Global Mental Health最新文献

{"title":"Erratum: Posttraumatic stress symptoms and posttraumatic stress disorder in adolescents exposed to continuous traumatic stress in Sub-Saharan Africa: A systematic review and meta-analysis - CORRIGENDUM.","authors":"Mohhadiah Rafique, Alberta Susanna Johanna van der Watt, Olena Solonenko, Yuliia Rozmyrska, Soraya Seedat, Larysa Zasiekina","doi":"10.1017/gmh.2026.10196","DOIUrl":"https://doi.org/10.1017/gmh.2026.10196","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1017/gmh.2026.10129.].</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e84"},"PeriodicalIF":2.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards comprehensive mental health literacy: a systematic review of interventions for youth aged 15-24.","authors":"Ming Hao Lee, Xin Yi Lee, Kah Hui Yap, Kellie Lum, Yan Hin Swen Goh, Ringo Moon Ho Ho","doi":"10.1017/gmh.2026.10174","DOIUrl":"https://doi.org/10.1017/gmh.2026.10174","url":null,"abstract":"<p><p>Individuals aged 15-24 years, defined by WHO (2019) as \"youth,\" experience elevated mental health risks, yet most do not access timely support due to barriers including stigma, poor symptom recognition and limited help-seeking confidence. Mental health literacy (MHL) interventions aim to address these barriers, but evidence regarding their effectiveness, delivery modalities, cultural adaptation and methodological quality remains fragmented. This systematic review followed PRISMA 2020 guidelines and examined the characteristics and effectiveness of MHL interventions for youth aged 15-24 across Jorm's (2000) three core domains of recognition, knowledge and attitudes. Five databases (CINAHL, APA PsycArticles, APA PsycInfo, Scopus and PubMed) were searched on 4 September 2024 for randomized and quasi-experimental studies, with narrative synthesis conducted due to heterogeneity and risk of bias assessed using a standardized tool. Twenty-four studies involving 13,624 participants were included. Mental health knowledge improved consistently across interventions and delivery formats, whereas recognition and attitudinal outcomes showed greater variability and were more strongly associated with diagnosis-specific content, contact-based elements and cultural adaptation. Only five studies explicitly reported cultural or contextual adaptation, and eight incorporated positive mental health components, of which only one evaluated positive mental health outcomes. The evidence base was dominated by high-income Western settings, with sparse representation from low- and middle-income countries. Most studies demonstrated moderate-to-high risk of bias, limiting definitive conclusions about efficacy. Overall, youth MHL interventions reliably improve knowledge, but evidence for sustained effects on recognition, stigma reduction and help-seeking remains mixed. Future research should prioritize culturally responsive, developmentally appropriate and methodologically rigorous designs, including systematic measurement of positive mental health outcomes, to strengthen the global evidence base.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e74"},"PeriodicalIF":2.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatry without thresholds: Ethical and clinical lessons from low-triage systems.","authors":"Ashok Seervi, Indraja Sharma","doi":"10.1017/gmh.2026.10201","DOIUrl":"https://doi.org/10.1017/gmh.2026.10201","url":null,"abstract":"<p><p>Psychiatric practice in high-income countries typically relies on implicit triage pathways that filter patients through primary and stepped care before specialist review. In many low- and middle-income settings, however, psychiatrists manage the entire spectrum of distress without such filters. This absence reshapes hierarchies of severity, alters diagnostic and ethical reasoning and influences how clinical priority is determined. Drawing on practice realities from India, this article argues that severity in such systems becomes a dynamic and socially negotiated construct rather than a fixed clinical category. Without institutional thresholds, urgency may become performative: social visibility, family advocacy and the ability to articulate distress can influence prioritization more than clinical need, producing a pattern of reverse triage, in which socially mediated visibility displaces genuine urgency. Language compatibility may further intensify this dynamic, as patients unable to communicate in the clinician's working language risk remaining unheard in undifferentiated clinical spaces. As mental health systems worldwide face rising demand and limited capacity, these observations highlight triage not as exclusion but as an ethical mechanism for balancing equity of access with fairness of prioritization.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e81"},"PeriodicalIF":2.8,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health knowledge, stigma towards mental illness, and help-seeking among adolescents in secondary schools in Kampala, Uganda.","authors":"Zenah Nantumbwe, Rosco Kasujja, Georg Schomerus","doi":"10.1017/gmh.2026.10194","DOIUrl":"https://doi.org/10.1017/gmh.2026.10194","url":null,"abstract":"<p><p>Mental health disorders are prevalent among adolescents and evidence suggests that stigma, poor mental health literacy (MHL) and access are key barriers to help-seeking for mental health difficulties in adolescence and throughout life. The study purpose is to assess existing mental health knowledge, stigma and help-seeking behaviour among adolescents in Uganda. A total of 889 secondary school students in Kampala completed standardised self-report questionnaires. The results reveal low-to-moderate levels of mental health knowledge (MAKS, range 12-60, <i>M</i> = 16.35, SD = 5.18, AMHLQ, range 33-138, <i>M</i> = 64.01, SD = 12.98), stigma (RIBS, range 4-20, <i>M</i> = 12.30, SD = 3.52) and prejudice towards people with mental illness (PPMI-TR, range 133-19, <i>M</i> = 73.85, SD = 13.38). Knowledge correlated with stigma (<i>r</i> = 0.166 and <i>r</i> = 0.135, <i>p</i> < 0.01), and with one's capacity to assess own mental health (SELF-I range 5-25, <i>M</i> = 12.34, SD = 4.4). Adolescents are open to seek help from mental health professionals but reluctant to seek it from most accessible help sources like schoolteachers. The findings provide insights for future mental health-promoting and anti-stigma interventions for adolescents.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e75"},"PeriodicalIF":2.8,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnoracial disparities in suicide following interpersonal violence: A nationwide cohort of over 9 million Brazilian youth.","authors":"Flávia Alves, Lidiane Toledo, Erika Fialho, Andrêa Ferreira, Maurício L Barreto, Vikram Patel, Daiane B Machado","doi":"10.1017/gmh.2026.10179","DOIUrl":"https://doi.org/10.1017/gmh.2026.10179","url":null,"abstract":"<p><strong>Background: </strong>Interpersonal violence is a known risk factor for suicide, but its impact across racial and ethnic groups, particularly among Black and Indigenous youth, remains underexplored.</p><p><strong>Methods: </strong>We conducted a nationwide longitudinal study involving 9,788,264 individuals aged 10-29 years who were enrolled in the 100 Million Brazilian Cohort and linked to Notifiable Diseases Information System (SINAN), National Hospital Information System (SIH) and Mortality Information System (SIM) (2011-2018). Exposure was any recorded interpersonal violence; the outcome was suicide (ICD-10 X60-X84). Cox models adjusted for demographic, socioeconomic, household factors, prior psychiatric hospitalization, and self-harm. Analyses were stratified by race.</p><p><strong>Findings: </strong>During follow-up, 92,287 (0·94%) individuals had a record of interpersonal violence, and 1,657 suicides were identified. Exposure to violence was associated with a higher risk of suicide (HR 2·92; 95% CI 2·06-4·15). Associations were strongest among Indigenous youth (HR 10.61; 95% CI 4.34-25.94), followed by Black youth (HR 3.14; 95% CI 1.92-5.14). No significant association was observed among White youth.</p><p><strong>Interpretation: </strong>Interpersonal violence is a major risk factor for youth suicide in Brazil, disproportionately affecting Indigenous and Black populations. Addressing systemic racism and structural inequalities is essential for equitable suicide prevention.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e69"},"PeriodicalIF":2.8,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying profiles of stressors and stress management strategies in Filipinos: A secondary analysis.","authors":"Miguel Antonio Fudolig, Pamela Paula Pioquinto, Marijo Villano, Lorraine S Evangelista","doi":"10.1017/gmh.2026.10192","DOIUrl":"https://doi.org/10.1017/gmh.2026.10192","url":null,"abstract":"<p><p>Chronic stress can lead to physical and mental health conditions. This study aimed to identify the different stress profiles and stress relief methods among Filipinos living in the Philippines using latent class analysis. A secondary analysis of a cross-sectional study was employed in this study. The stressors and stress-relief practices among Filipinos were investigated using the I-HEART-FILIPINOS data set. Latent class analysis was used to identify the different profiles of stress causes and management methods among 1,196 Filipinos residing in the Philippines, specifically the Northern Luzon area. Four stress-related profiles were identified: (1) low financial stress relieved by eating and exercise; (2) work-related stress relieved by self-care; (3) familial and economic turmoil relieved by eating, exercise and prayer; (4) high financial stress relieved by staying at home and remaining indoors. The four-class solution explained 58% of the variation in the data through classification. Disparities were observed between classes in terms of emotional distress and sociodemographic variables, implying how sociocultural factors could affect stress presentation and management in Filipinos. The findings of this study inform the development of stress management interventions specifically designed to address the needs of underserved populations in the Philippines and neighboring countries to improve overall health.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e77"},"PeriodicalIF":2.8,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships between PTSD severity and suicidal ideation in Cambodian women: The role of individual symptom clusters, trauma types and depression.","authors":"Kathryn Fleddermann, Steven E Bruce, Robert H Paul, Nil Ean","doi":"10.1017/gmh.2026.10195","DOIUrl":"https://doi.org/10.1017/gmh.2026.10195","url":null,"abstract":"<p><p>Suicidal ideation and trauma exposure are significant health challenges worldwide, and their interaction increases their burden on individuals and communities. However, limited research has been devoted to these conditions in low- and middle-income countries, where the majority of the burden of these disorders exists. Additionally, unique cultural factors that may contribute to differential relationships in these symptoms and disorders make this an important area to explore. This study examines relationships between the number and types of adverse exposures, PTSD symptoms and severity, depression and suicidal ideation in a sample of Cambodian women with experiences of trauma using logistic and linear regressions. Overall, PTSD severity significantly contributes to suicidal ideation, with hyperarousal symptoms playing a particularly influential role in this association. Further, adverse experiences, including physical abuse and parental mental health problems, contributed significantly to increased suicidal ideation. Lastly, depression severity partially mediates the relationship between PTSD severity and suicidal ideation. These results illustrate the significant role of PTSD in the experience of suicidal ideation, particularly within regions like Cambodia with high trauma loads. These findings point to psychological constructs that may be especially important to include in suicidality screening tools and to target within prevention and intervention efforts.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e80"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biopsychosocial stressors and perinatal mental health: The mediating role of social support in a Pakistani cohort.","authors":"Abid Malik, Rakhshanda Liaqat, Nadia Suleman, Semra Etyemez, Bilal Ahmed, Raima Asif, Shahzad Ali Khan, Pamela J Surkan, Lauren M Osborne","doi":"10.1017/gmh.2026.10184","DOIUrl":"https://doi.org/10.1017/gmh.2026.10184","url":null,"abstract":"<p><p>Perinatal depression and anxiety are major contributors to maternal morbidity, with a disproportionate burden in low- and middle-income countries. In Pakistan, common and modifiable biological risks, including anemia and vitamin D deficiency, may interact with psychosocial factors to influence perinatal mental health. This cohort study enrolled 152 pregnant women from a public hospital in Islamabad; 147 completed baseline assessments (12-32 weeks gestation) and 100 were followed at 6-8 weeks postpartum. Validated Urdu versions of the EPDS, GAD-7, and MSPSS were used alongside hemoglobin and vitamin D assessments at both time points. Longitudinal analyses were conducted using generalized linear mixed models, supplemented by cross-sectional and mediation analyses.Depression was prevalent antenatally (41.5%) and increased postpartum (57.0%), while anxiety declined from 25.2% to 12.0%. Higher hemoglobin was protective against antenatal depression (OR = 0.66) and anxiety (OR = 0.65), but not in longitudinal models. Vitamin D deficiency predicted postnatal depression (OR = 3.15), while sufficiency was associated with remission. Social support showed a strong protective effect (OR = 0.24) and mediated 40% of the hemoglobin-depression association. Baseline symptom severity was the strongest predictor of postpartum outcomes. These findings highlight a substantial burden and point to modifiable nutritional and psychosocial targets for intervention.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e82"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening suicide prevention: Evaluating a capacity building programme for community health workers in India.","authors":"Soumitra Pathare, Nikhil Jain, Deepa Pandit, Isha Lohumi, Laura Shields-Zeeman, Lakshmi Vijayakumar","doi":"10.1017/gmh.2026.10188","DOIUrl":"https://doi.org/10.1017/gmh.2026.10188","url":null,"abstract":"<p><p>The study evaluated a training programme adapted from the WHO mhGAP to enhance suicide prevention knowledge, attitudes, and confidence among 436 Community Health Workers (CHWs) in India. A pre-post intervention design assessed outcomes at four time points using a structured questionnaire, analysed via repeated-measures ANOVA. Mean knowledge scores increased from 6.32 ± 0.14 at baseline to 11.12 ± 0.12 post-training, then levelled off at 10.10 ± 0.14 and 10.10 ± 0.13 at 6 and 12 months, respectively; similarly, mean confidence scores increased from 4.96 ± 0.11 to 7.84 ± 0.11, remaining at 7.28 ± 0.10 and 7.44 ± 0.10 at the same time points. Mean attitude scores changed slightly from 41.00 ± 0.38 to 42.72 ± 0.43 over 12 months, indicating increased negative attitudes. Knowledge and confidence scores across time points were statistically significant (p < 0.05); however, this was not observed for attitude scores. Improvements were associated with CHW cadre and educational status. Post-training, CHWs demonstrated sustained improvements in knowledge and confidence for identifying, referring, and managing suicidal behaviour over 12 months, with those having lower baseline scores improving uniformly following the programme.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e76"},"PeriodicalIF":2.8,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13107075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the culturally adapted 10-item Hopkins Symptom Checklist (HSCL-10-SW) anxiety subscale for southwestern Madagascar.","authors":"Hervet J Randriamady, Manasi Sharma, Rocky E Stroud, Aroniaina M Falinirina, Romario, Madeleine Rasoanirina, Nadège V Volasoa, Frédéric Déclerque, Marc Y Solofoarimanana, Jean C Mahefa, Hanitra O Randriatsara, Karestan C Koenen, Christopher D Golden","doi":"10.1017/gmh.2026.10185","DOIUrl":"https://doi.org/10.1017/gmh.2026.10185","url":null,"abstract":"<p><p>Mental health conditions, including anxiety disorders, are a major cause of morbidity across Sub-Saharan Africa. There are scarce mental health resources and providers in Madagascar, which substantiates a need for clear and accessible assessment tools for assessing mental health conditions. Yet, before this study, there were no validated scales to measure anxiety disorder symptoms in Madagascar. We assessed the psychometric properties of the culturally adapted 10-item Hopkins Symptom Checklist (HSCL-10-SW) anxiety subscale in the Bay of Ranobe region, in southwestern Madagascar. The study participants were part of the ongoing HIARA cohort study. The HSCL-10-SW includes the original HSCL-10 anxiety subscale in addition to three culturally relevant items that were derived through qualitative research: <i>irritability</i>, <i>lost in thoughts/overthinking</i> and <i>forgetfulness.</i> We administered the HSCL-10-SW to 809 participants (41.2% males) aged 16 years (mean age 36.9) and above in October 2023. Our exploratory factor analysis supported a two-factor structure: Fear Anxiety and Cognitive-Somatic Anxiety. We found discriminant validity between Fear anxiety and Depression factors. Although the HSCL-10-SW demonstrated acceptable psychometric validity, we suggest that additional qualitative studies should be conducted to explore the local conceptualization of anxiety disorders in southwestern Madagascar.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e79"},"PeriodicalIF":2.8,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}