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Exploring the Association between Aggression and Suicidal Thoughts and Behaviors in an Urban Pediatric Primary Care Setting. 城市儿童初级保健环境中攻击与自杀念头和行为的关系研究。
IF 1.8
Psychiatry international Pub Date : 2026-06-01 Epub Date: 2026-06-02 DOI: 10.3390/psychiatryint7030122
Andrea S Young, Emily T O'Gorman, Eleanor G Wu, Laura Prichett, Robert Yolken, Emily Severance, Juleisa Badio, Destini Carmichael, Tina Kumra
{"title":"Exploring the Association between Aggression and Suicidal Thoughts and Behaviors in an Urban Pediatric Primary Care Setting.","authors":"Andrea S Young, Emily T O'Gorman, Eleanor G Wu, Laura Prichett, Robert Yolken, Emily Severance, Juleisa Badio, Destini Carmichael, Tina Kumra","doi":"10.3390/psychiatryint7030122","DOIUrl":"10.3390/psychiatryint7030122","url":null,"abstract":"<p><p>Rates of suicide among children and adolescents have increased significantly in the past two decades, especially among minoritized youth. Identification of modifiable factors associated with suicidality in diverse samples is important for informing targeted prevention and intervention efforts. Toward this end, this study utilized a multi-informant approach to examine the association between aggression and suicide risk in a urban pediatric sample. Children and adolescents (<i>N</i>=136; 69% Black or African American) between the ages of 6 and 17 (<i>Mage</i> = 11.4 ± 3.0) were recruited while attending a well-child visit at a Baltimore City pediatric primary care clinic. Pediatric participants and their caregivers completed measures of aggressive behavior and depressive problems. Suicide risk was derived from parent-, youth-, and clinician-report of pediatric participants experiencing suicidal thoughts and behaviors. After controlling for demographic variables, results of stepwise logistic regressions revealed that parent- and youth-reported aggressive behavior were significantly associated with suicide risk (OR= 1.18, p =.005 and OR = 1.23, p = .006, respectively). When depressive problems were added to the model, depressive problems were significantly associated with suicide risk (parent-report OR= 1.34, p =.015 and youth-report OR = 1.28, p = .025), but aggressive behavior was no longer significantly associated. Findings from this study suggest that aggression could be an important indicator of suicide risk but not above and beyond the influence of depressive symptoms. In this sample, aggressive behavior may be at least partially explained by depressive symptoms and a manifestation of internal distress.</p>","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":"7 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13268595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267419","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}
引用次数: 0
Psychological Distress Mediates the Relationship Between Perceived Social Isolation and Medical vs. Recreational Marijuana Use Among Adults in the United States. 在美国成年人中,心理困扰介导了感知社会孤立与医疗与娱乐大麻使用之间的关系。
IF 1.8
Psychiatry international Pub Date : 2026-04-01 Epub Date: 2026-03-04 DOI: 10.3390/psychiatryint7020055
Derek S Falk, Christian E Vazquez, Swasati Handique
{"title":"Psychological Distress Mediates the Relationship Between Perceived Social Isolation and Medical vs. Recreational Marijuana Use Among Adults in the United States.","authors":"Derek S Falk, Christian E Vazquez, Swasati Handique","doi":"10.3390/psychiatryint7020055","DOIUrl":"10.3390/psychiatryint7020055","url":null,"abstract":"<p><p>Marijuana use in the United States (U.S.) has diversified alongside expanding legalization, yet little is known about the psychosocial factors that distinguish medical from recreational use. This study examined whether psychological distress mediates the association between perceived social isolation (i.e., loneliness) and marijuana use type among U.S. adults. We analyzed cross-sectional, nationally representative data from the 2024 Health Information National Trends Survey (HINTS, cycle 7). Marijuana use was categorized as medical (including medical and both medical/recreational) versus recreational. Perceived social isolation was measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Isolation t-score, and psychological distress was assessed with the Personal Health Questionnaire (PHQ)-4. Survey-weighted descriptive analyses and a weighted structural equation mediation model accounting for the complex sampling design were conducted. Medical marijuana users reported significantly higher levels of psychological distress and perceived social isolation than recreational users. Greater social isolation was strongly associated with higher psychological distress, and higher distress was associated with a greater likelihood of medical (vs. recreational) marijuana use. The indirect effect of social isolation on marijuana use type through psychological distress was statistically significant, while the direct effect of social isolation was not significant after accounting for distress. Overall, greater perceived social isolation predicted medical marijuana use primarily through elevated psychological distress. These findings suggest that medical marijuana use among U.S. adults may reflect coping with psychological distress linked to social disconnection, underscoring the importance of integrating mental health and social context into clinical and public health approaches to cannabis use.</p>","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":"7 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147501026","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}
引用次数: 0
Threat Conditioning Prior to Cocaine or Sucrose Exposure Alters Reward-Seeking Behavior in a Sex-Dependent Manner. 暴露于可卡因或蔗糖之前的威胁条件反射会以性别依赖的方式改变寻求奖励的行为。
IF 1.8
Psychiatry international Pub Date : 2026-04-01 Epub Date: 2026-04-18 DOI: 10.3390/psychiatryint7020085
Yobet Perez-Perez, Roberto J Morales-Silva, Genesis N Rodriguez-Torres, Rafael Ruiz-Villalobos, Jose C Rivera-Velez, Edgardo G Arlequin-Torres, Elaine M Vera-Torres, Lenin J Godoy-Muñoz, Serena I Fazal, Nilenid Rivera-Aviles, Sofia Neira, Marian T Sepulveda-Orengo
{"title":"Threat Conditioning Prior to Cocaine or Sucrose Exposure Alters Reward-Seeking Behavior in a Sex-Dependent Manner.","authors":"Yobet Perez-Perez, Roberto J Morales-Silva, Genesis N Rodriguez-Torres, Rafael Ruiz-Villalobos, Jose C Rivera-Velez, Edgardo G Arlequin-Torres, Elaine M Vera-Torres, Lenin J Godoy-Muñoz, Serena I Fazal, Nilenid Rivera-Aviles, Sofia Neira, Marian T Sepulveda-Orengo","doi":"10.3390/psychiatryint7020085","DOIUrl":"10.3390/psychiatryint7020085","url":null,"abstract":"<p><strong>Background/objectives: </strong>Research has shown a high prevalence of co-occurring trauma-related disorders and cocaine use disorder (CUD). However, there remains a need for preclinical studies to determine how traumatic event exposure influences vulnerability to CUD development and relapse. In this study, we assessed the impact of traumatic event exposure using a threat conditioning (TC) paradigm, which models traumatic event exposure through associative threat learning on cocaine-seeking behavior in adult male and female rats.</p><p><strong>Methods: </strong>Adult male and female rats were exposed to a single TC session. After TC, the rats underwent cocaine self-administration (SA), extinction training, cue-primed reinstatement, and cocaine-primed reinstatement testing. A parallel cohort was subjected to a sucrose SA cohort to assess whether TC altered non-drug reward seeking in the form of sucrose SA.</p><p><strong>Results: </strong>In the cocaine cohort, stressed male rats exhibited greater cue- and cocaine-primed reinstatement relative to non-stressed males, whereas no reinstatement differences emerged in female rats. In the sucrose cohort, stressed females displayed increased sucrose pellet delivery during self-administration compared to non-stressed females, but no differences were observed during sucrose reinstatement in either male or female rats.</p><p><strong>Conclusions: </strong>These findings indicate that trauma exposure prior to cocaine use influences cocaine relapse-related behavior, as well as non-drug reward reinforcement earning, in a sex-specific manner. Overall, these results highlight the value of associative stress models such as TC for studying trauma-addiction comorbidity and the need to investigate the neurobiological mechanisms driving these sex-specific outcomes.</p>","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":"7 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201495","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}
引用次数: 0
Dysregulated Neuroimmune and Anhedonia-Like Behavioral Response Following Peripheral Immune Challenge in Mice Carrying the Val66Met Brain-Derived Neurotrophic Factor Polymorphism. 携带Val66Met脑源性神经营养因子多态性的小鼠外周免疫攻击后神经免疫失调和快感缺乏样行为反应
IF 1.8
Psychiatry international Pub Date : 2025-07-21 DOI: 10.3390/psychiatryint6030087
Mustafa N Mithaiwala, Allison M Dugan, Miguel A de la Flor, Ashley Acheson, Sandeep K Subramanian, Jason C O'Connor
{"title":"Dysregulated Neuroimmune and Anhedonia-Like Behavioral Response Following Peripheral Immune Challenge in Mice Carrying the Val66Met Brain-Derived Neurotrophic Factor Polymorphism.","authors":"Mustafa N Mithaiwala, Allison M Dugan, Miguel A de la Flor, Ashley Acheson, Sandeep K Subramanian, Jason C O'Connor","doi":"10.3390/psychiatryint6030087","DOIUrl":"10.3390/psychiatryint6030087","url":null,"abstract":"<p><p>Dysregulated inflammatory processes contribute to depression, and gene-environment interactions may influence an individual's risk and resilience. Reduced brain-derived neurotrophic factor (BDNF) expression increases susceptibility for developing depressive symptoms, and the Val66Met (rs6265) single-nucleotide polymorphism (SNP) on the BDNF gene is linked to mood disorders. However, whether Val66Met confers increased vulnerability to inflammation-induced depressive tendencies is unknown. Here, we tested the hypothesis that the Val66Met SNP increases vulnerability to inflammation-induced depressive symptoms in a mouse model of lipopolysaccharide (LPS)-induced depression-like behavior. Behavior and neuroinflammation, following a 24 h LPS challenge, were measured in mice expressing the human BDNF Val66Met gene variant or Val66Val littermates (control). The Val66Met genotype did not affect the peripheral inflammatory response, acute neuroinflammation, or the acute sickness behavior response. Val66Met mice exhibited anhedonia-like behavioral responses following LPS challenge, and we found increased mRNA expression of IL-1β and TNFα in the cerebrum compared to controls. The mRNA expression of IL-1β and TNFα in the hippocampus and the nucleus accumbens of Val66Met mice was increased following LPS, and a significant genotype ×LPS interaction was detected for CD68 expression in the nucleus accumbens. In summary, these data suggest that immune activation in Val66Met mice increased susceptibility to anhedonic behavior and dysregulated negative regulation of inflammation.</p>","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":"6 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698718","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}
引用次数: 0
Identifying Barriers and Pathways to Care Among College Students at Risk of or Diagnosed with First Episode Psychosis. 识别障碍和护理途径的大学生在风险或诊断为首发精神病。
IF 1.8
Psychiatry international Pub Date : 2025-03-01 Epub Date: 2025-02-12 DOI: 10.3390/psychiatryint6010015
Annette S Crisanti, Justine L Saavedra, Sam Barans, Perla M Romero, Natasha Dark, Bess Friedman, David T Lardier, Juan Bustillo, Mauricio Tohen, Rhoshel Lenroot, Cristina Murray-Krezan
{"title":"Identifying Barriers and Pathways to Care Among College Students at Risk of or Diagnosed with First Episode Psychosis.","authors":"Annette S Crisanti, Justine L Saavedra, Sam Barans, Perla M Romero, Natasha Dark, Bess Friedman, David T Lardier, Juan Bustillo, Mauricio Tohen, Rhoshel Lenroot, Cristina Murray-Krezan","doi":"10.3390/psychiatryint6010015","DOIUrl":"10.3390/psychiatryint6010015","url":null,"abstract":"<p><p>Prolonged untreated psychosis worsens outcomes, thus motivating the study of pathways and perceived barriers to care, especially for high-risk age groups like college students. The primary objective of this study was to explore pathways to coordinated specialty care (CSC) and perceived barriers to care in college students at high risk for psychosis or with first-episode psychosis and determine any association between them. Twenty-four college students enrolled in CSC completed the Circumstances of Onset and Relapse Schedule and Barriers to Seeking Psychological Help Scale (BSPHS). Non-parametric tests were used for two-group analyses, and medians and interquartile ranges (IQR) were calculated. The median number of total contacts along the pathway to CSC was 5.0 (IQR = 5.2), with more psychiatric contacts (Mdn. = 3.0, IQR = 2.2) than non-psychiatric contacts (Mdn. = 2.0, IQR = 3.0). Students whose first contact was with non-psychiatric services had longer pathways to care overall, with a higher median number of total psychiatric as well as non-psychiatric contacts relative to students whose first contact was with psychiatric services. With the highest possible total BSPHS score being 5, the median score was 2.7 (IQR = 0.8). Targeted psychosis literacy training for non-mental health professionals and anti-stigma campaigns for college students may help reduce the duration of untreated psychosis.</p>","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":"6 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328305","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}
引用次数: 0
Tangram Puzzles in Patients with Neurocognitive Disorders: A Pilot Study 神经认知障碍患者的七巧板拼图:试点研究
Psychiatry international Pub Date : 2023-12-15 DOI: 10.3390/psychiatryint4040036
Jian Zhang, Narimasa Katsuta, Toshiki Takayama, Narihiro Orimo, Nobuto Shibata, Tadafumi Kato
{"title":"Tangram Puzzles in Patients with Neurocognitive Disorders: A Pilot Study","authors":"Jian Zhang, Narimasa Katsuta, Toshiki Takayama, Narihiro Orimo, Nobuto Shibata, Tadafumi Kato","doi":"10.3390/psychiatryint4040036","DOIUrl":"https://doi.org/10.3390/psychiatryint4040036","url":null,"abstract":"Objective: The tangram puzzle is a serious math puzzle game used to promote mathematic development in children, which improves visuospatial function and creativity. A game to improve cognitive functions is useful for patients with neurocognitive disorders. This pilot study aimed to determine whether this game could improve cognitive function in patients with neurocognitive disorders. Materials: This study recruited patients with mild Alzheimer’s disease or mild cognitive impairment who were followed longitudinally by the Department of Psychiatry, Juntendo University Hospital, or Juntendo Tokyo Koto Geriatric Medical Center (Tokyo, Japan). Methods: Participants were asked to solve Tangram puzzles 2–3 times weekly, spending 30–40 min/session at home with or without family members for approximately 90 (Study 1) or 180 (Study 2) days. Mini-Mental State Examination (MMSE) in Study 1 as well as a Japanese version of the Montreal Cognitive Assessment and Trail Making Test in Study 2 were performed on the initial and final days. Results: Study 1 comprised eight participants and Study 2 comprised nine participants. Statistically significant improvement was observed in MMSE total score (p = 0.016) and orientation segment (p = 0.026) in Study 1. No statistically significant difference was noted in MMSE total score, orientation segment, or MoCA-J (Japanese version of Montreal Cognitive Assessment) score between the initial and final days in Study 2 (p = 0.764, p = 0.583, and p = 0.401, respectively). Conclusions: Study 1 revealed that Tangram puzzles may ameliorate the progression of cognitive functions in patients with neurocognitive disorders within a short time (3 months); however, Study 2 did not show a consistent result. Thus, randomized controlled trials are warranted to draw a conclusion.","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":"123 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999666","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}
引用次数: 0
Suicidal Ideation in People with Traumatic Spinal Cord Injury 创伤性脊髓损伤患者的自杀意念
Psychiatry international Pub Date : 2023-12-06 DOI: 10.3390/psychiatryint4040035
Fabiana Faleiros, Flávia Binati, K. Bimbatti, Kelly Graziani Giacchero Vedana, Jonas Carvalho e Silva, Christoph de Oliveira Käppler, Luís Sousa, Helena José, I. Rabiais, António Almeida, Geyslane Albuquerque
{"title":"Suicidal Ideation in People with Traumatic Spinal Cord Injury","authors":"Fabiana Faleiros, Flávia Binati, K. Bimbatti, Kelly Graziani Giacchero Vedana, Jonas Carvalho e Silva, Christoph de Oliveira Käppler, Luís Sousa, Helena José, I. Rabiais, António Almeida, Geyslane Albuquerque","doi":"10.3390/psychiatryint4040035","DOIUrl":"https://doi.org/10.3390/psychiatryint4040035","url":null,"abstract":"Suicidal behavior is considered a worldwide social phenomenon and a serious public health problem. In this regard, people with traumatic spinal cord injury may be associated with low mood, depression, suicidal ideation, and behavior. To evaluate the factors associated with suicidal ideation in people with SCI, this is quantitative, cross-sectional, descriptive study was carried out in a virtual environment. In total, 200 people aged 18 or over with TSCI living in Brazil took part in the study. Data were collected using the Beck Scale for Suicidal Ideation, answered online by participants using SurveyMonkey®. The sample consisted of 200 participants, most of whom were male, from southeast Brazil, with a mean age of 36.22 years, a duration of injury of 134.4 months, and a 32.5% frequency of suicidal ideation, as suicidal ideation was also verified in relation to the variables of schooling, rehabilitation, and consequence of injury. A statistically significant relationship was found between the duration of injury and suicidal ideation. According to the results, a considerable percentage of these individuals still think about suicide. On the other hand, the duration of the injury showed a significant difference in relation to suicidal ideation, and it was observed that the shorter the duration of spinal cord injury, the greater the likelihood of suicidal ideation.","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138595492","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}
引用次数: 0
Mental Health Peer-Led Cafés—A Complementary Approach to Traditional Crisis Care: A Protocol for a Systematic Scoping Review 精神健康同伴领导的cafei -传统危机护理的补充方法:系统范围审查的协议
Psychiatry international Pub Date : 2023-11-14 DOI: 10.3390/psychiatryint4040033
Michael John Norton
{"title":"Mental Health Peer-Led Cafés—A Complementary Approach to Traditional Crisis Care: A Protocol for a Systematic Scoping Review","authors":"Michael John Norton","doi":"10.3390/psychiatryint4040033","DOIUrl":"https://doi.org/10.3390/psychiatryint4040033","url":null,"abstract":"Introduction: Psychiatric services are gradually becoming more recovery-orientated. With such orientation came the peer movement, a process which began during the civil rights movement of the 1960s and 1970s and has grown exponentially since. In June 2020, the Irish Department of Health released ‘Sharing the Vision’, a policy which envisioned the implementation of crisis cafés as part of mental health service provision. In addition to this, recovery and peer support movements allowed for the timely establishment of peer-led services, thus raising the question: can such crisis cafés as posited in current Irish mental health policy be peer-run? Methods and Analysis: A systematic scoping review is proposed within this paper, the aim of which is to investigate the effectiveness of peer-led cafés on an individual’s recovery journey along with its impact on mental health, safety, and coercion-based outcomes within mental health crisis care. To ensure a transparent and empirically sound approach to the search and reporting of this systematic scoping review, the PRISMA guidelines will be adhered to in this review. Additionally, Arksey and O’Malley’s original framework will be employed to support the adherence to the relevant methodological processes when reporting on this kind of review. Arksey and O’Malley’s original framework presents scoping reviews through a five-step process, which includes stating search terms and searching databases (CINAHL, psycINFO, psycARTICLES, and PubMed) and repositories (Google, Cochrane Online Library, and ETHos), for papers to be included, based on a pre-determined inclusion/exclusion criteria. Discussion: This protocol is the first, to the authors’ knowledge, that reports the qualitative, quantitative, and mixed method evidence into peer-run cafés for mental health crisis management. The use of the PRISMA guidelines and Arksey and O’Malley’s methodological framework enhances the methodological rigour, transparency, reproducibility, and accuracy of this review. The review is limited, as it does not report on study quality or risk of bias. This will not occur in order to maintain its adherence to Arksey and O’Malley’s original framework. The preprint protocol was added to the OSF Registries and is freely available. It will be updated once the paper is published.","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":"54 44","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134902797","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}
引用次数: 0
Suicide Risk Assessment and Prevention Tools in the UK: Current Landscape and Future Directions 自杀风险评估和预防工具在英国:现状和未来的方向
Psychiatry international Pub Date : 2023-10-30 DOI: 10.3390/psychiatryint4040032
Abayomi Arowosegbe, Tope Oyelade
{"title":"Suicide Risk Assessment and Prevention Tools in the UK: Current Landscape and Future Directions","authors":"Abayomi Arowosegbe, Tope Oyelade","doi":"10.3390/psychiatryint4040032","DOIUrl":"https://doi.org/10.3390/psychiatryint4040032","url":null,"abstract":"Suicide is a major global public health problem, with profound implications for individuals, families, and communities. In the United Kingdom (UK), despite efforts to detect and manage suicidal ideas, suicide rates persist, especially among middle-aged men and women, particularly those aged 45 to 54 years. Recent global challenges, such as the COVID-19 pandemic, climate change, conflict, and the environmental crisis, have raised concerns about an increase in suicide rates, particularly among young people. As a result, a population-wide preventive approach based on evidence is imperative to mitigate the projected increase in suicides. To evaluate the effectiveness of suicide prevention strategies, there is a need for an objective and universally accepted risk assessment approach that does not currently exist. This review examines the current landscape of suicide prevention in the United Kingdom and evaluates the strengths and limitations of existing suicide risk assessments tools. The current suicide prevention tools used, including machine learning and mobile applications are discussed. Also, the epidemiological trends in the various regions of the UK, risk factors including age, sex, and socio-economic status are assessed to provide context. Through this discourse, we hope to provide valuable insight for clinicians, researchers, and policy makers about the current landscape of suicide, especially within the United Kingdom, while presenting recommendations regarding areas that require further research and improvement. Accordingly, suicide prevention is and will continue to be a major focus of both the national health service and research in the UK in the strive to reduce the rate of suicide across all regions. Indeed, headways have been made in the use of technology in preventing suicide both locally and globally. However, research should in the future investigate the value of personalized interventions tailored to the various risk factors of suicide and based on appropriate screening and assessment tools.","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":"289 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136023183","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}
引用次数: 0
Virtual Reality Mindfulness for Meta-Competence Training among People with Different Mental Disorders: A Systematic Review 虚拟现实正念在不同精神障碍人群中的元能力训练:系统综述
Psychiatry international Pub Date : 2023-10-18 DOI: 10.3390/psychiatryint4040031
Eleni Mitsea, Athanasios Drigas, Charalabos Skianis
{"title":"Virtual Reality Mindfulness for Meta-Competence Training among People with Different Mental Disorders: A Systematic Review","authors":"Eleni Mitsea, Athanasios Drigas, Charalabos Skianis","doi":"10.3390/psychiatryint4040031","DOIUrl":"https://doi.org/10.3390/psychiatryint4040031","url":null,"abstract":"International psychiatry is facing major challenges due to the rapid increase in mental health issues. The forthcoming mental health crisis has opened the debate about the need to broaden the therapeutic horizons with the implementation of digitally assisted mindfulness practices within psychotherapeutic interventions. Mindfulness training is developing into a promising intervention for a variety of health problems and a booster of well-being. At the same time, virtual reality (VR) and especially immersive technologies are increasingly being used as assistive tools in the training of people with special education needs and disabilities (SEND). Μeta-competences refer to a set of self-development skills that incorporate meta-cognitive and meta-emotional attributes, enabling individuals to be self-conscious, self-regulated, and flexible in every aspect of human life. The current review aims to investigate (i) the efficacy of mindfulness strategies in meta-competence training for SEND and (ii) the role of VR as an assistive technology in mindfulness training. The PRISMA 2020 methodology was utilized to respond to the objectives and research questions. The database search provided 1380 records, and 29 studies met the inclusion criteria. The results showed that mindfulness training has the potential to train meta-cognitive and meta-emotional competences among people with different mental disorders, including Attention Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Intellectual Disability (ID), Depressive Disorder, Stress Disorder, and Specific Learning Disorder. VR was found to be an effective assistive technology, providing significant advantages compared to conventional mindfulness interventions. Mindfulness training assisted by immersive technologies was found to significantly improve a wide range of cognitive and socio-emotional meta-competences, including self-awareness, inhibition control, attention regulation, flexibility, positive thinking, and emotional regulation. The results of this systematic review may provide positive feedback for creating inclusive digital training environments.","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":"257 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135888136","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}
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