IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE最新文献

{"title":"Dual disorders: an overview.","authors":"Marta Torrens, Francina Fonseca, Francisco Gonzalez-Saiz, Joan I Mestre-Pintó","doi":"10.1017/ipm.2026.10188","DOIUrl":"https://doi.org/10.1017/ipm.2026.10188","url":null,"abstract":"<p><p>The coexistence of substance use disorders (SUD) and other mental disorders - commonly referred to as dual disorders (DD) - is highly prevalent and clinically significant. Although various terms have been used over time (e.g., psychiatric comorbidity, dual pathology), the lack of a standardised definition has created inconsistencies in diagnosis, communication, research, and treatment. Epidemiological studies estimate that 30-80% of individuals with SUD have co-occurring psychiatric disorders, with prevalence depending on the substance involved, gender, age, and the population studied (general population, people in emergency rooms, mental health addiction facilities, harm reduction facilities, prison). Compared to individuals with a single disorder, people with DD exhibit more severe psychopathological symptoms, higher suicide risk, increased relapse rates, poorer treatment adherence, more medical comorbidities, and worse psychosocial outcomes, including unemployment, homelessness, and social exclusion. Despite extensive evidence, both SUD and other mental disorders often remain underdiagnosed and undertreated, partly due to diagnostic complexities such as overlapping symptomatology and the syndromic nature of psychiatric classifications. Additional barriers include the structural separation between mental health and addiction services and limited integrated care expertise. The \"wrong door syndrome\" exemplifies how patients are frequently directed to services unable to address both conditions, leading to suboptimal outcomes. Furthermore, individuals with DD are often excluded from clinical research, limiting the evidence base for tailored interventions. Improving the detection and treatment of DD is a major challenge for mental health and addiction systems. Integrated, holistic treatment approaches from the outset are essential to optimise outcomes for this highly vulnerable population.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-3"},"PeriodicalIF":2.1,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692844","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":"Knowledge, attitudes, and behaviours towards schizophrenia, bipolar disorder, autism, and epilepsy in Ireland: a national survey.","authors":"Gerard Loughnane, David Mothersill, Horacio Gonzalez-Velez, Mike Mulbah, Ikenna Ebuenyi, Benedict Dossen, April Hargreaves","doi":"10.1017/ipm.2026.10189","DOIUrl":"https://doi.org/10.1017/ipm.2026.10189","url":null,"abstract":"<p><strong>Objectives: </strong>Stigma towards individuals with mental, neurodevelopmental, and neurological conditions is associated with problems accessing healthcare (e.g. schizophrenia) and gaining employment (e.g. epilepsy). In Ireland, stigma differs towards different conditions, with previous research showing that schizophrenia is viewed more negatively than bipolar disorder or autism. More detailed understanding of stigma in Ireland requires replication of these findings in a larger, population-representative sample.</p><p><strong>Methods: </strong>1,232 participants around Ireland completed a survey examining knowledge, attitudes, and behaviours towards schizophrenia, bipolar disorder, autism, and epilepsy as a comparator. Knowledge, attitudes, and behaviours towards these groups were compared using cumulative link mixed models.</p><p><strong>Results: </strong>Perception of others' stigma and participants' own self-reported behaviour were more negative towards schizophrenia compared to any of the other groups. Familiarity with mental health issues was associated with more positive self-reported behaviour towards those with schizophrenia. This improvement in behaviour was mediated by reduced perception of danger of this group. In contrast, greater mental health knowledge had no such impact on behaviour. Bipolar disorder was the second-most negatively perceived condition, followed by autism and epilepsy.</p><p><strong>Conclusions: </strong>These findings support our recent pilot study and provide further evidence that stigma differs towards different conditions in Ireland, with Irish people perceiving more negative societal attitudes, and self-reporting more negative behaviour, towards schizophrenia. The finding that familiarity with schizophrenia predicted more positive behaviour and that this was mediated by reduced perception of danger suggests targets for future anti-stigma interventions.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624156","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 cross-sectional survey of exercise and dietary preferences for individuals with treatment-resistant schizophrenia.","authors":"Diana Atmad, James O'Donoghue, Brian Hallahan","doi":"10.1017/ipm.2026.10184","DOIUrl":"https://doi.org/10.1017/ipm.2026.10184","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals with schizophrenia experience high rates of metabolic syndrome and premature mortality, largely driven by antipsychotic-induced weight gain and sedentary behaviour. Aerobic exercise and dietary interventions can positively impact quality of life and physical health indices. This study examines perspectives on engagement in aerobic exercise and diet in a cohort of participants treated with clozapine.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 43 individuals attending a clozapine clinic at University hospital Galway. Participants' perspectives regarding engagement in aerobic exercise and dietary modification were attained with chi-squared and regression analyses utilised to determine associations with functioning, symptomatology, and demographic data. Thematic analyses were utilised to assess qualitative data.</p><p><strong>Results: </strong>Twenty-nine individuals (67.4%) expressed a preference for engaging in additional exercise with brisk walking most favoured (<i>n</i> = 25, 58.1%) with patients stating a preference for home based or individualised interventions (i.e. walking) except for dancing. Participants who engaged in <2.5hours exercise per week were more willing to engage in a structured exercise programme (χ² = 6.38, <i>p</i> = 0.04). Themes pertaining to engagement in exercise included importance of self-motivation (<i>n</i> = 8), benefits for health (<i>n</i> = 5), and environmental barriers to participation (<i>n</i> = 6) with themes pertaining to dietary change included willingness to change diet for health benefits (<i>n</i> = 21), and amotivation for change (<i>n</i> = 2).</p><p><strong>Conclusion: </strong>Embedding tailored, exercise, and dietary programmes provided as part of patient's routine mental health care would be welcomed by patients. Future studies evaluating potential benefits of exercise and diet interventions across functioning, physical and mental health parameters are suggested.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515805","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 psychiatric morbidity and emergency mental health presentations in Ireland: a systematic review.","authors":"Ruben Van Aswegen, Sarah Lanigan, John Paul Lyne, Colm McDonald, Brian Hallahan","doi":"10.1017/ipm.2026.10185","DOIUrl":"https://doi.org/10.1017/ipm.2026.10185","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the impact the COVID-19 pandemic in Ireland on symptoms and functioning in individuals across a range of mental health disorders.</p><p><strong>Methods: </strong>A systematic bibliographic search of case reports, cross-sectional and longitudinal studies was conducted between March 12^th, 2020, and December 20^th, 2024, among studies evaluating the impact of the COVID-19 pandemic on symptoms and functioning for individuals with pre-existing mental health disorders and for those who presented with self-harm or died by probable suicide in the Republic of Ireland. Studies were independently screened by two reviewers according to inclusion and exclusion criteria, with selected variables extracted and summarised. Risk of bias assessments and narrative synthesis of included studies were conducted.</p><p><strong>Results: </strong>Twenty-eight studies met inclusion criteria. Findings were heterogeneous and disorder specific. An increase in presentations of self-harm, anxiety disorders, and eating disorders to child and adolescent mental health services and emergency departments was noted, with relative stability of symptoms in other cohorts including bipolar disorder and treatment-resistant schizophrenia. Significant symptom deterioration, with poor quality of life and functioning was demonstrated in individuals with emotionally unstable personality disorder both cross-sectionally and longitudinally.</p><p><strong>Conclusions: </strong>Most people with pre-existing mental disorders did not experience significant exacerbation associated with the pandemic, with exception of those with eating disorders and EUPD.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515821","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":"Climbing high: a mixed-methods feasibility study of climbing therapy for major depressive disorder in Ireland.","authors":"Stephanie O'Connor, Aine O'Reilly, Ashlie Macpherson, Tara Burke, Cornelia Carey, Kathryn Ledden, John R Kelly","doi":"10.1017/ipm.2026.10187","DOIUrl":"https://doi.org/10.1017/ipm.2026.10187","url":null,"abstract":"<p><strong>Objectives: </strong>Climbing therapy offers a promising therapeutic strategy for Major Depressive Disorder (MDD).</p><p><strong>Methods: </strong>A single-arm feasibility study of a 10-week manualised climbing therapy group programme for people diagnosed with DSM-5 MDD of at least moderate severity was conducted. Feasibility (measured by retention, adherence, acceptability, and tolerability) was the primary outcome. The Montgomery-Åsberg Depression Rating Scale (MADRS), the Patient Health Questionnaire-9 (PHQ-9), the Positive and Negative Affect Schedule (PANAS), the Generalised Anxiety Disorder-7 (GAD-7), the General Self-Efficacy Scale (NGSE), and the Perceived Stress Scale (PSS) were completed one week before the intervention began (baseline/week 0) and post-intervention (week 11). Semi-structured interviews with participants and facilitators and were conducted and analysed using Thematic Analysis.</p><p><strong>Results: </strong>Out of a total of 12 participants, 9 completed the intervention. The mean age (SD) was 37.56 (7.86) years. The overall attendance rate was 88%, and there were no serious adverse events. The mean (SD) MADRS scores at baseline and week 11 were 25.67 (5.26) and 17.11 (8.25), <i>p</i> = 0.01; PHQ-9, 17.56 (3.87) and 13.78 (5.91), <i>p</i> = 0.07; PANAS-Positive, 18.78 (5.35) and 24.33 (8.50), <i>p</i> = 0.04; PANAS-Negative, 28.22 (10.26) and 27.33 (10.96), <i>p</i> = 0.76; GAD-7, 12.00 (4.09) and 10.11 (6.60), <i>p</i> = 0.22; NGSE, 21.78 (5.86) and 25.44 (6.22), <i>p</i> = 0.02; PSS, 25.78 (5.06) and 25.44 (7.00), <i>p</i> = 0.81. Achievement, confidence, and social connectedness were identified as key themes from the semi-structured interviews.</p><p><strong>Conclusion: </strong>A climbing therapy programme for adults with MDD was feasible, acceptable and well-tolerated. Preliminary clinical findings encourage further investigation in a larger trial.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515838","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 qualitative study exploring clinicians' experiences of the use of interpreters in mental health assessment.","authors":"Eoin Geary, Donal O'Keeffe, Mary Clarke","doi":"10.1017/ipm.2025.17","DOIUrl":"https://doi.org/10.1017/ipm.2025.17","url":null,"abstract":"<p><strong>Objectives: </strong>There is a dearth of research investigating clinicians' experiences of mental health assessment of patients using an interpreter. This study aims to address this gap in the literature by exploring how clinicians, from several different disciplines in mental health, in both community and inpatient settings, experience the use of interpreters in mental health assessment.</p><p><strong>Methods: </strong>Fifteen participants were purposefully sampled from a cohort of clinicians currently working in specific inpatient and community mental health services in Dublin, Ireland. Data were collected using semi-structured interviews. Data were analysed using Reflective Thematic Analysis.</p><p><strong>Results: </strong>Six themes were developed: 'Interpreters providing depth and adding cultural meaning to assessment', 'The absence of control over interpreter performance and selection', 'Interpreters being a reassuring presence for patients', 'Interpreters undermining patient freedom to express their thoughts and feelings in confidence', and 'Further training, guidance, and regulation are needed', and 'The practical barriers to interpreter use'.</p><p><strong>Conclusions: </strong>Findings emphasise the importance of interpreters in providing culturally relevant and meaningful information in clinical assessment, while also providing a reassuring presence for patients. However, our data also highlight the challenges associated with using interpreters in clinical assessment. For example, interpreters undermining a clinician's ability to control the clinical interview and eroding patient confidence that they can communicate confidentially, and without prejudice. Deficits exist in interpreter and clinician training, guidance, and regulation that warrant urgent action to ensure that language does not prevent adequate, appropriate, and timely recovery-oriented assessment in mental health services.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-6"},"PeriodicalIF":2.1,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515846","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":"Clozapine: revised haematological monitoring recommendations.","authors":"John Lally, Oisin Conaty, Rita Bourke, Dolores Keating, Brian O'Donoghue","doi":"10.1017/ipm.2026.10183","DOIUrl":"https://doi.org/10.1017/ipm.2026.10183","url":null,"abstract":"<p><p>In 2025, the European Medicines Agency (EMA) following a Pharmacovigilance Risk Assessment Committee (PRAC) review, revised routine haematological monitoring recommendations for clozapine. We examine the evidence supporting changes to clozapine haematological monitoring requirements and describe the revised clozapine haematological monitoring recommendations. We include a patient perspective, highlighting a patient's view of the recommended changes including possible advantages, concerns, and the potential for less burdensome care. This perspective article summarises the regulatory changes, the evidence supporting them, and clinical implications. Key changes include switching to absolute neutrophil count (ANC)-only monitoring, updated ANC thresholds for initiation/continuation (with specific allowances for benign ethnic neutropenia (BEN)), and substantial reductions in monitoring frequency after the first year(s) in patients without neutropenia.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-6"},"PeriodicalIF":2.1,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515864","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":"Integrated treatment approaches for co-occurring mental health and substance use disorders: findings from a survey of European healthcare providers.","authors":"Francina Fonseca, Erikas Simonavičius, Alessandra Bo, Liesbeth Vandam, Marica Ferri, Cinta Mancheño, Ines Hasselberg, Joan-I Mestre-Pintó, Marta Torrens, Linda Montanari","doi":"10.1017/ipm.2026.10174","DOIUrl":"https://doi.org/10.1017/ipm.2026.10174","url":null,"abstract":"<p><strong>Objectives: </strong>Dual disorder, comprising of substance use and mental health disorders, requires a comprehensive treatment approach. The most effective is integrated dual disorder treatment, which involves addressing both conditions concurrently by the same specialists and in the same setting. This study examines characteristics of integrated dual disorder care offered by treatment services across European countries.</p><p><strong>Methods: </strong>In 2022, representatives of 14 integrated care for dual disorder providers in 10 European countries were asked to respond to a survey about their treatment process, outcomes, barriers and facilitators when implementing dual disorder treatment in respective countries. Thematic qualitative analysis was used to explore closed- and open-ended responses, focusing on commonalities and differences between surveyed services.</p><p><strong>Results: </strong>Integrated care services varied in treatment settings and structure, but all offered comprehensive support for dual disorder. Among 14 services, half addressed tobacco addiction or provided suicide prevention, three treated cannabis use, and none accepted patients in opioid agonist therapy. Few services reported evaluating treatment outcomes in standardised way. Services supported patients with social security, employment, housing and education, but also noted difficulties in coordinating post-treatment care due to divergent views on dual disorder among specialists from different services.</p><p><strong>Conclusions: </strong>Integrated care services provide comprehensive and tailored support for people with dual disorder but remain distinct within the healthcare options available to this patient group across Europe. Existing and future integrated care services would benefit from addressing tobacco and cannabis use, measuring treatment outcomes and improving continuity of care.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500217","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 the recovery approach in mental health: progress made, challenges faced, and future directions.","authors":"Donal O'Keeffe, Gerald Jordan, Calvin Swords, Michael John Norton, Shannon Pagdon","doi":"10.1017/ipm.2026.10186","DOIUrl":"https://doi.org/10.1017/ipm.2026.10186","url":null,"abstract":"<p><p>This Editorial introduces the Special Issue of the Irish Journal of Psychological Medicine focused on the evolution, implementation, and critique of the recovery approach in mental health. Tracing its roots to the 19th-century writings of John Perceval, a pioneer in lived experience advocacy, we outline how the recovery approach has grown into a global movement grounded in human rights, agency, and systemic transformation. We define the recovery approach and outline its values of shared humanity, justice, equality, respect, and compassion. We then discuss both the global progress made (including advances in peer support, Recovery Colleges, and coproduction in research, policy, and service development) and the significant challenges faced (ranging from tokenism and epistemic inequality to professionalisation and systemic resistance). The Editorial also explores tensions such as 'neorecovery', clinician uncertainty, and the co-optation of lived experience roles. We then provide a brief overview of the diverse contributions that comprise the Special Issue. Rather than romanticising the potential of lived experience integration, or celebrating marginal successes, we argue that, as a whole, this scholarly body of work illuminates pathways to mental health system reform and transformative change. These contributions help us inch closer to the promised revolution, a mental health system that has its foundations in equally valued clinical expertise, scientific rigour, and lived experience knowledge. Such a system would assist people that encounter psychological distress and mental illness, in all its forms, to not only heal but overcome, transcend, and flourish beyond suffering.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-5"},"PeriodicalIF":2.1,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378995","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 randomised controlled trial of a culturally adapted didactic strategy for suicidal ideation (CADS-S) in young male students in Pakistan.","authors":"Mudassar Abdullah, Muhammad Tahir Khalily, Brian Hallahan","doi":"10.1017/ipm.2026.10172","DOIUrl":"https://doi.org/10.1017/ipm.2026.10172","url":null,"abstract":"<p><strong>Objectives: </strong>Suicidal ideation, plans and attempts, is a leading public health issues among adolescents worldwide, including in Pakistan. This study examines the effectiveness of a culturally adapted didactic strategy (CADS) in targeting suicidal ideation and associated symptomatology <i>(ClinicalTrials.gov: NCT05324670)</i>.</p><p><strong>Method: </strong>Adolescents (<i>n</i> = 70, male) expressing suicidal ideation who recently engaged in self-harm (previous 6 months), were assigned to 6 sessions (weekly) of CADS or a control intervention (psycho-education material) and assessed pre- and post-intervention utilising the Beck Scale for Suicidal Ideation (BSS), the Depression, Anxiety and Stress Scale-21 (DASS-21) and Barratt Impulsiveness Schedule-II (BIS-II).</p><p><strong>Results: </strong>Participants in the CADS cohort demonstrated a significant reduction in suicidal ideation compared to controls at treatment end (<i>F</i> = 266.7, <i>p</i> < 0.001, η_p² = 0.80), and six-weeks post intervention. Individuals receiving CADS demonstrated a modest reduction in attentional (<i>F</i> = 32.5, <i>p</i> < 0.001, η_p² = 0.33), motoric (<i>F</i> = 45.9, <i>p</i> < 0.001, η_p² = 0.41) and non-planning impulsivity (<i>F</i> = 21.9, <i>p</i> < 0.001, η_p² = 0.25), in depressive (<i>F</i> = 142.2, <i>p</i> < 0.001, η_p² = 0.68), and anxiety symptoms (<i>F</i> = 43.9, <i>p</i> < 0.001, η_p² = 0.40) and stress levels (<i>F</i> = 96.4, <i>p</i> < 0.001, η_p² = 0.59). These findings were maintained at six-week follow-up.</p><p><strong>Conclusion: </strong>CADS was an effective short-term intervention in reducing suicidal ideation, impulsivity, depressive and anxiety symptoms in a high school adolescent male population. Future studies including an active comparator and greater participant diversity would further elucidate the potential efficacy of this intervention.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345209","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}