Jay Thomas, Rhiannon Corcoran, Graeme Reid, Alison Bryant
{"title":"A Thematic Exploration of the Experience of Inpatient Mental-Health Service-Users Who Are Prevented from Self-Harming.","authors":"Jay Thomas, Rhiannon Corcoran, Graeme Reid, Alison Bryant","doi":"10.1080/01612840.2025.2492695","DOIUrl":"10.1080/01612840.2025.2492695","url":null,"abstract":"<p><p>Research and expert by experience (EBE) testimony has created a foundational understanding of self-harm as a mediator of psychological distress. However, risk-management is frequently prioritised in mental-healthcare services approaches. This research builds on existing understandings of self-harm to explore \"<i>if self-harm mediates psychological distress, then does preventing self-harm have consequences that must be understood and navigated?</i>\". This research thus explores the lived experience of preventive measures (i.e. means-restrictions) which limit participants' use of self-harm and the impact this has on their distress whilst in an inpatient environment. Seven semi-structured interviews were conducted with individuals with a history of self-harm who had experienced an admission to psychiatric hospital. A Reflexive Thematic Analysis was conducted. Participants described their understanding of how their; past-experiences, understandings of their own self-harm, and their emotional and behavioural responses to being unable to self-harm determined their experience of means-restrictions. The ways in which their psychological and emotional experience changed upon means-restrictions are outlined and explored; the ways in which they coped, experienced benefits and support, and how their testimonies positioned self-harm as secondary to the primary problem - emotional distress. Implications for theory and practice are discussed with regards to negotiating the psychological impacts while maintaining safety.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"702-710"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988442","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":"''Two People in One Body\": Qualitative Study on the Family Perceptions of Recipients with a Family Member as Their Donor Using a Projective Method.","authors":"Özge İşeri, Oya Sevcan Orak","doi":"10.1080/01612840.2025.2492692","DOIUrl":"10.1080/01612840.2025.2492692","url":null,"abstract":"<p><p>The aim was to examine the family perceptions of recipients with a family member as their donor using a projective method. In this qualitative study, an arts-based narrative method was employed. The study was completed with 16 recipients through the drawing test, observation, and interviews. The recorded data for each participant were analysed projectively by creating a coding list related to family perception. Each participant's drawings were analysed in alignment with data obtained from other data collection tools and the categories were identified. And then categories were evaluated thematically, main themes identified. There were numerous inconsistencies between the recipients' consciously expressed statements and their unconscious projections. The significant changes in the life of another family member after organ transplantation have placed a dual responsibility on the recipient, both for their own life and for the donor's sacrifice, alongside feelings of gratitude. Another finding is the sorrow of lost time within family roles due to illness and its associated treatment processes. Organ transplant recipients tend to view themselves as different from others in society, experience guilt, and engage in self-directed negative attributions. The findings provide transplant and mental health nurses with a new perspective on assessing the psychosocial difficulties of transplant recipients and understanding family dynamics.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"711-720"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005627","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}
Arianne Imbeault, Vincent Billé, Guyane Lessard, Steve Geoffrion, Marie-France Marin, Marie-Hélène Goulet
{"title":"Documenting Stigma: A Descriptive Qualitative Study of Psychiatric Emergency Notes of Aggressive Incidents.","authors":"Arianne Imbeault, Vincent Billé, Guyane Lessard, Steve Geoffrion, Marie-France Marin, Marie-Hélène Goulet","doi":"10.1080/01612840.2025.2512896","DOIUrl":"10.1080/01612840.2025.2512896","url":null,"abstract":"<p><p>Clinical notes, as subjective reconstructions of events, can unintentionally reinforce stigma, perpetuating stereotypes and power imbalances that hinder care and recovery for people receiving care. In psychiatric emergency settings, documentation of aggression incidents may reflect workplace culture, reinforcing perceptions of violence and unpredictability. The aim of this study was to explore the representations of people receiving care conveyed in clinical notes written after incidents of aggression in psychiatric emergencies. A retrospective descriptive qualitative design was used to examine clinical notes reporting aggression incidents from 108 files from a Canadian psychiatric emergency service (2012-2019) collected through the Signature Biobank. Data were analyzed using thematic analysis by Braun and Clark, guided by Link and Phelan's stigma conceptualization theory. Four themes emerged: shaping individual stigmatization through documentation, hierarchical identities revealing a social separation, structural stigmatization, and emergence of a compassionate approach. Findings highlight how institutional changes are needed to ensure more nuanced, reflective, and trauma-informed documentation practices that respect people dignity and experiences. Training in trauma-informed, recovery-oriented, and human rights-based documentation is recommended to reduce stigma and fostering person-centered care. Future research should examine broader institutional practices and explore how training impacts documentation and outcomes for people with mental illness.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"653-661"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266188","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}
Aya Al-Shashani, Mohammad A Abu Sabra, Ekhlas Al-Gamal
{"title":"The Impact of Using Digital Health Interventions and Psychoeducation on Medication Adherence Among Patients with Schizophrenia: A Scoping Review.","authors":"Aya Al-Shashani, Mohammad A Abu Sabra, Ekhlas Al-Gamal","doi":"10.1080/01612840.2025.2492694","DOIUrl":"10.1080/01612840.2025.2492694","url":null,"abstract":"<p><strong>Background: </strong>Schizophrenia is a significant global mental health concern. It is associated with substantial disability and psychosis and can have an impact on all aspects of life. Medication is an appropriate and effective treatment; thus, improving adherence remains a main concern among patients with schizophrenia in clinical practice. Several approaches, such as digital health interventions (DHI) and psychoeducational approaches, may enhance medication adherence. Despite several efforts to create and improve these approaches, their impact remains unclear.</p><p><strong>Objective: </strong>Conduct a scoping review to provide an overview of how digital health interventions and psychoeducation impact the medication adherence of individuals with schizophrenia.</p><p><strong>Method: </strong>Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines, we screened 435 studies published between 2019 and 2024 from the databases including Springer Link, MEDLINE, Pro-Quest Central, CINAHL Plus, and Google Scholar. All articles were filtered using inclusion criteria to eliminate redundant, irrelevant, and unnecessary content.</p><p><strong>Results: </strong>A total of 14 articles that addressed DHI and psychoeducational interventions for medication adherence in patients with schizophrenia were found to meet the inclusion criteria. Four themes emerged: psychoeducation, mobile applications, telephone interventions, and digital medical systems. DHI and psychoeducation effectively improved medication adherence, with mobile applications being the most popular and successful.</p><p><strong>Conclusion: </strong>The findings of this review should be used by healthcare professionals to direct their clinical practice. Interventions in digital health can provide a wealth of creative ideas for integrating technical advancement with psychotherapies.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"735-745"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013482","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 Do Family Members Describe Their Experience of Losing a Loved One to COVID-19 in Hospital During the First Wave of the Pandemic? Part 2.","authors":"Lisa A Dodge","doi":"10.1080/01612840.2025.2498562","DOIUrl":"10.1080/01612840.2025.2498562","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"746-748"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025035","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":"AI in Mental Health: A Review of Technological Advancements and Ethical Issues in Psychiatry.","authors":"Utsav Poudel, Sachin Jakhar, Prakash Mohan, Anuj Nepal","doi":"10.1080/01612840.2025.2502943","DOIUrl":"10.1080/01612840.2025.2502943","url":null,"abstract":"<p><p>Artificial intelligence (AI) is transforming digital health, its influence is expanding across multiple sectors, with mental health and psychiatric care emerging as key areas of transformation. While significant advancements have been made in medical AI, there remains a need to better understand how these technologies are integrated into clinical practice and what challenges they introduce. We examine the use of AI in identifying and treating mental health disorders, highlighting its impact on screening, diagnosis, and intervention strategies. Technologies such as natural language processing (NLP), machine learning (ML), and computer-delivered cognitive behavioral therapy (CBT) are discussed in the context of enhancing Clinical Decision Support Systems (CDSS). While these innovations promise increased efficiency and accessibility in psychiatric care, they also introduce ethical challenges, including concerns over privacy, bias, and reduced human interaction. Through a critical evaluation, we find that greater transparency, unbiased model development and unbiased AI systems that work hand in hand with human-led care should be encouraged. Our findings underscore the importance of continued research and regulation to ensure the responsible and effective deployment of medical AI services.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"693-701"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078140","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":"Machine Learning and Artificial Intelligence in Suicide Prevention: A Bibliometric Analysis of Emerging Trends and Implications for Nursing.","authors":"Erman Yıldız","doi":"10.1080/01612840.2025.2505904","DOIUrl":"10.1080/01612840.2025.2505904","url":null,"abstract":"<p><p>Nurses play a crucial role in suicide prevention, yet the integration of artificial intelligence and machine learning technologies into nursing practice remains understudied. This research examines how these technologies can enhance nurses' ability to identify and intervene with at-risk patients. A systematic bibliometric analysis and thematic mapping approach was employed. The Web of Science database was searched for relevant publications from January 2019 to October 2024. The initial search yielded 883 publications, with 257 meeting the inclusion criteria after systematic screening. Analysis revealed six distinct research clusters, with machine learning-based behavioral prediction emerging as the dominant theme. Findings indicate significant potential for integrating artificial intelligence-supported tools into nursing workflows, particularly in risk assessment and early intervention. Natural language processing and ecological momentary assessment emerged as promising approaches for enhancing nurse-patient communication and monitoring. These findings suggest opportunities for nurses to leverage artificial intelligence technologies in suicide prevention while maintaining the essential human element of care. This study provides evidence-based guidance for nurses implementing artificial intelligence-supported suicide prevention tools while maintaining therapeutic relationships and professional judgment in clinical practice.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"672-684"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173802","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 Factors Related to Psychological Well-Being Among Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Populations in Thailand.","authors":"Thanutta Suksakulwat, Priyoth Kittiteerasack, Angkana Jirarode","doi":"10.1080/01612840.2025.2509252","DOIUrl":"10.1080/01612840.2025.2509252","url":null,"abstract":"<p><p>Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals globally face health disparities due to minority-specific stressors, impacting their psychological well-being (PWB). However, little is known about the influences of minority-specific stress on PWB experienced by LGBTQ+ individuals in Thailand. The study's purpose was to examine levels of PWB and correlates among Thai LGBTQ+ individuals. Guided by the Minority Stress Model (MSM), standardized measures of demographic factors, minority-specific stressors, and PWB were applied. Participants were recruited by convenience and snowball sampling. Data were collected using online and paper-pencil surveys in 2024. Results showed that the mean age of the 436 participants was 35 years (S.D. = 6.63). A total of 65.4% identified themselves as male, 39.9% as homosexual, and 60.3% as transgender. Participants commonly experienced minority-specific stressors, including discriminatory experiences, victimization events, anticipated rejection, identity concealment, and internalized homophobia. The mean score of PWB was <i>M</i> = 78.18 (SD = 11.60). More than half of LGBTQ+ participants reported high levels of PWB (56%). Significant negative correlations were found with the number and frequency of discrimination situations (<i>r</i> = -0.404, -0.312), victimization events (<i>r</i> = -0.369), anticipated rejection (<i>r</i> = -0.471), and internalized homophobia (<i>r</i> = -0.476), while lower concealment about one's identity was positively correlated (<i>r</i> = 0.500) with PWB. These findings highlight the substantial impact of minority-specific stressors on LGBTQ+ well-being, with critical implications for nursing practice and intervention research.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"685-692"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234113","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}
Trudy Brown, Bindu Joseph, Gary Ennis, Michael Olasoji
{"title":"Improving Sexual and Reproductive Health of Those with Serious Mental Illness: Scoping Review.","authors":"Trudy Brown, Bindu Joseph, Gary Ennis, Michael Olasoji","doi":"10.1080/01612840.2025.2510467","DOIUrl":"10.1080/01612840.2025.2510467","url":null,"abstract":"<p><p>The sexual and reproductive health of those with serious mental illness is known to be significantly poorer than the general population. Appropriate and timely sexual and reproductive health care can prevent poorer health outcomes and should be standard care. This scoping review has systematically located and summarised the available literature related to adults with serious mental illness and the current access to sexual and reproductive health care available within mental health services. Fifteen studies met the inclusion criteria set by the authors and were included in this review. The themes generated in this review highlighted that service users were provided poor sexual health care overall; service users welcome sexual health screening and education; and that mental health clinicians did not view sexual health as part of their role however, this was improved with training in sexual and reproductive health. This scoping review indicates the need to increase the sexual and reproductive health care provided to those with serious mental illness through further training of mental health clinicians and increased access within mental health services.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"662-671"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234112","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":"Call for Manuscripts-Special Issue on Bringing Generations Together: Holistic Wellness Across the Life Course.","authors":"Sandra Thomas","doi":"10.1080/01612840.2025.2525701","DOIUrl":"https://doi.org/10.1080/01612840.2025.2525701","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"46 7","pages":"651-652"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608439","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}