BJPsych Open最新文献

{"title":"Impact of young people's admissions to adult mental health wards in England: national qualitative study.","authors":"Anne-Marie Burn, Josephine Holland, James Roe, Elinor Hopkin, Lorna Wild, Michelle Fisher, Tamsin Ford, Saeed Nazir, Bernadka Dubicka, Anthony James, Helena Tuomainen, Nicole Fung, Adam Wagner, Richard Morriss, Kapil Sayal","doi":"10.1192/bjo.2024.850","DOIUrl":"10.1192/bjo.2024.850","url":null,"abstract":"<p><strong>Background: </strong>National policy in England recommends that young people be admitted to mental health wards that are age-appropriate. Despite this, young people continue to be admitted to adult wards.</p><p><strong>Aims: </strong>To explore the impact of young people's admissions to adult wards, from the perspectives of young people, parents/carers and mental health professionals working in adult services.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with 29 participants to explore experiences of receiving and delivering care in adult mental health wards. Participants were four young people (aged 16-17 years), four parents/carers and 21 mental health professionals from adult mental health services in England. Data were analysed using framework analysis.</p><p><strong>Results: </strong>Young people's admissions to adult wards tend to occur out of hours, at a time of crisis and when no suitable adolescent bed is available. Admissions were conceptualised as a short-term safety measure rather than for any therapeutic input. Concerns were raised about safeguarding, limited treatment options and a lack of education provision for young people on adult wards. However, exceptionally, for older adolescents, an adult ward might be clinically or socially appropriate. Recommendations to reduce adult ward admissions included better integration of adolescent and adult services, having more flexible policies and increasing community provision.</p><p><strong>Conclusions: </strong>Our findings emphasise the importance of young people being admitted to age-appropriate in-patient facilities. Earlier intervention and increased provision of specialist care in the community could prevent young people's admissions to adult wards.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e53"},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards a human-rights-based framework for assessing psychiatric intervention for children and young people.","authors":"Jill Stavert, John Watts, Ulrike M E Schulze, Anja Malmendier-Muehlschegel","doi":"10.1192/bjo.2024.856","DOIUrl":"10.1192/bjo.2024.856","url":null,"abstract":"<p><p>Decisions around psychiatric interventions for children and young people involve balancing respect for the child's wishes, the need to provide benefit and relevant risk factors. We recommend establishing a framework for assessment of interventions for children with mental disabilities, using a human-rights-based approach that can be applied across jurisdictions, alongside national laws.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e50"},"PeriodicalIF":3.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A clinical decision support alert to promote timely laxative use in in-patients prescribed clozapine.","authors":"Milan Sundermann, Susanna Every-Palmer, Murray Barclay, Paul K L Chin","doi":"10.1192/bjo.2025.1","DOIUrl":"10.1192/bjo.2025.1","url":null,"abstract":"<p><strong>Background: </strong>Clozapine-induced gastrointestinal hypomotility and constipation can result in severe and sometimes fatal gastrointestinal complications. Laxatives should be prophylactically prescribed with clozapine, but this is inconsistently achieved. Digital clinical decision support (CDS) alerts can promote safer prescribing.</p><p><strong>Aims: </strong>To evaluate whether a CDS alert could promote timely laxative use with clozapine in hospital.</p><p><strong>Method: </strong>Retrospective in-patient prescribing data was used to compare co-prescribing of laxatives for first clozapine prescriptions pre-alert (January 2017-September 2019) and post-alert (September 2019-December 2023) implementation across 1194 hospital admissions where clozapine was prescribed. Regular non-bulking laxative and any laxative co-prescribing for first clozapine prescriptions within 24 h were assessed. Multivariable logistic regression was performed to determine the impact of alert implementation on laxative co-prescribing.</p><p><strong>Results: </strong>Of the 1194 admissions included, 449 admissions had clozapine prescribed pre-alert implementation and 745 admissions had post-alert implementation. Regular non-bulking laxative co-prescription occurred for 67.0% of first clozapine prescriptions pre-alert and 76.1% post-alert (<i>P</i> < 0.001). Any laxative co-prescription occurred for 87.3% of first clozapine prescriptions pre-alert and 96.5% post-alert (<i>P</i> < 0.001). Alert implementation was associated with increased likelihoods of regular non-bulking laxative co-prescribing (odds ratio, 1.341; 95% CI, 1.021-1.756; <i>P</i> = 0.035) and any laxative co-prescribing (odds ratio, 3.487; 95% CI, 2.135-5.838; <i>P</i> < 0.001) for first clozapine prescriptions within 24 h.</p><p><strong>Conclusions: </strong>CDS alert implementation was associated with increased and earlier laxative co-prescribing for clozapine. Our findings suggest that a CDS alert is an effective tool for promoting timely laxative use with clozapine in hospital.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e51"},"PeriodicalIF":3.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proactive psychosocial follow-up of youth exposed to a terrorist attack: longitudinal study linking interviews and register-based data.","authors":"Lise Eilin Stene, Kristin Alve Glad, Synne Øien Stensland, Lisa Govasli Nilsen, Grete Dyb","doi":"10.1192/bjo.2024.838","DOIUrl":"10.1192/bjo.2024.838","url":null,"abstract":"<p><strong>Background: </strong>Knowledge on efficient approaches to the provision of post-disaster psychosocial care is urgently needed. To prevent unmet healthcare needs, proactive follow-up by municipal contact persons was recommended for survivors of the Utøya youth camp attack in Norway.</p><p><strong>Aims: </strong>To examine characteristics of the survivors by whether or not they had a contact person in the early (0-5 months), intermediary (5-15 months) and long-term (20-32 months) aftermath of the attack, and to describe the survivors' experiences with the contact person.</p><p><strong>Method: </strong>We analysed data from three waves of interviews with survivors conducted 4-5, 14-15 and 30-32 months after the attack, as well as register-based data on the use of mental health services from 3 years before until 3 years after the attack.</p><p><strong>Results: </strong>Survivors with a contact person early post-attack were less likely to receive care from mental health services concurrently or to have anxiety/depression symptoms subsequently compared with survivors without a contact person in the same period. Survivors with a contact person in the intermediary aftermath were more satisfied with the overall help they received, but also more likely to have long-term anxiety/depression symptoms. Survivors with a contact person in the long term were more likely to be financially disadvantaged. Approximately half of the survivors with a contact person found this highly or very highly useful, whereas one-third found it of little use or not at all useful.</p><p><strong>Conclusions: </strong>The proactive outreach reached survivors across sociodemographic characteristics during the recommended first year of follow-up, which could be conducive to prevention of unmet healthcare needs. Still, there was considerable variation in the perceived usefulness and duration of the follow-up.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e48"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Representation of women in scientific subjects: overview of systematic reviews investigating career progress in academic publishing with a focus on mental health.","authors":"Til Wykes, Sanchita Garg, Daniel Stahl, Ayse Kostem, Emma Wilson-Lemoine","doi":"10.1192/bjo.2024.820","DOIUrl":"10.1192/bjo.2024.820","url":null,"abstract":"<p><strong>Background: </strong>Women's authorship position in science, technology, engineering, mathematics and medicine research reflects career progression, especially the transition from first to last (usually senior) author. Employment of women in mental health sciences has increased, and so should have had an impact on the change to senior author position.</p><p><strong>Aims: </strong>To identify if first or last women's authorship has changed, and mental health has better representation.</p><p><strong>Method: </strong>We investigated women's authorship position in a systematic review and meta-analyses, following PRISMA guidelines and using random-effects regression analyses.</p><p><strong>Results: </strong>We identified 149 studies with sampling periods from 1975 to 2020 (excluding potential COVID-19 pandemic effects) that showed a large variation of women authors, and found an average proportion for first (26.2%) and last (16.1%) author position. In mental health (psychology and psychiatry), there was a higher representation, with 40% first author and 36.7% last author position, whereas medicine was 25.9% and 19.5%, respectively. The rate of change for psychology and psychiatry women authors was also higher every 10 years: 8.56% (95% CI 6.44-10.69%) for first and 6.86% (95% CI 4.57-9.15%) for last author, and rate was 2.35% higher for first author and 2.65% higher for last author than in medicine. Different methods of classifying gender and identification method did not affect our results.</p><p><strong>Conclusions: </strong>Although mental health topics seem to fare better, our comprehensive review highlighted that the proportions of women first compared with last authors shows the same leaky pipeline as in other analyses, so we cannot be complacent about gender equality and career progression.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e49"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a nationwide whole-school approach to mental health and well-being in 40 149 Australian secondary school students: cluster quasi-experimental study.","authors":"Roshini Balasooriya Lekamge, Md Nazmul Karim, Leo Chen, Dragan Ilic","doi":"10.1192/bjo.2024.843","DOIUrl":"10.1192/bjo.2024.843","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is the peak life stage for the development of mental illness. Whole-school approaches to mental health and well-being, modelled on the World Health Organization's Health-Promoting Schools Framework, hold vast potential in this developmentally sensitive period. However, the evidence base for these interventions is inconclusive.</p><p><strong>Aims: </strong>Our study examines the effectiveness of The Resilience Project School Partnership Program, a whole-school intervention involving students, teachers and parents, centred around concepts of gratitude, empathy, emotional literacy and mindfulness.</p><p><strong>Methods: </strong>A quasi-experimental study with an intervention and a control arm was used to evaluate the programme in 40 149 students across 102 schools in 2023. Data collected included sociodemographic information and outcomes derived from validated scales, comprising life satisfaction, hope, coping skills, anxiety and depression. Intervention schools were stratified by the number of years they had implemented the programme, and mixed-effects regression models were used to evaluate the programme.</p><p><strong>Results: </strong>After adjusting for confounders, participants at schools who had been implementing the programme for 6 years or longer demonstrated significantly better outcomes across all five domains (life satisfaction: <i>B</i> = 0.627, 95% CI 0.465-0.789; hope: <i>B</i> = 2.135, 95% CI 0.895-3.347; coping skills: <i>B</i> = 0.438, 95% CI 0.250-0.625; anxiety: odds ratio = 0.658, 95% CI 0.559-0.774; depression: odds ratio = 0.534, 95% CI 0.459-0.620). Only depression was significantly lower among participants at schools in their fourth or fifth year of implementing the programme (odds ratio = 0.941, 95% CI 0.935-0.948).</p><p><strong>Conclusions: </strong>Our findings indicate that whole-school interventions may require long-term investment to realise their potential and highlight implementation duration as an important consideration for future evaluations of whole-school interventions.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e47"},"PeriodicalIF":3.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of loneliness and social isolation among individuals with mild cognitive impairment or dementia: systematic review and meta-analysis.","authors":"André Hajek, Hans-Helmut König","doi":"10.1192/bjo.2024.865","DOIUrl":"10.1192/bjo.2024.865","url":null,"abstract":"<p><strong>Background: </strong>A systematic review/meta-analysis synthesising the existing evidence regarding the prevalence of loneliness and social isolation among individuals with mild cognitive impairment (MCI) or dementia is lacking.</p><p><strong>Aims: </strong>A systematic review and meta-analysis was conducted to investigate the prevalence and factors associated with loneliness and social isolation among individuals with MCI or dementia.</p><p><strong>Method: </strong>A search was conducted in five established electronic databases. Observational studies reporting prevalence and, where available, factors associated with loneliness/isolation among individuals with MCI and individuals with dementia, were included. Important characteristics of the studies were extracted.</p><p><strong>Results: </strong>Out of 7427 records, ten studies were included. The estimated prevalence of loneliness was 38.6% (95% CI 3.7-73.5%, <i>I</i>² = 99.6, <i>P</i> < 0.001) among individuals with MCI. Moreover, the estimated prevalence of loneliness was 42.7% (95% CI 33.8-51.5%, <i>I</i>² = 90.4, <i>P</i> < 0.001) among individuals with dementia. The estimated prevalence of social isolation was 64.3% (95% CI 39.1-89.6%, <i>I</i>² = 99.6, <i>P</i> < 0.001) among individuals with cognitive impairment. Study quality was reasonably high. It has been found that living alone and more depressive symptoms are associated with a higher risk of loneliness among individuals with dementia.</p><p><strong>Conclusions: </strong>Social isolation, and in particular loneliness, are significant challenges for individuals with MCI and dementia. This knowledge can contribute to supporting successful ageing among such individuals. Future research in regions beyond Asia and Europe are clearly required. In addition, challenges such as chronic loneliness and chronic social isolation should be examined among individuals with MCI or dementia.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e44"},"PeriodicalIF":3.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of self-injurious behaviour and early traumatic experiences: associations with emotional reactivity, depression and aggression in university students.","authors":"Irina Jarvers, Elisa Heidingsfelder, Angelika Ecker, Stephanie Kandsperger, Romuald Brunner, Daniel Schleicher","doi":"10.1192/bjo.2024.862","DOIUrl":"10.1192/bjo.2024.862","url":null,"abstract":"<p><strong>Background: </strong>A lifetime history of non-suicidal self-injury (NSSI) is a risk factor for subsequent behavioural and emotional problems, including depression, aggression and heightened emotional reactivity. Traumatic experiences, which are frequently reported by individuals with NSSI, also show predictive links to these mental health problems. However, the exact connections between these areas and their subdomains remain unclear.</p><p><strong>Aims: </strong>To explore in detail the relationships of specific characteristics of NSSI (e.g. termination in adolescence, duration, frequency, reinforcement mechanisms) and various types of traumatic experience (emotional, physical, sexual) with distinct aspects of emotional reactivity (sensitivity, intensity, persistence), aggression (behavioural, cognitive, affective) and severity of depression in university students.</p><p><strong>Method: </strong>Via online survey, 150 university students aged 18 to 25 years, who had self-injured at least once, provided information on NSSI, and completed questionnaires including the Childhood Trauma Questionnaire, Patient Health Questionnaire, Emotion Reactivity Scale, and Aggression Questionnaire. Regression analyses were conducted to determine risk factors linked to increased depression scores, aggression and emotional reactivity. The study was pre-registered in the German Clinical Trials Register (DRKS00023731).</p><p><strong>Results: </strong>Childhood emotional abuse contributed to emotional reactivity, aggression and depressive symptom severity (<i>β</i> = 0.33-0.51). Risk factors for sustained NSSI beyond adolescence included increased automatic positive reinforcement (odds ratio: 2.24).</p><p><strong>Conclusions: </strong>Childhood emotional abuse significantly contributes to emotional and behavioural problems and needs to be considered in NSSI therapy. NSSI was found to persist into adulthood when used as an emotion regulation strategy.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e45"},"PeriodicalIF":3.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the experiences of family, friends and carers attending Recovery Colleges: focus group study.","authors":"Bryher Bowness, Sarah Bicknell, Lana Samuels, Yasma Osman, Vanessa Kellermann, Claire Henderson, Vanessa Lawrence","doi":"10.1192/bjo.2024.852","DOIUrl":"10.1192/bjo.2024.852","url":null,"abstract":"<p><strong>Background: </strong>Family and friends (family carers) provide substantial support to those with mental ill health, often affecting their own well-being. Subsequently, family carers have their own recovery journeys. Research highlights numerous benefits of attending Recovery Colleges, but whether these apply for family carers remains unexplored.</p><p><strong>Aims: </strong>We aimed to explore family carers' experiences of attending Recovery Colleges across England, to understand current provision and how this might better include and support family carers.</p><p><strong>Method: </strong>Together with lived experience researchers, this qualitative focus group study used collaborative thematic analysis of online focus groups and interviews with family carers and Recovery College staff from across England.</p><p><strong>Results: </strong>We generated six superordinate themes: 'The \"carer\" identity is not clearcut', 'Recovery ethos applies to family carers too', 'Power of lived experience', 'Educational focus is appealing', 'Family carers deserve recognition and provision' and 'Reaching out and fitting around family carers'. Attending Recovery Colleges developed family carers understandings and gave them skills to navigate services and support themselves and others, which furthered their own recovery journeys. Shared learning spaces were helpful, but participants felt these were not always oriented to include family carers. Our findings revealed ways Recovery Colleges could increase their relevance and accessibility to family carers.</p><p><strong>Conclusions: </strong>The unique characteristics of Recovery Colleges suited the recovery needs of family carers. However, more resources are needed to develop this potential and reach more family carers. Family carer co-researchers enriched our findings, and discussions with the Recovery College community furthered our recommendations for practice.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e43"},"PeriodicalIF":3.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poor mental health and its impact on academic outcomes in university students before and during the COVID-19 pandemic: analysis of routine service data.","authors":"Brian C F Ching, Jane S Hahn, Sarah Corrie, Rhiannon Thomas, Anca Alba","doi":"10.1192/bjo.2024.868","DOIUrl":"10.1192/bjo.2024.868","url":null,"abstract":"<p><strong>Background: </strong>There is an urgent need to understand explanatory factors of poor mental health before (pre-) and during (peri-) the COVID-19 pandemic in university students, especially those from underrepresented and minority groups.</p><p><strong>Aims: </strong>To examine potential differences and explanatory factors for psychological distress, clinical risk and impact of problems on academic outcomes pre- and peri-pandemic in university students.</p><p><strong>Method: </strong>A repeated cross-sectional design was used with routine data between August 2018 and July 2022 at the registration stage from a student counselling and mental health service at a UK university. Wilcoxon signed-rank tests were used to examine pre- and peri-pandemic differences in outcomes. Unadjusted and adjusted linear regression models were conducted to assess potential explanatory factors for poor outcomes.</p><p><strong>Results: </strong>A total of 9517 university students had completed sociodemographic and outcome data and were included in analysis. Psychological distress and impact of problems on academic outcomes were not significantly different between pre- and peri-pandemic groups. Clinical risk was significantly higher in the pre-pandemic than peri-pandemic group. Potential explanatory factors for poorer outcomes included being younger, female or non-binary/genderqueer, sexual minority, from a minority ethnic group, having home fee status and having a disability registration.</p><p><strong>Conclusions: </strong>Poor student mental health profiles and related explanatory factors may not have changed drastically between pre- and peri-pandemic. Longitudinal methods and intersectional approaches should be used in future research. Further understanding of how universities and student mental health services can most efficiently and effectively support the mental health of university students is crucially warranted.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e46"},"PeriodicalIF":3.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}