Journal of the American Psychiatric Nurses Association最新文献

{"title":"Evaluation of Suicidal Behavior in Young Populations: Sociodemographic Factors Associated.","authors":"Paula Frieiro Padín, Ángela Carbonell, José Domínguez, Sabela Pérez-Martín","doi":"10.1177/10783903261425612","DOIUrl":"https://doi.org/10.1177/10783903261425612","url":null,"abstract":"<p><strong>Background: </strong>Suicide represents a serious public health issue and lacks a singular, universally accepted definition, which complicates its study and comprehensive prevention. Its prevention requires a multidimensional framework encompassing individual, social, and structural factors, as the interaction among these elements significantly increases risk. Moreover, its impact varies across sociodemographic contexts, highlighting the need for tailored strategies that address the specific realities of each population.</p><p><strong>Aims: </strong>This study aimed to examine suicidal behavior among young people and analyze its prevalence in relation to gender, sexual orientation, country of origin, education, employment status, and family relationships.</p><p><strong>Methods: </strong>The sample consisted of 539 young individuals aged 15 to 30 years (<i>M</i> = 20.64, <i>SD</i> = 3.61). Participants completed the Suicide Behaviors Questionnaire-Revised to assess suicidal behavior and provided information on 11 independent variables grouped into sociodemographic, educational, occupational, personal, and familial domains. Descriptive and multivariate analyses were conducted using MANOVA.</p><p><strong>Results: </strong>Most participants exhibited a low risk of suicide; however, nearly 20% showed moderate to high risk levels. Higher vulnerability was observed among women, migrants, and lesbian, gay, bisexual, transgender, intersex, queer, and questioning (LGBTIQ+) individuals. In addition, adverse family relationships and socioeconomic precarity were associated with increased susceptibility to suicidal behavior, as were personal, educational, occupational, and familial factors.</p><p><strong>Conclusions: </strong>The findings enhance understanding of suicidal behavior among young people. The results underscore the urgent need for preventive strategies grounded in an intersectional perspective, integrating educational interventions, public welfare policies, and family support initiatives that address the structural inequalities affecting youth mental health.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261425612"},"PeriodicalIF":1.7,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494200","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":"Evaluating Telehealth and In-Person Appointment Adherence Using Reminder Phone Calls in the Outpatient Psychiatric Setting.","authors":"Keisha Stephens, Kathryn E Phillips","doi":"10.1177/10783903261422669","DOIUrl":"https://doi.org/10.1177/10783903261422669","url":null,"abstract":"<p><strong>Objectives: </strong>Missing outpatient psychiatric care could lead to decompensation and hospitalization. The purpose of this quality improvement project was to implement reminder phone calls in the outpatient psychiatric setting and measure the impact on appointment adherence.</p><p><strong>Methods: </strong>Reminder phone calls were provided by three clinic staff to patients the day before their scheduled appointment during a 9-week intervention period. Due to seasonal appointment attendance variation, attendance during the 9-week period was compared to the same 9-week period the year prior.</p><p><strong>Results: </strong>A total of 837 appointments were evaluated, and 16.25% resulted in missed appointments. In-person no-show percentages were different from 1 year to the next, while telehealth no-show percentages were not. The overall no-show rate for in-person visits was 21.39%, while telehealth was 12.63%.</p><p><strong>Conclusion: </strong>There may be many reasons for a missed appointment, with forgetting an appointment being only one of them. Despite a reminder phone call, appointment attendance did not significantly improve. Providers may want to consider flexible scheduling from in-person to telehealth appointments as a way to improve attendance, given that telehealth appointment attendance is higher and may eliminate transportation concerns. Future studies should evaluate flexible scheduling as well as multi-pronged interventions that address several reasons for non-attendance.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261422669"},"PeriodicalIF":1.7,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348677","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":"\"It's Just Me and Nature\": A Narrative Inquiry Into Mental Health and Home Aquariums.","authors":"Tamara Keefner, Jean Yockey, Mary Minton","doi":"10.1177/10783903251391802","DOIUrl":"10.1177/10783903251391802","url":null,"abstract":"<p><strong>Background: </strong>Depression and anxiety are among the most prevalent mental health disorders globally, often leading to significant impairments in daily functioning. While traditional treatments are practical, complementary approaches-such as nature-based and animal-assisted therapies-are gaining recognition, home aquariums may offer a safe, accessible, and underexplored therapeutic modality for individuals experiencing these conditions.</p><p><strong>Purpose: </strong>This study aimed to explore the experiences of individuals with depression and/or anxiety who interact daily with fish in a home aquarium, using narrative inquiry to understand the therapeutic potential of fishkeeping.</p><p><strong>Methods: </strong>A qualitative narrative inquiry design guided by Clandinin and Connelly's framework and Smith and Liehr's Story Theory was employed. Seven participants were recruited through social media and interviewed via Zoom. Data were analyzed through the dimensions of temporality, sociality, and spatiality to uncover patterns and meaning in participants' stories.</p><p><strong>Results: </strong>Participants described fishkeeping as a source of emotional therapy, social connection, and personal growth. Themes included reconnecting with memories, finding purpose through caregiving, and experiencing calm and creativity through aquascaping. The aquarium served as a therapeutic environment that fostered resilience, reduced stress, and enhanced well-being.</p><p><strong>Conclusion: </strong>Home aquariums offer a nature-based, person-centered approach to mental health, fostering comfort, creativity, and resilience. This study supports integrating animal-assisted therapies into holistic models. Future research is needed to explore broader applications, long-term outcomes, and comparative efficacy across diverse populations.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"140-150"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145635186","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":"A Double-Edged Algorithm: Artificial Intelligence's Potential to Hurt or Help Mental Health for U.S. Teens.","authors":"Michelle DeCoux Hampton","doi":"10.1177/10783903251411820","DOIUrl":"10.1177/10783903251411820","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"89-90"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989739","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":"Nursing Students' Perceptions of Barriers and Facilitators in Providing Sexual Health Care to Psychiatric Patients: A Descriptive Qualitative Study.","authors":"Sevgi Koroglu Gokbel, Gülgün Durat","doi":"10.1177/10783903251408459","DOIUrl":"10.1177/10783903251408459","url":null,"abstract":"<p><strong>Background: </strong>Sexual health is a vital aspect of holistic nursing care, yet its integration into psychiatric practice remains limited, particularly among nursing students. Understanding how students approach sexual health in psychiatric settings is crucial for improving education and care quality.</p><p><strong>Aims: </strong>This study aimed to investigate the factors influencing nursing students' provision of sexual health care to individuals with psychiatric disorders.</p><p><strong>Methods: </strong>A descriptive qualitative design was used to explore the experiences of 28 undergraduate nursing students enrolled in a psychiatric nursing course in Sakarya, Turkey. Each student assessed the sexual health of individuals with psychiatric disorders during clinical practice with psychiatric patients. Data were collected through semi-structured interviews and were analyzed thematically.</p><p><strong>Results: </strong>Four themes emerged: (1) inclusion of sexuality in the clinical process, (2) the empowering role of education, (3) uncertainty in sexual care, and (4) systemic invisibility. Facilitators of comprehensive assessment included recognizing diagnosis-related changes in sexual desire, understanding sexuality's role in psychological well-being, and receiving education that strengthened communication skills and confidence. Barriers included conflicts between personal values and professional roles, discomfort and potential misunderstandings in gender-based interactions, cultural norms surrounding sexuality, lack of counseling resources or standardized care plans, and insufficient privacy in psychiatric settings.</p><p><strong>Conclusions: </strong>Nursing students face educational, cultural, and systemic barriers that complicate sexual health care in psychiatric settings. Targeted educational programs and institutional support are needed, with content addressing privacy, ethics, boundaries, and cultural sensitivity, supported by practice-based learning to better prepare students for sexual health discussions in clinical practice.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"127-139"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145934195","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":"Integrating Mental Health Care and Gender-Affirming Care into Primary Care in Southeast Asia: Reflections from the Philippines.","authors":"Rowalt Alibudbud","doi":"10.1177/10783903251403513","DOIUrl":"10.1177/10783903251403513","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"91-93"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145775060","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 Experience of Depression, Self-Efficacy, and Family Functioning Among Mothers of Children with Autism Spectrum Disorder: A Mixed Methods Study [Formula: see text].","authors":"Stefanie Zavodny Jackson, Margaret C Souders, Jennifer A Pinto-Martin, Rhonda C Boyd, Janet A Deatrick","doi":"10.1177/10783903261417989","DOIUrl":"10.1177/10783903261417989","url":null,"abstract":"<p><strong>Background: </strong>Mothers of children with autism spectrum disorder (ASD) report significantly more depressive symptoms, lower maternal self-efficacy, and worse family functioning than mothers of neurotypical children and children with Down Syndrome. There is a need to describe what contributes to high self-efficacy and high family functioning among mothers of children with ASD.</p><p><strong>Aim: </strong>To understand how mothers of children with ASD describe their emotions, maternal self-efficacy, and family functioning, comparing mothers who screen positive and negative for symptoms of depression.</p><p><strong>Methods: </strong>In this second phase of a larger sequential explanatory mixed methods study, this qualitative descriptive study was conducted using semi-structured individual interviews with mothers of children with ASD. The data were analyzed by hybrid directed content analysis for a presentation of themes. Those themes were then compared across three groups: mothers who screened positive for depression, mothers who screened negative, and mothers whose screening results changed over time.</p><p><strong>Results: </strong>Mothers in the group who screened positive for depression described more child behaviors perceived as problematic, higher caretaking demands, maternal self-efficacy dependent on child's progress and comparisons to others, more passive coping, and poor family communication.</p><p><strong>Conclusion: </strong>Interventions to improve family processes and maternal self-efficacy may be an important complement to individual therapy for treating maternal depression. Intervening at the family level as soon as the child is diagnosed may also help mitigate maternal depressive symptoms. More research is necessary to understand and develop interventions that can improve the experiences of mothers of children with ASD.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"94-107"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197715","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":"Adaptation of North Korean Women Refugees to South Korea: Concept Analysis.","authors":"Sun-Hui Kim, Bomi Kim","doi":"10.1177/10783903251383174","DOIUrl":"10.1177/10783903251383174","url":null,"abstract":"<p><strong>Background: </strong>North Korean refugee women face significant psychological, economic, social, and cultural challenges when adapting to South Korean society. Understanding these challenges is essential for developing effective nursing interventions and health policies to support their successful adaptation.</p><p><strong>Aims: </strong>This study aimed to identify the key challenges faced by North Korean refugee women during their adaptation to South Korean society and provide insights for nursing interventions and health policies to facilitate successful resettlement.</p><p><strong>Methods: </strong>Using Walker and Avant's concept analysis framework, a systematic literature search on North Korean refugee women's adaptation to South Korean society was conducted to identify key attributes, antecedents, and consequences of adaptation.</p><p><strong>Results: </strong>Four key attributes of adaptation to South Korean society were identified: psychological stability, economic independence, social relationship formation, and cultural acceptance. Psychological challenges, such as post-traumatic stress disorder (PTSD) and depression, significantly hinder adaptation. Economic independence and supportive social networks are essential for successful resettlement.</p><p><strong>Conclusions: </strong>This study provides a comprehensive understanding of adaptation among North Korean refugee women and identifies defining attributes to inform psychiatric nursing practice and future research. However, the findings may be limited by the scarcity of recent literature and the specificity of the South Korean context.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"108-119"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145445263","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":"Perceptions of Undergraduate Students Portraying Simulated Participants in Mental Health Nursing Simulations.","authors":"Elizabeth Zwilling, Paula Harrison, Kayleigh Gregory","doi":"10.1177/10783903251411899","DOIUrl":"10.1177/10783903251411899","url":null,"abstract":"<p><strong>Background: </strong>High-fidelity simulations are valuable for teaching mental health concepts in undergraduate nursing programs and are most effective when programs collaborate with stimulated participants (SPs) to maximize realism.</p><p><strong>Aim: </strong>Examine the perceptions of student SPs in mental health nursing simulations.</p><p><strong>Method: </strong>The pilot study was conducted at a rural mid-sized university in the Midwest with five pre-health students and seven theater majors or minors who served as SPs in undergraduate nursing mental health simulations. Utilizing a qualitative descriptive design, responses were analyzed thematically to identify patterns across participant perspectives.</p><p><strong>Results: </strong>Seventy-five percent (<i>n</i> = 9) stated that this experience affected their own mental health. All five pre-health students reported gaining empathy for patients with mental health issues.</p><p><strong>Conclusion: </strong>The mental health of student SPs may be affected by learning cases and portraying a mental health patient. Careful attention is needed to maintain the psychological safety of all SPs, and de-roling and debriefing are essential. SPs need to feel supported to opt out of potential triggering experiences and encouraged to reach out for support if they are having difficulty.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"120-126"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998466","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 Journey to Resilience-Informed Care: Improving Care Through Wellness.","authors":"Allyson Matney Neal","doi":"10.1177/10783903261419063","DOIUrl":"10.1177/10783903261419063","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"151-153"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197678","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}