Mental Health and Prevention最新文献

{"title":"Social connection as a key target for youth mental health","authors":"Louise Birrell ,&nbsp;Aliza Werner-Seidler ,&nbsp;Lily Davidson ,&nbsp;Jack L. Andrews ,&nbsp;Tim Slade","doi":"10.1016/j.mhp.2025.200395","DOIUrl":"10.1016/j.mhp.2025.200395","url":null,"abstract":"<div><h3>Purpose</h3><div>Declining mental health has been observed in young people from across the globe since approximately 2010. One contributing factor may be the erosion of meaningful and supportive social connections. Fostering positive social connections and a focus on the social networks of young people could be a key strategy to enhance youth mental health and wellbeing. It is now well established that positive social connections benefit mental health. Social connections to peers and school communities become increasingly important during adolescence, a unique developmental window for prevention and a time in which peer influence increases.</div></div><div><h3>Key findings</h3><div>While our understanding of the importance and utility of adolescent social connection to improve mental health is evolving, social network approaches and strengthening connections at school hold promise to improve youth mental health. We outline key evidence across two domains of social connection; the importance of peer connections and school connectedness. We also explore the application of Social Network Interventions (SNIs) as an emerging way to promote positive mental health and decrease key risk factors for poor mental health across youth social networks.</div></div><div><h3>Conclusion</h3><div>Prevention strategies could target youth social connection as a transdiagnostic factor to improve youth mental health. This may take the form of interventions that leverage the importance of peers, create supportive social networks and environments, as well as the use of social network frameworks to develop an understanding of the mechanisms by which preventive interventions spread throughout different social networks.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200395"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142230","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":"Efficacy of digital MBCT-PD in preventing postpartum depression and enhancing work motivation: A study protocol","authors":"Neda Ansaari ,&nbsp;Sreenath Kuruveettissery ,&nbsp;Aruna Muralidhar","doi":"10.1016/j.mhp.2025.200392","DOIUrl":"10.1016/j.mhp.2025.200392","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum depression (PPD) is a significant challenge for women transitioning back to work. While preventive measures are essential, the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in this context remains underexplored. This study will assess the efficacy of a digital MBCT program (MBCT-PD) in preventing PPD, enhancing well-being, and motivating work resumption after childbirth.</div></div><div><h3>Methods</h3><div>A randomized controlled trial (RCT) with repeated measures will evaluate MBCT-PD, a digitally delivered intervention designed to promote mindfulness and emotional resilience. Eighty consenting pregnant women aged 18+, between 16 and 32 weeks gestation, residing in urban India will be recruited and randomized to either the MBCT-PD group or an enhanced treatment-as-usual (TAU) control group, which includes additional prenatal wellness resources. The intervention will span eight weeks, with assessments at baseline, post-intervention (T1), and six weeks postpartum (T2).</div><div>Primary outcomes are depression (Edinburgh Postnatal Depression Scale), well-being (Pregnancy Experience Scale-Brief), and work motivation (Multidimensional Work Motivation Scale). Secondary outcome is mindfulness level (Three Facet Mindfulness Questionnaire-Short Form). Descriptive statistics, repeated measures ANOVA, and regression analyses will determine the effect of MBCT-PD on these outcomes.</div></div><div><h3>Expected Results</h3><div>We anticipate that the MBCT-PD group will show reduced PPD symptoms, improved well-being, and greater motivation to resume work than the control group, consistent with previous findings on mindfulness-based interventions.</div></div><div><h3>Conclusion</h3><div>The findings from this study are expected to support the efficacy of MBCT-PD as a cost-effective, scalable intervention for enhancing postpartum mental health and work reintegration, with potential applications in maternal mental health practices and policies worldwide.</div></div><div><h3>Trial Registration</h3><div>Clinical Trial Registry of India. CTRI/2024/03/064,831</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200392"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142301","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":"Parental understanding of mental health in young children: The development and initial validation of the parental child mental health literacy questionnaire","authors":"Rachel Maddox ,&nbsp;Katherine Berry ,&nbsp;Ming Wai Wan","doi":"10.1016/j.mhp.2025.200393","DOIUrl":"10.1016/j.mhp.2025.200393","url":null,"abstract":"<div><h3>Aims</h3><div>Parental understanding of mental health difficulties in young children is crucial for early intervention and support, yet child mental health is often misconceived and stigmatized. <em>The Parental Child Mental Health Literacy Questionnaire</em> (PCMHLQ) was developed to measure parents’ literacy of child mental health and piloted in a general community sample of parents in the UK.</div></div><div><h3>Subjects and methods</h3><div>The measure was developed in a three-stage process and piloted in 211 parents of children aged 4 – 11 years. Factor structure, convergent validity, and construct validity were assessed.</div></div><div><h3>Results</h3><div>The final 23-item version produced a five-factor model corresponding to (1) beliefs, (2) fear of stigma or shame, (3) help-seeking confidence, (4) recognition, and (5) knowledge related to young children's mental health. Four factors had acceptable to high internal reliability. Total PCMHLQ was associated with adult mental health literacy and physical health literacy scores. PCMHLQ scores were lower for parents with a child with mental health difficulties, parents with current mental health difficulties, fathers, and low-income parents. Non-White ethnic minority parents held more negative child mental health beliefs, but did not differ in other scales, and parents who had a history of mental health service access had higher recognition but lower help-seeking confidence.</div></div><div><h3>Conclusion</h3><div>This paper describes the first integrated measure of parental literacy in young children's mental health. Preliminary evidence suggests that the 23-item PCMHLQ has the potential to identify parents with low understanding and to inform tailored community-based interventions and public health initiatives.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200393"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142299","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":"Implementation of the Zero Suicide framework with suicide prevention and intimate partner violence at outpatient clinics: Implementation & clinical impact","authors":"Tong Han Chung ,&nbsp;Kathleen R. Hanley ,&nbsp;Yunbo Xie ,&nbsp;Ingrid M Castillo ,&nbsp;Sascha E Johnston ,&nbsp;Jennifer Noblet ,&nbsp;Rhonda Conyers ,&nbsp;Bobby Nix ,&nbsp;Sudhakar Selvaraj ,&nbsp;Yen-Chi L Le","doi":"10.1016/j.mhp.2024.200389","DOIUrl":"10.1016/j.mhp.2024.200389","url":null,"abstract":"<div><h3>Objective</h3><div>As the COVID-19 pandemic persisted for an extended time, rates of depression, anxiety, alcohol consumption, intimate partner violence (IPV), and suicidal ideation surged in the United States during 2020–2022. The aim is to describe the process and relevant outcomes of implementing the Zero Suicide framework with IPV intervention.</div></div><div><h3>Methods</h3><div>We evaluated depression and suicide screening and treatment outcomes among patients, ages 25 years and older, and IPV screening and follow-up outcomes for female adult patients who were seen at UT Physicians ambulatory primary care clinics from November 2020 to November 2021.</div></div><div><h3>Results</h3><div>68 % of patients (<em>N</em> = 13,957) were screened for depressive symptoms and suicidality using the Patient Health Questionnaire (PHQ-9). Among patients (<em>N</em> = 633) identified as at risk of suicide using the PHQ-9, 299 patients were further assessed using the Columbia Suicide Severity Rating Scale (C-SSRS) and/or referred to the Crisis Care Transition team for immediate follow-up. Among patients identified at risk for suicide, 92 % of patients received a safety plan. Among patients with suicidal ideation with any methods, 88 % of patients received counseling on access to lethal means to reduce the risk of suicide. 30 % of female patients (<em>N</em> = 4,008) were screened for IPV using the HARK (Humiliation, Afraid, Rape, Kick) assessment. All female patients (<em>N</em> = 82) who reported IPV were connected to services, including therapy and access to a safe place.</div></div><div><h3>Conclusions</h3><div>The Zero Suicide framework with IPV intervention had a positive impact on screening and treatment outcomes among our patients, indicating the feasibility in implementation and program adoption.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200389"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142233","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":"Protocol for Fit4Study: A non-randomised controlled trial of a physical activity intervention for university students’ mental health and wellbeing","authors":"Kevin Huang ,&nbsp;Emma M. Beckman ,&nbsp;Norman Ng ,&nbsp;Genevieve A. Dingle ,&nbsp;Sjaan R. Gomersall","doi":"10.1016/j.mhp.2024.200390","DOIUrl":"10.1016/j.mhp.2024.200390","url":null,"abstract":"<div><h3>Purpose of Research</h3><div>University students experience higher rates of mental ill health compared to other age groups, with physical activity emerging as a potential preventative strategy. However, few physical activity interventions for university students are designed using behaviour change theories, limiting their potential effectiveness. The purpose of this paper is to outline the protocol for a non-randomised controlled trial evaluating Fit4Study, a physical activity intervention aimed at improving mental health outcomes in undergraduate students, informed by the Capability, Opportunity and Motivation model of behaviour change (COM-B).</div></div><div><h3>Procedure</h3><div>A 2 × 2 (condition: Fit4Study, Control Group; time: pre, post) repeated measures ANOVA will be used to analyse the effectiveness of Fit4Study in improving mental health outcomes compared to a no-intervention control group across two time points. Primary outcomes include symptoms of anxiety and depression, psychological wellbeing, loneliness, and use and knowledge of physical activity to support mental health and wellbeing. Secondary outcomes include physical activity and sedentary behaviour. Feasibility will be assessed quantitatively via reach and retention and qualitative data will be collected to analyse participants’ acceptability of the content and delivery of Fit4Study.</div></div><div><h3>Main Results</h3><div>No main results are reported as it is a protocol paper.</div></div><div><h3>New Findings</h3><div>If the results are significant, Fit4Study has the potential to serve as an easily replicable physical activity intervention aimed at improving university students’ mental health and wellbeing. It will also be among the first mental health-focused physical activity interventions to incorporate behaviour change theories in the design and implementation phases.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200390"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142229","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":"Understanding and tackling academic stress and school attendance problems within the school system; a co-creation approach","authors":"Margot Peeters ,&nbsp;Ellen Braakhekke ,&nbsp;Marije Kesselring ,&nbsp;Saskia Wijsbroek ,&nbsp;Ilse Schramel ,&nbsp;Iris Putter ,&nbsp;Erik Klaassen ,&nbsp;Juliette Groenendijk ,&nbsp;Nely Sieffers ,&nbsp;Sharon de Wildt ,&nbsp;Marloes Kleinjan","doi":"10.1016/j.mhp.2024.200388","DOIUrl":"10.1016/j.mhp.2024.200388","url":null,"abstract":"<div><h3>Introduction</h3><div>Academic stress and school-attendance problems are a rising problem among youth. Preventive efforts at schools are crucial to reduce this increase though knowledge is lacking on how schools can address this complex problem. Building on the Multi-Tiered System of support, the purpose of this study was to identify leverage points for prevention at multiple levels of support (universal, selective, intensive).</div></div><div><h3>Method</h3><div>19 professionals (18 women, 2 men), 8 adolescents between 12 and 25 years (7 girls, 1 boy) and 5 parents (4 women, 1 men) participated in four different focus groups. The focus groups were set-up and guided using a co-creation method.</div></div><div><h3>Results and discussion</h3><div>Thematic analyses of the recordings and written content identified three themes; (1) adolescents and learning; (2) the school context; (3) parental involvement. For each theme leverage point for prevention of academic stress and school attendance problems were identified, taking into account the multiple levels of support. This research highlights that addressing academic stress and attendance problems requires a broader focus beyond individual factors, emphasizing the importance of the learning context and school level influences. Effective prevention strategies should be tailored to specific school characteristics, incorporating both individual support and school-wide approaches to reduce academic stress and enhance school attendance of adolescents.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200388"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141884","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":"Factors associated with psychological distress among sexuality and/or gender diverse students at an Australian university: A cross-sectional study","authors":"Xuan Luu ,&nbsp;Max R. Tran ,&nbsp;Natalie A. Johnson ,&nbsp;Melinda J. Hutchesson","doi":"10.1016/j.mhp.2024.200386","DOIUrl":"10.1016/j.mhp.2024.200386","url":null,"abstract":"<div><h3>Objectives</h3><div>While mental ill-health — such as psychological distress — is prevalent among university students, less is known about sexuality and/or gender diverse university students’ mental health. This study aimed to determine whether sociodemographic factors, basic needs security, resilience, and health-related behaviours were associated with psychological distress among a sample of sexuality and/or gender diverse students at an Australian university.</div></div><div><h3>Methods</h3><div>This study involved a quantitative cross-sectional subgroup analysis of eligible student responses to a larger institutional survey at an Australian university. A multiple linear regression analysis assessed sociodemographic factors (age and gender identity), basic needs security (financial stress, food security, and experience of sexual assault and/or sexual harassment during time at university), resilience (specifically ‘bounce back’ resilience), and health-related behaviours (alcohol use, other drugs use, physical activity, and sleep duration), with psychological distress as the outcome of interest.</div></div><div><h3>Results</h3><div>Analysis of 411 sexuality and/or gender diverse students’ responses yielded significant results (<em>F</em> [6,387] = 50.493, <em>p</em> &lt; .001) explaining over 40% of the variance in psychological distress (adj. <em>R</em>² = .430). Identifying as a woman and experiencing food insecurity were associated with higher psychological distress. Younger age, greater ‘bounce back’ resilience, and longer sleep duration were associated with lower psychological distress.</div></div><div><h3>Conclusion</h3><div>Further research should investigate how these associations may change among sexuality and/or gender diverse university students in Australia — across different institutions, over time, and amid broader social and structural factors. Implications for future practice — particularly institutional interventions and data-gathering — are also discussed.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200386"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141883","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 in Greenland - A scoping review of the literature","authors":"Jane Brandt Sørensen ,&nbsp;Caroline Lomholt Øst ,&nbsp;Parnûna Heilmann ,&nbsp;Fransisco Alberdi ,&nbsp;Britt Reuter Morthorst","doi":"10.1016/j.mhp.2024.200383","DOIUrl":"10.1016/j.mhp.2024.200383","url":null,"abstract":"<div><h3>Background</h3><div>Suicide is a global public health challenge. High rates are particularly pronounced among Indigenous populations. There is a lack of in-depth knowledge about suicide in Greenland, which is needed to develop relevant suicide prevention and treatment initiatives.</div></div><div><h3>Aim</h3><div>Aim was to review existing published peer-reviewed and grey literature on suicide in Greenland to inform future policies, research, and interventions.</div></div><div><h3>Methods</h3><div>A scoping review methodology was applied, following the PRISMA-ScR standard. Searches were made in six databases and through hand-searches for literature published in Danish or English. The Social Ecological Model was used to structure the thematic analysis.</div></div><div><h3>Results</h3><div>The search yielded 277 sources, with 43 included in the study. While descriptive, quantitative methods were predominant, only two studies used a strict qualitative approach. No studies reported on controlled trials. Following the Social Ecological Model, most articles addressed suicide at the individual level, societal- and relationship levels, whereas the community level was rarely addressed. Most sources reiterated risk factors related to suicide especially within the themes: gender at birth, age, alcohol, sexual abuse, societal transitions, and geographical inequalities. Few sources evaluated previous interventions and explored preventive factors. Little attention was paid to the media's role in suicide prevention.</div></div><div><h3>Conclusions</h3><div>Findings showed that research has primarily been descriptive, suggesting that qualitative methods would be relevant for future research. An investigation of protective factors and the role and opportunities of the media and social media would be relevant. A limited number of studies applied trial designs, suggesting lack of evidence-based treatment and prevention.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200383"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142231","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":"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}