Journal of Mental Health最新文献

{"title":"Understanding the countermovement to online presentations of psychiatric disorder that are perceived as \"faked\".","authors":"Vaughan Bell, Rhiannon White, Lucy Foulkes","doi":"10.1080/09638237.2025.2558503","DOIUrl":"10.1080/09638237.2025.2558503","url":null,"abstract":"<p><strong>Background: </strong>The self-presentation of psychiatric disorders on social media has generated a countermovement of sceptics who believe some are \"faked\" for reasons of self-promotion. This has been the focus of a Reddit forum called r/FakeDisorderCringe, an active community with almost 300,000 members. Given the influence of online discourse on public attitudes, understanding which diagnoses attract the most scepticism and what conversational themes surround these concerns is important in understanding lay controversies in mental health.</p><p><strong>Methods: </strong>We used topic modelling using Latent Dirichlet allocation, a natural language processing technique, to analyse over 850,000 forum posts from August 2020 to December 2022 to identify the main topics.</p><p><strong>Results: </strong>Topic modelling identified 15 topics, of which several identified specific disorders: anxiety, depression, OCD (obsessive-compulsive disorder), ADHD (attention deficit and hyperactivity disorder), autism, Tourette's syndrome and tics, and DID (dissociative identity disorder). Other topics included faking and attention-seeking, school and childhood context, trauma and abuse, validity of self-diagnosis, medical research evidence, gender identity and sexuality, profanity, and sarcasm-laden commentary.</p><p><strong>Conclusions: </strong>This scepticism does not mirror previously identified public doubts about the legitimacy of specific diagnoses and seems to more commonly focus on conditions that have seen a recent increase in diagnosis in young people.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"25-32"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145055884","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":"Associations between mental health services and individuals' worry about harm from mental health issues: an international perspective.","authors":"Chia-Wen Wang, Carolyn J Lo, Wei Lun Yuen, Alex R Cook, Leonard Lee, Yiyun Shou","doi":"10.1080/09638237.2025.2528209","DOIUrl":"10.1080/09638237.2025.2528209","url":null,"abstract":"<p><strong>Background: </strong>Quality mental health services are pivotal in addressing mental health issues worldwide. Despite this importance, many countries face challenges in providing accessible, high-quality mental health care.</p><p><strong>Aims: </strong>This study examines the nexus between mental health services and worry about mental health issues across different countries.</p><p><strong>Methods: </strong>This study used data from the Lloyd's Register Foundation 2021 World Risk Poll, the OECD, the World Health Organization, and Our World in Data. The variables include worry about the personal harm that mental health issues could cause, mental health services (i.e. service facilities, service availability, and service utilisation), and estimated prevalences of major mental disorders.</p><p><strong>Results: </strong>The results revealed that structural components - specifically the availability of mental health outpatient facilities - were associated with less worry about mental health issues across countries. However, no significant association was observed between process components - such as service utilisation - and worry about mental health issues. Additionally, the association between the prevalence of various mental disorders and worry about mental health issues showed mixed results.</p><p><strong>Conclusions: </strong>The findings emphasise the importance of increasing the availability of these facilities to ensure universal access to essential mental health care, thereby improving mental well-being across both low-income and high-income countries.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"14-24"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650945","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":"Social need, mental health challenges, and suicide risk among laundromat customers: an opportunity for intervention.","authors":"Vanessa Schick, J'Qualin Williams, Jack Tsai","doi":"10.1080/09638237.2025.2558507","DOIUrl":"10.1080/09638237.2025.2558507","url":null,"abstract":"<p><strong>Background: </strong>Reducing barriers to engagement in mental health services by meeting people in the communities \"where they are\" has potential to reach those who would be otherwise disengaged.</p><p><strong>Aims: </strong>This study explores the potential of laundromats as a space to reach individuals with elevated social, mental health, and suicide risk.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 197) were recruited from over 50 laundromats across San Antonio, Texas. Rates of mental health conditions and suicide risk were compared to national estimates, and analyses were supplemented with bootstrapped samples.</p><p><strong>Results: </strong>The majority (60%) of participants indicated one or more financial need. Participants were significantly more likely to report poor/fair mental health and screen positive for suicidal ideation relative to the national average. In a multivariable logistic regression, suicidal ideation was related age, education and housing insecurity prior to the addition of mental health. Over 1/3 of participants indicated an interest in receiving behavioral health services at a laundromat.</p><p><strong>Conclusions: </strong>Laundromat customers in San Antonio, Texas reported poorer mental health and elevated suicidal ideation relative to the national average. Current utilization of mental health services was low with many participants indicating an interest in receiving services at the laundromat, suggesting an opportunity for community intervention.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"33-43"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114825","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":"AI-generated commentaries and letters to the editor of peer-reviewed publications: editors and authors beware!","authors":"Cheryl Y S Foo, Kevin Potter, Abigail C Wright, A Eden Evins, Abigail L Donovan, Sharon Levy, Corinne Cather, Kim T Mueser","doi":"10.1080/09638237.2025.2607990","DOIUrl":"10.1080/09638237.2025.2607990","url":null,"abstract":"","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-3"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866022","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":"Understanding suicide risk assessment practices in psychotic disorders: insights from Canadian mental health professionals, a preliminary investigation.","authors":"Félix Diotte, Christine Genest, Rami Nemeh, Adassa Payant, Hugo Thomas, Iness Arif, Philip Tibbo, Alicia Spidel, Marc-André Roy, Audrey Livet, Colleen Murphy, Tania Lecomte","doi":"10.1080/09638237.2025.2595611","DOIUrl":"10.1080/09638237.2025.2595611","url":null,"abstract":"<p><strong>Background: </strong>In Canada, more than 4,500 people die by suicide annually, with individuals diagnosed with psychotic disorders being at significantly higher risk. Although the risk factors for suicide in this population are well-established, the assessment of suicide risk remains underexplored.</p><p><strong>Aim: </strong>This study examines the practices of mental health professionals working with clients with a psychotic disorder in relation to suicide risk assessment, using the Theory of Planned Behavior (TPB) as a theoretical framework.</p><p><strong>Method: </strong>A survey of 148 professionals across Canada was conducted to assess factors influencing the frequency and thoroughness of suicide risk assessments.</p><p><strong>Results: </strong>Despite our perceived behavioral control scale having psychometrical flaws, results revealed that social norms were a significant predictor of systematic suicide risk assessments. Professionals identified a lack of time, training, and inadequate clinical tools as major obstacles to thorough assessments. Despite the widespread availability of suicide risk assessment training, many professionals did not feel adequately prepared or confident in conducting such assessments, particularly with clients with a psychotic disorder.</p><p><strong>Conclusion: </strong>The findings highlight the need for enhanced support, training, and organizational changes to improve the systematic assessment of suicide risk in this vulnerable population.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"66-75"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641335","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":"Psychosocial interventions targeting suicidality within inpatient psychiatry: a scoping review.","authors":"Jennifer Olarte-Godoy, Jillian Halladay, Susan M Jack, Kristin Cleverley, Michael McGillion, Paige Gehrke, Jennifer Peacock, Paul Links","doi":"10.1080/09638237.2025.2585196","DOIUrl":"10.1080/09638237.2025.2585196","url":null,"abstract":"<p><strong>Background: </strong>The week following discharge from inpatient psychiatry is a time of exponentially increased risk of death by suicide among people diagnosed with a mental illness. Yet, a significant number of individuals do not receive timely outpatient follow-up upon being discharged from hospital. Psychosocial interventions that target suicidality initiated within inpatient psychiatry may help to prepare individuals for this vulnerable transition.</p><p><strong>Aims: </strong>To explore the range and nature of research on psychosocial interventions targeting suicidality in the context of inpatient psychiatry and to identify the components and intended mechanisms of studied interventions as well as their mode and dose of delivery, adaptations, outcomes measured, and overall results.</p><p><strong>Methods: </strong>This scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews and in line with the Preferred Reporting for Systematic Reviews and Meta-Analyses extension for Scoping reviews. Studies that described psychosocial interventions initiated in adult psychiatric inpatient units aimed at addressing suicidality were included.</p><p><strong>Results: </strong>A total of 77 articles were included in the review, most of which employed quantitative research methods, were published after 2019, and were conducted in the United States. Most interventions studied were based on cognitive behavioral approaches, incorporated a review of factors that led to a person's suicidality, strategies for managing emotions, and safety planning. Participants' narratives as to what was helpful for them centred around the themes of being acknowledged, being listened to, and increasing self-awareness.</p><p><strong>Conclusions: </strong>Cognitive behavioral therapy underlies most interventions targeting suicidality in inpatient psychiatry. There is a need for research that explores patients' experiences of engaging in specific suicide targeted interventions and that sheds light on the relational aspect of interventions targeting suicidality.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"107-126"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551624","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 practitioners' views on assessing suicide risk in the emergency department: navigating a challenging assessment process.","authors":"Penny Xanthopoulou, Mimi Suzuki, Mary Ryan, Rose McCabe","doi":"10.1080/09638237.2025.2585205","DOIUrl":"10.1080/09638237.2025.2585205","url":null,"abstract":"<p><strong>Background: </strong>The Emergency Department (ED) is a key setting for suicide risk assessments. In the UK, mental health professionals (MHPs) in psychiatry liaison teams assess suicide risk.</p><p><strong>Aim: </strong>This study aimed to explore how MHPs in EDs experience and approach the assessment of suicide risk for people presenting for suicidal ideation and/or self-harm.</p><p><strong>Methods: </strong>We interviewed 22 MHPs from one hospital (England) on their views of conducting psychosocial assessments. Interviews were recorded, transcribed and analysed using inductive thematic analysis.</p><p><strong>Results: </strong>MHPs described various challenges, summarised in four main areas: the complexity of assessing suicide risk and lack of confidence in some patients/ accounts, the dynamic nature of risk, the impact/barrier of a structured assessment form, and institutional pressures and lack of resources. We identified views and attitudes that delegitimise patients. While such practices at an individual level need to be addressed, we posit this reflects organisational pressures that stifle practitioners' ability to prioritise therapeutic alliance.</p><p><strong>Conclusions: </strong>It is unsurprising that MHP experience moral injury that can be manifested as amplify biases and compassion fatigue. This calls for changes to support staff striving to make assessments therapeutic and we recommend both top-down and bottom-up initiatives to improve the experiences of MHPs and their patients.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"44-52"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530868","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":"Patient perspectives on AI-powered cognitive behavioral therapy tools in managing anxiety and stress: a systematic review of qualitative studies.","authors":"Ravi Shankar, Toon Hao Foo, Fiona Devi, Qian Xu","doi":"10.1080/09638237.2025.2595612","DOIUrl":"https://doi.org/10.1080/09638237.2025.2595612","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI)-powered cognitive behavioral therapy (CBT) tools show promise for anxiety and stress management, but patient perspectives remain poorly understood.</p><p><strong>Aims: </strong>To synthesize qualitative evidence on patient experiences, attitudes, and preferences regarding AI-powered CBT tools for anxiety and stress management.</p><p><strong>Methods: </strong>Systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, searching eight databases through March 2025. Qualitative studies exploring patient perspectives on AI-powered CBT interventions were included. Thematic synthesis was employed with GRADE-CERQual confidence assessment.</p><p><strong>Results: </strong>Nine studies (<i>n</i> = 600+ participants) from nine countries were included. Six major themes emerged: (1) Perceived benefits and therapeutic value, including enhanced self-awareness and 24/7 accessibility; (2) Technical limitations and personalization challenges; (3) Trust, privacy, and acceptability concerns; (4) User preferences for conversational interfaces and human-AI integration; (5) Facilitators and barriers to engagement; and (6) Cultural and demographic influences on user experiences. Users consistently viewed AI tools as supplements to human therapy.</p><p><strong>Conclusions: </strong>AI-powered CBT tools provide accessible, non-judgmental support and practical coping strategies. However, technical limitations and personalization gaps remain significant challenges. Future development should enhance conversational capabilities, cultural adaptation, and integration with traditional care. Limitations of this study include English-language restriction, heterogeneity of AI interventions, and limited evidence for specific populations such as older adults.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-15"},"PeriodicalIF":3.2,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679040","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":"Can experience sampling self-monitoring tools promote the activation of clients in mental healthcare? A qualitative study.","authors":"Lena de Thurah, Jeroen Weermeijer, Lotte Uyttebroek, Martien Wampers, Rafaël Bonnier, Inez Myin-Germeys, Glenn Kiekens","doi":"10.1080/09638237.2025.2478370","DOIUrl":"10.1080/09638237.2025.2478370","url":null,"abstract":"<p><strong>Background: </strong>Actively engaging clients in managing their health and care is crucial for person-centered mental healthcare. Self-monitoring tools such as the Experience Sampling Method (ESM) can help individuals collect information about their mental health and daily activities on their smartphones and share this with their clinicians.</p><p><strong>Aims: </strong>This qualitative paper examines how ESM self-monitoring might enhance self-insight, self-management, self-efficacy, therapeutic alliance, and shared decision-making and this way facilitate the activation of clients in mental healthcare.</p><p><strong>Methods: </strong>Twelve clinicians and 24 clients participated in the IMPROVE study. After using the IMPROVE ESM self-monitoring tool, seven clinicians and 11 clients were interviewed, and a thematic analysis examined participants' experiences of changes in processes related to client activation.</p><p><strong>Results: </strong>Clients reported improvements in self-awareness, self-insight, and self-management. Only a few participants experienced enhanced self-efficacy, improved therapeutic alliances, and more client involvement. Self-awareness was mainly boosted via smartphone self-monitoring, while collaborative data interpretation between clients and clinicians was crucial for unlocking insights about clients' mental health and creating actionable therapy goals.</p><p><strong>Conclusion: </strong>Our findings suggest that using ESM self-monitoring tools can help facilitate the activation of clients in mental healthcare. Future research should develop best practice guidelines for integrating these tools into clinical care.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"645-653"},"PeriodicalIF":3.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Journal of Mental Health would like to thank the Reviewers who have contributed to our 2025 issues.","authors":"","doi":"10.1080/09638237.2025.2594870","DOIUrl":"10.1080/09638237.2025.2594870","url":null,"abstract":"","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"i-iii"},"PeriodicalIF":3.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716208","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}