Lancet PsychiatryPub Date : 2025-04-24DOI: 10.1016/s2215-0366(25)00104-x
Rahim Badrfam, Atefeh Zandifar
{"title":"Improving mental health care in Iran","authors":"Rahim Badrfam, Atefeh Zandifar","doi":"10.1016/s2215-0366(25)00104-x","DOIUrl":"https://doi.org/10.1016/s2215-0366(25)00104-x","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"8 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2025-04-23DOI: 10.1016/s2215-0366(25)00066-5
Michael Berk, Jee Hyun Kim, Lana J Williams, Zoe S J Liu, Dan Siskind, Bruna Panizzutti, Alison R Yung, Ken Walder
{"title":"A novel discovery platform for targeted drug repurposing: application for psychiatric disorders","authors":"Michael Berk, Jee Hyun Kim, Lana J Williams, Zoe S J Liu, Dan Siskind, Bruna Panizzutti, Alison R Yung, Ken Walder","doi":"10.1016/s2215-0366(25)00066-5","DOIUrl":"https://doi.org/10.1016/s2215-0366(25)00066-5","url":null,"abstract":"Existing pharmacotherapies and psychotherapies are often inadequate, and discovery for new pharmacological treatments in psychiatry is slow. Existing pharmacotherapies are, however, often inadequate. Few truly novel pharmacotherapies have emerged in the past four decades, largely due to the absence of a known pathophysiology for each disorder. In this Personal View, we describe the platform we have adopted that enables targeted drug repurposing. With this approach, patient-derived stem cells are used to detect transcriptomic targets to identify existing drugs that address these targets. These drugs are then validated in non-human animal models and pharmacoepidemiological studies before being tested in clinical trials. Our targeted drug repurposing platform bypasses the absence of known pathophysiology. Validation steps bring greater scientific rigour and mechanistic insights to drug repurposing to allow only drug candidates with the strongest mechanistic evidence to be tested in clinical trials.","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"17 6 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2025-04-23DOI: 10.1016/s2215-0366(25)00096-3
Matthew J Mimiaga, Elizabeth A Yonko
{"title":"LGBTQ+ mental health in the wake of USA politics","authors":"Matthew J Mimiaga, Elizabeth A Yonko","doi":"10.1016/s2215-0366(25)00096-3","DOIUrl":"https://doi.org/10.1016/s2215-0366(25)00096-3","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"69 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2025-04-15DOI: 10.1016/s2215-0366(25)00067-7
Helen E Jack, Aish Lovett, Hiwot Weldemariam, Atalay Alem, Serge Dali, Sakios Muduma, Murugi Micheni, Letitia Pienaar, Charlene Sunkel, Zoë Senter, Maryia Shaban, Lydia Chwastiak, Sarah Walker, Adegboyega Ogunwale
{"title":"Priorities for addressing mental health conditions and substance use disorders in prisons in sub-Saharan Africa: expert consensus from a Delphi panel","authors":"Helen E Jack, Aish Lovett, Hiwot Weldemariam, Atalay Alem, Serge Dali, Sakios Muduma, Murugi Micheni, Letitia Pienaar, Charlene Sunkel, Zoë Senter, Maryia Shaban, Lydia Chwastiak, Sarah Walker, Adegboyega Ogunwale","doi":"10.1016/s2215-0366(25)00067-7","DOIUrl":"https://doi.org/10.1016/s2215-0366(25)00067-7","url":null,"abstract":"People who are incarcerated in Africa are not a focus of global mental health research, and incarceration is absent from many international mental health guidelines. Given the dearth of knowledge and services, priorities for research and practice should be established. The Delphi method was used to identify priority challenges related to mental health and substance use disorders among people who are incarcerated in sub-Saharan Africa. Experts in the field completed four iterative electronic surveys. The first survey was an open-ended question about priorities. In subsequent surveys participants used a Likert scale to rate the importance of each priority. 97 experts from 27 countries (20 in sub-Saharan Africa) completed the first survey (64% of those targeted). The 38 priority challenges fell into ten thematic areas: pathways for care during incarceration; the health-care workforce; alternatives to incarceration; the specific needs of women; acute conditions; involvement of non-health-care staff; policy; infrastructure and carceral conditions conditions; re-entry into the community; and people awaiting trial. These priority challenges can guide the efforts of practitioners, policy makers, and researchers to address mental health conditions and substance use disorders among people in prisons in sub-Saharan Africa. Investment in the health-care workforce, policies, and prison infrastructure, as well as developing non-carceral solutions, are needed to support behavioural health in people who are incarcerated.","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"1 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2025-04-15DOI: 10.1016/s2215-0366(25)00090-2
Ellie M Robson, Susan M Sawyer
{"title":"Accurate prevalence estimates needed for youth common mental disorders – Authors' reply","authors":"Ellie M Robson, Susan M Sawyer","doi":"10.1016/s2215-0366(25)00090-2","DOIUrl":"https://doi.org/10.1016/s2215-0366(25)00090-2","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"66 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}