study resulted in the development of two concepts recommended for clinical testing: (1) an outreach function from mental health services to the emergency department and (2) a joint position between the psychiatric and emergency departments. The study concludes that involving vulnerable patients in research is feasible but requires careful consideration of the methods employed, with potential alternatives necessary to ensure successful outcomes.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Does Deliberate Rumination Influence the Association Between Stigma and Suicide Ideation in Depressed Patients: A Mediation Analysis","authors":"Muyao Wang,&nbsp;Youjing Kong,&nbsp;Yuqi Chen,&nbsp;Zhijie Lei,&nbsp;Qianzhi Lin,&nbsp;Rufang Zhou,&nbsp;Changyan Zhong,&nbsp;Jingjing Liu,&nbsp;Yu Chen","doi":"10.1111/inm.70065","DOIUrl":"https://doi.org/10.1111/inm.70065","url":null,"abstract":"<div>\u0000 \u0000 <p>This study examined the relationship between stigma, deliberate rumination and suicidal ideation in individuals with depression. A sample of 195 participants aged 18–61 years (39.0% male, 61.0% female) was recruited from a psychiatric hospital in China. Levels of stigma, deliberate rumination and suicidal ideation were assessed using the Depression Stigma Scale (DSS), the Simplified Chinese version of the Event-Related Rumination Inventory (C-ERRI) and the Beck Suicidal Ideation Inventory (BSI), respectively. Mediation analysis and structural equation modelling were employed to test the mediating role of deliberate rumination in the stigma–suicidality association. Among depressed individuals, mean scores were 32.277 (SD = 15.996) for stigma, 17.703 (SD = 11.740) for suicidal ideation and 15.262 (SD = 6.845) for deliberate rumination. Significant correlations were observed between these variables. Mediation analyses indicated that stigma directly influenced suicidal ideation and indirectly affected it through deliberate rumination, which mediated 92% of the total effect. These findings suggest that deliberate rumination acts as a cognitive recalibration mechanism disrupting the stigma–suicidality pathway, consistent with Cognitive Behavioural Theory's focus on restructuring maladaptive schemas. In clinical practice, integrating deliberate rumination training (e.g., through Socratic questioning) into suicide prevention protocols, combined with digital monitoring tools (e.g., wearable sensors or NLP) to assess stigma-related negative thoughts, language and behaviours, could enable early detection of high-risk individuals. This combined intervention may effectively mitigate stigma-induced suicidal ideation.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimising Weight Management Advice for Adults Prescribed Antidepressants: A Qualitative Interview Study of Experiences","authors":"Angela Rodrigues,&nbsp;Nikita Kohli,&nbsp;Charlotte Watson,&nbsp;Katie Boynton","doi":"10.1111/inm.70068","DOIUrl":"https://doi.org/10.1111/inm.70068","url":null,"abstract":"<p>Antidepressants are widely prescribed for depression and anxiety, yet common side effects like weight gain can adversely affect physical and psychological health, highlighting the need for tailored weight management strategies for users. This study aims to explore these experiences, identify barriers and facilitators to effective weight management, assess the availability of weight management services, and understand the role of healthcare professionals in providing support. We conducted semi-structured interviews in the United Kingdom between May–August 2022 (female participants) and December 2023–February 2024 (male participants) with 13 adults prescribed antidepressants aged 19–62. Participants were purposively sampled for variation according to age, gender, type of medication, length of prescription and weight gain/loss. We audio recorded each interview, transcribed it verbatim, and analysed transcripts using thematic analysis. Participants' experiences emphasised the significant role of healthcare professionals in supporting weight management, with impacts ranging from helpful to counterproductive. Adults on antidepressants faced unique practical and psychological challenges, making weight management more complex than typical weight loss efforts. Many struggled to balance mental health needs with concerns about weight gain as a side effect, highlighting a strong need for more comprehensive and proactive support from healthcare providers in addressing medication-related weight changes. This study identifies key areas for supporting weight management in antidepressant users: enhancing proactive healthcare support, tailoring strategies to the unique challenges of antidepressant use and balancing mental and physical health priorities. Early intervention and regular monitoring could improve weight management experiences, highlighting the need for targeted interventions and a proactive role for healthcare providers.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Aerobic and Resistance Exercise on Depression and Anxiety: Systematic Review With Meta-Analysis","authors":"Harry Banyard,&nbsp;Karen-Leigh Edward,&nbsp;Loretta Garvey,&nbsp;John Stephenson,&nbsp;Liane Azevedo,&nbsp;Amanda Clare Benson","doi":"10.1111/inm.70054","DOIUrl":"https://doi.org/10.1111/inm.70054","url":null,"abstract":"<p>Exercise can reduce physiological and psychological symptoms associated with depression and anxiety. However, it is unknown which mode of exercise, if any, is more beneficial. To determine whether aerobic, resistance, or aerobic and resistance exercise improves depressive and/or anxiety symptoms in individuals diagnosed with depression or anxiety. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Five electronic databases were searched, until February 24, 2024. Studies were included for analysis based on satisfying quality appraisal standards and the established inclusion criteria associated with aerobic or resistance exercise in adults with a diagnosis of depression or anxiety. Random effects meta-analysis was performed where possible. Thirty-two randomised controlled trial studies (<i>n</i> = 3243 participants) met the inclusion criteria for this systematic review, and 26 studies (<i>n</i> = 2681 participants) were included in the meta-analyses. For the 25 studies assessing the effect of exercise on depressive symptoms, the pooled standardised mean difference (SMD) favoured exercise as a beneficial treatment of depression (−0.97, 95% confidence interval [CI] −1.28 to −0.66), with a large magnitude of effect. For the 11 studies reporting the effect of exercise on anxiety symptoms, the pooled SMD results revealed that exercise had a significant, moderate magnitude of effect favouring exercise treatment (−0.66, 95% CI −1.09 to −0.23). No studies excessively influenced the outcomes of depression and anxiety. Aerobic, resistance, or a mixture of aerobic and resistance exercise is beneficial for improving symptoms of depression and anxiety.</p><p><b>Protocol Registration:</b> PROSPERO registration number: CRD42019119341 (date of registration: 5/2/2019).</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shame and Experiences of Psychosis: A Qualitative Inquiry","authors":"Kimberley Davies,&nbsp;Sophie Isobel,&nbsp;Zachary Steel,&nbsp;Sarah Morgan,&nbsp;Julia M. Lappin","doi":"10.1111/inm.70070","DOIUrl":"https://doi.org/10.1111/inm.70070","url":null,"abstract":"<p>Research reports a strong association between the experience of psychosis and shame, but there is a paucity of detailed information on the nature of this relationship. This qualitative study explored the relationship between shame and psychosis from the perspectives of people with lived experience of psychosis. Using a trauma-informed and shame-sensitive approach to research, fourteen adults from three mental health services completed semi-structured face-to-face interviews. Reflexive thematic analysis was used to develop four themes: (1) Psychosis can expose underlying shame; (2) Psychosis can cause shame; (3) Efforts to minimise, avoid, and resist shame; and (4) Shame can be triggered in mental health services. The study highlights that psychosis can both contribute to new experiences of shame and reactivate shame from past experiences. Greater consideration of how mental health services can be shame-sensitive is needed, particularly within efforts to provide trauma-informed care.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultivating Academic Excellence: Unveiling the Impact of Mindfulness Through Psychological Capital Among Nursing Students","authors":"Abdulaziz Mofdy Almarwani,&nbsp;Nada A. AbuAlula,&nbsp;Inas A. Ebeid","doi":"10.1111/inm.70053","DOIUrl":"https://doi.org/10.1111/inm.70053","url":null,"abstract":"<div>\u0000 \u0000 <p>In nursing practice, sound academic performance, critical thinking, and clinical reasoning are crucial to achieving academic excellence and clinical success. Mindfulness and psychological capital present promising approaches to addressing challenges encountered in nursing education and practice. The aim of this study was to investigate the empirical and conceptual associations between mindfulness, psychological capital, and academic achievement and the mediating effects of psychological capital on the relationship between mindfulness and academic achievement. A cross-sectional quantitative study was conducted from April to September 2024 among 406 undergraduate nursing students in Saudi Arabia using the Five Facet Mindfulness Questionnaire, the 12-item Psychological Capital Questionnaire, and grade point average (GPA) as a measure of academic achievement. Covariance-based structural equation modelling analysis revealed that only the acting with awareness and nonjudging facets had direct positive relationships with academic achievement. Psychological capital was positively related to academic achievement and mediated the relationship of mindfulness facets (observing, describing, acting with awareness, and nonreactivity) with academic achievement. Thus, this study provides evidence of the positive interrelationships between specific mindfulness facets, psychological capital, and academic achievement. Its results contribute to both theory and practice by adding to the existing myriad determinants of academic achievement. The findings also guide students, teachers, and practitioners in the field of nursing in adopting interventions for enhancing both mindfulness and psychological capital to cultivate sustainable academic excellence in nursing education.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitudes and Practices of Mental Health Professionals Regarding Trauma-Informed Care","authors":"Figen İnci,&nbsp;Fahriye Oflaz,&nbsp;Ayşe Büyükbayram Arslan,&nbsp;Buket Şimşek Arslan,&nbsp;Nurhayat Kılıç Bayageldi","doi":"10.1111/inm.70069","DOIUrl":"https://doi.org/10.1111/inm.70069","url":null,"abstract":"<div>\u0000 \u0000 <p>Trauma-informed care is a model aimed at developing more conscious, sensitive and holistic approaches for trauma survivors. This study examined the knowledge, skills and attitudes of mental health professionals, including nurses, physicians and psychologists, regarding trauma-informed care. A cross-sectional design and a convenience sampling method were used, with a sample consisting of 197 healthcare professionals. Data were collected through an online survey using the Trauma-Informed Care Scale and the Trauma Intervention Skills Scale. Analyses were conducted using Spearman correlation analysis, Mann–Whitney U and Kruskal–Wallis tests. Results revealed that more than half of the participants (55.3%) were unaware of the concept of trauma-informed care, and only 14.2% felt competent in presenting this care model. Gender, age and education level did not significantly affect Trauma-informed care scores (<i>p</i> &gt; 0.05); however, participants who had received education on trauma-informed care during their years of education scored higher (<i>p</i> &lt; 0.05). In the grouping of participants according to their professions, practitioners/family physicians had a statistically significantly lower score on the Trauma-Informed Care Scale than nurses, psychologists and social workers in the total score, and psychological counsellors scored lower than nurses. The findings indicate that while mental health professionals possess knowledge about trauma but many lack an understanding of trauma-informed care, and few feel competent in applying trauma-informed care. To enhance the capacity for trauma-informed care, integrating it into undergraduate curricula and reflecting it in healthcare settings is essential.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric Emergency or General Emergency: Evolution or Involution? A Qualitative Study With Mental Health and Emergency Professionals","authors":"Camuccio Carlo Alberto,&nbsp;Zara Silvia","doi":"10.1111/inm.70063","DOIUrl":"https://doi.org/10.1111/inm.70063","url":null,"abstract":"<p>The treatment of individuals with psychiatric disorders who visit the Emergency Department (ED) remains a significant issue within healthcare organisations. Over the past decades, various organisational solutions have been proposed, ranging from dedicated Emergency Departments to liaison mechanisms involving mental health nurses within EDs or direct access to acute units. On one hand, there are clinical and organisational needs pushing towards the creation of dedicated pathways; on the other hand, there are concerns that such solutions may be counterproductive and dangerous in terms of health and social inclusion. The aim of this study is to assess the opinions of Mental Health and Emergency professionals on the advantages and disadvantages of clinical and organisational pathways dedicated to patients with psychiatric disorders who visit the general ED. The study was conducted using a qualitative research approach: semi-structured interviews were carried out through purposeful sampling composed of two cohorts: Emergency and Mental Health professionals. The data were analysed using content analysis with the software Atlas.ti. Forty-five interviews were collected, and six main themes/families were identified. A certain distance in opinions between the two cohorts emerged, especially regarding the adoption of dedicated pathways. In both cohorts, but particularly in the mental health cohort, there is a fear of stigmatisation and violation of patients' rights in dedicated pathways. Both groups believe that there is a need for more specific training and greater multidisciplinarity. This study adheres to the COREQ checklist for qualitative studies.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are EDs the Only Option? Hospital-Based Alternatives to the Emergency Department for Mental Health Crises: A Scoping Review","authors":"Carly Hudson,&nbsp;Candice Bowman,&nbsp;Marcus Randall","doi":"10.1111/inm.70060","DOIUrl":"https://doi.org/10.1111/inm.70060","url":null,"abstract":"<p>Mental health continues to have a significant negative impact on global health. Hospital emergency departments (EDs) serve as a first entry point for individuals in crisis, with the number of presentations to EDs for mental health continuing to increase. However, EDs remain problematic environments for patients receiving emergency psychiatric care, due to the lack of suitable space, resources and specialised staff training. The World Health Organization has acknowledged the need to restructure mental health services to prioritise accessibility and person-centred care. To address this need, a number of alternative crisis care services have been established, which provide short-term emergency psychiatric care. This scoping review aims to provide an overview of the types of crisis services available within or adjacent to a hospital service. A systematic search of CINAHL, Medline, SocIndex and PsycINFO was conducted, returning 1213 results. Following title and abstract, and full text screening, 17 sources were included in the final review. Alternative crisis care services situated within or near existing hospital sites were broadly grouped into four categories: psychiatric emergency services, crisis stabilisation or observation units, specialised services for specific populations and non-clinical crisis services. Of the included articles, 13 reported some form of service evaluation, examining a range of patient-, staff- and service-factors. Alternative crisis care services to the ED play a crucial role in providing accessible, localised support for individuals experiencing mental health crisis, potentially reducing the reliance on hospital-based services. However, to date, there is a lack of consistency in service descriptions, and comprehensiveness of service evaluations. Standardised and more thorough reporting of crisis care services is required to better understand what services are available, and the impact they are having on mental health crisis care.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144091651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}