IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE最新文献

{"title":"A meta-synthesis of qualitative studies on citizenship and mental health.","authors":"Cassidy M Ball, Francisco José Eiroa-Orosa","doi":"10.1017/ipm.2024.66","DOIUrl":"https://doi.org/10.1017/ipm.2024.66","url":null,"abstract":"<p><strong>Background: </strong>Citizenship, as conceptualized by Rowe and colleagues, emphasizes the significance of relationships and community membership, encapsulated by the '5 Rs' - rights, responsibilities, roles, resources, and relationships.</p><p><strong>Methods: </strong>A meta-synthesis of 20 qualitative studies on citizenship and mental health was conducted.</p><p><strong>Results: </strong>We identified four central themes: Autonomy and Empowerment, Social Inclusion and Relationships, Social Exclusion, and Non-Relational Resources and Supports. Service users' experiences illuminate the challenges of achieving full citizenship, negotiating societal norms, and accessing non-relational resources.</p><p><strong>Conclusions: </strong>This synthesis contributes to our understanding of Citizenship and its relationship with mental health, highlighting its role in fostering social inclusion and empowerment as well as informing potential implications for mental health interventions and policies.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A four-year longitudinal evaluation of the impact of the COVID-19 pandemic on patients with a range of mental health disorders.","authors":"B W O'Mahony, P Aylward, J McLoughlin, A McLoughlin, B Hallahan","doi":"10.1017/ipm.2024.57","DOIUrl":"https://doi.org/10.1017/ipm.2024.57","url":null,"abstract":"<p><strong>Objectives: </strong>To examine if the COVID-19 pandemic had a differential impact longitudinally over four years on psychological and functional impact in individuals with a pre-existing anxiety, bipolar or emotionally unstable personality Disorder (EUPD).</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 52 patients attending the Galway-Roscommon Mental Health Services with an International Classification of Diseases (ICD)-10 diagnosis of an anxiety disorder (<i>n</i> = 21), bipolar disorder (<i>n</i> = 18), or EUPD (<i>n</i> = 13) at four time points over a four-year period. Patients' impression of the impact of the COVID-19 pandemic was assessed in relation to anxiety and mood symptoms, social and occupational functioning and quality of life utilising psychometric instruments and Likert scale data, with qualitative data assessing participants' subjective experiences.</p><p><strong>Results: </strong>Individuals with EUPD exhibited higher anxiety (BAI) symptoms compared to individuals with bipolar disorders and anxiety disorders (<i>F</i> = 9.63, <i>p</i> = 0.001), with a more deleterious impact on social functioning and quality of life also noted at all time points. Themes attained from qualitative data included isolation resulting from COVID-19 mandated restrictions (<i>N</i> = 22), and these same restrictions allowing greater appreciation of family (<i>n</i> = 19) and hobbies/nature (<i>n</i> = 13).</p><p><strong>Conclusions: </strong>Individuals with EUPD reported increased symptomatology and reduced functioning and quality of life as a consequence of the COVID-19 pandemic over a four-year period compared to individuals with either an anxiety or bipolar disorder. This could be related to the differing interaction of the COVID-19 pandemic's restrictions on the symptoms and support requirements of this cohort.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of the COVID-19 pandemic on first-episode psychosis presentations in two early intervention in psychosis services.","authors":"A Duggan, S Buckley, E Fletcher, D O'Keeffe, S Naughton, K O'Connor, M Clarke","doi":"10.1017/ipm.2024.61","DOIUrl":"https://doi.org/10.1017/ipm.2024.61","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the impact of the COVID-19 pandemic on first-episode psychosis (FEP) presentations across two Early Intervention in Psychosis (EIP) services in Ireland, by comparing pre-pandemic and post-pandemic cohorts.</p><p><strong>Methods: </strong>A cross-sectional observational design with retrospective medical record review was employed. The study population comprised 187 FEP patients (77 in pre-pandemic and 110 in post-pandemic cohort). Outcomes measured included duration of untreated psychosis (DUP), FEP presentation numbers, referral sources, global assessment of functioning scores, inpatient admissions, substance misuse and service delivery methods. Statistical analyses utilised chi-square tests to assess categorical variables, Mann-Whitney <i>U</i> tests to compare non-normally distributed continuous variables and Kruskal-Wallis tests to examine interactions between categorical and continuous variables.</p><p><strong>Results: </strong>A significant increase in FEP presentations was observed in the post-pandemic cohort (<i>p</i> = 0.003), with an increase in all urban areas and a decrease in the study's only rural area. The difference in DUP between cohorts was not significant. However, significant interaction between gender, cohort and DUP was shown (<i>p</i> = 0.008), with women in the post-pandemic cohort experiencing longer DUP (<i>p</i> = 0.01). A significant rise in telephone (<i>p</i> = 0.05) and video consultations (<i>p</i> = 0.001) offered was observed, in the post-pandemic cohort. A similar number of in-person appointments were attended across both cohorts.</p><p><strong>Conclusions: </strong>This study highlights the impact of the pandemic on FEP presentations, particularly rurally and regarding increased DUP among women. These findings underscore the need for flexible EIP services to respond to public health crises. Despite increased presentations, services adapted, maintaining service continuity through telehealth and modified in-person contact.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Greek physician Asclepiades of Bithynia (124-40 BC) and his contribution to thinking about mental illness and its treatment.","authors":"Frank A Brady, Brendan D Kelly","doi":"10.1017/ipm.2024.65","DOIUrl":"https://doi.org/10.1017/ipm.2024.65","url":null,"abstract":"<p><strong>Objectives: </strong>To outline the life and work of Greek physician Asclepiades of Bithynia (124-40 BC), especially his contributions to thinking about mental illness.</p><p><strong>Methods: </strong>Review and discussion of relevant fragments of Asclepiades' work that survive and review of secondary literature, supplemented by relevant systematic literature searches (e.g. PubMed).</p><p><strong>Results: </strong>Asclepiades challenged the long-standing Hippocratic doctrine of the four humours and developed an approach to physical and mental illness that was humane, reasoned, and a forerunner of later developments in psychiatry. Asclepiades argued that the human body, like everything in the universe, comprised tiny, imperceptible particles, which he called <i>önkoi</i>, seamless masses in perpetual motion. In consequence, Yapijakis describes Asclepiades as 'the father of molecular medicine'. Asclepiades held that good health was maintained by free, balanced motion of <i>önkoi</i> through theoretical pores, while disease resulted from blockage or impaction of <i>önkoi</i> passing through pores in various body parts (e.g. brain). Based on this idea, Asclepiades recommended releasing people with apparent mental illness from confinement and using judicious combinations of diet, exercise, massage, bathing, and music to treat 'phrenitis' (delirium) and melancholia. He suggested that the physician act 'safely, swiftly and pleasantly' ('cito, tutu, jucunde') for both physical and mental illness.</p><p><strong>Conclusions: </strong>Asclepiades belongs to the historical tradition of progressive medical approaches to mental illness, not least because he applied his principles for the treatment of physical illness to mental illness. His ideas about psychiatry set the scene for further evolution of attitudes to mental illness and its treatment over subsequent centuries.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-6"},"PeriodicalIF":1.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing recovery-oriented care: a qualitative study to inform service design at Kyrie Therapeutic Farm in Ireland.","authors":"Christina Koretsidou, Catriona O'Toole, Eoin Galavan, John McKeon, Sinead McGilloway","doi":"10.1017/ipm.2024.58","DOIUrl":"https://doi.org/10.1017/ipm.2024.58","url":null,"abstract":"<p><strong>Objectives: </strong>Recovery-oriented approaches are gaining increased attention in the mental health sector, including from the World Health Organization and the United Nations, for their potential to support people in recovering and building meaningful lives through strengths-based, person-centered principles. Kyrie Therapeutic Farm (KTF) is a new initiative in Ireland that seeks to develop recovery-oriented model of adult mental health care. The aim of this study was to explore the barriers and facilitators of recovery-oriented models of practice in a small number of therapeutic farm settings across the world in order to inform service design at KTF whilst also addressing a gap in research on this topic.</p><p><strong>Methods: </strong>Three semi-structured focus-group interviews were conducted online via MS Teams with ten staff members in different roles and years of experience from three existing therapeutic community farms. reflexive thematic analysis was employed for data analysis.</p><p><strong>Results: </strong>Four themes emerged that illustrate how therapeutic farm communities operate in general and specifically in relation to recovery: 1. common humanity, 2. freedom and responsibility, 3. interdependence and community living, and 4. learning organisations.</p><p><strong>Conclusion: </strong>This study demonstrates the viability of recovery-oriented practices in community therapeutic farms, including KTF, thereby contributing to the broader trend toward more person-centered mental health services. The values inherent in the recovery-oriented approach - such as community, empowerment, and close, equitable, non-hierarchical relationships - act as facilitators. However, embedding these values in practice can generate tensions for staff which warrant attention. Implications for the integration into service design of KTF and further research are offered.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of depressive symptoms, suicidal ideation and behaviours in young people presenting with a first episode of psychosis.","authors":"Patrick FitzPatrick, Ellie Brown, Rebekah Street, Brian O'Donoghue","doi":"10.1017/ipm.2024.26","DOIUrl":"https://doi.org/10.1017/ipm.2024.26","url":null,"abstract":"<p><strong>Objectives: </strong>Suicide accounts for a proportion of the early mortality in people affected by psychotic disorders. The early phase of illness can represent a particularly high-risk time for suicide. Therefore, in a cohort of young people presenting with first-episode psychosis, this study aimed to determine: (i) the prevalence of suicidal ideation, intent with plan and self-harm and any associated demographic or clinical factors and (ii) the prevalence of depressive symptoms and any associated demographic or clinical factors.</p><p><strong>Methods: </strong>Young people with a first episode of psychosis attending the Early Psychosis Prevention and Intervention Centre in Melbourne were included. Suicidal behaviours were recorded using a structured risk assessment - 'Clinical Risk Assessment and Management in the Community', and depressive symptoms were measured using the PHQ-9.</p><p><strong>Results: </strong>A total of 355 young people were included in the study. 57.2% were male, 95.4% were single and over one quarter were migrants. At the time of presentation, 34.6% had suicidal ideation, 6.2% had suicidal intent with a plan, and 21.4% had engaged in self-harm before their presentation. Combined, 39.7% (<i>n</i> = 141) presented with suicidal ideation, intent with plan or self-harm. A total of 71.5% (<i>n</i> = 118) had moderately severe or severe depressive symptoms, which was strongly associated with suicidal ideation or behaviours at the time of presentation (OR = 4.21, 95% C.I. 2.10-8.44).</p><p><strong>Conclusions: </strong>Depressive symptoms, self-harm and suicidal behaviours are commonly present in the early phases of a psychotic disorder, which has important clinical implications for assessment and management.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing culturally appropriate recovery approaches in mental health services: perspectives from the Irish Traveller community.","authors":"J Villani, T Kuosmanen, M McDonagh, M M Barry","doi":"10.1017/ipm.2024.51","DOIUrl":"https://doi.org/10.1017/ipm.2024.51","url":null,"abstract":"<p><strong>Objectives: </strong>This study explores the perspectives of Irish Travellers, an ethnic minority group in Ireland, on the service improvements needed to implement culturally appropriate recovery approaches in mental health services.</p><p><strong>Methods: </strong>A community-based participatory research approach was employed. Seventeen Traveller peer researchers conducted thirteen qualitative participatory workshops and five individual interviews across Ireland. Eighty-seven adult members of the Traveller community (83% female, mean age = 33, 56.3% not in education or employment) were recruited through convenience sampling. Participatory thematic analysis was employed.</p><p><strong>Results: </strong>Travellers' ideas about improvements in mental healthcare involve practitioners in creating a trusting environment, increasing representation of Travellers within mental healthcare staff and working in partnership with Traveller service users to co-produce strategies that are owned by the community. Study participants emphasised the importance of Traveller cultural awareness, strengthening trauma-informed care, and embedding an ethos of cultural humility within mainstream services. The findings indicate the need for increased collaboration between mental health service providers and non-mental health agencies, and a reorientation of care towards empowering Traveller service users to achieve their social aspirations and building a positive self-identity.</p><p><strong>Conclusions: </strong>This study demonstrates that implementing a recovery approach for Travellers requires a reorientation of services, in line with Travellers' definition of culturally appropriate mental healthcare. This study calls for an expanded mandate for mental health services beyond individual care and towards intersectoral action in addressing the social determinants of Travellers' mental health. This will help to shape an equitable and inclusive healthcare setting that promotes Travellers' mental health and recovery.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A prospective study of antenatal anxiety and depression in pregnant women with polycystic ovary syndrome.","authors":"R Floyd, N Hughes, L O'Sullivan, D Hevey, N Murphy, C Hinds, L Owens","doi":"10.1017/ipm.2024.56","DOIUrl":"https://doi.org/10.1017/ipm.2024.56","url":null,"abstract":"<p><strong>Background: </strong>Women with polycystic ovary syndrome (PCOS) experience higher rates of depression and anxiety. There is limited research relating to perinatal mental health in women with PCOS. Studies suggest PCOS is associated with a higher prevalence of perinatal mental health disorders. Perinatal guidelines currently do not recognise PCOS as a risk factor for perinatal mental health disorders. We aimed to prospectively assess the prevalence of mental health disorders in pregnant women with PCOS.</p><p><strong>Methods: </strong>Consenting pregnant women, with and without PCOS, were invited to participate. Standardised validated questionnaires were carried out including Generalised Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9) and Edinburgh Postnatal Depression Scale (EPDS).</p><p><strong>Results: </strong>Fifty-one with PCOS and 49 without PCOS responded. Pregnant women with PCOS had a higher mean (SD) anxiety score (GAD-7) than those without PCOS (8.2 [6.7] vs. 5.89 [4.7], <i>p</i> = 0.04). Pregnant women with PCOS had higher mean (SD) depression scores than those without PCOS on EPDS (9.1 [6.4] vs. 6.4 [4.5], <i>p</i> = 0.02) but not PHQ-9 score (median (IQR) 4 (3-9) vs. 4 (2-7.5), <i>p</i> = 0.25). Women with PCOS were more likely to experience moderate/severe anxiety (PCOS 34%, control 20%) and moderate/severe depression (PCOS 34%, control 20%) symptoms than women without PCOS. Twenty-nine percent of pregnant women with PCOS had an EPDS score >13 showing significantly higher rates of severe depression (PCOS 29%, control 12%, <i>p</i> = 0.03).</p><p><strong>Conclusion: </strong>Our findings suggest a higher prevalence of perinatal depression and anxiety in women with PCOS. Our findings may suggest increased need for screening for mental health disorders in women with PCOS.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-5"},"PeriodicalIF":1.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal stress and anxiety in Ireland: experiences and support needs.","authors":"Eibhlin Looney, Catherine Houghton, Sarah Redsell, Karen Matvienko-Sikar","doi":"10.1017/ipm.2024.52","DOIUrl":"10.1017/ipm.2024.52","url":null,"abstract":"<p><strong>Objectives: </strong>Perinatal stress and anxiety from conception to two years postpartum have important adverse outcomes for women and infants. This study examined (i) women's perception of sources and experiences of perinatal stress and anxiety, (ii) women's attitudes to and experiences of available supports, and (iii) women's preferences for perinatal stress and anxiety supports in Ireland.</p><p><strong>Methods: </strong>An online mixed-methods cross-sectional survey was conducted with 700 women in Ireland. Participants were pregnant women (<i>n</i> = 214) or mothers of children ≤ 2 years old (<i>n</i> = 486). Participants completed closed-ended questionnaires on sociodemographic, birth and child factors, and on stress, anxiety, perceived social support, and resilience. Participants completed open-ended questions about experiences of stress and anxiety and the supports available for stress and anxiety during pregnancy and/or postpartum. Quantitative data were analysed descriptively and using correlations; qualitative data were analysed using thematic analysis.</p><p><strong>Results: </strong>Quantitative data indicated significant relationships between perinatal stress and/or anxiety and women's perceived social support, resilience, having a previous mental health disorder diagnosis (both <i>p</i> < 0.001), and experiencing a high-risk pregnancy or pregnancy complications (<i>p</i> < 0.01). Themes developed in qualitative analyses included: 'perceived responsibilities'; 'self-care'; 'care for maternal health and well-being'; 'social support'; and 'access to support and information'.</p><p><strong>Conclusions: </strong>Women's stress and anxiety are impacted by multiple diverse factors related to the individual, to interpersonal relationships, to perinatal health and mental health outcomes, and to available services and supports. Development of support-based individual-level interventions and increased peer support, coupled with improvements to service provision is needed to provide better perinatal care for women in Ireland.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of self-harm among children and adolescents in the Republic of Ireland: a systematic review.","authors":"S Lynch, A Begley, T McDonnell, D Leahy, B Gavin, F McNicholas","doi":"10.1017/ipm.2024.27","DOIUrl":"https://doi.org/10.1017/ipm.2024.27","url":null,"abstract":"<p><strong>Objectives: </strong>Youth self-harm (SH) is viewed as a public health concern and one of the main reasons for urgent psychiatry assessment. This systematic review sought to establish prevalence of SH among youth in Ireland.</p><p><strong>Methods: </strong>A systematic review using pre-defined search terms was conducted (Jan 1980-March 2024).</p><p><strong>Results: </strong>From a total of 204 papers identified, 18 were included. Significant variation in rates of SH was found. Limiting data to adolescent years (15-18), best estimates for overall lifetime rates of SH ranged from 1.5% (when rates of SH were reported based on a two-stage study design), to 23% (where SH was limited to non-suicidal SH). SH was typically higher in females, impulsive in nature, and occurred in the home setting. Whilst almost half of youth sought help before (43.7%) or after (49.8%) the SH episode, this was most often to a friend or family member. Overall rates of professional help seeking were low.</p><p><strong>Conclusions: </strong>Robust studies using clear definitions of terms, separately capturing SH with and without suicidal intent, and distinguishing SH in the context of a mental illness, are required to inform service developments. Given the frequent occurrence of SH among youth accompanied by predominance of help seeking via friends and family, it is imperative that psychoeducation is delivered to families and peers. Out of hours community and specialist mental health services are essential to address this important issue.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-14"},"PeriodicalIF":1.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}