International Journal of Psychiatry in Medicine最新文献

{"title":"Reattempted Suicide Within One Year in Fars Province, Iran.","authors":"Sulmaz Ghahramani, Marziyeh Farid, Mehrdad Sharifi, Kamran Bagheri Lankarani","doi":"10.1177/00912174251374225","DOIUrl":"https://doi.org/10.1177/00912174251374225","url":null,"abstract":"<p><p>ObjectiveSuicide reattempts, reflecting ongoing vulnerability, are common among individuals with prior attempts, yet data from Iran is limited. This study explored reattempts among all suicide attempters who survived in the Fars province during the year 2023 to inform prevention strategies.MethodsThis prospective study analyzed all registered suicide attempts and death in the Fars during 2023, using a comprehensive database, the Integrated Suicide Data Monitoring and Registration System. Cases were determined and reviewed over 352 days to identify reattempts. Variables included demographic data, attempt history, and occasion-related factors. Statistical analyses involved descriptive statistics, chi-square, <i>t</i>-tests, and logistic regression to examine factors predicting suicide reattempts using SPSS, with significance set at <i>P</i> < .05. Ethical approval was secured from the relevant committee.ResultsAmong all cases, 577 individuals (6.1%) reattempted suicide out of a total of 9472 attempters (failed or succeeded). Gender distribution among re-attempters was similar. Single individuals had higher reattempt rates. Although re-attempters had a lower fatality rate than first-time attempters, the difference was not statistically significant. The average interval between attempts was 5.2 weeks, and 75% occurred within 15 weeks. Logistic regression revealed that being single significantly increased reattempt odds (OR = 1.57, 95% CI: 1.17-2.11, <i>P</i> = .003), while other factors such as age, gender, and day of the week were not significant.ConclusionOur findings indicated that single individuals were more vulnerable to suicide reattempts, underscoring the need for targeted and timely interventions. Being alert in the high-risk post-attempt period is crucial. Future studies should use longitudinal and qualitative methods to explore the complex interplay of personal, social, and systemic factors predicting suicide reattempt.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251374225"},"PeriodicalIF":1.3,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977299","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":"Assessing Training Gaps in the Diploma in Primary Care Psychiatry Program for Primary Care Doctors: A Post-Hoc Analysis.","authors":"Chidatma Arampady, Priyanka Singhal, Aravind B A Banavaram, Gautham Melur Sukumar, Pradeep Banandur S, Narayana Manjunatha, Channaveerachari Naveen Kumar, Suresh Bada Math","doi":"10.1177/00912174251371106","DOIUrl":"https://doi.org/10.1177/00912174251371106","url":null,"abstract":"<p><p>ObjectiveIndia faces a critical shortage of mental health professionals, leaving primary care physicians (PCPs) as the primary point of contact for many individuals needing psychiatric care. The Diploma in Primary Care Psychiatry Program (DPCP), a one-year training initiative, aims to equip PCPs in India to manage psychiatric conditions in underserved areas. On-Consultation Training (OCT) is a module in the DPCP designed exclusively for practicing PCPs where a psychiatrist trains PCPs in live video streaming of their own real-time general consultations of primary health centres. This study identifies a training gap within the DPCP.MethodsPCPs (n = 62) from Uttarakhand, Bihar, and Karnataka states in India received training in the DPCP from 2019 to 2024. Assessed were their exposure to six psychiatric disorders (tobacco addiction, alcohol addiction, psychosis, somatization disorder, anxiety disorder, and depressive disorder) during On-Consultation Training (OCT) sessions. Adequate training per doctor was defined as encountering at least two patients with each disorder.ResultsA total of 650 psychiatric cases seen during OCT sessions were reviewed. Only tobacco addiction and depressive disorder met the training adequacy benchmark (exposure to two cases with the disorder). Alcohol addiction, psychosis, somatization disorder, and anxiety disorders fell below the threshold, highlighting a specific training gap.ConclusionsThis study identified a training gap in the DPCP. The restructuring of the Collaborative Video Consultation (CVC) module with case-specific quotas, expert case demonstrations, and enhanced real-time feedback during OCT could help close this and other training gaps. Addressing these issues will better prepare PCPs in India to manage a broader range of psychiatric conditions, enhancing mental health care delivery in primary care settings.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251371106"},"PeriodicalIF":1.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977270","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":"Outcomes of a Prospective Pilot RCT of a Remotely Delivered Self-Management Program (TEAM-Red) for Depressed Young Black Women at Risk for Hypertension.","authors":"Jennifer B Levin, Erika Kelley, Farren Briggs, Mahboob Rahman, Taylor Maniglia, Emma Church, Nicole Fiorelli, Carla Conroy, Jessica Surdam, Kathy-Diane Reich, Gracie Howard Griggs, Danette Conklin, Carla Harwell, Vicki Haywood Doe, Martha Sajatovic","doi":"10.1177/00912174251365432","DOIUrl":"10.1177/00912174251365432","url":null,"abstract":"<p><p>ObjectiveFew studies have simultaneously addressed self-management of cardiovascular and mental health in Black women at cardiovascular risk. This 24-week pilot prospective crossover randomized-controlled trial tested TEAM-Red, a 5-session, biweekly, nurse and peer-educator remotely delivered group self-management intervention for young Black women, vs Enhanced waitlist control (eWL).MethodsTEAM-Red intervention, adapted from an evidence-based program and culturally tailored based on stakeholder input, enrolled 50 depressed Black women ages 18-49 with at least one risk factor for hypertension. Participants were randomized to TEAM-Red (n = 25) or eWL (n = 24) and assessed at Screening, Baseline, 12 weeks, and 24 weeks. Those in eWL crossed over to receive TEAM-Red at 12 weeks and all participants were followed to 24 weeks. The primary goal was acceptability and feasibility. The primary outcome was change on depression severity from baseline to 12 weeks assessed via 9-item Patient Health Questionnaire (PHQ-9). Secondary outcomes were perceived stress, mental health quality of life, diet quality, energy expended, social support, hypertension knowledge, and alcohol use.ResultsAmong women depressed at baseline (N = 31), TEAM-Red participants had 17.1 times higher odds of depression remission at week 12 (OR = 17.14, 95% CI: 1.78, 164.97; <i>P</i> = .014). At 12 weeks, TEAM-Red participants showed significantly lower PHQ-9 scores (<i>P</i> = .042), improved diet quality (<i>P</i> = .025) and mental health quality of life (<i>P</i> = .032) and reduced perceived stress (<i>P</i> = .038) compared to eWL. Treatment satisfaction and engagement was high (89% found it useful), with 22% attrition.ConclusionsTEAM-Red demonstrated significant clinical benefits with a 17-fold higher odds of depression remission and meaningful improvements in mental health quality of life, diet quality, and perceived stress compared to controls. Despite limitations including small sample size and short follow-up period, this culturally tailored intervention shows promise for reducing cardiovascular risk and improving mental health outcomes in young Black women at risk for hypertension should results be replicated with a larger sample in a fully powered trial.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251365432"},"PeriodicalIF":1.3,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876573","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 Support Needs of Small Cell Lung Cancer Patients in China: A Qualitative Study From a Cultural Adaptation Perspective.","authors":"Li-Li Zhang, Lu Tian, Yan-Hua Teng, Ning Ma, Ya-Jing Yang","doi":"10.1177/00912174251368077","DOIUrl":"https://doi.org/10.1177/00912174251368077","url":null,"abstract":"<p><p>ObjectiveThis qualitative study examined the psychosocial support needs of small cell lung cancer (SCLC) patients within China's family-oriented cultural context. Guided by cultural adaptation theory, the study explored how cultural values shape patients' psychological experiences and treatment decision-making.MethodsUsing a phenomenological purposive sampling strategy, 32 SCLC patients from a tertiary oncology hospital in Tianjin, China (May 2024-March 2025) participated in semi-structured, in-depth interviews. Transcripts were managed with NVivo 12, and themes were identified using Colaizzi's phenomenological analysis.ResultsDistinct cultural factors influenced patient needs. Six major themes emerged: (1) dual psychological crises stemming from disease stigma and prognostic dread; (2) pervasive insecurity due to recurrence uncertainty; (3) heightened decision-making stress and information asymmetry; (4) Ethical and Familial Complexities in Treatment Choices-patients struggled to balance personal survival with family responsibilities and financial constraints; (5) an imbalance between the desire for professional psychological support and reliance on informal peer networks; and (6) deliberate suppression of negative emotions to maintain family stability.ConclusionsThe findings revealed a conflict between medical imperatives and entrenched family-oriented cultural values, underscoring the complexity of providing psychosocial support in SCLC care to Chinese patients.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251368077"},"PeriodicalIF":1.3,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859790","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":"Cognitive Preservation and Antidepressant Efficacy of Magnetic Seizure Therapy in Adolescent Treatment Resistant Major Depressive Disorder in China: A Randomized Controlled Trial.","authors":"Wei Wang, Yi Lu, Guo-Lin Mi, Su-Fang Qi","doi":"10.1177/00912174251364987","DOIUrl":"https://doi.org/10.1177/00912174251364987","url":null,"abstract":"<p><p>ObjectiveTo compare the antidepressant efficacy, cognitive impact, and safety profile of magnetic seizure therapy (MST) vs modified electroconvulsive therapy (MECT) in Chinese adolescents with treatment-resistant major depressive disorder (MDD).MethodsThis single-center, evaluator-blinded, prospective randomized controlled trial enrolled 120 adolescents aged 13-18 years diagnosed with treatment-resistant MDD. Participants were randomly assigned to either the MST group or the MECT group (n = 60 per group). The primary outcome was improvement in depressive symptoms measured by the Beck Depression Inventory-II (BDI-II) score reduction rate. Secondary outcomes included changes in cognitive function assessed by the Montreal Cognitive Assessment (MoCA), time to reorientation, and adverse event incidence per CTCAE 5.0 criteria.ResultsThe BDI-II reduction rate was significantly higher in the MECT group (51.8%) compared to the MST group (46.5%) (<i>P</i> < 0.001), though clinical response rates were similar (90.0% vs 91.1%). The MST group showed significant improvement in MoCA total score, whereas the MECT group demonstrated slight declines (<i>P</i> < 0.001). MST was associated with greater cognitive preservation (+0.96 vs -0.36 MoCA score), fewer adverse events (28.9% vs 64.0%, <i>P</i> < 0.001), and faster reorientation (6.9 ± 1.8 min vs 18.7 ± 6.8 min, <i>P</i> < 0.001).ConclusionMST exhibited comparable antidepressant efficacy to MECT while offering superior cognitive protection and safety in adolescents with treatment-resistant MDD. These findings suggest MST may be a preferred treatment option balancing symptom relief with neurodevelopmental preservation.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251364987"},"PeriodicalIF":1.3,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796005","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":"Letter to the Editor; Regarding the Effects of Electroconvulsive Therapy on Optic Nerve Sheath Diameter, as a Proxy for Intracranial Pressure.","authors":"Rutger V A Hollestelle, Jochem K H Spoor, Iscander M Maissan, Maxine Dibué","doi":"10.1177/00912174251365490","DOIUrl":"https://doi.org/10.1177/00912174251365490","url":null,"abstract":"","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251365490"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762186","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":"Psychological Distress and Major Adverse Cardiovascular Events in Post-PCI Acute Myocardial Infarction: Risk Profiling and Management Implications.","authors":"Lijun Sun, Yan Gao, Jing Wu, Lili Shao, Na Zheng","doi":"10.1177/00912174251364051","DOIUrl":"https://doi.org/10.1177/00912174251364051","url":null,"abstract":"<p><p>ObjectiveThis study examined the correlation between psychological status and major adverse cardiovascular events (MACE) in acute myocardial infarction (AMI) patients after percutaneous coronary intervention (PCI). Based on these results, health management strategies were discussed.MethodsA retrospective analysis was conducted in 200 AMI patients who underwent PCI between January 2020 and December 2023 at a tertiary care hospital in China. The incidence of MACE was calculated, and the correlation between Hospital Anxiety and Depression Scale (HADS) scores and MACE was determined.ResultsThree-quarters (75.0%) of patients scored above the threshold on significant anxiety (HADS-A >9) and 61.0% did so for depressive symptoms (HADS-D >9) post-PCI. Multivariate analysis identified higher education (OR: 1.754, 95% CI: 1.080∼2.851), lower income (OR: 0.229, 95% CI: 0.089∼0.589), and smoking (OR: 0.384, 95% CI: 0.159∼0.931) as independent risk factors for anxiety, while low income (OR: 0.236, 95% CI: 0.105∼0.529), smoking (OR: 5.125, 95% CI: 2.213∼11.867), and female gender (OR: 3.042, 95% CI: 0.260∼7.348) were significantly associated with depression (<i>P</i> < 0.05). MACE occurred in 21.5% of patients. First-time PCI (OR: 0.03, 95% CI: 0.003∼0.296) and depression scores were significantly associated with increased MACE risk (r = 0.207, OR: 47.79, 95% CI: 8.38∼272.47, <i>P</i> < 0.05), whereas anxiety scores showed no significant association (<i>P</i> > 0.05).ConclusionAnxiety and depression are common post-PCI symptoms in AMI patients, and depressive symptoms are significantly correlated with disease progression (MACE scores). Greater focus on patients' mental health, may help improve the prognosis of AMI patients after PCI.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251364051"},"PeriodicalIF":1.3,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754973","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":"Factors influencing the psychological health of pregnant women in advanced maternal age (AMA) during the peripartum period in China.","authors":"Jin Song, Zi-Long Ma, Hui-Shi Zhang, Ting Liang, Xiwen Zhang, Autumn Wang","doi":"10.1177/00912174251360100","DOIUrl":"https://doi.org/10.1177/00912174251360100","url":null,"abstract":"<p><p><b>Objective:</b> The age of childbirth for women has been significantly delayed in recent times, leading to an increase in the proportion of pregnant women in advanced maternal age (AMA). Due to increased physiological challenges and higher incidence of pregnancy complications, advanced maternal age women often face greater mental stress, including familial and societal pressures associated with latter-age childbirth. In order to investigate the psychological health of AMA pregnant women during the later stages of pregnancy and peripartum period and identify psychosocial predictors of mental health, we conducted a cross-sectional study on this issue.<b>Methods:</b> Selected primiparous women were assessed at three time points (at the 8th month prenatal examination, the day of delivery and 42 days postpartum). There were 125 eligible pregnant women for enrollment at each time points. Sociodemographic characteristics, psychological concerns, and mental health were measured at these timepoints.<b>Results:</b> The incidence of psychological distress among older peripartum women was significantly higher than among younger women. Increased psychological stress was correlated with concerns about maternal and infant health, fear of labor pain, apprehension regarding personal career development, and worries about family support and financial conditions.<b>Conclusions:</b> The mental health status of older peripartum women is concerning, suggesting the need for psychological support by primary care physicians and other healthcare providers.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251360100"},"PeriodicalIF":1.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745872","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":"Factors associated with caregiver burden among family members of persons with schizophrenia in urban communities of China.","authors":"Fangling Liang, Hui Du, Xin Liu, Mengyao Zheng, Changjiu He","doi":"10.1177/00912174241292702","DOIUrl":"10.1177/00912174241292702","url":null,"abstract":"<p><p>ObjectiveFamily members bear a heavy burden when caring for those with schizophrenia. The present study examined the degree of caregiver burden and characteristics related to it among family caregivers of persons with schizophrenia in Chinese urban settings.MethodsBetween August 2023 and June 2024, a cross-sectional study was conducted involving 401 family caregivers of persons with schizophrenia living in metropolitan settings. The following measures were administered: the Zarit Burden interview (ZBI), General Self-Efficacy Scale (GSES), Social Support Rating Scale (SSRS), and Simplified Coping Style Questionnaire (SCSQ). Linear regression analyses were used to identify independent correlates of caregiver burden.ResultsFamily caregivers of persons with schizophrenia had an average ZBI score of 32.90(SD = 17.53) on a 0-88 scale, with the majority (80.0%) reporting moderate caregiver burden (scores of 21-39). Independent correlates of caregiver burden were the person with schizophrenia's marital status (not married), impulsive or aggressive conduct in the previous year, the caregiver's physical health (poor), and not having multiple caregivers.ConclusionsFamily caregivers of persons with schizophrenia experience a moderate level of caregiver burden. To lessen the psychological suffering of and strain on caregivers, it is important to intervene early on impulsive and aggressive conduct of persons with schizophrenia, effectively treat physical health problems of caregivers, and provide support and practical assistance to those caring for persons with schizophrenia.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"378-394"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479628","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":"Factors related to the treatment of patients with schizophrenia and other mental health problems in the setting of medical illness.","authors":"Harold G Koenig","doi":"10.1177/00912174251338094","DOIUrl":"10.1177/00912174251338094","url":null,"abstract":"","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"359-362"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042397","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}