BJPsych Open最新文献

{"title":"Variations between, and within, jurisdictions in the use of community treatment orders and other compulsory community treatment: study of 402 060 people across four Australian states.","authors":"Steve Kisely, Claudia Bull, Tessa Zirnsak, Vrinda Edan, Morgan Gould, Sharon Lawn, Edwina Light, Chris Maylea, Giles Newton-Howes, Christopher James Ryan, Penelope Weller, Lisa Brophy","doi":"10.1192/bjo.2025.23","DOIUrl":"10.1192/bjo.2025.23","url":null,"abstract":"<p><strong>Background: </strong>The use of compulsory community treatment (CCT) in Australia is some of the highest worldwide despite limited evidence of effectiveness. Even within Australia, use varies widely across jurisdictions despite general similarities in legislation and health services. However, there is much less information on whether variation occurs within the same jurisdiction.</p><p><strong>Aims: </strong>To measure variations in the use of CCT in a standardised way across the following four Australian jurisdictions: Queensland, South Australia, New South Wales (NSW) and Victoria. We also investigated associated sociodemographic variables.</p><p><strong>Methods: </strong>We used aggregated administrative data from the Australian Institute of Health and Welfare.</p><p><strong>Results: </strong>There were data on 402 060 individuals who were in contact with specialist mental health services, of whom 51 351 (12.8%) were receiving CCT. Percentages varied from 8% in NSW to 17.6% in South Australia. There were also wide variations within jurisdictions. In NSW, prevalence ranged from 2% to 13%, in Victoria from 6% to 24%, in Queensland from 11% to 25% and in South Australia from 6% to 36%. People in contact with services who were male, single and aged between 25 and 44 years old were significantly more likely to be subject to CCT, as were people living in metropolitan areas or those born outside Oceania.</p><p><strong>Conclusions: </strong>There are marked variations in the use of CCT both within and between Australian jurisdictions. It is unclear how much of this variation is determined by clinical need and these findings may be of relevance to jurisdictions with similar clinician-initiated orders.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e57"},"PeriodicalIF":3.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673294","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":"Suicide-related stigma and its relationship with help-seeking, mental health, suicidality and grief: scoping review.","authors":"Jessica M Wyllie, Kathryn A Robb, David Sandford, Marianne E Etherson, Nadia Belkadi, Rory C O'Connor","doi":"10.1192/bjo.2024.857","DOIUrl":"10.1192/bjo.2024.857","url":null,"abstract":"<p><strong>Background: </strong>Suicide-related stigma (i.e. negative attitudes towards people with suicidal thoughts and/or behaviours as well as those bereaved by suicide) is a potential risk factor for suicide and mental health problems. To date, there has been no scoping review investigating the association between suicide-related stigma and mental health, help-seeking, suicide and grief across several groups affected by suicide.</p><p><strong>Aims: </strong>To determine the nature of the relationship between suicide-related stigma and mental health, help-seeking, grief (as a result of suicide bereavement) and suicide risk.</p><p><strong>Method: </strong>This review was registered with PROSPERO (CRD42022327093). Five databases (Web of Science, APA PsycInfo, Embase, ASSIA and PubMed) were searched, with the final update in May 2024. Studies were included if they were published in English between 2000 and 2024 and assessed both suicide-related stigma AND one of the following: suicide, suicidal thoughts or suicidal behaviours, help-seeking, grief or other mental health variables. Following screening of 14 994 studies, 100 eligible studies were identified. Following data charting, cross-checking was conducted to ensure no relevant findings were missed.</p><p><strong>Results: </strong>Findings across the studies were mixed. However, most commonly, suicide-related stigma was associated with higher levels of suicide risk, poor mental health, lowered help-seeking and grief-related difficulties. A model of suicide-related stigma has been developed to display the directionality of these associations.</p><p><strong>Conclusions: </strong>This review emphasises the importance of reducing the stigma associated with suicide and suicidal behaviour to improve outcomes for individuals affected by suicide. It also identifies gaps in our knowledge as well as providing suggestions for future research.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e60"},"PeriodicalIF":3.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673290","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":"Psychometric validation of the Bangla Digital Addiction Scale for Teenagers and its associated factors among adolescents: MeLiSA study.","authors":"Firoj Al-Mamun, Mohammed A Mamun, Moneerah Mohammad ALmerab, Johurul Islam, David Gozal, Mohammad Muhit","doi":"10.1192/bjo.2025.10","DOIUrl":"10.1192/bjo.2025.10","url":null,"abstract":"<p><strong>Background: </strong>Digital addiction among adolescents is an escalating concern with profound psychological implications, yet validated tools to measure it and studies exploring its relationship remain limited.</p><p><strong>Aims: </strong>To validate the Bangla Digital Addiction Scale for Teenagers (Bangla DAST) and identify factors of digital addiction among Bangladeshi adolescents.</p><p><strong>Methods: </strong>Using a two-stage stratified cluster sampling method, data from 1496 adolescents in Bangladesh were collected and analysed using non-parametric tests, Spearman correlations and multiple regression models.</p><p><strong>Results: </strong>The two-factor structure, encompassing attachment to digital devices (Factor 1) and compulsive use in different places (Factor 2) was supported by confirmatory factor analysis (comparative fit index 0.97, Tucker-Lewis index 0.95, root mean square error of approximation 0.06 [90% CI: 0.056-0.07] and standardised root mean square residual 0.048). McDonald's omega was 0.81 for the total scale, 0.77 for Factor 1 and 0.63 for Factor 2. Convergent validity was supported by significant associations between digital addiction and psychological symptoms. Factors of digital addiction included age (<i>b</i> = 0.517, <i>P</i> = 0.020), academic grade (<i>b</i> = 0.737, <i>P</i> = 0.021), depression (<i>b</i> = 0.334, <i>P</i> < 0.001), anxiety (<i>b</i> = 0.400, <i>P</i> < 0.001) and insomnia (<i>b</i> = 0.504, <i>P</i> < 0.001). In contrast, female gender (<i>b</i> = -1.250, <i>P</i> = 0.001), not sleeping alone (<i>b</i> = -0.846, <i>P</i> = 0.029) and reduced smartphone usage (<i>b</i> = -1.895, <i>P</i> < 0.001) were associated with lower digital addiction scores. The model accounted for 23.1% of the variance in digital addiction.</p><p><strong>Conclusions: </strong>The Bangla DAST appears to be a psychometrically valid and reliable tool and can be used for further studies assessing digital addiction among Bangladeshi adolescents. The study highlights the need for targeted preventive measures, particularly focusing on at-risk groups.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e55"},"PeriodicalIF":3.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662234","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":"Modifiable unhealthy lifestyle behaviours in subclinical manifestations of attention-deficit hyperactivity disorder: what are the first empirical results and putative clinical implications?","authors":"Kristin Annawald, Thomas Meyer","doi":"10.1192/bjo.2024.837","DOIUrl":"10.1192/bjo.2024.837","url":null,"abstract":"<p><p>Attention-deficit hyperactivity disorder (ADHD) is one of the most common mental disorders in adolescents, and a full syndrome diagnosis requires a combination of persistent symptoms. In a multicentre cross-sectional study from Italy using a non-clinical sample from a secondary school comprising 440 adolescents, published in this issue of BJPsych Open, Gostoli et al examined whether unhealthy lifestyle habits are linked to both clinical manifestation of ADHD and subclinical symptomatology. In line with the literature, the authors demonstrate an association between clinical ADHD diagnosis, unhealthy lifestyle behaviours and psychosocial impairments. Modifiable, adverse lifestyle behaviours are also prevalent in subclinical ADHD manifestations. This observation may be important for child and adolescent psychiatry when considering targeted health promotion approaches that delay or prevent progression from subclinical to clinical ADHD. In this article, we discuss from a clinical perspective the putative relevance of addressing subclinical ADHD symptoms in the context of the existing literature.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e66"},"PeriodicalIF":3.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662229","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":"Fluctuations in dispensed out-patient psychotropic medication prescriptions during the COVID-19 pandemic in The Netherlands.","authors":"Damian A Visser, Daphne S Everaerd, Hannah Ellerbroek, Janneke R Zinkstok, Indira Tendolkar, Femke Atsma, Arnt F A Schellekens","doi":"10.1192/bjo.2024.867","DOIUrl":"10.1192/bjo.2024.867","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic and lockdowns had a significant impact on mental well-being and (mental) healthcare systems globally.</p><p><strong>Aims: </strong>To describe trends and dynamics of out-patient prescribing of psychotropic medications during the COVID-19 pandemic in The Netherlands.</p><p><strong>Method: </strong>Dispensed psychotropic medication prescriptions during the COVID-19 pandemic from March 2020 to March 2022 were retrieved from national registry data. Numbers of total and incident dispensed prescriptions and defined daily doses (DDDs) were identified for six medication groups. Overall pandemic-related changes in prescribing trends were analysed using interrupted time-series analyses. Lockdown-related prescribing dynamics were described using monthly risk ratios.</p><p><strong>Results: </strong>No overall pandemic-related changes in prescribing were detected, except for alcohol addiction medication, for which a pre-pandemic decline in total dispensed prescriptions and DDDs levelled off during the pandemic: +10 prescriptions per week (95% CI 7-11, <i>P</i> ≤ 0.001) and +111 DDDs per week (95% CI 56-165, <i>P</i> = 0.001). Monthly prescribing dynamics showed transient increases in all medication groups during the second and third lockdown periods. There were decreases in dispensed incident antidepressant and opioid addiction medication prescriptions during the first lockdown (average risk ratios: 0.87 and 0.88 respectively), and DDDs of dispensed incident and total attention-deficit hyperactivity disorder medication prescriptions and incident benzodiazepine prescriptions were elevated from the end of the second lockdown (average risk ratios: 1.40, 1.12 and 1.17, respectively).</p><p><strong>Conclusions: </strong>These findings raise concerns regarding possible over- and under-prescribing during the pandemic. Further understanding of specific factors driving these changes is necessary to help prepare for future mental health(care) challenges.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e64"},"PeriodicalIF":3.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662215","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":"Mental health among Chinese university students during COVID-19: 28-month, ten-wave longitudinal study.","authors":"Wendy Wen Li, Daniel Miller, Christopher Rouen, Fang Yang, Huizhen Yu","doi":"10.1192/bjo.2024.869","DOIUrl":"10.1192/bjo.2024.869","url":null,"abstract":"<p><strong>Background: </strong>The cumulative effects of long-term exposure to pandemic-related stressors and the severity of social restrictions may have been important determinants of mental distress in the time of COVID-19.</p><p><strong>Aim: </strong>This study aimed to investigate mental health among a cohort of Chinese university students over a 28-month period, focusing on the effects of lockdown type.</p><p><strong>Methods: </strong>Depression, anxiety, stress and fear of COVID-19 infection were measured ten times among 188 Chinese students (females 77.7%, mean_age = 19.8, s.d._age = 0.97), every 3 months: from prior to the emergence of COVID-19 in November 2019 (T1) to March 2022 (T10).</p><p><strong>Results: </strong>Initially depression, anxiety and stress dipped from T1 to T2, followed by a sudden increase at T3 and a slow upward rise over the remainder of the study period (T3 to T10). When locked down at university, participants showed greater mental distress compared with both home lockdown (<i>d</i> = 0.35-0.48) and a no-lockdown comparison period (<i>d</i> = 0.28-0.40). Conversely, home lockdown was associated with less anxiety and stress (<i>d</i> = 0.19 and 0.21, respectively), but not with depression (<i>d</i> = 0.13) compared with a no-lockdown period.</p><p><strong>Conclusions: </strong>This study highlights the cumulative effects of exposure to COVID-19 stressors over time. It also suggests that the way in which a lockdown is carried out can impact the well-being of those involved. Some forms of lockdown appear to pose a greater threat to mental health than others.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e56"},"PeriodicalIF":3.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662224","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":"Randomised controlled trial of a brief theory-based online intervention to reduce self-harm.","authors":"Chris Keyworth, Jessica Z Leather, Leah Quinlivan, Rory C O'Connor, Christopher J Armitage","doi":"10.1192/bjo.2025.2","DOIUrl":"10.1192/bjo.2025.2","url":null,"abstract":"<p><strong>Background: </strong>Forming 'if-then' plans has been shown to reduce self-harm among people admitted to hospital following an episode of self-harm.</p><p><strong>Aims: </strong>To explore whether the same intervention, delivered online, could prevent future self-harm among a large community sample who had previously self-harmed.</p><p><strong>Method: </strong>UK adults were recruited to a randomised controlled trial and received either an intervention to reduce self-harm or one to reduce sedentariness (control group). Randomisation was stratified to ensure both groups were representative of the UK population. There were three primary outcomes: non-suicidal self-injury (NSSI), suicidal ideation and suicide attempts, assessed at baseline and 6 months post-intervention.</p><p><strong>Results: </strong>Participants (1040) were randomised to the intervention (<i>n</i> = 520) or control (<i>n</i> = 520) group. The vast majority of people formed implementation intentions in both the experimental (<i>n</i> = 459 (88.3%)) and control (<i>n</i> = 520 (100%)) condition. Overall, the intervention did not significantly reduce the frequency of NSSI, suicidal ideation or suicide attempts. Among people who had self-harmed in the past week at follow-up, mixed analysis of covariance revealed a significant interaction between time and condition for reflective motivation, <i>F</i>(1,102) = 7.08, <i>P</i> < 0.01, <i>p</i>_n² = 0.07, such that significantly lower levels of reflective motivation were reported at follow-up in the control condition, <i>t</i>(57) = 2.42, <i>P</i> = 0.02.</p><p><strong>Conclusions: </strong>This web-based intervention has limited utility for reducing self-reported self-harm or suicidal ideation in adults with a history of self-harm. Further work is needed to improve the effectiveness of brief interventions for self-harm aimed at adults living in the community and to understand the conditions under which the intervention may or may not be effective.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e63"},"PeriodicalIF":3.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655759","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":"The voices not heard: thematic analysis of asylum seekers' explanatory models of mental illness as elicited by the Cultural Formulation Interview.","authors":"Lukas Claus, Mario Braakman, Meryam Schouler-Ocak, Laura Van de Vliet, Bernard Sabbe, Seline van den Ameele","doi":"10.1192/bjo.2024.866","DOIUrl":"10.1192/bjo.2024.866","url":null,"abstract":"<p><strong>Background: </strong>Asylum seekers have difficulty gaining access to mental healthcare. Lack of understanding of asylum seekers' mental illness explanatory models appears to be an important barrier. Gaining a better understanding of these explanatory models is crucial for ensuring the inclusion of asylum seekers in healthcare services. The Cultural Formulation Interview (CFI) might help to explore asylum seekers' explanatory models of mental illness.</p><p><strong>Aims: </strong>To analyse asylum seekers' explanatory models as elicited by the CFI.</p><p><strong>Methods: </strong>The CFI and its first supplementary module were carried out with asylum seekers with mental health problems. Transcriptions of the interviews underwent reflexive thematic analysis within a social constructivist framework.</p><p><strong>Results: </strong>In the analysis of 25 illness narratives, three major themes characterising asylum seekers' explanatory models were identified: a burden of the past, a disenabling current reality, and a personal position and individual experience.</p><p><strong>Conclusions: </strong>The interplay among pre-, peri- and post-migration experiences, having a continuous impact on asylum seekers' mental health, was highlighted by the themes 'a burden of the past', and 'a disenabling current reality'. The theme 'a personal position and individual experience' revealed how the CFI enables self-determination in clinical encounters by embracing uncertainty and questioning the medicalisation of distress. The analysis characterises asylum seekers' symptoms as a personal idiom of distress within socio-relational contexts. The CFI provides a clinically useful framework for exploring asylum seekers' explanatory models and fostering dynamic understanding.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e62"},"PeriodicalIF":3.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655937","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 lived experience and support needs of parents of suicidal adolescents to inform an online parenting programme: qualitative study.","authors":"Alice Cao, Glenn A Melvin, Ling Wu, Mairead C Cardamone-Breen, Chloe A Salvaris, Patrick Olivier, Anthony F Jorm, Marie B H Yap","doi":"10.1192/bjo.2024.855","DOIUrl":"10.1192/bjo.2024.855","url":null,"abstract":"<p><strong>Background: </strong>Suicidal ideation and behaviours are common among adolescents, posing significant challenges. Parents have a protective role in mitigating this risk, yet they often feel ill-equipped to support their adolescents, and their specific support needs are not well understood.</p><p><strong>Aims: </strong>To explore the lived experiences of parents with suicidal adolescents and identify their support needs in the context of a therapist-assisted online parenting programme.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with three stakeholder groups based in Australia: nine parents with lived experience caring for a suicidal adolescent, five young people who experienced suicidality during adolescence and five clinical/research experts in youth mental health/suicide prevention. Inductive thematic analysis was used to analyse and interpret findings.</p><p><strong>Results: </strong>Three key themes highlight the experience of parenting a suicidal adolescent: the traumatising emotional experience, uncertainty and parent empowerment. Six themes described parents' support needs: validation and support, practical and tailored strategies, rebuilding the parent-adolescent relationship, parental self-care, flexible and accessible modes of delivery, and understanding non-suicidal self-injury.</p><p><strong>Conclusions: </strong>Findings highlight key themes of parenting a suicidal adolescent and parental support needs. An online parenting programme could offer parents flexible access to evidence-based parenting strategies. Yet, a purely digital approach may not address the complexities of the parent-adolescent dynamic and provide adequate tailoring. As such, a hybrid approach incorporating therapist support can provide parents with both the compassionate support and practical guidance they seek.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e61"},"PeriodicalIF":3.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655941","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 and correlates of depression among Thai university students: nationwide study.","authors":"Nucharapon Liangruenrom, Mohsen Joshanloo, Wannee Hutaphat, Sirinan Kittisuksathit","doi":"10.1192/bjo.2025.21","DOIUrl":"10.1192/bjo.2025.21","url":null,"abstract":"<p><strong>Background: </strong>Depression is a growing mental health concern among university students worldwide, including in Thailand. Studies show that between 17 and 40% of Thai university students experience depressive symptoms, although these studies often focus on specific groups and use different measures.</p><p><strong>Aims: </strong>This study aimed to investigate the prevalence and associated factors of depressive disorders among university students across Thailand.</p><p><strong>Method: </strong>Data were collected with the HAPPINOMETER and the Patient Health Questionnaire-9 scale as part of a nationwide cross-sectional survey. A total of 14 621 students from 33 universities participated in the survey. A series of binary logistic regression analyses were performed to examine the effect of sociodemographic characteristics and health behaviours on the presence of depression.</p><p><strong>Results: </strong>The results revealed that 31.4% of students experienced depressive symptoms, with 14.2% having major depressive disorder. The students who identified as non-binary had the highest odds of having depression (adjusted odds ratio 2.10, 95% CI 1.7-2.6, <i>P</i> < 0.001). Other specific subgroups were also found to be particularly vulnerable, including women, fourth-year students and those studying in Bangkok, without part-time jobs, living alone and engaging in risky health behaviours like smoking, heavy drinking and poor diet.</p><p><strong>Conclusions: </strong>The findings underscore the need for comprehensive mental health support and targeted interventions within Thai universities, especially for at-risk subpopulations. Leveraging the existing collaborative networks among Thai universities presents a unique opportunity to mount a coordinated effort in developing and implementing comprehensive mental health strategies tailored to the needs of this vulnerable population.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e59"},"PeriodicalIF":3.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655816","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}