International Journal of Social Psychiatry最新文献

{"title":"Comparative Effects of Psychosocial and Behavioral Interventions to Prevent or Reduce Suicidal Ideation and Suicidal Behavior: A Network Meta-Analysis.","authors":"Tra-My Ngoc Nguyen, Kim-Ngan Thi Ta, Kai-Jen Chuang","doi":"10.1177/00207640261496219","DOIUrl":"https://doi.org/10.1177/00207640261496219","url":null,"abstract":"<p><strong>Background: </strong>Previous meta-analyses combined treatment with prevention interventions and there was a lack of comparative studies on preventive interventions for suicide.</p><p><strong>Aims: </strong>To evaluate and rank the effects of prevention interventions on self-harm, suicidal ideation, suicidal behavior, and depression.</p><p><strong>Methods: </strong>We searched PubMed, HINARI, CENTRAL and ResearchGate until November 2025 to identify randomized controlled trials that reported suicidal ideation and suicidal behavior among adolescents and adults. Eligible studies were selected through systematic screening, and data were synthesized using a network meta-analysis with a random-effects model to assess and rank effects of psychosocial and behavioral interventions in January 2026.</p><p><strong>Results: </strong>This study included 94 trials (27,242 participants). Compared with control group, psychotherapy (<i>Odds ratio [OR]</i> = 0.60; 95% CI [0.47, 0.76]), active outreach (<i>OR</i> = 0.73; 95% CI [0.59, 0.90]), and other psychosocial and behavioral interventions (hereafter, \"other type\"; <i>OR</i> = 0.53; 95% CI [0.33, 0.86]) were the three most effective interventions in preventing suicidal behavior (moderate-quality evidence). Psychotherapy (Standardized mean difference [SMD] = -0.18; 95% CI [-0.31, -0.05]; moderate-quality evidence) and other type (SMD = -0.60; 95% CI [-0.86, -0.33]; moderate-quality evidence) were the two most effective interventions in preventing suicidal ideation. Only psychotherapy was significantly more effective than control group (<i>OR</i> = 0.66; 95% CI [0.48, 0.91]; moderate-quality evidence) in reducing self-harm. Only skills showed effectiveness in reducing depression with very low-quality evidence (SMD = -0.67; 95% CI: [-1.07, -0.28]).</p><p><strong>Conclusions: </strong>Psychotherapy consistently improved several suicide-related outcomes, indicating that clinical and community settings should prioritize this intervention. Healthcare policymakers and practitioners should integrate psychotherapy into regular mental health services and expand active outreach activities to improve conditions and use of the beneficiaries.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261496219"},"PeriodicalIF":2.7,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216307","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":"Interpreting Central and Bridge Symptoms in Childhood NSSI Networks: A Comment on Yang and Ma.","authors":"İlker Güneysu","doi":"10.1177/00207640261496227","DOIUrl":"https://doi.org/10.1177/00207640261496227","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261496227"},"PeriodicalIF":2.7,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165922","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":"Addressing Mental Health in Prison: Advancing Psychosis-Risk Screening Beyond Antisociality.","authors":"Michele Ribolsi, Giuseppe Ducci, Claudia Cacciari, Laura Polimanti, Adele Di Stefano","doi":"10.1177/00207640261496236","DOIUrl":"https://doi.org/10.1177/00207640261496236","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261496236"},"PeriodicalIF":2.7,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166751","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":"The Perception of Quality of Care and Respect of Human Rights in Mental Health Facilities Among Health Workers Over Time in Sardinia, Italy.","authors":"Alessandra Perra, Viviana Forte, Federico Contu, Elisa Cantone, Michela Atzeni, Antonio Egidio Nardi, Mauro Giovanni Carta","doi":"10.1177/00207640261489820","DOIUrl":"https://doi.org/10.1177/00207640261489820","url":null,"abstract":"<p><strong>Objectives: </strong>To examine changes in mental health workers' (MHWs) perceptions of human rights protection and job satisfaction before, during, and after the COVID-19 pandemic in Italy (Sardinia).</p><p><strong>Study design: </strong>Comparative analysis of three cross-sectional surveys conducted at different time points.</p><p><strong>Methods: </strong>Three cross-sectional surveys were carried out among MHWs working in community mental health services in Italy (Sardinia) in 2019 (pre-COVID), 2022 (during COVID), and 2025 (post-COVID). Participants completed the Well-Being at Work and Respect for Human Rights Questionnaire (WWRR). Items 1 to 6 (Likert scale 1-6) assessed job satisfaction and perceived respect for human rights, while item 7 evaluated perceived staff shortages. Comparisons across surveys were performed using ANOVA and χ² tests.</p><p><strong>Results: </strong>The samples included 126 MHWs in 2019, 240 in 2022, and 101 in 2025. The proportion of older staff increased significantly over time (<i>p</i> < .001). Satisfaction with work and organizational aspects improved across the three periods, along with perceptions of respect for users' and staff human rights. Satisfaction with available resources peaked in 2022 and declined in the post-pandemic period. The perceived need for psychologists and rehabilitation professionals remained consistently high, while the perceived shortage of nurses and physicians decreased over time.</p><p><strong>Conclusions: </strong>Perceived respect for human rights and job satisfaction among MHWs showed a sustained improvement after the COVID-19 pandemic, supporting the resilience of Italy's community psychiatry model. Ongoing concerns regarding resources underscore the need for renewed investment in human capital.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261489820"},"PeriodicalIF":2.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136349","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":"Toward Culturally Grounded Mental Health Frameworks for Indigenous Communities: Insights From the Western Ghats, India.","authors":"Sannet Thomas, Manoj Kumar Pandey","doi":"10.1177/00207640261496541","DOIUrl":"https://doi.org/10.1177/00207640261496541","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261496541"},"PeriodicalIF":2.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136341","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":"Amplifying Global South Leadership in Psychiatric Education: Strategies for Equity, Capacity, and Presence.","authors":"Gary Chaimowitz, Diana Marginean, Anusha Lachman, Dina Aly El-Gabry, Paul Robertson, Andrea Fiorillo, Norbert Skokauskas","doi":"10.1177/00207640261489818","DOIUrl":"https://doi.org/10.1177/00207640261489818","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261489818"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109428","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":"Loneliness as a Benchmark Social-connection Signal for Psychological Distress: Cross-national, Longitudinal and Genetically Informed Triangulation Evidence.","authors":"Fu Yang","doi":"10.1177/00207640261487612","DOIUrl":"https://doi.org/10.1177/00207640261487612","url":null,"abstract":"<p><strong>Background: </strong>Loneliness is associated with psychological distress, but whether broader social measures add information is unclear.</p><p><strong>Aims: </strong>To assess incremental information from broader social measures beyond loneliness.</p><p><strong>Method: </strong>This study combined cross-sectional data from European Social Survey Round 6 (ESS6; 48,377 respondents, 29 countries), prospective Health and Retirement Study (HRS) intervals, and exploratory Mendelian randomisation.</p><p><strong>Results: </strong>In ESS6, loneliness had the largest survey-weighted standardised coefficient (<i>b</i> = 0.221 per SD, 95% CI [0.195, 0.246]), 4.3 times the next-largest coefficient. Adding non-loneliness social variables to covariates plus loneliness yielded little cross-validation gain (delta AUC = 0.0058, corrected [0.0004, 0.0111]), whereas adding loneliness to covariates improved AUC by 0.0739 (0.0653, 0.0825). In HRS, baseline loneliness predicted next-wave depressive symptoms after adjustment for baseline symptoms and covariates (<i>b</i> = 0.108, [0.096, 0.120]); relationship strain was the clearest adjacent signal. Exploratory MR suggested that the loneliness-depressive-symptom association may not be unidirectional, but pleiotropy, relaxed reverse instruments, sample overlap and mixed marker findings precluded directional causal interpretation.</p><p><strong>Conclusions: </strong>Loneliness may serve as a benchmark indicator for population research, while broader measures primarily contextualise relational strain and social safety.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261487612"},"PeriodicalIF":2.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069565","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":"The Italian Version of the Lesbian, Gay, Bisexual and Transgender Development of Clinical Skills Scale (LGBT-DOCSS): Validation Among Mental Health Professionals.","authors":"Thomas Salvan, Alessandra Nazeri, Giada Silveri, Andrea Fiorillo, Antonio Ventriglio, Federica Pinna, Manlio Converti, Markus Bidell, Nigel Sherriff, Gian Maria Galeazzi, Mattia Marchi, Francesco Amaddeo, Massimo Mirandola","doi":"10.1177/00207640261485556","DOIUrl":"https://doi.org/10.1177/00207640261485556","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual and gender minority (SGM) individuals experience substantial health inequalities, and clinical competence among healthcare providers is a key determinant of equitable care. The Lesbian, Gay, Bisexual and Transgender Development of Clinical Skills Scale (LGBT-DOCSS) is a validated instrument for assessing SGM-related clinical competence, but no Italian version has been available. This study aimed to translate, adapt, and validate the Italian LGBT-DOCSS among mental health professionals.</p><p><strong>Methods: </strong>A cross-sectional online survey was administered to clinicians and trainees across Italy between June and December 2024. Psychometric analyses were conducted on 345 participants with complete data on all 18 items. Internal consistency, confirmatory factor analysis (CFA), Scalar multi-group CFA provided preliminary evidence consistent with measurement invariance across sexual orientation subgroups, and Spearman correlations with external measures of authoritarianism were examined.</p><p><strong>Results: </strong>The original three-factor structure (Clinical Preparedness, Attitudinal Awareness, Basic Knowledge) was replicated with good model fit (CFI = 0.967, TLI = 0.962, RMSEA = 0.058). Internal consistency was strong across all subscales (Cronbach's α ranging from .81 to .89; ordinal α ranging from .87 to .95). Scalar multi-group CFA supported measurement invariance across heterosexual and non-heterosexual subgroups (CFI = 0.944, RMSEA = 0.074), with non-heterosexual professionals demonstrating greater attitudinal affirmation and stronger awareness of SGM health disparities. Authoritarianism showed small-to-moderate associations with Basic Knowledge and Attitudinal Awareness. Significant differences by gender, sexual attraction and profession were observed, with nurses showing lower self-perceived SGM-related competence than other professional groups.</p><p><strong>Discussion: </strong>The Italian LGBT-DOCSS demonstrates strong psychometric properties and is a valid tool for assessing SGM-related clinical competence among Italian mental health professionals. It can support the identification of training needs and the development of targeted educational interventions to improve care for SGM individuals.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261485556"},"PeriodicalIF":2.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069596","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":"Psychological Profiles of Socially Isolated Young Adults in South Korea: A Latent Profile Analysis of Self-Esteem and Depression, and Differences in Life Satisfaction.","authors":"Choong Rai Nho, Soobin Jang, Hye Jin Jun","doi":"10.1177/00207640261484966","DOIUrl":"https://doi.org/10.1177/00207640261484966","url":null,"abstract":"<p><strong>Background: </strong>Social isolation among young adults-a growing concern worldwide-is associated with poor psychological outcomes, including low self-esteem and depression. In South Korea, socially isolated young adults have recently gained policy attention; however, knowledge regarding their psychological heterogeneity remains limited. Consequently, this study aimed to identify latent profiles of socially isolated young adults based on self-esteem and depression, examine predictors of profile membership, and assess differences in life satisfaction across the identified profiles.</p><p><strong>Methods: </strong>Data were collected using an online survey of 302 socially isolated young adults aged 19 to 34 in South Korea. Measures included self-esteem, depression, social support, subjective health, negative life experiences, the frequency of going out, and income-generating activity. We employed latent profile analysis using self-esteem and depression as profile indicators and examined predictors of profile membership. Life satisfaction was assessed as a distal outcome across the identified profiles.</p><p><strong>Results: </strong>The following three profiles were identified: the psychologically moderately vulnerable (PMV) group (34.4%), the psychologically highly vulnerable (PHV) group (57.3%), and the psychologically stable (PS) group (8.3%). Predictors of subgroup membership included older age, poorer health, adverse childhood experiences, lower social support, lower frequency of going out, and income-generating activity. Life satisfaction was the highest in PS (<i>M</i> = 4.19), followed by PHV (<i>M</i> = 2.55), and the lowest in PMV (<i>M</i> = 1.52).</p><p><strong>Conclusions: </strong>This study's findings indicate that socially isolated young adults are not a homogeneous group but differ in psychological characteristics and associated factors. Interventions should focus on alleviating depression, improving self-esteem, and enhancing social support. Policies should extend beyond employment-oriented approaches to address this population's diverse psychological and social needs.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261484966"},"PeriodicalIF":2.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069561","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":"Factors Associated With Suicide Attempts and Deaths in Mongolia From 2016 to 2023: Socioeconomic and Demographic Analysis.","authors":"Tsetsegee Sambuu, Odgerel Chimed-Ochir, Randeep Rakwal, Tumen-Ulzii Badarch, Oyunsuren Davaasuren, Zuunnast Khishigsuren, Yui Yumiya, Tatsuhiko Kubo, Saruul Gankhuyag, Oyundari Batsaikhan, Javkhlanbayar Dorjdagva, Miki Toyoda, Nader Ghotbi, Feiyu Hu","doi":"10.1177/00207640261484969","DOIUrl":"https://doi.org/10.1177/00207640261484969","url":null,"abstract":"<p><p>PurposeTo identify the socio-demographic determinants and temporal changes of suicide attempts and deaths in Mongolia.MethodsNational injury surveillance and population data of Mongolia (2016-2023) were used to calculate annual rates of suicide attempts and deaths per 10,000 population with stratification by age, sex, and geographic region. Temporal changes were assessed by calculation of annual percentage changes (APCs). For education and occupation, relative count ratios (CRs) were used to compare the distribution of cases across categories.ResultsThere were 5,846 suicide attempts and 3,266 suicide deaths during the study period. Ulaanbaatar had the highest rate of suicide attempts (3.6/10,000), but rural areas and Ulaanbaatar had similar rates of suicide deaths (1.2 vs. 1.3/10,000). Suicide deaths rose sharply from 2016 to 2023, particularly among rural females (APC = 33.7) and rural males (APC = 36.8). Notably, individuals with only primary or middle school education had the highest CRs for suicide attempts (Ulaanbaatar CR = 6.4, rural CR = 4.9) and suicide deaths (Ulaanbaatar CR = 6.7, rural CR = 6.3). Geographical disparities were notable among rural areas, and Khuvsgul Province (1.9/10,000) had the highest rate of suicide deaths.ConclusionBetween 2016 and 2023, Mongolia experienced a steep increase in rural suicide deaths. Although Ulaanbaatar had a higher rate of suicide attempts, rural areas had a higher rate of suicide deaths. Age, sex, education, and area of residence had pronounced associations with these outcomes. Two of the groups with the highest observed burden were young adults and rural males; conversely, those who completed higher education showed the lowest observed frequency of events.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261484969"},"PeriodicalIF":2.7,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149038534","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}