Journal of the American Psychiatric Nurses Association最新文献

{"title":"Therapeutic Communication as Autobiographical Memory Scaffolding: Bridging Developmental Science and Psychiatric Nursing Practice.","authors":"R Colin Blenis","doi":"10.1177/10783903261484904","DOIUrl":"https://doi.org/10.1177/10783903261484904","url":null,"abstract":"<p><strong>Objective: </strong>To introduce the developmental and cross-cultural science of autobiographical memory to psychiatric nursing and argue that therapeutic communication functions as autobiographical memory scaffolding.</p><p><strong>Methods: </strong>This discussion article integrates three fields within the literature: elaborative reminiscing and autobiographical memory development (developmental psychology), overgeneral autobiographical memory (clinical psychology), and cultural variation in autobiographical recall (cross-cultural research). It applies the integration to psychiatric nursing assessment and intervention.</p><p><strong>Results: </strong>Nursing has not integrated autobiographical memory science into practice, assessment, or theoretical frameworks despite a robust evidence base. Therapeutic communication employs the same conversational behaviors that developmental research identifies as the mechanisms of memory scaffolding. Without a framework to distinguish clinically meaningful from culturally normative memory, the relationally oriented, temporally general narratives common among patients from collectivist backgrounds may be misread as pathology during psychiatric assessment.</p><p><strong>Conclusions: </strong>Understanding therapeutic communication as autobiographical memory scaffolding enables psychiatric nurses to assess memory specificity as a transdiagnostic clinical marker, recognize culturally shaped recall as distinct from pathology, and intervene more deliberately to support narrative construction that is clinically functional and culturally congruent. A clinical vignette illustrates these implications. This framework transforms therapeutic communication from an intuitive relational practice into a deliberate, theoretically grounded cognitive intervention.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261484904"},"PeriodicalIF":2.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956127","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":"Auditory Hallucination Simulation and the Development of Empathy Among Undergraduate Nursing Students: An Integrative Review.","authors":"Reem Alamri, Sarah Turner","doi":"10.1177/10783903261483583","DOIUrl":"https://doi.org/10.1177/10783903261483583","url":null,"abstract":"<p><strong>Background: </strong>Auditory hallucinations (AHs) are perceptual experiences that can impact communication, daily functioning, and safety. Empathy is essential for effective therapeutic engagement. Nursing students often report feeling unprepared in dealing with individuals who experience AHs. Auditory hallucination simulation (AHSim) has been used in undergraduate nursing education as an experiential learning strategy to enhance empathy and insight. However, evidence regarding its impact on empathy among undergraduate nursing students remains limited.</p><p><strong>Aims: </strong>This integrative review aimed to synthesize and critically appraise the available evidence on the impact of AHSim on empathy among undergraduate nursing students.</p><p><strong>Methods: </strong>A systematic search was conducted across PubMed, MEDLINE Complete, and CINAHL Ultimate for studies published between 2016 and 2026. Included studies involved undergraduate nursing students participating in AHSim with reported empathy outcomes. Article selection followed PRISMA 2020 guidelines, and quality was appraised using the Mixed-Methods Appraisal Tool.</p><p><strong>Results: </strong>Four empirical studies met the inclusion criteria. Overall, participation in AHSim was associated with increased self-reported empathy and enhanced understanding of the lived experiences of AHs. Students reported emotional distress and difficulty concentrating during the AHSim, highlighting the burden associated with AHs.</p><p><strong>Conclusion: </strong>AHSim appears to be a promising educational strategy to foster empathy among undergraduate nursing students. Incorporating AHSim into mental health nursing education may enhance nursing students' readiness to foster therapeutic nurse-to-patient relationships and to engage effectively with patients. Further research is needed to evaluate the long-term outcomes and the clinical impact of AHSim.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261483583"},"PeriodicalIF":2.1,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920262","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":"Meaning in Life as a Mediator in People Who Have Recovered From Depression: A Path Analysis.","authors":"Fan-Ko Sun, Chu-Yun Lu, YuChun Yao, Nien-Mu Chiu, Yu Lee, Pao-Yen Lin, Ming-Kung Wu, Chun-Ying Chiang","doi":"10.1177/10783903261484943","DOIUrl":"https://doi.org/10.1177/10783903261484943","url":null,"abstract":"<p><strong>Background: </strong>Depression is a leading cause of disability worldwide. Effective prevention and treatment require understanding the factors that support sustained recovery among people who have recovered from depression.</p><p><strong>Aims: </strong>To examine the role of meaning in life (MIL) in sustained recovery from depression.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 168 adults who had successfully recovered from depression during the 2022 to 2023 period at a medical center in Taiwan. Measures included a demographic questionnaire, the Hamilton Depression Scale (HAM-D), the MIL scale, and the Chinese Mental Resilience Scale (CMRS). Structural equation modeling was employed to perform a path analysis on recovery from depression.</p><p><strong>Results: </strong>The average age of the participants was 57.8 years. The mean HAM-D score was 3.52 ± 2.22, indicating minimal depressive symptoms and supporting recovery from depression. Participants reported a moderate level of MIL (MIL = 64.67 ± 16.83) and high resilience scores (CMRS = 77.03 ± 15.40). HAM-D was negatively correlated with MIL (<i>r</i> = -.54, <i>p</i> < .001) and CMRS (<i>r</i> = -.54, <i>p</i> < .001), while MIL was strongly positively correlated with CMRS (<i>r</i> = .85, <i>p</i> < .001). MIL moderated sustained recovery from depression. Age, working status, living arrangement, and self-perceived support system were associated with higher levels of MIL.</p><p><strong>Conclusion: </strong>Enhancing MIL and strengthening supportive systems may help maintain recovery among people who have recovered from depression. Mental health nurses can support recovery by helping individuals identify and engage in personally meaningful aspects of their lives.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261484943"},"PeriodicalIF":2.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148906766","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 Association Between Substance Use and Suicidality Among Women Veterans, 2015 to 2019: A Secondary Analysis of the National Survey on Drug Use and Health.","authors":"Brayden Kameg","doi":"10.1177/10783903251398530","DOIUrl":"10.1177/10783903251398530","url":null,"abstract":"<p><strong>Background: </strong>Women Veterans are at increased risk for both substance use and suicidality, both of which can contribute to early morbidity and mortality.</p><p><strong>Aims: </strong>This study aimed to examine the impact of substance use on suicidality among women Veterans compared to their peers, and how this relationship might be moderated by access to care.</p><p><strong>Methods: </strong>This study utilized data from the 2015 to 2019 National Surveys on Drug Use and Health (NSDUH) administered by the Substance Abuse and Mental Health Services Administration (SAMHSA) (<i>n</i> = 131,344). A series of binary logistic regression analyses was used to examine the relationship between substance use and suicidality, adjusted for demographic factors and stratified by sex and Veteran status.</p><p><strong>Results: </strong>Women Veterans were at increased odds of suicidality compared to their peers. In women Veterans, only lifetime non-prescribed prescription opioid use (aOR = 1.99 [1.04-3.79], <i>p</i> = .038) and lifetime cocaine use (aOR = 1.74 [1.10 = 2.74], <i>p</i> = .018) increased the odds of past-year suicidal ideation. Past-year cannabis use disorder, but not combined drug use disorders, increased the odds of suicidal ideation in women Veterans (aOR = 3.93 [1.21-13.81], <i>p</i> = .033). Lifetime cannabis use (aOR = 2.02 [1.03-3.96], <i>p</i> = .040), lifetime cocaine use (aOR=2.24, 1.20-4.05, <i>p</i> = .011), and lifetime stimulant use (aOR = 1.87 [1.05-3.33], <i>p</i> = .034) increased the odds of past-year suicide plans among women Veterans.</p><p><strong>Conclusions: </strong>Women Veterans are at increased risk for suicidality, and substance use may predict suicidality in this population. Psychiatric nurses can be instrumental in ensuring timely access to care for women Veterans, underscoring this study's clinical relevance.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"315-326"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145819866","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":"Facing the Silent Crisis: Suicidal Ideation and Suicide in the Nursing Profession.","authors":"Alyssa M Schutz, Susan McKee, Paul Thomas Clements","doi":"10.1177/10783903251414104","DOIUrl":"10.1177/10783903251414104","url":null,"abstract":"<p><strong>Background: </strong>This manuscript explores the silent yet urgent crisis of suicidal ideation and suicide within the nursing profession. Despite being one of the most trusted and essential health care roles, nurses face disproportionately high risks for psychological distress, moral injury, and suicide.</p><p><strong>Aims: </strong>The paper aims to synthesize existing evidence on prevalence, risk factors, and theoretical frameworks to guide prevention and intervention efforts, while emphasizing the critical need for trauma-informed, organizational, and policy-level responses.</p><p><strong>Methods: </strong>Using Joiner's Interpersonal Theory of Suicide, the Job Demand-Control-Support (JDCS) model, and trauma-informed care (TIC) principles, the manuscript illustrates how feelings of burdensomeness, thwarted belonging, and exposure to trauma converge to elevate suicide risk.</p><p><strong>Results: </strong>Key contributing factors to nurse suicide include chronic occupational stress, compassion fatigue, workplace bullying, moral distress, and limited autonomy, all compounded by a pervasive stigma around mental health help-seeking. A poignant case study underscores how institutional silence and lack of systemic support following medical errors can lead to devastating outcomes. Barriers such as fear of licensure consequences and lack of confidential services further discourage early intervention.</p><p><strong>Conclusions: </strong>The suicide crisis among nurses necessitates a comprehensive, multi-level response. Nurse leaders must foster psychologically safe environments, promote peer support, and integrate mental health education into all levels of practice. System-level changes-such as confidential reporting systems, national suicide surveillance, licensure reform, and culturally competent outreach-are essential to prevent further loss. Future research must examine longitudinal risk trajectories, intervention efficacy, and artificial intelligence (AI)-driven early warning tools tailored to the nursing workforce.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"327-336"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146157613","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":"Building on Strengths: A Resiliency Journey to Improve Wellness and Advance Care.","authors":"Allyson Matney Neal","doi":"10.1177/10783903261473135","DOIUrl":"10.1177/10783903261473135","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"378-380"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794859","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":"Knowledge, Attitudes, and Experiences of Psychiatric Professionals in Providing Care to Transgender and Gender Diverse Youth in Acute Mental Health Settings: A Mixed-Methods Study.","authors":"Dani Baker, Sarah Eskew, Nic Brynn, Avery M Anderson","doi":"10.1177/10783903251408461","DOIUrl":"10.1177/10783903251408461","url":null,"abstract":"<p><strong>Introduction: </strong>Transgender and gender diverse (TGD) youth disproportionately experience suicidality and acute psychiatric visits. However, research on affirming care in this setting is severely limited.</p><p><strong>Aims: </strong>This mixed-methods study aimed to (1) assess pediatric acute psychiatric professionals' knowledge, attitudes, and comfort working with TGD youth and (2) examine pediatric acute psychiatric professionals' experiences and perceptions of providing affirming care to TGD youth.</p><p><strong>Methods: </strong>This study used a mixed-methods approach to assess pediatric acute psychiatric health professionals' knowledge, attitudes, and comfort working with TGD youth and examine their experiences and perceptions of providing affirming care. Participants completed an online questionnaire consisting of demographic and professional characteristics, transgender-related attitudes and beliefs, and a series of true/false knowledge questions.</p><p><strong>Results: </strong>Among participants (<i>N</i> = 31), most (<i>n</i> = 22, 71%) reported prior specific training and/or education on TGD youth, while less than a quarter (<i>n</i> = 7, 23%) reported the amount to be adequate. The mean knowledge score was 94.4% (<i>SD</i> = 7.1; range: 73%-100%). Optional interviews (<i>n</i> = 9) yielded nine inductive themes: five describing experiences of TGD youth care and four describing perceptions of affirming care.</p><p><strong>Conclusions: </strong>Acute psychiatric settings provide crucial care for youth in crisis. Given starkly high rates of suicidality among TGD youth, there is a pressing need for targeted training to enhance healthcare workers' abilities to intervene effectively. Competency training should emphasize gender identity and expression, use of preferred pronouns, and understanding healthcare needs like hormone therapy and gender-affirming surgeries.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"337-347"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989748","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":"Proximal Risk of Suicide-Related Behavior in Black Youth With a Parental History of Mood Disorder.","authors":"Jamie Zelazny, Giovanna Porta, J John Mann, Maria A Oquendo, John G Keilp, Ainsley Burke, David A Brent, Nadine M Melhem","doi":"10.1177/10783903261424854","DOIUrl":"10.1177/10783903261424854","url":null,"abstract":"<p><strong>Background: </strong>Suicide rates have risen disproportionately in Black youth, yet little is known about risk factors specific to this population.</p><p><strong>Aims: </strong>We sought to identify proximal risk factors for suicide-related behavior (SRB) in a sample of Black youth at high risk for mood disorders.</p><p><strong>Methods: </strong>The sample, drawn from a longitudinal study, included 156 Black youth aged 17 years or younger at baseline. Participants underwent baseline diagnostic and clinical assessment, including suicidal ideation and SRB, and yearly assessments for new SRB. Observations were censored at the time point closest to the first episode of SRB or the last observation for those without SRB. Chi-square, Fisher's exact test, t-tests, and Firth logistic regression were used.</p><p><strong>Results: </strong>Twelve participants experienced SRB during follow-up. The average age of participants at baseline was 12.6 years (<i>SD</i> = 2.7). Participants were 44% female and 10% identified as Hispanic. Self-reported irritability, aggression, suicidal ideation, and a depression diagnosis were significant at the univariate level. Medium to large effect sizes were found for self-reported impulsive aggression, parental substance use disorder, and childhood abuse, all consistent with prior reports to be associated with SRB in youth. Using Firth logistic regression, younger age (<i>β</i> = -.60; <i>p</i> = .001) and depression diagnosis (<i>β</i> = 2.32, <i>p</i> = .006) were proximal risk indicators of SRB.</p><p><strong>Conclusions: </strong>Risk factors identified in this study are consistent with previous reports in majority White samples. A depression diagnosis was the strongest indicator, highlighting the importance of early identification of depression in Black youth, particularly in younger youth with a family history of mood disorder.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"363-377"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486643","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":"Suicide Risk Identification Across Populations: 2026 Special Issues on Suicide Risk and Prevention, Part 1 of 2.","authors":"Michelle DeCoux Hampton","doi":"10.1177/10783903261468268","DOIUrl":"10.1177/10783903261468268","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"313-314"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760662","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":"Searching About Suicide and Crisis Hotlines Online: A Temporal and Geospatial Infodemiological Analysis.","authors":"Jerome Visperas Cleofas","doi":"10.1177/10783903261421540","DOIUrl":"10.1177/10783903261421540","url":null,"abstract":"<p><strong>Background: </strong>Suicide remains a leading global public health concern, and crisis hotlines are a critical preventive intervention. However, there is a paucity in studies about how population-level digital information-seeking behaviors for suicide and crisis hotlines evolve across time and countries.</p><p><strong>Aims: </strong>This study aimed to (1) examine temporal trends and seasonality of global Google searches for \"Suicide\" and \"Crisis Hotline,\" (2) analyze their temporal associations through cross-lagged correlations, and (3) identify country clusters based on all-time relative search volumes (RSVs).</p><p><strong>Method: </strong>Monthly global RSVs (2004-2025) and country-level all-time RSVs were extracted from Google Trends. Time-series analyses included Seasonal and Trend decomposition using Loess (STL) decomposition, Kruskal-Wallis tests for seasonality, Autoregressive Integrated Moving Average (ARIMA) forecasting, Pearson correlations, and cross-lagged correlations of raw and detrended series. <i>K</i>-means clustering was applied to country-level data.</p><p><strong>Results: </strong>Suicide searches showed persistent baseline levels with spikes in 2009-2010, 2014, 2017-2018, and 2020-2021. Crisis hotline searches rose sharply from the late 2010s, accelerating during the COVID-19 period. Seasonality was significant for suicide but not for hotlines. Cross-lagged analysis showed a +22-month raw lag (<i>r</i> = .22) that disappeared after detrending, leaving only a contemporaneous association (<i>r</i> = .31). Four global clusters highlighted disparities in suicide versus crisis hotline interest.</p><p><strong>Conclusion: </strong>Google Trends can serve as a proxy for real-time public demand for suicide prevention resources. Findings emphasize the need for agile, context-sensitive strategies to strengthen hotline visibility and accessibility globally.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"348-362"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776366","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}