Journal of Child Psychology and Psychiatry最新文献

{"title":"Development and validation of a machine learning-based screening tool for early detection of adolescent suicide risk","authors":"Weijia Li,&nbsp;Yongtian Cheng,&nbsp;Zeming Zhang,&nbsp;Yingying Yang,&nbsp;Yanpeng Jin,&nbsp;Zhenhua Cui,&nbsp;Juan Wang,&nbsp;Yinan Duan,&nbsp;Runsen Chen","doi":"10.1111/jcpp.70160","DOIUrl":"10.1111/jcpp.70160","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adolescent suicide remains a significant public health concern, yet existing suicide screening instruments primarily focus on already manifested suicidal phenomena, underscoring the need for reliable and practical tools to enable early identification and intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Based on a large-scale school-based cohort study conducted in Southern China in 2022, this study aimed to develop and preliminarily validate two machine learning-based tools (a 51-item full version and an 11-item abbreviated version) designed to help identify adolescents at risk of developing suicide risk. The dataset was divided into two samples for tool development and longitudinal interview validation. During the tool development phase, LASSO regression was employed to select items with optimal contributions for recent suicide attempts from a multidimensional set of risk factors, followed by model training with multiple machine learning algorithms. The developed models were subsequently evaluated for their ability to predict suicide risk as assessed by the follow-up interview in the longitudinal validation phase.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both versions of the screening tool demonstrated adequate discriminative ability, with the CatBoost algorithm outperforming others (AUROC ≥ 0.87). The abbreviated tool showed a slight trade-off between model precision and practicality, with a 0.02 reduction in AUROC, while still maintaining appropriate discrimination. Longitudinal validation using follow-up interview outcomes supported the predictive validity of both tools. These findings provide preliminary evidence for the utility of machine learning-based suicide risk screening tools among adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides evidence supporting the machine learning-based screening tools for early suicide risk detection in adolescents that integrates multidimensional vulnerabilities. The tools show promise in facilitating early identification and targeted interventions in school settings, addressing a critical need in adolescent mental health care. Nonetheless, further research is warranted to confirm their efficacy and support broader implementation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 9","pages":"1576-1589"},"PeriodicalIF":6.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147808642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reasons for nondisclosure of suicide ideation or attempts among adolescents from ethnoracially and socioeconomically diverse backgrounds with a recent suicidal episode","authors":"Sarah R. Sullivan,&nbsp;Judelysse Gomez,&nbsp;Lillian Polanco-Roman,&nbsp;Ana Ortin-Peralta,&nbsp;Christina Rombola,&nbsp;Alyssa Stone,&nbsp;Regina Miranda","doi":"10.1111/jcpp.70161","DOIUrl":"10.1111/jcpp.70161","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adolescent emergency department visits for suicide ideation or attempts are increasing, particularly among youth of color. Many adolescents do not disclose their suicidal thoughts to anyone prior to presentation, and it is unclear why. The present study examined adolescents' reasons for not disclosing their suicide ideation or attempts prior to presenting for clinical care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adolescents, ages 12–19 years, who presented to emergency departments in New York City with recent suicide ideation or a suicide attempt were interviewed about the circumstances surrounding their recent ideation or attempt. Those who reported not disclosing their suicide ideation to others (<i>N</i> = 70; 79% Hispanic/Latine; 77% female) – 23 of whom presented with suicide ideation, 47 with a suicide attempt – were asked about their reasons for not disclosing their ideation in a semi-structured interview.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Through thematic analysis, we found eight reasons that adolescents gave for not disclosing their suicide ideation. Four reasons were related to others' reactions, including perceived unavailability of support, negative impacts of their disclosure on others, anticipating others' negative judgments, and fear of punitive consequences (e.g., institutionalized responses). Four reasons were related to internal factors, including their wish to die, desire for privacy and nondisclosure, anticipating their own emotional distress, and believing their suicide ideation did not warrant disclosure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings highlight the importance of addressing both interpersonal and intrapersonal barriers to suicide-related disclosure among adolescents. Enhancing provider communication strategies and developing culturally responsive screening tools and interventions may help identify at-risk adolescents who might otherwise remain undetected.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 9","pages":"1590-1600"},"PeriodicalIF":6.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147831463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Convergent genetic pathways linking neuropsychiatric and ocular disorders in children","authors":"Meng Pan,&nbsp;Wentao Zhou,&nbsp;Hui-Qi Qu,&nbsp;Zhanjie Xiu,&nbsp;Rui Sun,&nbsp;Hakon Hakonarson,&nbsp;Jin Li,&nbsp;Xuefeng Shi","doi":"10.1111/jcpp.70151","DOIUrl":"10.1111/jcpp.70151","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Clinical and epidemiological studies conducted in children have suggested a potential link between neuropsychiatric and ocular disorders. However, the existence and directionality of this relationship remain inconsistent, likely due to the complex interplay between genetic predisposition and environmental factors that may influence both conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We investigated the overall and local genetic correlations and causal relationship between eight neuropsychiatric disorders and five ocular disorders based on large-scale genome-wide association study cohorts from Psychiatric Genomics Consortium and UK Biobank. An in-house independent cohort (2,726 attention deficit hyperactivity disorder (ADHD) cases and 16,299 controls) was also assessed to confirm the disease relationships. We further performed joint analyses to pinpoint the shared genetic loci. Finally, we explored their underlying biological pathways by SNP- and Gene-based enrichment analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We discovered significant positive genetic correlations between autism spectrum disorder (ASD) and myopia/astigmatism; inverse genetic correlation and potential causal relationship between ADHD and myopia/astigmatism. The aggregated protective effect of ADHD on myopia and astigmatism was demonstrated using Mendelian randomization, and was validated in the independent in-house cohort. In total, 124 loci were found to be shared between psychiatric diseases and refractive errors. Enrichment analyses highlighted early neurodevelopmental processes as key shared genetic mechanisms that may play a critical role in the development of childhood-onset neuropsychiatric disorders and refractive errors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings indicate a shared genetic architecture underlying the development of childhood-onset neuropsychiatric disorders and refractive errors. These results help clarify the clinically observed associations between ADHD, ASD, and refractive errors and provide evidence that shared early neurodevelopmental processes contribute to both conditions. Together, the findings offer a novel perspective on the neurogenetic basis of refractive error and its connection to early brain development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 9","pages":"1460-1475"},"PeriodicalIF":6.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147630453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Review: A scoping review exploring the needs, barriers, and facilitators to the collection of biological data in adolescence for mental health research.","authors":"Courtney Worrell, Camila Ribeiro Perez, Sorcha Alford, Rebecca Pollard, Luca Sforzini, Cole Sommeling, James Hotham, Amanda Rodney, Zara Sadiq, Hana Shah, Tyler Weetman, Gillian Brooks, Matthew R Broome, Niyah Campbell, Nzinga Gardner, Seeromanie Harding, Anna Lavis, Rosemary R C McEachan, Valeria Mondelli, Craig Morgan, Kierra Morris, Chiara Nosarti, Talya Porat, David Ryan, Katy Shire, Anthony Woods, Carmine M Pariante, Paola Dazzan, Rachel Upthegrove","doi":"10.1111/jcpp.70215","DOIUrl":"10.1111/jcpp.70215","url":null,"abstract":"<p><strong>Background: </strong>There is increasing recognition of the challenge of representativeness in data, including economic, social, and ethnic diversity, in biological mental health research. This is a particular challenge in adolescence, where brain and body development are impacted by the environment. The first step in addressing this is understanding the scale of the challenge. As such, this scoping review aims to explore existing literature to identify and understand the needs, barriers, and facilitators in collecting biological data in adolescent mental health research.</p><p><strong>Methods: </strong>A systematic search identified papers recruiting participants aged 11-18, collecting biological data, and focussing on mental health/related psychopathology. Screening was performed in duplicate, and data charting was iterative.</p><p><strong>Results: </strong>The initial search identified 13,752 papers. After removal of duplicates and screening exclusions, 962 papers were included; 892 were explored for recruitment, retention, and engagement. Sample sizes <99 were most common (54.4%), and health settings (45%) were the most frequent recruitment source. As labels for 'barriers', 'facilitators', and 'needs' were rarely used, information on recruitment, retention, and engagement (e.g. strategies for stakeholder engagement) were explored as a proxy. Only 8.6% of papers reported engagement strategies; fewer evaluated their efficacy. Less than half (45.6%) reported retention data, with reasons for lost data mostly relating to the nature of the data collection.</p><p><strong>Conclusions: </strong>Papers do not adequately report the methods used to ensure sufficient collection of representative data. Limited reporting challenges whether or not facilitators are being implemented. Advancing the field requires detailed guidelines. We present recommendations that serve as a first step towards this development.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7619467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148688157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Review: Omega-3 supplementation to reduce antisocial behavior – a systematic review and meta-analysis of randomized controlled trials","authors":"Adrian Raine,&nbsp;Helena Q. Saven","doi":"10.1111/jcpp.70153","DOIUrl":"10.1111/jcpp.70153","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Omega-3, a long-chain fatty acid critical for brain structure and function, has been argued to be effective in reducing antisocial behavior, but findings are variable. This meta-analysis examines 25 randomized controlled trials (RCTs) with a total of 2,889 participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was registered with PROSPERO (CRD42021256959). Two separate analyses were conducted where the unit of analysis was independent studies and independent laboratories.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant effect sizes (<i>p</i> &lt; .001) were observed for both analyses (<i>g</i> = .13, .14 respectively) and in the direction of omega-3 supplementation reducing antisocial behavior. There was equivocal evidence of publication bias. Study quality was good. Stratified analyses were nonsignificant for age, gender, dose, sample size, and study quality, although the effect size was larger for unmedicated participants. Combining these data with a recent meta-analysis on aggressive behavior produced an overall effect size of <i>g</i> = .22 for externalizing behavior based on 36 nonoverlapping RCTs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Given that omega-3 supplementation is relatively cheap, easy to implement, transfers well from the research environment to community settings, and has additional health benefits, it is suggested that it may be considered as an adjunctive intervention for the treatment of antisocial and externalizing behavior.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 9","pages":"1601-1613"},"PeriodicalIF":6.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147680515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Mechanism-specific developmental windows of opportunity in the prevention of youth psychopathology","authors":"Katie L. Burkhouse,&nbsp;Joan L. Luby","doi":"10.1111/jcpp.70203","DOIUrl":"10.1111/jcpp.70203","url":null,"abstract":"<p>Mechanism-based prevention has transformed developmental psychopathology by shifting the focus from whether interventions work to understanding how they work through the modification of neurobehavioral processes underlying risk. We argue that this framework remains incomplete without equal consideration of <i>when</i> during development interventions are delivered. Because neurobehavioral mechanisms emerge and mature along distinct developmental trajectories, interventions are likely to be most effective when they target mechanisms during periods of heightened developmental plasticity. We propose a framework of mechanism-specific developmental windows of opportunity, in which the timing of intervention is considered alongside mechanistic target selection. Evidence from developmental neuroscience and prevention research suggests that interventions delivered during different developmental periods may capitalize on distinct forms of neurobehavioral plasticity, from broad foundational processes in infancy to more specialized systems that continue maturing throughout childhood and adolescence. We further highlight that environmental context, particularly early adversity, may shape the malleability of these systems and influence responsiveness to intervention. Integrating developmental timing into mechanism-based prevention has the potential to improve intervention precision and alter trajectories of child and adolescent psychopathology.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 9","pages":"1457-1459"},"PeriodicalIF":6.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148428917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental incarceration and psychiatric disorders, suicidal behavior, risk-taking, and substance misuse events in offspring: A longitudinal within-individual study","authors":"Aurora Järvinen,&nbsp;Ralf Kuja-Halkola,&nbsp;Isabell Brikell,&nbsp;Zheng Chang,&nbsp;Brian M. D'Onofrio,&nbsp;Seena Fazel,&nbsp;Henrik Larsson,&nbsp;Paul Lichtenstein,&nbsp;Antti Latvala","doi":"10.1111/jcpp.70152","DOIUrl":"10.1111/jcpp.70152","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Parental incarceration (PI) is associated with mental and behavioral problems in offspring, but causality remains unclear. We conducted a quasi-experimental within-individual study on the associations of PI with offspring psychiatric disorders, suicidal behavior, risk-taking, and substance misuse events, aiming to test the effect of PI on offspring.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 43,011 and 5,912 individuals born in Sweden 1973–2010 and exposed to paternal or maternal incarceration, respectively, between ages 10 and 30. Using data from nationwide registers available until the end of 2020, we examined associations between PI and offspring time-varying events in a longitudinal within-individual design to control for time-invariant confounding. We further studied potential moderation effects in within-individual models by offspring sex, family living arrangements, age, and other factors. For comparison, we conducted corresponding between-individual analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, no clear within-individual associations between paternal or maternal incarceration and offspring events were observed (HRs 0.99–1.08 and 0.82–1.03, respectively), but in a sensitivity analysis, the first recorded exposure to PI was associated with a slightly increased risk of some events (HRs 1.08–1.10). Regarding moderation effects, preliminary evidence suggested that child–father coresiding, paternal offending type, and exposure age slightly moderated the within-individual associations for certain outcomes. Statistically significant associations were found in all between-individual models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The elevated rates of mental and behavioral problems among offspring exposed to PI are unlikely to be due to a direct impact of PI, but an impact may exist under certain circumstances. These findings can help in targeting support to this vulnerable group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 9","pages":"1476-1487"},"PeriodicalIF":6.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attenuated selective attention during visual perspective taking in autism: A combined behavior, ERP, and pupillometry study","authors":"Leonie Polzer,&nbsp;Nico Bast,&nbsp;Sara Boxhoorn,&nbsp;Andreas Mühlherr,&nbsp;Hannah Mössinger,&nbsp;Magdalena Schütz,&nbsp;Christine M. Freitag,&nbsp;Christina Luckhardt","doi":"10.1111/jcpp.70156","DOIUrl":"10.1111/jcpp.70156","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Altered social cognition in autism may be influenced by difficulties in domain-general functions, such as selective attention. Here, we manipulated the requirement for selective attention during a visual perspective taking (VPT) task and used neurophysiological indices to delineate underlying mechanisms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>43 autistic and 38 neurotypical children and youth completed a VPT paradigm. Participants' and an avatar's perspectives were either congruent or incongruent, manipulating the demand for selective attention to inhibit irrelevant information processing. Group differences in dependence on the attended perspective and congruency were examined for behavioral performance, event-related potentials (ERPs), and in a subsample, stimulus-evoked pupil response (SEPR).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Autistic participants showed reduced accuracy when rating an avatar's perspective and pronounced perspective-related differences in a late-frontal slow wave (LFSW). Incongruency elicited stronger effects on behavioral performance and LFSW in autistic relative to neurotypical participants. Additionally, generally larger and more sustained SEPR was observed for autistic participants, reflecting an alteration that was dissociable from LFSW differences. Across groups, SEPR and ERP measures explained both distinct and partially overlapping variance in response slowing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings support attenuated VPT abilities and difficulties to deploy selective attention in autistic youth. Altered fronto-cortical activation patterns in the LFSW likely reflect an increased top-down involvement in VPT. Concurrently, pupil responses indicate an increased cognitive effort when reporting visual perspectives. Findings emphasize a co-characterization of social cognition difficulties by social and domain-general functions in autism.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 9","pages":"1500-1512"},"PeriodicalIF":6.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How global is our research on child and adolescent mental health? A worldwide concentration and imbalance – and an opportunity for JCPP to take the lead in disseminating globally diverse research","authors":"Sylia Wilson,&nbsp;Krupa Patel","doi":"10.1111/jcpp.70163","DOIUrl":"10.1111/jcpp.70163","url":null,"abstract":"<p>Mental health conditions, including among children and adolescents, are prevalent in the general population worldwide. Yet, much of our child and adolescent mental health research is not globally representative, with the vast majority of research conducted in samples in, and by researchers from, the United Kingdom and Western Europe, United States, Canada, Australia, and New Zealand. In this editorial, we highlight the <i>Journal of Child Psychology and Psychiatry</i> as well-positioned to support and promote research on child and adolescent mental health conducted in globally diverse samples, by researchers from higher-, middle-, and lower-income countries that is representative of and generalizable to children and adolescents throughout the world.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 9","pages":"1614-1617"},"PeriodicalIF":6.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustained mental health outcomes from the youth readiness intervention: A four-year effectiveness follow-up of a hybrid type II trial in Sierra Leone","authors":"Wijnand Van Den Boom,&nbsp;Kathryn Noon,&nbsp;Shuangshuang Yang,&nbsp;Renee Menart,&nbsp;Fatoma Momoh,&nbsp;Abdulai Jawo Bah,&nbsp;Matias Placencio-Castro,&nbsp;Theresa S. Betancourt","doi":"10.1111/jcpp.70158","DOIUrl":"10.1111/jcpp.70158","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Strategies to expand access to care and sustain evidence-based mental health interventions (EBIs) must be tested within novel delivery platforms to extend the reach of services in fragile and conflict-affected settings. Integration into broader development programs may help maintain long-term effects. This study presents a four-year follow-up of a previously conducted Hybrid Type II implementation-effectiveness cluster-randomized trial (CRT) of the Youth Readiness Intervention (YRI)—an EBI drawing on cognitive-behavioral, interpersonal, and mindfulness-based approaches—delivered within a youth entrepreneurship program in Sierra Leone (2018–2019).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Long-term mental health outcomes (emotion regulation, psychological distress, and interpersonal functioning) were examined among a randomly selected subgroup of 584 participants across three study arms: a control group, a group that only received entrepreneurship training (‘ENTR’), and a group that received both YRI and ENTR (‘YRI + ENTR’). Linear mixed-effect models accounted for the nested structure of the data. Impact of the COVID-19 pandemic was also assessed through economic and relationship stressors using structural equation modeling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four years postintervention, YRI + ENTR-youth maintained improvements in depression (<i>β</i> = −.057; 95% CI −0.09 to −0.02; [effect size] <i>d</i> = −.111) and combined depression/anxiety symptoms (<i>β</i> = −.047; 95% CI −0.08 to −0.01; [effect size] <i>d</i> = −.096) though no sustained effects were observed for daily functioning or emotion regulation. No differences were found for ENTR-only participants versus controls and YRI + ENTR. COVID-19-related economic stressors mediated the relationship between study arm and mental health, revealing small but significant effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In low-income settings like Sierra Leone, where formal mental health services are scarce, sustainable community-based interventions such as the combined YRI + ENTR intervention offer a critical approach to reducing psychological distress. Sustained long-term benefits suggest that participants developed coping strategies that supported resilience during challenges like the COVID-19 pandemic. These gains may also foster broader community resilience, enhancing both individual well-being and collective capacity to withstand future adversity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 9","pages":"1537-1546"},"PeriodicalIF":6.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}