Mental Health and Prevention最新文献

{"title":"The childlessness crisis: A mental health framework for infertility-linked suicides in India","authors":"Debasruti Ghosh ,&nbsp;Saurabh Raj ,&nbsp;Moneerah Mohammad ALmerab ,&nbsp;Mohammed A. Mamun","doi":"10.1016/j.mhp.2025.200442","DOIUrl":"10.1016/j.mhp.2025.200442","url":null,"abstract":"<div><h3>Background</h3><div>In pronatalist societies like India, infertility and impotence are not just biomedical issues but carry deep psychosocial stigma. These reproductive challenges often lead to emotional distress, social exclusion, and suicidality. Although suicides linked to infertility and impotence account for a small percentage of total suicides, they represent a critical and under-recognized cause of death. This article aims to conceptualize infertility-linked suicide as a public mental health concern shaped by gender norms, societal expectations, and systemic healthcare gaps.</div></div><div><h3>Methods</h3><div>This conceptual and policy-focused article adopts an interdisciplinary framework that integrates psychological theory, policy analysis, and demographic trend examination. It draws on data from the Accidental Deaths and Suicides in India (ADSI) reports (2014–2022) by the National Crime Records Bureau (NCRB), specifically focusing on suicides where infertility or impotence is reported as a contributing factor. Supplementary insights are drawn from academic literature on stigma, gender, and reproductive mental health in India.</div></div><div><h3>Results</h3><div>The analysis reveals that suicides related to infertility and impotence, though numerically few, remain consistent across the years and are disproportionately under-addressed. Young women (18–29 years) are especially vulnerable due to early reproductive expectations, while men (30–44 years) experience delayed psychological distress linked to masculine identity and reproductive failure. Rural location, caste identity, and limited access to mental health services intensify this suffering.</div></div><div><h3>Conclusion</h3><div>Infertility-related suicides demand urgent public health attention. The article advocates for gender-sensitive, culturally informed mental health services embedded within reproductive healthcare and calls for stigma reduction, policy reforms, and inclusive reproductive rights frameworks in India.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200442"},"PeriodicalIF":2.4,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858172","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":"Impact of rajyoga meditation on stress and psychological well being during COVID-19 in India: A randomized control trial","authors":"Divya Jain ,&nbsp;Vivek Verma ,&nbsp;Neha Parashar ,&nbsp;Usha Kiran ,&nbsp;Aanchal Satija ,&nbsp;Babita Upadhyay ,&nbsp;Aashima Narula ,&nbsp;Pratibha Singh","doi":"10.1016/j.mhp.2025.200441","DOIUrl":"10.1016/j.mhp.2025.200441","url":null,"abstract":"<div><h3>Background</h3><div>The mental health of healthcare workers suffered greatly during the COVID- 19 pandemic. Globally, various preventive and therapeutic strategies were explored. Rajyoga, one of the oldest yogic systems practiced in India for millennia, is accessible to all irrespective of place or time, making it a viable option for promotion of mental wellbeing.</div></div><div><h3>Objectives</h3><div>To assess the feasibility, acceptability, and effectiveness of Rajyoga meditation among healthcare professionals working in hospital settings during the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>A single-blinded, randomized interventional study was conducted from April 2021 to January 2022. A total of 240 healthcare professionals were recruited through snowball sampling using online Google Forms. Participants were assigned either to a control group receiving online relaxation music or an intervention group practicing Rajyoga meditation online. Pre- and post-intervention anxiety, stress, and well-being were assessed using validated tools: Generalized Anxiety Scale, Corona Anxiety Scale, Perceived Stress Scale, and WHO Well-being Index.</div></div><div><h3>Findings</h3><div>High levels of psychological distress were reported: 45.8 % had moderate to severe anxiety, 20.4 % had dysfunctional anxiety related to COVID-19, 6.7 % experienced elevated stress, and 68.7 % reported poor well-being. Rajyoga meditation led to significant reductions in anxiety and stress and improvements in well-being. Its effects were comparable to music therapy in relieving COVID-related psychological symptoms.</div></div><div><h3>Novelty</h3><div>The study is distinctive in focusing on healthcare workers and assessing a cost- effective, accessible intervention. Its online format enhances feasibility and adherence to social distancing norms, making it suitable during public health crises.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200441"},"PeriodicalIF":2.4,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144829538","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":"Prevalence and determinants of depression and anxiety symptoms among adults: Evidence from the 2022-23 Mozambique demographic and health surveys","authors":"Alex Bawuah","doi":"10.1016/j.mhp.2025.200440","DOIUrl":"10.1016/j.mhp.2025.200440","url":null,"abstract":"<div><h3>Objective</h3><div>Depressive and anxiety disorders significantly contribute to the global disease burden, affecting quality of life and increasing mortality. In Mozambique, the intersection of economic deprivation, cultural stigmatisation and the high suicide rate exacerbates depressive and anxiety disorders. This study aimed to examine the prevalence and determinants of depression and anxiety symptoms in Mozambique as there is limited literature on this subject.</div></div><div><h3>Methods</h3><div>A sample of 18,563 individuals was drawn from the 2022–23 Mozambique Demographic and Health Surveys data. Depression and anxiety symptoms were assessed using the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder 7 (GAD-7) respectively. Descriptive statistics were used to obtain the prevalence of anxiety and depression symptoms and ordered logit regression models were used to examine the determinants of anxiety and depression symptoms.</div></div><div><h3>Results</h3><div>The findings revealed that 74.87 % of respondents exhibited minimal anxiety symptoms, while 78.07 % reported minimal depression symptoms. Results from the multivariable ordered-logit regression revealed women were more likely to experience severe anxiety (AOR = 2.26, 95 % CI: 1.95 - 2.63) and depression (AOR = 2.16, 95 % CI: 1.83 - 2.55) symptoms. However, rural residents, those in the richest wealth category, those who were employed, and those who had very good health status, had lower odds of experiencing severe anxiety and depression symptoms.</div></div><div><h3>Conclusion</h3><div>The study’s findings underscore the need for mental health interventions, particularly those addressing gender and socioeconomic disparities. Policies promoting gender equality, employment and good health may play a crucial role in mitigating mental health challenges in Mozambique.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200440"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711430","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":"Promoting the mental health of children with anxious parents: A qualitative investigation of parents’ views and needs","authors":"Francesca Zecchinato ,&nbsp;Jana M. Kreppner ,&nbsp;Peter Bullard ,&nbsp;Manos Kumar ,&nbsp;Sophie Painter ,&nbsp;Peter J. Lawrence","doi":"10.1016/j.mhp.2025.200439","DOIUrl":"10.1016/j.mhp.2025.200439","url":null,"abstract":"<div><h3>Objective</h3><div>Parental anxiety is highly prevalent and is a known risk factor for mental health difficulties in children. Providing targeted support to anxious parents can represent an effective way to reduce the intergenerational transmission of mental ill-health. This study aimed to qualitatively explore what parents who have accessed an NHS talking therapy service for anxiety need from a service aimed at supporting them in minimising the potential negative impacts of parental anxiety on their preschool-aged children.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with 16 UK-based parents and data were analysed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Four themes were generated to summarise participants’ views: <em>\"There's just not enough support\"</em> highlighted the current lack, in England, of a service that supports anxious parents in preventing their children’s mental ill-health; “<em>It’s not easy to find your way to help</em>” explored existing and potential barriers to service access; “<em>It’s a balance</em>” collected the characteristics of an accessible and usable service to support parents in supporting their children; and “<em>Advertise it well</em>” focused on strategies to facilitate promotion and access to the service. The overarching theme, <em>“We just need more support for parents. Full stop.</em>”, captured the urgent need for more support for anxious parents and for action to prevent child mental ill-health.</div></div><div><h3>Conclusions</h3><div>Findings provide insights on characteristics of an adequate prevention service to promote the mental health of children with anxious parents, and can help direct future research, clinical, and policy efforts towards the development of accessible and acceptable prevention programmes.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200439"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662448","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":"Determinants of suicidal ideation and attempts among Thai adolescents: A mixed-effects modeling approach","authors":"Sorif Hossain,&nbsp;Tonmoy Alam Shuvo,&nbsp;Nelufa Aktar","doi":"10.1016/j.mhp.2025.200436","DOIUrl":"10.1016/j.mhp.2025.200436","url":null,"abstract":"<div><h3>Introduction</h3><div>Thailand faces mental health challenges, with adolescent suicide rates being a public health concern. Various factors influence suicide ideation and attempts, highlighting the need for targeted prevention.</div></div><div><h3>Methods</h3><div>We analyzed data from the 2021 Thailand Global School-based Student Health Survey to identify factors associated with suicidal ideation and suicide attempts. Initially, mixed-effects logistic regression models were fitted separately for each independent variable to estimate odds ratios. Using significant variables and interaction terms, we developed several comprehensive models and evaluated their improvement with the Likelihood Ratio Test. The best-fitting model was selected based on the Akaike Information Criterion (AIC), Bayesian Information Criterion (BIC), McFadden’s R², and deviance. Final adjusted odds ratios were estimated from this model. All analyses were performed using R programming.</div></div><div><h3>Results</h3><div>Gender differences showed that males had lower odds of suicide-related behaviors than females. Adolescents aged 15 and older had lower odds of these behaviors than their younger peers. Mental health issues, including cyberbullying, sadness, and anxiety, were strongly associated with increased suicide ideation and attempts, emphasizing the need for targeted interventions for adolescents facing mental distress. Parental attachment acted as a protective factor, suggesting that strong family bonds may reduce the risk of suicide-related behaviors. Certain behaviors, such as a sedentary lifestyle, alcohol consumption, and tobacco use, were linked to higher odds of ideation and attempts, pointing to the importance of addressing these habits in prevention efforts. Interaction effects revealed complex relationships, such as gender and tobacco use, and the influence of sadness and lack of close friends.</div></div><div><h3>Conclusion</h3><div>Suicide-related behaviors among adolescents reflect the influence of gender, age, mental health, and lifestyle factors. Strengthening mental health support, family bonds, and addressing risky behaviors are key to preventing adolescent suicide.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200436"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633852","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":"Comparing the effects of CBSM, ERT, and EMDR on psychological disorders and resilience of women with COVID-19: A clinical trial","authors":"Parnaz Mardani ,&nbsp;Seyedeh Elnaz Mousavi ,&nbsp;Gholamreza Ahmadi ,&nbsp;Hossein Javdani","doi":"10.1016/j.mhp.2025.200437","DOIUrl":"10.1016/j.mhp.2025.200437","url":null,"abstract":"<div><h3>Objective</h3><div>This novel study aims to compare the efficacy of emotion regulation training (ERT), cognitive-behavioral stress management (CBSM) intervention, and eye movement desensitization and reprocessing (EMDR) therapy to find the best intervention for reducing anxiety, depression, stress, and repetitive negative thinking (RNT) and improving resilience in women with COVID-19.</div></div><div><h3>Methods</h3><div>This is a clinical trial. Participants were 80 female outpatients with COVID-19 (positive PCR) referred to three hospitals in Qazvin, Iran in 2021. They were randomly divided into four groups of ERT (<em>n</em> = 20, received group ERT at 10 sessions), CBSM (<em>n</em> = 20, received group CBSM at 10 sessions), EMDR (<em>n</em> = 20, received group EMDR therapy at 8 sessions), and control (<em>n</em> = 20). The instruments were the depression, anxiety, stress scale (DASS-21), the 10-item repetitive thinking questionnaire (RTQ-10), and the Connor-Davidson Resilience Scale (CD-RISC) completed before, immediately after, and one month after the interventions.</div></div><div><h3>Results</h3><div>After treatment, the mean DASS-21 and RTQ-10 scores decreased and the CD-RISC score increased in all groups, mostly in three intervention groups, where the effects of interventions were maintained for one month. The differences in all study variables were significant over time in the intervention groups compared to the control group (<em>P</em> &lt; 0.05), but there were no significant differences among the intervention groups.</div></div><div><h3>Conclusion</h3><div>All three therapies are effective in reducing psychological disorders and negative thoughts and improving resilience of women with COVID-19. There is no significant difference between their efficacies. These interventions are recommended for these women in medical centers during major catastrophic health-related events in the future.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200437"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654441","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":"Coping as a factor of resilience for school-based stress in children at risk for socio-emotional difficulties","authors":"M. Helmer ,&nbsp;J. Brandenburg ,&nbsp;M. Hasselhorn","doi":"10.1016/j.mhp.2025.200438","DOIUrl":"10.1016/j.mhp.2025.200438","url":null,"abstract":"<div><h3>Objective</h3><div>Social and academic stressors within the school environment can exert adverse effects on the socio-emotional development of children. Especially children with a learning disorder like dyslexia are facing the risk of poor socio-emotional adjustment due to school-based stress. Although effective coping might help dealing with these stressors by fostering personal resilience, little is known about which coping strategies exert a notably favourable influence on the diverse facets of school-based well-being. The present study thus examined the impact of various coping strategies—namely problem-focused, emotion-regulating, and unfavourable coping—on the socio-emotional development of elementary schoolchildren.</div></div><div><h3>Methods</h3><div>The sample consisted of 52 schoolchildren recruited from schools and licensed learning institutes, including 33 children diagnosed with dyslexia and 19 typically achieving peers. Participants, primarily at the end of elementary school (<em>M</em> = 9.59 years, <em>SD</em> = 0.48), were assessed two times across one academic year. Data were collected using questionnaires of coping strategies and socio-emotional outcomes. Multiple regression analyses were conducted to determine how interindividual differences in socio-emotional well-being can be explained by individual coping strategies.</div></div><div><h3>Results</h3><div>Problem-focused coping was the predominant predictor of well-being within the school context (<em>β</em> ranging from .27 to .51), whereas emotion-regulating (<em>β</em> = .24) and unfavourable coping strategies (<em>β</em> = -.26/-.27) were of explanatory value for fewer aspects of well-being.</div></div><div><h3>Conclusion</h3><div>A problem-focused approach in coping seems to be most effective in promoting socio-emotional well-being and resilience among schoolchildren. This highlights the importance of fostering especially problem-solving skills within educational interventions.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200438"},"PeriodicalIF":2.4,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809533","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":"Embedding mental health provision within schools – Evaluation of a North East England mental health support team","authors":"Anna Haste ,&nbsp;Nicholas Gray ,&nbsp;Hannah Poulter ,&nbsp;Robert Crow ,&nbsp;Lee Copping ,&nbsp;Jeanet Ingwersen ,&nbsp;Helen Limbrick ,&nbsp;Hannah Tindall ,&nbsp;Helen J. Moore","doi":"10.1016/j.mhp.2025.200435","DOIUrl":"10.1016/j.mhp.2025.200435","url":null,"abstract":"<div><h3>Objective</h3><div>Increasing levels of children and young people are experiencing mental health problems which can impact on educational attainment and increase the likelihood of risky behaviours. The aim of the study was to evaluate a programme that provides mental health support into local education settings.</div></div><div><h3>Methods</h3><div>Qualitative interviews were conducted with school staff and a focus group was conducted with mental health support team staff to understand barriers and facilitators to the programme. Reflexive thematic analysis was used to analyse the data.</div></div><div><h3>Results</h3><div>Four themes were identified 1) Liaising with the school to meet the students’ needs, 2) Importance of familiarity and consistency within the team, 3) Applying a holistic approach to mental health and 4) Streamlining of referrals and the service.</div></div><div><h3>Conclusion</h3><div>Overall, the view was positive for the inclusion of a mental health support team within a school setting, not only with regards to tackling the current mental health levels within schools but also to change the culture within schools to incorporate mental health as a topic within the fabric of the school education system.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200435"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572856","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":"Prevalence of suicidal ideation and suicide attempts among health sciences students: a systematic review and meta-analysis","authors":"Víctor Juan Vera-Ponce ,&nbsp;Joan A. Loayza-Castro ,&nbsp;Fiorella E. Zuzunaga-Montoya ,&nbsp;Luisa Erika Milagros Vásquez-Romero ,&nbsp;Witre Omar Padilla ,&nbsp;Christian Humberto Huaman-Vega ,&nbsp;Germán Lobos ,&nbsp;Carmen Inés Gutierrez De Carrillo","doi":"10.1016/j.mhp.2025.200432","DOIUrl":"10.1016/j.mhp.2025.200432","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicidal ideation and suicide attempts among health sciences students represent a growing concern that requires a systematic evaluation of their global prevalence.</div></div><div><h3>Objective</h3><div>To determine the prevalence of suicidal ideation and suicide attempts among health sciences students through a systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in SCOPUS, Web of Science, PubMed, and EMBASE. Studies that used validated instruments for suicide risk assessment, including standardized scales and self-reports, were considered eligible. Studies could employ either probabilistic or non-probabilistic sampling, with no restrictions on language. Stratified meta-analyses were performed according to assessment instrument and time frame, and meta-regression was conducted by year of study.</div></div><div><h3>Results</h3><div>Of 1277 identified records, 38 studies met the eligibility criteria. Suicidal ideation assessment was conducted using two instruments: the Beck Scale, which assesses lifetime suicidal thoughts, showing a prevalence of 14.09 % (95 % CI: 11.39–17.02 %), and item 9 of the PHQ-9 (Patient Health Questionnaire-9), which evaluates death thoughts in the past two weeks, with a prevalence of 19.18 % (95 % CI: 12.65–26.69 %). Suicide attempts, evaluated by time frame, showed a prevalence of 7.06 % (95 % CI: 4.35–10.35 %) for \"lifetime\" and 4.45 % (95 % CI: 2.62–6.71 %) for the \"past 12 months. \" Temporal meta-regression showed no significant trends.</div></div><div><h3>Conclusions</h3><div>The prevalence of suicidal ideation and suicide attempts among health sciences students is substantial, varying by assessment instrument and time frame. These findings, though affected by considerable heterogeneity across studies and limited representativeness of samples, underscore the need to implement systematic screening and prevention programs in health sciences educational institutions.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200432"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297733","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":"Barriers and facilitators to implementing the Act-Belong-Commit - ABCs for Mental Wellbeing in Finland","authors":"Nina Tamminen ,&nbsp;Teemu Vauhkonen ,&nbsp;Johanna Cresswell-Smith ,&nbsp;Charlotte Meilstrup ,&nbsp;Saara Rapeli ,&nbsp;Pia Solin","doi":"10.1016/j.mhp.2025.200434","DOIUrl":"10.1016/j.mhp.2025.200434","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the barriers and facilitators influencing the implementation of the Act-Belong-Commit - ABCs for Mental Wellbeing in four Finnish municipalities. The study aims to identify factors that support or hinder successful implementation and provide recommendations for scaling up mental health promotion initiatives.</div></div><div><h3>Methods</h3><div>The interventions included altogether 37 participants in various municipal settings, with intervention periods ranging from 10 weeks to five months. A qualitative study design was used, employing semi-structured interviews with intervention providers (n=5) and participants (n=11). Data were analysed using thematic analysis method. The Consolidated Framework for Implementation Research (CFIR) was employed to identify key themes related to implementation challenges and enablers.</div></div><div><h3>Results</h3><div>Altogether, 27 implementation factors were identified covering each CFIR domain, consisting of 8 barriers and 19 facilitators. These highlight the critical implementation factors that influence the successful adoption of the ABCs for Mental Wellbeing intervention.</div></div><div><h3>Conclusion</h3><div>The ABCs for Mental Wellbeing is a promising approach for promoting mental health and wellbeing. Addressing recruitment strategies, securing sufficient resources, and embedding the actions into municipal frameworks are essential for sustainable and effective implementation. By adopting a structured yet flexible approach, municipalities can tailor the model to meet the needs of diverse populations, ultimately improving mental health and wellbeing.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200434"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313367","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}