Mental Health and Prevention最新文献

{"title":"Population-level mental health literacy: A vignette-based study on prejudice, sexism, and recognition in prevention strategies for social anxiety in Ghana","authors":"Peter Adu ,&nbsp;Dmitry Grigoryev ,&nbsp;Rita Holm Adzovie ,&nbsp;James Mbinta ,&nbsp;G. Eric Jarvis ,&nbsp;Tomas Jurcik","doi":"10.1016/j.mhp.2025.200406","DOIUrl":"10.1016/j.mhp.2025.200406","url":null,"abstract":"<div><h3>Objective</h3><div>Mental Health Literacy (MHL) evidence on promoting mental health prevention at the population level in Ghana is limited. We explored factors, including, sociodemographic variables, prejudice, sexist attitudes, and previous experience of mental disorders, related to the endorsement of prevention strategies for social anxiety in Ghana.</div></div><div><h3>Methods</h3><div>A total of 601 individuals participated in an online vignette-based experimental study. Participants were randomly assigned to read two clinical vignettes, each presenting symptoms of social anxiety for a hypothetical person, one being male and the other female. Participants provided their impressions of the hypothetical person and completed self-reported measures, encompassing assessments related to ambivalent sexism, MHL, prejudice, and demographic factors.</div></div><div><h3>Results</h3><div>We found that recognition of the social anxiety in the vignettes directly associated with psychotherapeutic prevention strategies and indirectly predicted substance-related prevention strategies for social anxiety among the participants. Prejudice towards social anxiety was linked to increased recommendation of substance-related prevention strategies for social anxiety and less frequent endorsement of psychotherapeutic prevention strategies. Benevolence towards women was positively associated with stress-reduction preventive strategies for social anxiety, while benevolence towards men negatively impacted such strategies.</div></div><div><h3>Conclusion</h3><div>Findings underscore the significant role of Western views of mental health, and the harmful impact of prejudice on mental health, including the potential impact of cultural and contextual elements in shaping preventive approaches to mental disorders. Efforts to enhance MHL aimed at improving population-level mental health outcomes should prioritize the development of compassionate and culturally inclusive responses to mental health distress while also working to reduce stigma.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200406"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379154","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":"The dual continua in youth mental health policy and practice: Screening and intervention for low mental wellbeing in youth to achieve targeted prevention","authors":"Lachlan Kent ,&nbsp;Maja Havrilova ,&nbsp;Suzanne Dick ,&nbsp;Stephen Carbone","doi":"10.1016/j.mhp.2025.200403","DOIUrl":"10.1016/j.mhp.2025.200403","url":null,"abstract":"<div><h3>Background</h3><div>The mental health of young people in Australia and other nations has declined dramatically over the last decade and a half. While an increase in youth mental healthcare services is needed to meet rising demand, on its own, this is unlikely to reverse the concerning trend. A greater focus on prevention is needed.</div></div><div><h3>Aims</h3><div>This article aims to propose an innovative, theoretically-grounded approach to prevention that complements more common population-based (i.e., changing risk and protective factors) and targeted (i.e., supporting individuals with subthreshold symptoms of mental illness) approaches. Aligned with the dual-continua model of mental health (i.e., where mental well-being and ill-health are distinct dimensions of overall mental health), this third approach focuses on addressing low levels of mental wellbeing, which is both a significant predictor of future mental ill-health and a distressing and disabling state that requires intervention in its own right.</div></div><div><h3>Recommendations</h3><div>Large-scale screening for low mental wellbeing, using psychometrically sound tools, could be conducted online and through schools, higher education, and primary care services. Those with low mental wellbeing could be linked to community services offering evidence-based interventions. This approach is likely to carry less stigma and may be easier to achieve than targeting those with subthreshold symptoms through clinical services.</div></div><div><h3>Conclusions</h3><div>The dire state of youth mental health is an urgent call-to-action to adopt novel approaches to address this crisis. We need to make better use of the available evidence and tools at-hand to strengthen our focus on low mental wellbeing, not just mental ill-health.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200403"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142160","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":"Adolescents’ personality and sex, age, socioeconomic status in explaining mental health: A representative Swedish national study","authors":"Petri Kajonius ,&nbsp;David Sjöström ,&nbsp;Isabella Gripe ,&nbsp;Siri Thor ,&nbsp;Emma Claesdotter-Knutsson","doi":"10.1016/j.mhp.2025.200399","DOIUrl":"10.1016/j.mhp.2025.200399","url":null,"abstract":"<div><h3>Objective</h3><div>The present study compared individual personality traits and demographic variables, i.e. sex, age, and socioeconomic status, in explaining mental health in a large representative adolescent Swedish high school survey.</div></div><div><h3>Method</h3><div>This data collection on 15- to 18-year-olds (N = 10,288, response rate 79 %) was conducted in 2024 and included, for the first time, a brief Big Five personality measure (Ten Item Personality Inventory; TIPI) together with 3 diverse mental health measures (General Anxiety Disorder, GAD-7; Daily dysfunction; and Global satisfaction with self).</div></div><div><h3>Results</h3><div>Individual differences in the Big Five personality traits, particularly neuroticism, explained mental health approximately 10 times more than demographic differences. Females reported higher neuroticism (d = 0.68) and lower mental health across all study measures (d_Mean = -0.62) than males. Differences in general anxiety (GAD-7) equated to 3 out of 4 females being higher than the male mean. Age and socioeconomic status showed trivial effects.</div></div><div><h3>Conclusion</h3><div>We discuss study limitations and recommend taking individual differences in personality into account in adolescent mental health research.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200399"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142305","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":"The role of social and economic inequality in shaping antisocial personality traits.","authors":"Banafsheh Aghayeeabianeh","doi":"10.1016/j.mhp.2025.200400","DOIUrl":"10.1016/j.mhp.2025.200400","url":null,"abstract":"<div><h3>Objective</h3><div>: To test the ecology of the development of antisocial personality disorder traits (ASPD).</div></div><div><h3>Methods</h3><div>: A mixed-effects model was used to examine how sex, age, childhood misconduct, depressive symptoms, parenting practices, socioeconomic status, social inequality, and economic inequality predicted ASPD traits. Individual level data were sourced from the International Dating Violence database (<em>n</em> = 14,136; mean age = 20.49, SD = 1.70), which included 4,167 men (mean age = 20.67, SD = 1.71) and 9,969 women (mean age = 20.42, SD = 1.70). Macro-level inequality data were obtained from the Variety of Democracy database.</div></div><div><h3>Results</h3><div>: ASPD traits were more prevalent among boys (<em>b</em> = - 0.14, <em>p</em> &lt; .001) and positively associated with childhood misconduct (<em>b</em> = 0.19, <em>p</em> &lt; .001), depressive symptoms (<em>b</em> = 0.17, <em>p &lt;</em> .001), and socioeconomic status (<em>b</em> = 0.02, <em>p</em> &lt; .001), while negatively associated with age (<em>b</em> = -0.01, <em>p</em> &lt; .001) and positive parenting (<em>b</em> = -0.15, <em>p</em> &lt; .001). The impact of depressive symptoms increased when economic inequality was higher (<em>b</em> = 0.04, <em>p</em> &lt; .001). The influence of positive parenting on ASPD traits was stronger for boys (<em>b</em> = 0.04, <em>p</em> = .013) and those with less depressive symptoms (<em>b</em> = 0.06, <em>p</em> &lt; .001) and varied based on societal equality, being more pronounced in socially equal (<em>b</em> = -0.03, <em>p</em> = .006) but economically unequal (<em>b</em> = 0.02, <em>p</em> = .031) contexts.</div></div><div><h3>Conclusion</h3><div>: The findings highlight the complex interplay of individual, familial, and societal factors in developing ASPD traits. These results underscore the need to promote positive parenting practices and address structural inequalities to reduce ASPD traits. Future research should explore the mechanisms underlying these associations to guide targeted interventions.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200400"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142161","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":"Mental health prevention and promotion in general practice settings: A feasibility study","authors":"Miranda Budd ,&nbsp;Gita Bhutani ,&nbsp;Kathryn Gardner ,&nbsp;Mark Hann ,&nbsp;Umesh Chauhan ,&nbsp;Sophie Jaber ,&nbsp;Irem Shabir ,&nbsp;Valerio Bennedetto ,&nbsp;Andrew Clegg ,&nbsp;Molly Lever ,&nbsp;Farah Lunat","doi":"10.1016/j.mhp.2025.200402","DOIUrl":"10.1016/j.mhp.2025.200402","url":null,"abstract":"<div><h3>Background</h3><div>Mental health problems are typically addressed and intervened through a reactive approach rather than a proactive or preventative one. The aim of this feasibility RCT was to explore the possibility of recruiting to, and delivering a brief psychological intervention, focusing upon mental health prevention and promotion, in General Practice (GP).</div></div><div><h3>Methods</h3><div>This was a two-arm feasibility study where participants were randomised to either: treatment-as-usual (TAU) from their General Practitioner; or to a brief psychological intervention. Sixty-four participants, aged 16 and over, from 10 GP surgeries, with mild to moderate mental health difficulties, as measured by the PHQ9 and GAD7, were recruited. Intervention engagement data were summarised utilising descriptive statistics. Descriptive statistics were used to summarise clinical outcome measures at baseline and follow-up and to informally compare the two groups. Cost-effectiveness was investigated using descriptive statistics to analyse the resource use of participants and Health-Related Quality of Life (HRQoL). Qualitative data were analysed through thematic analysis and interpret in relation to Normalisation Process Theory, to understand implementation processes and the intervention's mechanism of change (facilitators and barriers).</div></div><div><h3>Results</h3><div>The recruitment target was met within the set timeframe. 230 patients were screened for eligibility, 72 of which were eligible and 64 were randomised. 80 % were female and 91.5 % identified as being white British. 19 dropped out, 9 of which were in the intervention arm and 10 from the TAU arm. The most frequent reason was reported as, no longer requiring support or being uncontactable. Clinical outcome measures were completed and demonstrated sensitivity to change. No participant safety factors were reported which would limit a larger trial and health economic data was collated. All of the progression criteria were classified as ‘amber’ meaning that progression to a definitive randomised controlled trial is warranted but modifications to improve recruitment, intervention engagement and participant retention is needed. Qualitative feedback was generally positive, with participants noticing therapeutic benefit, commenting on the ease of access and General Practitioners found the offer fitted well within GP.</div></div><div><h3>Discussion</h3><div>As a feasibility trial, the results demonstrate that individuals in GP can be recruited to a trial focusing upon the delivery of a brief psychological intervention and the required clinical assessments to assess effectiveness can be obtained. Qualitative feedback was positive from participants and GP staff and early indications seemed to demonstrate an improvement in wellbeing and a reduction in anxiety and depression. However, modifications for a larger trial are recommended to enhance recruitment and retention.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200402"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142158","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":"Systematic review of outcome measures used in evaluation of school-based mental health interventions","authors":"Jemimah Ride ,&nbsp;Oskar Weimar ,&nbsp;Magdolna Kovacs ,&nbsp;Harriet Hiscock ,&nbsp;Jon Quach","doi":"10.1016/j.mhp.2025.200401","DOIUrl":"10.1016/j.mhp.2025.200401","url":null,"abstract":"<div><h3>Aims</h3><div>The past decade has seen an increase in policy initiatives and school-based interventions aimed at improving children's mental health. However, to know if an intervention or policy is making an impact, to support data comparisons across interventions, and to enable schools to track student mental health, we need to identify instrument(s) that can detect change. This study seeks to identify instruments that have been shown to detect change in child mental health when implemented universally in schools.</div></div><div><h3>Methods</h3><div>We conducted a systematic review of instruments measuring mental health symptoms or skills in randomised controlled trials of schools-based universal mental health interventions in primary (elementary) schools published between 2012 and 2023 in English. The aim was to synthesise evidence on instruments’ ability to detect change. Risk of bias assessment was conducted using the RoB-2 tool.</div></div><div><h3>Results</h3><div>Forty-two instruments were identified across the 39 included studies and captured a range of dimensions of mental health. Only one study was found to be at low risk of bias, 27 studies were at some risk of bias, and 11 studies were at high risk of bias. Nine instruments were used in more than one study. The teacher-reported Strengths and Difficulties Questionnaire (SDQ) was the most commonly used instrument and showed statistical evidence of its ability to detect change arising from interventions addressing children's mental health.</div></div><div><h3>Conclusions</h3><div>The teacher-reported SDQ shows promise as an instrument that could be used universally in primary schools to evaluate interventions and monitor changes in child mental health.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200401"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142306","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":"A school-based program to prevent depressive symptoms and strengthen well-being among pre-vocational students (Happy Lessons): Results of a randomized controlled trial","authors":"Marieke Rombouts ,&nbsp;Karin Monshouwer ,&nbsp;Elisa L. Duinhof ,&nbsp;Jannis T. Kraiss ,&nbsp;Laura Shields-Zeeman ,&nbsp;Marloes Kleinjan","doi":"10.1016/j.mhp.2025.200398","DOIUrl":"10.1016/j.mhp.2025.200398","url":null,"abstract":"<div><h3>Background</h3><div>Many adolescents experience depressive symptoms, with even higher prevalences among lower-educated Dutch students. Effective prevention programs for these students are scarce but needed. This randomized controlled trial (RCT) investigates the effectiveness of school-based prevention program Happy Lessons (HL) among Dutch pre-vocational students.</div></div><div><h3>Methods</h3><div>Classes within schools were randomized to intervention <em>(n</em> = 124) or waitlist control group (<em>n</em> = 143). Students (<em>n</em> = 267, aged 11 to 15) completed questionnaires at baseline, 3- and 6-month follow-up. The primary outcome was depressive symptoms. Secondary outcomes were well-being and life satisfaction. Linear mixed models were executed, based on the intention-to-treat principle. Explorative analysis of the effect of HL on potential mechanisms such as class and school environmental variables was conducted. Trial registration: Dutch Trial Register <span><span>NL9732</span><svg><path></path></svg></span>.</div></div><div><h3>Results</h3><div>This study found no statistically significant differences in favor of the intervention group on depressive symptoms (T1: Cohen's <em>d</em> [95 % CI] = -0.21[-0.49;0.07], T2: -0.20 [-0.48;0.08]), well-being (T1: 0.24 [-0.04;0.52], T2: 0.18 [-0.10;0.47]), life satisfaction (T1: 0.03 [-0.25;0.31], T2: 0.10 [-0.18;0.39]), classmate support (T1: -0.20 [-0.48;0.08], T2: -0.14 [-0.43;0.14]), school connectedness (T1: -0.08 [-0.36;0.20], T2: 0.20 [-0.08;0.49]), bullying others (T1: OR[CI] = 0.95 [0.68;1.32], T2: 0.92 [0.66;1.29]) and bullying victimization (T1: OR[CI] = 1.93 [0.73;5.15], T2: 1.61 [0.62;4.20]). Significant moderate effects were found on teacher support in favor of the intervention group at T1 (d[CI] = -0.37 [-0.65;-0.08]) and control group at T2 (d[CI] = 0.35 [0.07;0.64]).</div></div><div><h3>Conclusions</h3><div>Further research should focus on the working mechanisms of school-based depression prevention programs and how to successfully implement these programs in the school context.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200398"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142162","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":"Anxiety sensitivity in the perinatal period: A scoping review","authors":"Martha Zimmermann ,&nbsp;Allexis Mahanna ,&nbsp;Elizabeth Shashkova ,&nbsp;Rebecca Drouhard ,&nbsp;Catherine Carr ,&nbsp;R. Christopher Sheldrick ,&nbsp;Edwin D. Boudreaux ,&nbsp;Norman B. Schmidt ,&nbsp;Nancy Byatt","doi":"10.1016/j.mhp.2025.200397","DOIUrl":"10.1016/j.mhp.2025.200397","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety Sensitivity (AS), the trait-like tendency to interpret anxiety-related sensations as harmful, is a well-established risk factor for anxiety disorders and other mental health conditions. Less is known about the role of AS in perinatal mental health—encompassing pregnancy and the postpartum period—despite the heightened risk for anxiety and anxiety-related disorders such as Obsessive Compulsive Disorder and Posttraumatic Stress Disorder (PTSD).</div></div><div><h3>Objective</h3><div>The goal of this scoping review was to examine 1) the state of research on AS in perinatal populations, 2) its relationship with mental health and pregnancy-specific outcomes, and 3) its integration into clinical interventions.</div></div><div><h3>Methods</h3><div>We conducted a systematic literature search using PubMed, Scopus, PsycInfo, CINAHL. Study inclusion criteria were: 1) participants were pregnant or &lt;1 year postpartum, and 2) AS was assessed.</div></div><div><h3>Results</h3><div>Twenty studies met inclusion criteria. Most studies examined cross-sectional or prospective relationships between AS and mental health and related outcomes, finding positive associations between AS and PTSD symptoms, depression symptoms, anxiety symptoms, fetal health anxiety, pregnancy-related anxiety, and fear of childbirth. Results were more mixed for aspects of pain during labor. Two randomized controlled trials and two case studies included AS as an outcome measure.</div></div><div><h3>Conclusions</h3><div>This review extends previous findings in the general population by highlighting associations between AS and perinatal mental health. Future research should expand the scope of outcomes assessed and investigate AS as a modifiable target in interventions to enhance perinatal mental health outcomes.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200397"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142223","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":"Peer teaching in Psychological First Aid Training to promote students’ self-efficacy: A pilot randomised control trial","authors":"Ayu Cyntia Tanto ,&nbsp;Conrad L.H. Folamauk ,&nbsp;R.Pasifikus C. Wijaya ,&nbsp;Nicholas E. Handoyo","doi":"10.1016/j.mhp.2025.200396","DOIUrl":"10.1016/j.mhp.2025.200396","url":null,"abstract":"<div><h3>Introduction</h3><div>Students’ mental health disorders are increasing. However, there is a lack of studies on using the peer teaching method, where students teach other students to address the problem and improve students’ general self-efficacy.</div></div><div><h3>Aim</h3><div>To measure the feasibility of the peer teaching method in PFA training to promote self-efficacy.</div></div><div><h3>Materials and Methods</h3><div>This feasibility pilot study has a randomised controlled design. Data were collected pre- and post-intervention using the online general self-efficacy scale and reflection sheet. The number of enrolled participants, the proportion of enrolled participants who attended at least one session, the retention rate, and program acceptability were analysed.</div></div><div><h3>Results</h3><div>A total of 85 out of 208 students (40,9 %) who enrolled and randomised joined the study. Twenty-eight out of 104 participants (26,9 %) in the intervention group attended their training, much lower than that of the control group (74 out of 104 participants completed post-tests). However, only 25 out of 28 participants (89,3 %) completed their training. Results indicated positive responses from the participants, who felt the training was enjoyable and increased their knowledge of basic PFA.</div></div><div><h3>Conclusion</h3><div>The study found that the peer teaching method in a simplified PFA training session, without supervision, was feasible as a mental health intervention in a low-resource setting and acceptable for students to gain skills and knowledge about basic PFA. However, to increase students' participation, approaches need to be modified to increase program flexibility tailored to their time.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200396"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142303","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":"Maximising the management of self-harm in schools: A collaborative, implementation science approach by secondary schools and child and adolescent mental health services","authors":"L. Bowden ,&nbsp;S.E. Hetrick ,&nbsp;T. Cargo ,&nbsp;M. Woodfield ,&nbsp;I. Meinhardt ,&nbsp;T.C. Clark ,&nbsp;S. Fortune","doi":"10.1016/j.mhp.2025.200391","DOIUrl":"10.1016/j.mhp.2025.200391","url":null,"abstract":"<div><h3>Background</h3><div>Self-harm among young people is a complex global problem. Schools could facilitate young people who self-harm to access multilevel interventions. However, schools require support and collaboration from support services such as specialist mental health to implement evidence-based best practices for self-harm. Objectives: This study in Aotearoa New Zealand sought to identify the barriers and solutions to responding to youth self-harm in schools. Methods: We utilised a co-design methodology, with schools and child and youth mental health services and examined barriers and solutions within the Consolidated Framework for Implementation Research (CFIR).</div></div><div><h3>Results</h3><div>Key stakeholders identified multiple systemic barriers including lack of guidelines and mental health service criterion, lack of trust between schools and mental health services and poor previous experiences. Within the CFIR framework, systemic failure rather than individual people and/or individual attributes were identified driving these barriers.</div></div><div><h3>Conclusion</h3><div>The need for standardised best practice guidelines that are implemented consistently in schools, reassurance, strong community networks and communication to deliver localised, culturally safe responses to self-harm is urgently required. Cross-government leadership and nationally mandated roles and responsibilities are needed to help schools implement best practices for youth who self-harm in schools. The innovative combination of co-design and implementation science could advance solutions for the prevention of self-harm.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200391"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142302","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}