Mental Health and Prevention最新文献

{"title":"Psychological predictors of posttraumatic stress and depression in firefighters: A 2-year longitudinal study","authors":"Miriam J.J. Lommen","doi":"10.1016/j.mhp.2024.200384","DOIUrl":"10.1016/j.mhp.2024.200384","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Due to high trauma exposure in their job, first responders have an increased chance to develop posttraumatic stress disorder (PTSD) and depression. A challenge in the psychotrauma field is to develop effective preventive strategies for high-risk professionals. The aim of this study was to test which malleable psychological factors (resilience, social support at work, experiential avoidance, repetitive negative thinking (RNT), meaning in life, sense of coherence) predict the development of PTSD and depression symptoms in firefighters.</div></div><div><h3>Method</h3><div>Firefighters (<em>n</em> = 393) were tested at baseline (PTSD, depression and risk factors) and filled out questionnaires in the following 2 years (PTSD and depression). Regression analyses were run testing which set of risk factors best predicted PTSD or depression symptoms at follow-up, when controlling for baseline symptomatology.</div></div><div><h3>Results</h3><div>Lower social support at work and higher experiential avoidance predicted PTSD symptom development, and lower meaning in life and higher RNT predicted depression symptom development.</div></div><div><h3>Conclusions</h3><div>Decreasing experiential avoidance and RNT and promoting social support at work and meaning in life seem promising targets for primary prevention interventions in first responders. Future studies should test whether targeting these risk factors would indeed decrease the development of post-trauma psychopathology in high-risk professionals.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200384"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743482","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":"Barriers to suicide prevention in primary care: A qualitative study among general practitioners in Germany","authors":"Lea Mayer ,&nbsp;Anne Barzel ,&nbsp;Vera Clemens ,&nbsp;Jörg Fegert ,&nbsp;Katharina Grau ,&nbsp;Harald Gündel ,&nbsp;Maria Haun ,&nbsp;Natalie Lamp ,&nbsp;Miriam Rassenhofer ,&nbsp;Eva Rothermund ,&nbsp;Nathalie Oexle","doi":"10.1016/j.mhp.2024.200381","DOIUrl":"10.1016/j.mhp.2024.200381","url":null,"abstract":"<div><h3>Background</h3><div>Suicide is a global public health issue and general practitioners (GPs) are important frontline responders to ensure treatment for persons experiencing suicidality. Although valid assessment tools and guidelines for managing suicidality in primary care are available, previous studies suggest that these are not yet sufficiently adhered to. Knowledge about the challenges experienced by GPs in identifying and managing suicidality among their patients is needed for the development of interventions to improve suicide prevention within primary care.</div></div><div><h3>Aim</h3><div>The current study seeks to examine the challenges GPs in Germany encounter when managing suicidality among patients in primary care.</div></div><div><h3>Methods</h3><div>We conducted qualitative online interviews with 15 GPs practising in Germany. Data were analysed using qualitative content analysis.</div></div><div><h3>Results</h3><div>We included a diverse sample of mainly early-practise GPs (mean age: 42 years; w = 9, m = 6). GPs in our study reported 1) difficulties in identifying suicidality, 2) uncertainty and insufficient knowledge, 3) responsibility and discomfort and 4) challenges due to the health care system.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that GPs in Germany would benefit from specialised trainings to increase their knowledge and reduce uncertainties in handling suicidality among their patients. Reported challenges could be an important focus of successful suicide prevention.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200381"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141879","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":"Teaching mental health in the classroom: A mixed-methods implementation evaluation of a mental health literacy program in elementary schools","authors":"Daniel Sadler,&nbsp;Deirdre McCaughey,&nbsp;Amy Metcalfe,&nbsp;Katrina Milaney,&nbsp;Paul Ronksley","doi":"10.1016/j.mhp.2024.200377","DOIUrl":"10.1016/j.mhp.2024.200377","url":null,"abstract":"<div><h3>Objective</h3><div>Mental illnesses are the largest disease burden for adolescents, affecting 20 % of youth in Canada. As mental health needs arise earlier and with greater prevalence, it is essential to work upstream and prepare youth before psychological distress emerges. When implemented in the classroom as part of the educational curriculum, Mental Health Literacy (MHL) fulfills these goals as a universal response to the societal and development stressors experienced by youth.</div><div>The aim of this implementation evaluation was to explore the experience of educators delivering the Elementary Mental Health Literacy Resources (EMHLR) during a 4-month period across Canada. The specific objectives were to identify the individual (educator) and organizational (district) level barriers and facilitators to delivery of the EMHLR to improve future implementation of the program.</div></div><div><h3>Methods</h3><div>An explanatory sequential design used data from an existing feedback survey and qualitative data was gathered from group interviews with Educators. Findings were integrated using the RE-AIM framework to identify barriers and facilitators and develop considerations for implementation</div></div><div><h3>Results</h3><div>System level barriers included the pre-existing stigma around mental health, competing priorities for classroom time, and cultivating buy-in from leadership. Individual level barriers included the time and knowledge to teach MHL. The flexible design of the EMHLR curriculum and specific implementation strategies were seen as facilitators. Mental Health Literacy offers language for youth to communicate about their experience clearly and accurately.</div></div><div><h3>Conclusion</h3><div>The EMHLR curriculum offers an evidence-based and adaptable means to build the MHL of youth across Canada. This holds potential for improving youth mental health but requires intentional implementation strategies to be successful.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200377"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743479","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":"Effectiveness of school-based Scaling up Teen Mental Health Program through peer synergy (SUTMP) on mental health promotion, mental health literacy, and resilience among senior secondary students of Sikkim, India- A cluster randomized controlled trial protocol","authors":"Reshma Tamang ,&nbsp;Binil Velayudhan ,&nbsp;Samrat Singh Bhandari ,&nbsp;Tessy Treesa Jose ,&nbsp;Vani Lakshmi R ,&nbsp;Blessy Prabha Valsaraj","doi":"10.1016/j.mhp.2024.200370","DOIUrl":"10.1016/j.mhp.2024.200370","url":null,"abstract":"<div><h3>Background</h3><div>Mental health conditions are a significant burden during adolescence, with up to 50 % starting before age 14. Suicide is among the top three causes of death in this age group, highlighting the need for effective mental health interventions.</div></div><div><h3>Objective</h3><div>The primary objective of the study is to determine the effectiveness of school-based Scaling up Teen Mental Health Program through peer synergy (SUTMP) on mental health literacy among senior secondary students.</div></div><div><h3>Methods</h3><div>A cluster randomized controlled trial will be conducted among the students of government senior secondary schools. The intervention comprises five modules focusing on mental health literacy, mental health promotion, peer synergy on first aid in mental health, strengthening resilience, and the fifth module focuses on relaxation exercises, meditation and deep breathing techniques, and mindfulness with 'Teen mental health app.' Students will be assessed using the Resilience Scale, Mental Health Promotion Knowledge Scale, Peer Mental Health Stigmatization Scale, Teen Mental Health Literacy Scale, and Peer Synergy on Mental Health First Aid Scale. Assessment will be done before the intervention, one week after, at three and six months post-intervention.</div></div><div><h3>Expected results</h3><div>The anticipated outcome of the study is that the school-based Scaling up Teen Mental Health Program (SUTMP) will increase mental health literacy among school students, strengthen their resilience skills, and increase the use of a peer-led approach for providing initial mental health first aid.</div></div><div><h3>Conclusion</h3><div>The study will employ an innovative module for delivering the intervention, integrating on-site and app-based approaches in a blended manner.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200370"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743480","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":"Need for greater action on child emotional abuse to prevent its impact on depression, anxiety and suicide","authors":"Amy J. Morgan","doi":"10.1016/j.mhp.2024.200367","DOIUrl":"10.1016/j.mhp.2024.200367","url":null,"abstract":"","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200367"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173650","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 should a nation do to prevent mental and behavioural disorders? Key elements of a national strategy","authors":"Nicola J Reavley,&nbsp;Anthony F Jorm","doi":"10.1016/j.mhp.2024.200360","DOIUrl":"10.1016/j.mhp.2024.200360","url":null,"abstract":"","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200360"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172455","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":"The case for participant payments in mental health prevention research","authors":"Elizabeth M Westrupp","doi":"10.1016/j.mhp.2024.200373","DOIUrl":"10.1016/j.mhp.2024.200373","url":null,"abstract":"","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200373"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173649","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":"Development of the children's wellbeing continuum: Fostering conversation in child mental health","authors":"K Paton ,&nbsp;S Darling ,&nbsp;C Nowell ,&nbsp;S Gandhi ,&nbsp;A Jorm ,&nbsp;LM Hart ,&nbsp;MBH Yap ,&nbsp;F Oberklaid","doi":"10.1016/j.mhp.2024.200385","DOIUrl":"10.1016/j.mhp.2024.200385","url":null,"abstract":"<div><div>Objective: The growing focus on child mental health presents opportunities for prevention and early intervention. A shared, accessible language to describe child mental health that is understood by both parents and professionals across diverse settings is crucial. This study aimed to design and test a novel Children's Wellbeing Continuum tool as a shared communication resource to help adults discuss and reflect on a child's mental health.</div><div>Methods: A mixed-methods study was conducted with Australian educators, health professionals, and parents/caregivers. A Delphi consensus study (<em>n</em> = 261) was used to establish consensus on the language for a four-point continuum model. Subsequently, focus groups (<em>n</em> = 69) gathered qualitative feedback on the language, visual elements and utility of the continuum tool across diverse contexts (e.g., schools, primary health care, First Nations Communities).</div><div>Findings: The terms “good, coping, struggling, overwhelmed” emerged as the preferred terms for the anchor points along the continuum tool. A traffic-light colour system and accompanying emoticons were supported for visual accessibility. Descriptors of functioning/symptoms were deemed too confusing and excluded from the final version. Inductive content analysis revealed that participants valued the continuum as a tool to facilitate discussions about a child's mental health among stakeholders in the ‘team’ supporting the child.</div><div>Conclusions: The Children's Wellbeing Continuum, developed through extensive stakeholder consultation, is designed as a universal early intervention and prevention tool to start a conversation and encourage dialogue about a child's mental health. It has the potential to improve early help-seeking, reduce stigma, and strengthen support systems for children.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200385"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141881","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":"Exploring children's services workers’ perceptions of COVID-19: Trauma, connection and creativity","authors":"Heather Boynton ,&nbsp;Patricia Samson ,&nbsp;Jo-Ann Vis ,&nbsp;Benedicta Asante","doi":"10.1016/j.mhp.2024.200382","DOIUrl":"10.1016/j.mhp.2024.200382","url":null,"abstract":"<div><h3>Background</h3><div>Children services workers (CSWs) in child welfare during the COVID-19 pandemic were tasked with providing services amidst various government mandates and restrictions causing a multitude of effects.</div></div><div><h3>Objective</h3><div>To examine the lived experience of CSWs practice during COVID-19.</div></div><div><h3>Participants and setting</h3><div>31 CSWs were recruited from a Western Province in Canada.</div></div><div><h3>Methods</h3><div>This participatory action research utilized 7 focus groups and 4 interviews with frontline and supervisory CSWs. Braun and Clarke's (2006) thematic analysis approach and coding processes were employed.</div></div><div><h3>Results</h3><div>The findings revealed difficult and traumatic experiences, along with the commitment, creativity and innovation of the workers. Technology was a necessary resource and a barrier in service delivery. Three main themes and associated subthemes that emerged included 1) <em>the trauma of COVID,</em> with subthemes: <em>influences on CSWs,</em> and <em>influences on children and families,</em> 2) <em>practice context matters</em>, with subthemes <em>the impacts on policy and service delivery,</em> and <em>accessibility and lack of resources,</em> and 3) <em>connection, creativity, and removal of perceived barriers,</em> with subthemes, <em>relationships matter,</em> and <em>innovative practices.</em></div></div><div><h3>Conclusions</h3><div>The study highlighted how CSWs were affected during the pandemic by government restrictions, inconsistent practice and policy implementation, increased stressors, and workloads, and the experience of deaths. It was evident that CSWs were courageous, creative, and innovative, as well as hardworking, committed, and persevered in providing services to children and families. Recommendations for training, practice and policy are offered.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200382"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141882","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":"Components of risk communication in mental health and suicide in Indigenous peoples: A scoping review","authors":"Felipe Agudelo-Hernández ,&nbsp;Lizeth Paola Coral-Vela ,&nbsp;Luz Helena Pabuena ,&nbsp;Paloma Ruiz ,&nbsp;Consuelo Rosas ,&nbsp;Karen González-Abril","doi":"10.1016/j.mhp.2024.200380","DOIUrl":"10.1016/j.mhp.2024.200380","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the main components for mental health risk communication and suicide prevention in Indigenous peoples.</div></div><div><h3>Methods</h3><div>A scoping review was conducted, searching databases such as Cochrane, PubMed, and Google Scholar, as well as gray literature, from 1990 to 2024. Studies were included if they reported components for mental health risk communication and suicide prevention in Indigenous populations. Data were extracted and analyzed using a content analysis approach.</div></div><div><h3>Results</h3><div>Key components identified include mental health education, social communication built with the community, specific actions for each territory and culture, a community approach to suicidal behavior, articulation of sectors and disciplines, and strategies that strengthen care and intergenerational dialogue. These components were associated with outcomes such as stigma reduction, symptom reduction, sensitive media coverage, spaces for discussing mental health, increased community agency, and greater involvement of various sectors in mental health.</div></div><div><h3>Conclusion</h3><div>Effective communication strategies are crucial for preventing suicidal behavior and other mental health risks in Indigenous populations. These strategies should be culturally tailored and involve Indigenous communities as key partners in the communication process.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200380"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142300","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}