Mental Health and Prevention最新文献

{"title":"Promotion of mental health and prevention of mental disorders in a rich welfare state: A Norwegian perspective","authors":"Arne Holte","doi":"10.1016/j.mhp.2024.200321","DOIUrl":"https://doi.org/10.1016/j.mhp.2024.200321","url":null,"abstract":"<div><p>The population's mental health<span><span> - their ability to handle emotions, think rationally, control their behavior, and maintain good relations with others - is a county's most important resource. Failing ability to do so, causes a country's most burdensome illnesses, mental distress and mental disorder, and hinders optimal utilization of other resources. In Norway, prevalence of mental illness is similar to that of other rich countries. Cost of mental illness corresponds to four times the cost of running the armed forces. In working age, loss of health from mental illness is greater than from all somatic non-communicable illness together, and loss of healthy life years is comparable to that of all cancers together. More treatment cannot curb this. Prevention is the only way out. Based on known risk and protecting factors, thirteen strategic principles for an effective prevention plan are presented together with the new Norwegian escalation plan for mental health 2023–2033. Four evidence-based priorities are recommended: universal mental health </span>screening in pregnancy and early motherhood, mandatory guidance of all new day-care center teachers, mental health as a separate subject in school, and employment for all. Finally, with reference to human rights, seven mental health rights are suggested to assure that all organizations become mental health promoting.</span></p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"33 ","pages":"Article 200321"},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139682384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of suicide prevention program (SPP) on knowledge, attitude and gatekeeper behaviour among teachers of selected Pre University colleges of Udupi district: A study protocol for randomized controlled trial","authors":"Kallabi Borah ,&nbsp;Tessy Treesa Jose ,&nbsp;Anil Kumar Mysore Nagaraj ,&nbsp;Judith Angelitta Noronha","doi":"10.1016/j.mhp.2024.200319","DOIUrl":"10.1016/j.mhp.2024.200319","url":null,"abstract":"<div><h3>Objective</h3><p>The study objective is to determine the effectiveness of the suicide prevention program (SPP) on knowledge, attitude, and gatekeeper behaviour among teachers of Pre University colleges.</p></div><div><h3>Method</h3><p>This is a randomized controlled study, divided into two phases with assessments at baseline, one month, three months, and six months. A descriptive cross-sectional survey will be conducted in Phase-I among all teachers of first-year Pre-University courses of Udupi using the Literacy of Suicide Scale (LOSS), Attitude Towards Suicide Prevention (ATSP) scale, and Gatekeeper Behavior Scale (GBS). The participants who score below 75 % in the knowledge domain in Phase I will be recruited into Phase II. Pre-University colleges will be assigned to intervention and control groups by cluster randomization. Based on the types of colleges (Unaided, aided, and government), a proportionate sampling technique will be adopted to recruit 62 participants into each group. A ten-hour workshop on suicide prevention program (SPP) will be conducted for the intervention group. An information booklet on suicide prevention will be provided to the control group after the third follow-up (six months). The data will be analyzed statistically.</p></div><div><h3>Expected results</h3><p>If the study results demonstrate statistical superiority of the intervention group over the control group in improving the knowledge, attitude, and gatekeeper behaviour on suicide prevention, it could enable the Pre-University teachers to implement the SPP.</p></div><div><h3>Conclusion</h3><p>The present study results may support the implementation of the SPP.</p></div><div><h3>Trial registration number</h3><p>CTRI/2022/09/045819.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"33 ","pages":"Article 200319"},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657024000011/pdfft?md5=240fd3b7a69ff72a21a97566d7973927&pid=1-s2.0-S2212657024000011-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139538662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What should a nation do to prevent common mental disorders? Meet seven conditions for effective prevention","authors":"Johan (Hans) Ormel ,&nbsp;Michael VonKorff","doi":"10.1016/j.mhp.2024.200320","DOIUrl":"https://doi.org/10.1016/j.mhp.2024.200320","url":null,"abstract":"<div><p>The global burden of Common Mental Disorders<span><span> (CMDs), including depressive, anxiety and substance use disorders, is substantial. Since increased treatment has not reduced CMD prevalence, prevention is a logical approach to reduce CMD burden. However, CMD prevention as currently delivered has not reduced prevalence. Seven conditions need to be met to maximize the long-term effectiveness of CMD prevention: 1. Target young persons early in life and families. 2. Modify major CMD risk and protective factors. 3. Embed in social institutions and culture. 4. Implement via synergistic programs of proven effectiveness in multiple community settings (pre-school and kindergarten, elementary and secondary schools, child and </span>health care, social welfare/family support). 5. Secure long-term funding with permanent, structural integration into community organizations. 6. Address socio-economic disadvantage and attendant risk factors. 7. Use the power of policy. We consider how these conditions might be achieved in large populations. A dilemma is that compelling evidence regarding the benefits of CMD prevention may be needed to motivate large, long-term investments, but until society has made and sustained these investments for 10 to 20 years, full benefits of CMD prevention may not be realized. Therefore, we propose regional implementation and evaluation focused initially on proximal benefits for child development. Developmental determinants important to educators, parents and other stakeholders should be evaluated initially to establish short-term pay-offs for educational and behavioral outcomes. Long-term CMD prevention initiatives may not only prevent CMDs, but also develop resourceful, resilient, and well-educated children and adults.</span></p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"33 ","pages":"Article 200320"},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139487656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual reality relaxation for mental health staff in complex care services: A feasibility and acceptability study","authors":"Grace Williams ,&nbsp;Mariam Riaz ,&nbsp;Eugenia Drini ,&nbsp;Simon Riches","doi":"10.1016/j.mhp.2023.200318","DOIUrl":"10.1016/j.mhp.2023.200318","url":null,"abstract":"<div><h3>Objective</h3><p>Virtual reality (VR) relaxation has been implemented in workplaces for staff wellbeing. However, little is known about potential benefits for mental health staff who work in challenging settings who can experience high stress levels and poor wellbeing.</p></div><div><h3>Methods</h3><p>This study evaluated implementation of a single-session VR relaxation intervention for staff in complex care mental health settings. Pre- and post-VR visual analogue scales (VAS) explored the effect of VR on wellbeing. Post-VR, VAS on helpfulness and immersiveness were recorded, participants planned a behavioural activity to explore the real-world application of VR relaxation, and narrative feedback was collected.</p></div><div><h3>Results</h3><p>Participants (<em>N</em> = 22) were mostly of Black ethnicity, in their early forties, and just over half were female. There was an even mix of outpatient and inpatient staff from various professions. Most were nurses, occupational therapists, or doctors. Post-VR, for the total sample, there were significant increases in relaxation, happiness, connectedness to nature (all <em>d</em>&gt;1.00 and <em>p</em>&lt;0.00); and decreases in stress, anxiety (both <em>d</em>&gt;1.00 and <em>p</em>&lt;0.00) and sadness (<em>d</em> = 0.53, <em>p</em> = 0.02). There was no significant effect of sadness for outpatient staff, whereas inpatient staff experienced a significant decrease post-VR (<em>d</em> = 68, <em>p</em> = 0.03). Mean helpfulness and immersiveness ratings were high. All participants planned a behavioural activity, and 15 participants (68 %) carried it out. Participants found the VR intervention to be relaxing, soothing, exciting and an immersive respite from work.</p></div><div><h3>Conclusion</h3><p>The positive findings indicate potential for wider implementation of VR-based wellbeing interventions in mental health settings and other workplaces where staff experience high stress levels.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"33 ","pages":"Article 200318"},"PeriodicalIF":0.0,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657023000594/pdfft?md5=609ff7a2c276f7c2e72a03ac66a3c9a8&pid=1-s2.0-S2212657023000594-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leave no one behind: Rethinking policy and practice at the national level to prevent mental disorders","authors":"Davide Papola ,&nbsp;Corrado Barbui ,&nbsp;Vikram Patel","doi":"10.1016/j.mhp.2023.200317","DOIUrl":"https://doi.org/10.1016/j.mhp.2023.200317","url":null,"abstract":"<div><p>The global burden of mental disorders is increasing, in line with the shift from communicable to chronic non-communicable diseases. Mental disorders affect the functioning of individuals, resulting not only in enormous emotional suffering and diminished quality of life, but also in stigma and discrimination. This burden extends to the community and society, with far-reaching economic and social consequences. Even under optimal conditions, treatment alone will never be sufficient to reduce the global burden of mental disorders, so a shift in focus from treatment to prevention of mental disorders should be promoted at the central level in the form of legislation, policy formulation and resource allocation. Universal and selective prevention programs should be prioritized nationally, as they aim to change the risk profile of the entire population and specifically target populations at risk for mental disorders, respectively. In this article, we review the key risk factors for mental disorders and the measures that can be taken at the national level to prevent them, taking into due consideration that prevention efforts can vary based on the audience they are addressing, level of intensity they are providing, and the life phase they target. By adopting a human rights perspective and placing the social determinants of health at the center of our narrative, we maintain that improving mental health cannot be achieved by strengthening health services alone. Coordination across government departments is needed to implement multi-level public health interventions across a wide range of settings, programs, and policies. Focusing on children's mental health and addressing poverty, gender inequality and social discrimination should be absolute priorities for national mental health policies and plans.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"33 ","pages":"Article 200317"},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657023000582/pdfft?md5=cb7d3fd8459d875f747bb08e24710a00&pid=1-s2.0-S2212657023000582-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138839462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to The Thai version of difficulties in emotion regulation scale-short form: Validation among undergraduate students","authors":"Pornpan Srisopa ,&nbsp;Saifone Moungkum ,&nbsp;Pornpat Hengudomsub ,&nbsp;Ruangdech Sirikit","doi":"10.1016/j.mhp.2023.200315","DOIUrl":"https://doi.org/10.1016/j.mhp.2023.200315","url":null,"abstract":"","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"33 ","pages":"Article 200315"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657023000569/pdfft?md5=802c534b5f0c1d7ced237257a9031c00&pid=1-s2.0-S2212657023000569-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138839276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nuancing null results: Why a soccer plus vocational training health promotion intervention did not improve outcomes for South African men","authors":"Sihle Mamutse ,&nbsp;Nuhaa Holland ,&nbsp;Christina A. Laurenzi ,&nbsp;Jason Bantjes ,&nbsp;Mark Tomlinson ,&nbsp;Mary Jane Rotheram-Borus ,&nbsp;Xanthe Hunt","doi":"10.1016/j.mhp.2023.200311","DOIUrl":"https://doi.org/10.1016/j.mhp.2023.200311","url":null,"abstract":"<div><h3>Background</h3><p>Male engagement with public health programming, especially around stigmatised issues, is often low, which may have adverse health outcomes. Eyethu, a behavioural intervention delivered using soccer to reduce multiple risks associated with HIV and substance use among young men, was shown in a randomised trial to be ineffective. This study explored the trial's null findings to identify considerations for future male-targeted programming tackling multiple risks concurrently. We explored trial participants’ perceptions of factors influencing engagement and effectiveness.</p></div><div><h3>Methods</h3><p>The descriptive, qualitative sub-study was nested within the RCT, conducted in two peri-urban townships outside Cape Town. Data was collected post-intervention, in November-December 2020. In-depth interviews, at a single timepoint, were conducted with individuals (<em>n</em> = 30) who had participated in the RCT. Data were analysed using thematic analysis.</p></div><div><h3>Results</h3><p>Three major themes emerged from the data: 1) participants’ positive perceptions of the programme's impact, despite the trial's null results; 2) reflections on the intervention's mechanisms, related to its impact on group cohesion, and 3) perceptions of contextual factors influencing intervention engagement and effectiveness.</p></div><div><h3>Conclusion</h3><p>Behavioural interventions that are embedded in communities and utilise sport to influence health-related outcomes have the potential to expand knowledge, foster social capital, and offer platforms for positive, meaningful connections for young men exposed to multiple adversities. However, these programmes need to be sustained over time to effectively enable behaviour change to take hold and be sustained when implemented with other environmental constraints.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"33 ","pages":"Article 200311"},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657023000521/pdfft?md5=fc67581b97b26a999e31bfda9f1b6432&pid=1-s2.0-S2212657023000521-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138656392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicide prevention in India","authors":"Vikas Arya","doi":"10.1016/j.mhp.2023.200316","DOIUrl":"https://doi.org/10.1016/j.mhp.2023.200316","url":null,"abstract":"<div><p>India accounts for nearly 18 % of the global population but approximately 28 % of global suicides. Similar to many countries around the world, suicide in India is known to result from a complex interplay of social, economic, and personal factors. To address this important issue, India released its first national suicide prevention strategy in 2022. The strategy follows the WHO-recommended model of a multisectoral approach to suicide prevention, incorporating a mix of primary prevention interventions (focusing on whole populations), secondary prevention interventions (targeting 'high-risk' individuals), and tertiary prevention interventions (aimed at individuals affected by suicide). This paper delves into the details of these primary, secondary, and tertiary prevention interventions and explores how they apply to the Indian context, while arguing for the need to prioritize primary prevention interventions, at least in the short term, to reduce suicides.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"33 ","pages":"Article 200316"},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657023000570/pdfft?md5=9d59567a40692b5bbd6f24ec32b0181a&pid=1-s2.0-S2212657023000570-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138769908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring suicide stigma among adolescents in the greater Accra region of Ghana: The role of age, mental health stigma, and traditional beliefs","authors":"Enoch Kordjo Azasu","doi":"10.1016/j.mhp.2023.200314","DOIUrl":"https://doi.org/10.1016/j.mhp.2023.200314","url":null,"abstract":"<div><p>Suicide stigma among adolescents is a critical public health<span><span> concern with far-reaching implications for mental well-being and suicide prevention efforts. This study examines the relationships between age, mental health stigma, traditional beliefs, and suicide stigma among middle school students in the Greater Accra Region of Ghana. A sample of 742 students participated in the study, completing measures assessing mental health stigma, traditional beliefs, and suicide stigma. The results revealed significant positive correlations between suicide stigma and mental health stigma as well as suicide stigma and traditional beliefs. Additionally, a significant positive correlation was found between traditional beliefs and mental health stigma. </span>Multiple linear regression analysis indicated that age, sex, mental health stigma, and traditional beliefs were significantly associated with suicide stigma scores. Mental health stigma and traditional beliefs remained significantly associated with suicide stigma after controlling for other factors. These findings highlight the complex interplay between age, mental health stigma, traditional beliefs, and suicide stigma among Ghanaian adolescents. The implications of the study emphasize the importance of targeted interventions that address mental health stigma, challenge traditional beliefs, and promote supportive environments for adolescents.</span></p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"33 ","pages":"Article 200314"},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138769757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What if the Cochrane Collaboration was the subject of a Cochrane review? Beyond randomized controlled trials in the evaluation of complex psychosocial interventions","authors":"Anthony Jorm","doi":"10.1016/j.mhp.2023.200313","DOIUrl":"https://doi.org/10.1016/j.mhp.2023.200313","url":null,"abstract":"","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"33 ","pages":"Article 200313"},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138557850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}