Journal of Mental Health最新文献

{"title":"Understanding stigma among healthcare providers in China: how familiarity and professional roles interact through mental health knowledge.","authors":"Xiaoying Wang, Linni Gu, Luoyi Ju, Xuesong Jin, Xu Chen, Xin Na, Donghua Tian, Weijun Zhang","doi":"10.1080/09638237.2025.2607989","DOIUrl":"10.1080/09638237.2025.2607989","url":null,"abstract":"<p><strong>Background: </strong>Although research has shown that stigma toward people with mental illness (PMI) differs among different types of healthcare providers, the direction and underlying mechanisms of the relationship between familiarity with PMI and stigma toward PMI remain unclear.</p><p><strong>Aims: </strong>The aims were to examine the associations between familiarity with and stigma toward PMI among healthcare providers, explore the mediating role of mental health knowledge (MHK) and test whether the relationship varies among mental health care providers and general health care providers.</p><p><strong>Methods: </strong>A total of 2874 healthcare providers from seven cities completed an online survey assessing familiarity, MHK, stigma. Moderated mediation analyses were conducted using PROCESS macro.</p><p><strong>Results: </strong>Health providers who were more familiar with PMI knew more about mental illness, and those who knew more about mental illness had less stigma toward PMI. The effect of MHK on stigma was stronger in mental health care provider than general health care providers.</p><p><strong>Conclusions: </strong>This study lends support to intergroup contact theory. When designing anti-stigma interventions for healthcare providers, their work experience and organizational context should be considered. Healthcare providers need to realize the effects that their stigma might have on PMI and the public.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"208-219"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851119","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":"Mental and behavioral health characteristics among individuals injuriously shot by police in the United States.","authors":"Julie A Ward, Rebecca L Fix, Javier A Cepeda, Paul S Nestadt, Cassandra K Crifasi","doi":"10.1080/09638237.2025.2585191","DOIUrl":"10.1080/09638237.2025.2585191","url":null,"abstract":"<p><strong>Background: </strong>Criminalization of people experiencing mental illness is systemic, but the conditions surrounding police use-of-force in such encounters are under-examined.</p><p><strong>Aims: </strong>To describe mental or behavioral health (MBH) involvement in injurious shootings by U.S. police compared with MBH-uninvolved shootings.</p><p><strong>Methods: </strong>Using a 2015-2020 dataset developed from manual review of injurious shootings by police compiled from the Gun Violence Archive (GVA) (<i>n</i> = 10,615), we identified 2454 people shot in MBH-involved encounters. Through further review, we classified the MBH conditions and behaviors involved. Using descriptive statistics and logistic regression models, we compared characteristics of injured people, presenting conditions, and responses.</p><p><strong>Results: </strong>Twenty-three percent of injurious shootings by police involved MBH symptoms (<i>n</i> = 2336) or substance use (<i>n</i> = 921). Eighty-one percent of injured people threatened violence against others; 10% presented only self-harming symptoms, and 5% presented no symptoms. MBH involvement was associated with 1.5-times higher odds of fatality than MBH-uninvolved shootings and 31% higher odds of injuring an unarmed person <i>vs.</i> person with a gun. Clinician presence was identified in 1% of MBH-involved shootings.</p><p><strong>Conclusions: </strong>Police are de facto mental health system responders. Associated harms may be reduced through triage systems to facilitate clinician involvement, extreme risk protection order statutes, and better police training and protocols.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"186-198"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12721205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524537","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":"The role of gender norm conformity in men's psychological help-seeking and treatment engagement: a scoping review.","authors":"Lewis Burns, Lisa Olive, Alyna Turner, Simon Rice, Anna Wrobel, Bronte Montgomery-Farrer, Bethany Norton, Zac Seidler, Alexa Hayley","doi":"10.1080/09638237.2025.2512304","DOIUrl":"10.1080/09638237.2025.2512304","url":null,"abstract":"<p><strong>Background: </strong>Despite higher suicide rates, men are less likely to seek psychological help than women, and even when they do seek help, services are often ill-equipped to meet their needs and maintain their ongoing engagement in care.</p><p><strong>Aims: </strong>This study aimed to systematically scope the existing literature to summarise research findings and identify gaps related to the association between gender norm conformity (incorporating masculinities and femininities) and psychological help-seeking and treatment engagement.</p><p><strong>Methods: </strong>A search of MEDLINE, EMBASE, APA PsycINFO and CINAHL databases was conducted. Of 3,652 identified studies, 82 met inclusion criteria. Data from included studies was extracted and synthesised thematically.</p><p><strong>Results: </strong>Findings from the included studies suggested heightened conformity to masculine gender norms was linked with lower help-seeking and treatment engagement, and preliminary evidence was found for positive relationships between feminine gender norm conformity and both help-seeking and treatment engagement. Strength-based approaches to improving men's engagement with psychological services were often recommended, yet the prevailing position on masculinities was deficit-based.</p><p><strong>Conclusions: </strong>Further research is needed to explore the role of femininities and masculinities in men's help-seeking, and to further examine men's treatment engagement. Researchers are also encouraged to shift toward a strength-based position regarding masculinities in the context of men's mental health.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"230-248"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209942","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":"Supporting transitions: a scoping review of interventions for students with mental health conditions entering higher education.","authors":"Tara Jain, Debbie Yui Kiu Lo, Rebecca Upsher, Nicola Byrom","doi":"10.1080/09638237.2026.2622084","DOIUrl":"10.1080/09638237.2026.2622084","url":null,"abstract":"<p><strong>Background: </strong>Emerging adulthood is a peak period for mental health problems, and transition to university heightens both risks and opportunities. Targeted interventions may support students with pre-existing conditions, but the evidence base has not been systematically updated since 2021.</p><p><strong>Methods: </strong>Following PRISMA guidelines, we searched MEDLINE, PsycINFO, Embase, and ERIC (2015-2025) for peer-reviewed studies evaluating interventions supporting students with diagnosed or self-reported mental health conditions during transition to higher education. Eligible designs included quantitative pre-post and controlled studies. Data extraction followed the TIDieR checklist, and risk of bias was assessed using a modified NIH tool.</p><p><strong>Results: </strong>Eight studies (five interventions) were identified. Four interventions used controlled designs, three were randomised controlled trials. Common components included peer mentorship, goal setting, psychoeducation, and skills for independence. Several targeted help-seeking barriers, empowerment, and loneliness. Interventions were generally acceptable, with evidence of improvements in educational outcomes, adjustment, and depressive symptoms, but not anxiety. Most were opt-in, reliant on disclosure, and none were university-led.</p><p><strong>Conclusion: </strong>Targeted interventions show promise in supporting students with mental health conditions during university transition. However, evidence remains limited, heterogeneous, and predominantly North American. Larger, equity-focused, and university-led trials are urgently required.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"249-259"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126597","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":"Intersections of sexual orientation, gender identity, and race/ethnicity and odds of reporting depression and anxiety symptomology in the Household Pulse Survey.","authors":"Cody Ingle, RaeAnn Anderson, Andrew Williams","doi":"10.1080/09638237.2025.2558508","DOIUrl":"10.1080/09638237.2025.2558508","url":null,"abstract":"<p><strong>Purpose: </strong>We examined odds of anxiety and depression symptomology among sexual and gender minority (SGM) individuals compared to straight and cisgender individuals, stratified by race.</p><p><strong>Methods: </strong>Data represented 918,892 households in the Household Pulse Survey from July 2021-October 2022. The Patient Health Questionnaire-2 measured depression symptoms (Scores >3 = depression symptoms). The Generalized Anxiety Disorder Scale-2 measured anxiety symptoms (Scores >3 = anxiety symptoms). Sexual orientation was categorical: \"Gay/Lesbian,\" \"Straight,\" \"Bisexual,\" \"Something Else,\" or \"Don't know.\" Gender identity had 3 levels: \"Cisgender Male,\" \"Cisgender Female,\" or \"Transgender/other gender identity.\" Logistic regression estimated odds ratios(OR) and 95% confidence intervals(CI) for depression and anxiety among sexual minority individuals compared to straight individuals and transgender individuals compared to cisgender males. Intersection of sexual orientation/gender identity was also examined. Models (adjusted for sociodemographic factors) were stratified by race/ethnicity.</p><p><strong>Results: </strong>Transgender individuals showed doubled odds of depression (OR:2.30 95%CI:1.98,2.67) and anxiety (OR:2.41 95%CI:2.23,2.61) versus cisgender individuals. Bisexual individuals had nearly tripled odds versus straight individuals. Transgender bisexual individuals showed highest odds versus cisgender males (depression OR:6.22 95%CI:5.06,7.64; anxiety OR:7.11 95%CI:6.13,8.24). Non-Hispanic White individuals typically showed highest symptomology.</p><p><strong>Conclusion: </strong>SGM individuals showed increased anxiety and depression symptomology, with unexpected racial disparities warranting further intersectionality research.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"151-162"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12519530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058790","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":"Co-production of accessible digital mental health supports with marginalised young people: a scoping review.","authors":"Carmen Kealy, Courtney Potts, Alba Madrid-Cagigal, Maurice D Mulvenna, Gary Donohoe, Siobhan O'Neill, Margaret M Barry","doi":"10.1080/09638237.2025.2512317","DOIUrl":"10.1080/09638237.2025.2512317","url":null,"abstract":"<p><strong>Background and aims: </strong>While some digital supports aid in improving young people's mental health, there is a dearth of information regarding the most effective ways to involve young people in the co-production of digital technologies. User input is essential, particularly for marginalised young people who are often excluded. The aim of this scoping review was to examine recent literature on the most common co-production processes of digital mental health supports with marginalised young people.</p><p><strong>Method: </strong>A scoping review was conducted to identify literature published since 2021, written in English, focusing on co-production processes of digital mental health supports with marginalised young people aged 16-25. Basic information, data relating to the research question and key findings were extracted. A combination of Excel and Covidence management software was used to collate the charted data and manage the screening process. Studies were included if they used innovative youth-led approaches in the design, development, implementation or evaluation of digital mental health supports ranging from mental health promotion to targeted interventions.</p><p><strong>Results: </strong>Out of 2341 studies initially screened, 21 studies published between 2021 and 2023 with a range of study designs and evidence were included. The studies reported on engagement with marginalised young people in the design, implementation, and/or evaluation of digital mental health technologies. The review examined qualitative and mixed methods studies from eleven countries, with most co-produced digital supports relating to mental health promotion and prevention. Most common were supports targeting general mental health and mental wellbeing. More than half of the studies included representation from LGBTQ+ young people, followed by ethnic minorities and migrants, but few included other marginalised groups. Only 6 of 21 studies used innovative approaches and many typically involved young people in only one of the co-production processes with design identified as most common. Finally, passive rather than active participation of young people was found to be pronounced. This limits young people's opportunities to shape the outcome to the data collection process only.</p><p><strong>Conclusion: </strong>Given the extent to which marginalised groups are actually involved in co-production, the review suggests the need for young people to be more actively involved in all co-production processes of digital mental health technologies. Offering a diverse range of methods through innovative, participatory approaches can facilitate more effective engagement from young people and provide an environment that is inclusive to a range of voices and perspectives. Lastly, the lack of inclusion of marginalised groups such as young people with a disability, or youth living in rural areas is an important issue to consider for future research.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"76-93"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209939","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":"Measuring intimate relationship self-stigma in serious mental illness: scale development and validation.","authors":"Meryl Caiada, Antoinette Prouteau, Simon Felix, Sarah Guionnet, Justin Lamontagne, Emma Tison, Kevin-Marc Valery, Luc Vigneault, Tania Lecomte","doi":"10.1080/09638237.2025.2595604","DOIUrl":"10.1080/09638237.2025.2595604","url":null,"abstract":"<p><strong>Background: </strong>Individuals living with serious mental illness (SMI) face pervasive stigma, with damaging effects on their intimate lives. Although evidence suggests individuals might endorse stereotypes about their romantic relationships, no tool has addressed self-stigma in this domain.</p><p><strong>Aims: </strong>This study aimed to develop and validate the Intimate Relationship Self-Stigma Scale (IRSS), specifically, to determine its structural and construct validity, as well as the internal consistency and test-retest reliability.</p><p><strong>Methods: </strong>This instrument was co-constructed with peer support workers living with SMI. Using a bipolar semantic differential format, the IRSS captures both self-stigmatizing beliefs and positive self-perceptions. Items were generated through focus groups and literature review. Participants with SMI (N = 150) completed the IRSS online, along with measures of internalized stigma, self-esteem, and romantic functioning.</p><p><strong>Results: </strong>Exploratory factor analyses supported a four-factor structure-Disclosure Effects, Self-Attractiveness, Stability, and Intimacy Needs-explaining 48.6% of the variance. Subscales demonstrated satisfactory internal consistency (ω = .69-.87), test-retest reliability (ICC = .79-.93), and expected correlations with related constructs.</p><p><strong>Conclusion: </strong>The IRSS fills a critical gap in recovery-oriented mental health care by providing a comprehensive assessment of internalized stigma in romantic contexts while simultaneously capturing positive self-perceptions. Further validation, including confirmatory factor analyses and cross-cultural validity, is warranted.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"53-65"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670344","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":"Using recovery-focused PROMs in mental health care: what helps and what gets in the way? A scoping review.","authors":"Asha Zappa, Justin Newton Scanlan, Anne Honey, Nicola Hancock","doi":"10.1080/09638237.2025.2607985","DOIUrl":"10.1080/09638237.2025.2607985","url":null,"abstract":"<p><strong>Background: </strong>Recovery-focused person/patient reported outcome measures (PROMs), are important for recovery-oriented services, but workers have been slow to embed them within practice. Little is known about factors that influence workers use of these measures.</p><p><strong>Aim: </strong>To synthesise peer reviewed literature regarding the enablers and barriers mental health workers report to using recovery-focused PROMs in practice.</p><p><strong>Methods: </strong>Five databases were searched. Data were extracted from publications meeting the inclusion criteria, tabulated, and presented graphically. A qualitative thematic analysis was also conducted.</p><p><strong>Results: </strong>Only six of 30 recovery-focused PROMs had any published work reporting staff experiences of using them. Aspects influencing PROM use included: organisational and structural factors; value alignment; tool psychometrics; perceived relevance to practice and people accessing service; whether staff deemed tools to be useful and meaningful, and ease of use and access.</p><p><strong>Conclusions: </strong>More work is needed to address worker needs if recovery-focused tools are to be used routinely to collaboratively support people to explore their own recovery-related strengths and priorities. Both tool specific aspects, and organisational structures, that can support or hinder workers to use these tools in routine and recovery-oriented ways.</p><p><strong>Prisma/prospero: </strong>The PRISMA extension for Scoping Reviews (PRISMA-ScR) was followed. Prospero does not accept protocols for scoping reviews.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"127-139"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865985","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":"Portrayal of mental illness and suicide in Facebook posts by Australian news organisations.","authors":"Julia Lyons, Gayle McNaught, Elizabeth Paton, Amy J Morgan, Melinda Benson, Anna M Ross","doi":"10.1080/09638237.2025.2528187","DOIUrl":"10.1080/09638237.2025.2528187","url":null,"abstract":"<p><strong>Background: </strong>Trends in news being increasingly accessed via social media warrants more attention to how mental illness and suicide news is being communicated on social platforms, which have the potential to amplify or mitigate stigma in wider audiences.</p><p><strong>Aims: </strong>This study aimed to determine how mental illness and suicide are portrayed in Facebook posts by Australian news organisations, and examine engagement trends with these posts.</p><p><strong>Method: </strong>A systematic search of 22 Australian news Facebook pages was conducted on Meta's CrowdTangle database for posts about mental illness or suicide over a 1-year period.</p><p><strong>Results: </strong>Of the 1343 Facebook news posts identified, over half (55%) comprised \"helpful\" content. News posts featuring people with lived experience were the most common topics with helpful content, however harmful content was still prominent. Problematic content in news posts often included sensationalist, trivialising, or \"suffering\" language, and stigmatising or sensationalist quotes. Public engagement with news posts did not differ based on alignment with media guidelines.</p><p><strong>Conclusions: </strong>There is substantial room for improvement in how mental illness and suicide-related news is communicated on social media. Ensuring this aligns with responsible media guidelines will reduce public exposure to content that can perpetuate stigma and increase harms.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"4-13"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601923","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":"Mental health nurse practitioner psychotherapy; a scoping review.","authors":"Toby Raeburn, Meena Gupta, Lainie Cadry, Matthew Ireland","doi":"10.1080/09638237.2025.2558505","DOIUrl":"10.1080/09638237.2025.2558505","url":null,"abstract":"<p><strong>Background: </strong>Mental health nurse practitioners represent a workforce with capacity to significantly contribute to meeting public need for psychotherapy.</p><p><strong>Aim: </strong>The purpose of this scoping review study is to synthesize evidence regarding mental health nurse practitioner use of psychotherapy.</p><p><strong>Methods: </strong>Arksey and O' Malley's framework was used to guide the review which sought and synthesized papers written in English published between January 2000- April 2025 describing mental health nurse practitioners use of psychotherapy.</p><p><strong>Results: </strong>Sixteen papers were included, nine written in the United States, four from Australia, and one each from South Africa, the Netherlands and Korea. Studies revealed that mental health nurse practitioners utilize a wide range of psychotherapy to assist people throughout the lifespan and across diverse settings. However, despite such wide-ranging and valuable service provision regulatory barriers often restrict mental health nurse practitioners' delivery of psychotherapy.</p><p><strong>Conclusion: </strong>Evidence outlined in this scoping review challenges governments, policy advisors and service managers to better support mental health nurse practitioners as they seek to serve their communities by providing psychotherapy alongside other forms of mental healthcare.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"94-106"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076416","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}