SSM. Mental healthPub Date : 2026-06-01Epub Date: 2026-02-16DOI: 10.1016/j.ssmmh.2026.100596
Sarah C. Haight, Jamie R. Daw, Brian W. Pence, Jaime Slaughter-Acey, Chantel L. Martin, Sarah Verbiest, Joanna Maselko
{"title":"Corrigendum to “The role of medical mistrust in racial and ethnic inequities in postpartum mental health care” [SSM - Mental Health (9), June 2026, 100588]","authors":"Sarah C. Haight, Jamie R. Daw, Brian W. Pence, Jaime Slaughter-Acey, Chantel L. Martin, Sarah Verbiest, Joanna Maselko","doi":"10.1016/j.ssmmh.2026.100596","DOIUrl":"10.1016/j.ssmmh.2026.100596","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100596"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523385","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}
SSM. Mental healthPub Date : 2026-06-01Epub Date: 2026-01-27DOI: 10.1016/j.ssmmh.2026.100593
Arthur W. Blume
{"title":"An indigenous interpretation of self-determination in service of relational wellness","authors":"Arthur W. Blume","doi":"10.1016/j.ssmmh.2026.100593","DOIUrl":"10.1016/j.ssmmh.2026.100593","url":null,"abstract":"<div><div>Signers of the 2007 United Nations (U.N.) Declaration on the Rights of Indigenous Peoples, including Canada and the United States (U.S.), have committed to protecting the rights of Indigenous peoples including the right to self-determination. First Peoples Nations of Canada and the U.S. have been granted self-determination rights, but often these rights have limitations when it comes to ensuring quality mental health care for their peoples. Self-determination rights have been a major step toward affirming Indigenous national sovereignty over the mental health, but much more can be done. When self-determination parameters were codified within the colonial nations, they reflected a reductionist viewpoint that did not include a relational understanding of wellness or considerations that health and mental health are relational in nature and unrestricted by national boundaries. Relational wellness may not necessarily be addressed by reductionist interpretations of self-determination. A relational interpretation of self-determination is also necessary to account for the interdependent nature of wellness such that relationships between colonial nations and their Indigenous neighbors must be equitably considered and respected. Publicly recognizing and respecting the cultural and scientific parity of Indigenous nations with those of Canada and the U.S. would advance Indigenous relational wellness as committed to in the U.N. Declaration and promote equitable international relationships. Affirming both reductionist and relational self-determination could be mutually beneficial, advancing the relational wellness of Indigenous nations while interdependently and simultaneously advancing the health and mental health of Canada and the U.S.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100593"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188119","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}
SSM. Mental healthPub Date : 2026-06-01Epub Date: 2026-02-12DOI: 10.1016/j.ssmmh.2026.100597
Amy L. Johnson
{"title":"An exploratory analysis of self-diagnosis on Reddit","authors":"Amy L. Johnson","doi":"10.1016/j.ssmmh.2026.100597","DOIUrl":"10.1016/j.ssmmh.2026.100597","url":null,"abstract":"<div><div>Online self-diagnosis is an increasingly common phenomenon. Its ubiquity counters the expectation that people will generally avoid stigmatizing labels like mental illness diagnoses. Yet social media may provide a space for users to anonymously “try on” labels without fear of stigma or social sanction. This article uses exploratory qualitative analysis to examine self-diagnosis on the social media platform Reddit. I document how self-diagnosis is a relational process of identity work involving three steps: a feeling of mental wrongness, proposal of a diagnostic explanation, and request for a community solution. Using sentiment analysis, I also show that posts mentioning self-diagnosis express less negative emotion than those mentioning professional diagnosis. Despite widespread criticism of self-diagnosis, this work suggests that it offers a means of engagement with sympathetic others and a tool to understand the self in a culture dominated by psychiatric thinking.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100597"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188116","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}
SSM. Mental healthPub Date : 2026-06-01Epub Date: 2025-12-18DOI: 10.1016/j.ssmmh.2025.100583
Mia Akiba , Stephanie J. Lewis , Tsitsi Mawere , Alli Roshni , Karen Muchezana , Wilson Mutsvuke , Walter Mangezi , Conall O'Cleirigh , Sharli Paphitis , Nick Grey , Tarisai Bere , Melanie A. Abas
{"title":"Trauma-related experiences among people living with HIV in Zimbabwe: a qualitative study","authors":"Mia Akiba , Stephanie J. Lewis , Tsitsi Mawere , Alli Roshni , Karen Muchezana , Wilson Mutsvuke , Walter Mangezi , Conall O'Cleirigh , Sharli Paphitis , Nick Grey , Tarisai Bere , Melanie A. Abas","doi":"10.1016/j.ssmmh.2025.100583","DOIUrl":"10.1016/j.ssmmh.2025.100583","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100583"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926870","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}
SSM. Mental healthPub Date : 2026-06-01Epub Date: 2026-02-12DOI: 10.1016/j.ssmmh.2026.100594
Dana Ketcher PhD, MPH, Kristen Jacklin, Melissa Blind, Jennifer Walker, Makarena Dudley, Dina LoGiudice, Nick Garrett, Joseph Keawe’aimoku Kaholokula
{"title":"Introduction to special issue: Indigenous dementia research insights: An interdisciplinary and community-based approach","authors":"Dana Ketcher PhD, MPH, Kristen Jacklin, Melissa Blind, Jennifer Walker, Makarena Dudley, Dina LoGiudice, Nick Garrett, Joseph Keawe’aimoku Kaholokula","doi":"10.1016/j.ssmmh.2026.100594","DOIUrl":"10.1016/j.ssmmh.2026.100594","url":null,"abstract":"<div><div>The Special Issue, “Indigenous Dementia Research Insights: An Interdisciplinary and Community-Based Approach” showcases innovative research being conducted by and with Indigenous communities across the globe to address Alzheimer’s disease and related dementias (AD/ADRD). The papers included here span AD/ADRD intervention work, tool validation, and epidemiology among Indigenous Peoples globally. While this area of research is still nascent, these articles represent the vast array of research being conducted in this space, and most importantly, model how this research is being conducted <em>with</em> and <em>by</em> communities, not <em>on</em> communities.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100594"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523383","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}
SSM. Mental healthPub Date : 2026-06-01Epub Date: 2025-12-18DOI: 10.1016/j.ssmmh.2025.100581
Ben Mathews , Kausar Parvin , Kerryann Walsh , David Finkelhor , Daryl Higgins , James G. Scott , Sarah Napier , Melanie Burton , Mariesa Nicholas , Jennie Noll , Asher Flynn , Andrea de Silva
{"title":"Online child sexual victimization and associated health risk behaviours and mental disorders: Findings from a national survey in Australia","authors":"Ben Mathews , Kausar Parvin , Kerryann Walsh , David Finkelhor , Daryl Higgins , James G. Scott , Sarah Napier , Melanie Burton , Mariesa Nicholas , Jennie Noll , Asher Flynn , Andrea de Silva","doi":"10.1016/j.ssmmh.2025.100581","DOIUrl":"10.1016/j.ssmmh.2025.100581","url":null,"abstract":"<div><h3>Background</h3><div>Online child sexual victimization (OCSV) is increasingly prevalent, but little evidence exists about associated health outcomes. This study investigates whether two types of OCSV – nonconsensual sharing of sexual images, and sexual solicitation by an adult – are associated with health risk behaviours and mental disorders.</div></div><div><h3>Method</h3><div>This study analyzed data from the Australian Child Maltreatment Study (ACMS), a nationally representative cross-sectional survey. A sub-sample of 3500 Australians aged 16–24 years provided information about OCSV. Items from the National Adolescent Mental Health Surveys assessed non-suicidal self-injury, suicide attempt, and smoking. The MINI International Psychiatric Interview assessed generalized anxiety disorder (GAD); major depressive disorder (MDD), and alcohol use disorder (AUD). Logistic regression examined associations between online child sexual victimization and health risk behaviours and mental disorders.</div></div><div><h3>Results</h3><div>Experiencing nonconsensual sharing of sexual images was significantly associated with suicide attempt among all youth (OR = 1.45), self-harm among women (OR = 1.90) and all youth (OR = 1.94), smoking among women (OR = 1.86) and all youth (OR = 1.86), and MDD among men (OR = 1.92) and all youth (OR = 1.43). Online sexual solicitation was not significantly associated with health risk behaviours or mental disorders except for self-harm among all youth (OR = 1.45).</div></div><div><h3>Conclusion</h3><div>Nonconsensual sharing of sexual images is strongly associated with multiple adverse outcomes, especially health risk behaviours, and particularly among women. Future research could consider other adverse outcomes of online sexual solicitation by adults, such as distress, and behavioural outcomes. Findings can inform educational, health and legal policies and programs promoting safe technology use and addressing related health issues.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100581"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926869","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":"Strategies for collaborative mental health care in post-conflict Tigray: A qualitative study","authors":"Kenfe Tesfay Berhe , Paul Ward , Lillian Mwanri , Hailay Abrha Gesesew","doi":"10.1016/j.ssmmh.2026.100587","DOIUrl":"10.1016/j.ssmmh.2026.100587","url":null,"abstract":"<div><h3>Background</h3><div>There is a significant mental health service gap in Sub-Saharan Africa, with many people relying on traditional healers due to factors such as limited resources and conflict. While mental health collaborative care provision between traditional and biomedical providers is recommended, this recommendation lacks context-specific strategies for post-conflict Tigray. This study explores and identifies strategies for collaborative care provision for mental health services in the post-conflict setting of Tigray, Ethiopia.</div></div><div><h3>Methods</h3><div>In-depth interviews were conducted with 50 participants, including traditional healers, senior psychiatry clinicians, and their service users, in Tigray, Ethiopia. Participants were recruited through stakeholder contacts and the snowball method. Data were analysed using a thematic framework approach, with NVivo software assistance. The study adhered to the Consolidated Criteria for Reporting Qualitative Research(COREQ).</div></div><div><h3>Results</h3><div>Five themes emerged as strategies for collaborative mental health care between traditional and biomedical services in the post-conflict setting: (i) government and institutional support, (ii) joint training and knowledge exchange, (iii) patient-centred support, (iv) shared referral pathway, and (v) integrated intervention approach. The study highlights new insights for collaboration, such as reaching consensus on care provision despite differences in the causes of illness, involving traditional practitioners in humanitarian meetings, and implementing integration at holy water sites through trained volunteer counsellors.</div></div><div><h3>Conclusion</h3><div>These context-specific strategies for collaborative care may enhance mental health services in post-conflict. We recommend developing guidelines, formalising partnerships, encouraging dialogue, and prioritising the suggested strategies for effective implementation.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100587"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926932","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}
SSM. Mental healthPub Date : 2026-06-01Epub Date: 2026-02-05DOI: 10.1016/j.ssmmh.2026.100595
Nicholas A. Carlisle , Peyton Miller , Gregory Pavela , Ann Elizabeth Montgomery , Gabe H. Miller , Sonya L. Heath , Peter S. Hendricks , Sarah MacCarthy
{"title":"The price of shame: A scoping review examining the effects of shame on sexual and gender minority populations in the United States","authors":"Nicholas A. Carlisle , Peyton Miller , Gregory Pavela , Ann Elizabeth Montgomery , Gabe H. Miller , Sonya L. Heath , Peter S. Hendricks , Sarah MacCarthy","doi":"10.1016/j.ssmmh.2026.100595","DOIUrl":"10.1016/j.ssmmh.2026.100595","url":null,"abstract":"<div><h3>Purpose</h3><div>Sexual and gender minority (SGM) people experience a higher prevalence of adverse health outcomes compared to their heterosexual and cisgender counterparts due, in part, to shame related to sexual orientation and gender identity. The purpose of this scoping review was to identify and synthesize empirical evidence of the effects of shame on SGM populations in the United States.</div></div><div><h3>Methods</h3><div>Following PRISMA-ScR guidelines, we systematically searched for studies that were (1) peer-reviewed; (2) original research; (3) written in English; (4) quantitatively measuring shame; (5) among groups identifying as sexual minority, gender minority, or both; (6) within the United States.</div></div><div><h3>Results</h3><div>We identified 22 studies meeting inclusion criteria, most of which were cross-sectional and focused on sexual minority men. Across studies, shame was consistently associated with exposure to distal and proximal stressors, general psychological processes (e.g., affective, social, and cognitive), health-compromising behaviors (e.g., substance use, sexual compulsivity), and adverse health outcomes. Notably, few studies focused on gender minority individuals, and subgroup or intersectional analyses were uncommon.</div></div><div><h3>Conclusion</h3><div>The literature supports shame as an important correlate of health-related outcomes among SGM populations, but is limited by cross-sectional designs, heterogenous measurement approaches, and limited attention to subgroup differences. Future research should prioritize longitudinal and mechanistic studies, improve measurement harmonization, and evaluate established shame-reduction approaches with SGM-affirming adaptations and scalable delivery strategies to improve reach and advance health equity.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100595"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188117","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}
SSM. Mental healthPub Date : 2026-06-01Epub Date: 2025-12-13DOI: 10.1016/j.ssmmh.2025.100577
Nakawala Lufumpa , Anne Hilger , Anna Shaw , Gracya Rudiman , Ellen Moscoe , Laure Experton , Brandon A. Kohrt , Odyssia Ng , Syed Shabab Wahid
{"title":"Relief from stress via social protection in Senegal (RESTORE): Study protocol for a pilot feasibility cluster-randomized controlled trial of self-help plus (SH+) mental health intervention in Senegal","authors":"Nakawala Lufumpa , Anne Hilger , Anna Shaw , Gracya Rudiman , Ellen Moscoe , Laure Experton , Brandon A. Kohrt , Odyssia Ng , Syed Shabab Wahid","doi":"10.1016/j.ssmmh.2025.100577","DOIUrl":"10.1016/j.ssmmh.2025.100577","url":null,"abstract":"<div><h3>Background</h3><div>Despite the growing prevalence of mental health disorders in low- and middle-income countries (LMICs), significant barriers to seeking and accessing mental health services persist. Within lower-income populations, the prevalence of mental health disorders and barriers to addressing them are worsened by poverty. Self-Help Plus (SH+) is a group-based stress management program delivered using a task-sharing model and designed to circumvent barriers to addressing mental health concerns. Cultural adaptations of SH + have been implemented in several LMICs and are considered cost-effective. However, to date, SH + has not been adapted for Senegalese populations. The study detailed in this manuscript aims to assess the feasibility and acceptability of SH+ in lower-income populations in Senegal.</div></div><div><h3>Methods</h3><div>The RESTORE study is a pilot feasibility cluster-randomized controlled trial of SH+ in four Senegalese communities. Clusters of adults in social protection program beneficiary households will be randomly selected to receive five sessions of SH+. The intervention will be delivered in groups of up to 30 beneficiaries and co-facilitated by two community workers. A combination of quantitative and qualitative research methods will be used to assess the feasibility and acceptability of both the SH + intervention and randomized controlled trial procedures. The main clinical outcome for the study is general psychological well-being measured by the General Health Questionnaire-12 (GHQ-12). The study sample will include adults from social protection program beneficiary households in the treatment and control groups, SH + facilitators, and the intervention supervisor.</div></div><div><h3>Discussion</h3><div>The findings of this study will be used to inform the potential integration of SH+ and/or similar mental health interventions into the national social protection program in Senegal.</div></div><div><h3>Trial registration</h3><div>This study is registered through ClinicalTrials.gov: <span><span>NCT06698471</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100577"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799054","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":"Beyond belief: understanding contexts for help-seeking for severe mental illness in urban slum communities in Dhaka, Bangladesh and Ibadan, Nigeria","authors":"Ursula M. Read , Bulbul Siddiqi , Kafayat Aminu , Adeola Afolayan , Md Tahsinul Haque , Ashrafuzzaman Khan , Nadia Alam , Srividya N. Iyer , Obafemi Jegede , Akinyinka Omigbodun , Olayinka Omigbodun , Tanjir Rashid Soron , Sagar Jilka , Swaran P. Singh","doi":"10.1016/j.ssmmh.2025.100575","DOIUrl":"10.1016/j.ssmmh.2025.100575","url":null,"abstract":"<div><div>Research on help-seeking for serious mental illness (SMI) has often focused on the influence of cultural beliefs and explanatory models however a number of factors also influence decisions around treatment including availability, cost and quality of care. This study utilises an ecological framework to explore influences on help-seeking for serious mental illness in deprived urban slum communities in Ibadan, Nigeria and Dhaka, Bangladesh. Interviews and observation were conducted with family caregivers and people with lived experience of SMI. Although in both settings some participants speculated on the role of spiritual agents they also expressed uncertainty around the causes of SMI. Families commonly sought help from both biomedical practitioners and traditional and faith healers Help-seeking was embedded within complex ecologies of care, informed by considerations of quality, efficacy and cost, as much as beliefs. The complexity of influences on help-seeking and dissatisfaction with health services as well as healers suggests that a contextually informed, multi-component approach is needed which addresses health system weaknesses and affordability as well as accessibility.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100575"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799052","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}