This study aimed to examine associations between current tobacco use, passive smoking, and polydrug use (alcohol, tobacco, and cannabis) with mental health problems among Thai adolescents aged 11–18 years. A total 14,322 students from three national cross-sectional surveys (2008, 2015, and 2021) of the Global School-based Student Health Survey (GSHS) in Thailand were included in the analysis. The results reported that polydrug use, tobacco use and passive smoking were significantly associated with mental health outcomes. Compared to adolescents not engaged in any drug use, adolescents with polydrug use (current tobacco use, current alcohol use, and current cannabis use) were more likely lonely (AOR = 2.58, 95% CI [1.58 to 4.22]), had anxiety (AOR = 3.67, 95% CI [2.20 to 6.14]), suicidal ideation (AOR = 3.91, 95% CI [2.29 to 6.68]), made a suicide plan (AOR = 4.12, 95% CI [2.38 to 7.12]), had a suicide attempt (AOR = 6.56, 95% CI [4.15 to 10.38]), and had no close friends (AOR = 1.82, 95% CI [1.05 to 3.15]). The study suggested that in order to lessen the negative impacts on mental health, it is crucial to give adolescents targeted preventative treatments for tobacco use, passive smoking, and polydrug use. Additionally, this study highlights how important it is for teenagers with substance use in Thailand to have access to professional assistance and national suicide hotlines, among other effective mental health preventive methods.
{"title":"Associations between tobacco use, passive smoking and polydrug use with adolescent mental health in Thailand","authors":"Huyen-Trang Luu-Thi , Nazaf Quaiser , Vernard Indranata Pontjoharyo , Karl Peltzer","doi":"10.1016/j.mhp.2026.200479","DOIUrl":"10.1016/j.mhp.2026.200479","url":null,"abstract":"<div><div>This study aimed to examine associations between current tobacco use, passive smoking, and polydrug use (alcohol, tobacco, and cannabis) with mental health problems among Thai adolescents aged 11–18 years. A total 14,322 students from three national cross-sectional surveys (2008, 2015, and 2021) of the Global School-based Student Health Survey (GSHS) in Thailand were included in the analysis. The results reported that polydrug use, tobacco use and passive smoking were significantly associated with mental health outcomes. Compared to adolescents not engaged in any drug use, adolescents with polydrug use (current tobacco use, current alcohol use, and current cannabis use) were more likely lonely (AOR = 2.58, 95% CI [1.58 to 4.22]), had anxiety (AOR = 3.67, 95% CI [2.20 to 6.14]), suicidal ideation (AOR = 3.91, 95% CI [2.29 to 6.68]), made a suicide plan (AOR = 4.12, 95% CI [2.38 to 7.12]), had a suicide attempt (AOR = 6.56, 95% CI [4.15 to 10.38]), and had no close friends (AOR = 1.82, 95% CI [1.05 to 3.15]). The study suggested that in order to lessen the negative impacts on mental health, it is crucial to give adolescents targeted preventative treatments for tobacco use, passive smoking, and polydrug use. Additionally, this study highlights how important it is for teenagers with substance use in Thailand to have access to professional assistance and national suicide hotlines, among other effective mental health preventive methods.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"41 ","pages":"Article 200479"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078095","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}
Pub Date : 2026-03-01Epub Date: 2026-01-06DOI: 10.1016/j.mhp.2026.200474
Lakshmi Neelakantan , Pattie P Gonsalves , Elizabeth M Westrupp
{"title":"Co-design in preventive mental health research: Advancing evidence, equity, and engagement","authors":"Lakshmi Neelakantan , Pattie P Gonsalves , Elizabeth M Westrupp","doi":"10.1016/j.mhp.2026.200474","DOIUrl":"10.1016/j.mhp.2026.200474","url":null,"abstract":"","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"41 ","pages":"Article 200474"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927038","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}
Pub Date : 2026-03-01Epub Date: 2026-02-21DOI: 10.1016/j.mhp.2026.200495
Francois Xavier Ngah Obama
Background
Suicide is usually an attempt to end unbearable suffering, including financial insecurity. However, policymakers are reluctant to raise wages due to concerns about labor costs and unemployment. Liberal theories challenged this neoclassical view, arguing that raising wages may not lead to higher unemployment, a well-known factor in suicide.
Objective
This study examines the role of the minimum wage in the relationship between unemployment and suicide across 76 countries, spanning from 2000 to 2019.
Methods
We use fixed effects with Driscoll-Kraay robust standard errors, the method of moments-quantile regression, and two-stage least squares (2SLS).
Results
The results show that there is a positive and significant association between unemployment and suicide. Additionally, the analysis revealed a U-shaped relationship between minimum wage and unemployment. Furthermore, up to a certain threshold, minimum wages seem to lower suicide rates. Importantly, we find that minimum wages appear to mitigate the influence of unemployment on suicide. However, this result was only significant for three quartiles of the conditional distribution of suicide. A gender-specific analysis revealed that this finding was robust only for male suicide. Meanwhile, regional analyses revealed robustness only in Europe & Central Asia and Sub-Saharan Africa.
Conclusion
These results suggest that labor market policies that raise the minimum wage may also help mitigate the negative association between unemployment and suicide. However, minimum wage adjustments should be implemented within an appropriate socioeconomic context and calibrated to achieve the intended positive outcomes while mitigating potential adverse effects, especially regarding unemployment and inflation.
{"title":"The role of the minimum wage in the effect of unemployment on suicide: Evidence from selected countries around the world","authors":"Francois Xavier Ngah Obama","doi":"10.1016/j.mhp.2026.200495","DOIUrl":"10.1016/j.mhp.2026.200495","url":null,"abstract":"<div><h3>Background</h3><div>Suicide is usually an attempt to end unbearable suffering, including financial insecurity. However, policymakers are reluctant to raise wages due to concerns about labor costs and unemployment. Liberal theories challenged this neoclassical view, arguing that raising wages may not lead to higher unemployment, a well-known factor in suicide.</div></div><div><h3>Objective</h3><div>This study examines the role of the minimum wage in the relationship between unemployment and suicide across 76 countries, spanning from 2000 to 2019.</div></div><div><h3>Methods</h3><div>We use fixed effects with Driscoll-Kraay robust standard errors, the method of moments-quantile regression, and two-stage least squares (2SLS).</div></div><div><h3>Results</h3><div>The results show that there is a positive and significant association between unemployment and suicide. Additionally, the analysis revealed a U-shaped relationship between minimum wage and unemployment. Furthermore, up to a certain threshold, minimum wages seem to lower suicide rates. Importantly, we find that minimum wages appear to mitigate the influence of unemployment on suicide. However, this result was only significant for three quartiles of the conditional distribution of suicide. A gender-specific analysis revealed that this finding was robust only for male suicide. Meanwhile, regional analyses revealed robustness only in Europe & Central Asia and Sub-Saharan Africa.</div></div><div><h3>Conclusion</h3><div>These results suggest that labor market policies that raise the minimum wage may also help mitigate the negative association between unemployment and suicide. However, minimum wage adjustments should be implemented within an appropriate socioeconomic context and calibrated to achieve the intended positive outcomes while mitigating potential adverse effects, especially regarding unemployment and inflation.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"41 ","pages":"Article 200495"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419786","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}
Pub Date : 2026-03-01Epub Date: 2026-02-14DOI: 10.1016/j.mhp.2026.200492
Jessica Jackson , Joshua Paul Irvin Morton , Ann Kirkman , Tracey Harrington , Muhammad Aledeh , Yasuhiro Kotera
Background: Social media is central to young people’s daily lives and holds potential as a platform for mental health promotion. While concerns have been raised about its negative effects, emerging evidence suggests that social media can support interventions promoting psychological well-being.
Objective: To examine whether interventions delivered via social media platforms can promote positive mental health and well-being in young people under 25 years old.
Method: Following the Cochrane Handbook and PRISMA guidelines, this systematic review included studies from seven databases and grey literature sources. Eligible studies evaluated interventions using social media platforms to deliver mental health promotion to individuals under 25. Data extraction and risk of bias were conducted using JBI and GRADE frameworks.
Results: Out of 1429 identified records, six studies met inclusion criteria. Interventions targeted stigma reduction, help-seeking, suicide prevention, and body image concerns. Platforms included Instagram, YouTube, WhatsApp, and Facebook. Co-designed and culturally tailored interventions demonstrated greater engagement. While short-term improvements in awareness, attitudes, and self-efficacy were reported, methodological limitations, such as small sample sizes, lack of control groups, unvalidated measures, and reliance on self-reports, limited generalisability and internal validity.
Conclusion: Social media offers promise for promoting mental health in young people, particularly when interventions are co-designed and culturally adapted. However, evidence remains limited and methodologically weak. Future work should employ robust study designs, include longitudinal follow-ups, and address representational diversity to better understand the effectiveness and scalability of such interventions.
{"title":"Can interventions be delivered on social media platforms to promote mental health in young people? – A systematic literature review","authors":"Jessica Jackson , Joshua Paul Irvin Morton , Ann Kirkman , Tracey Harrington , Muhammad Aledeh , Yasuhiro Kotera","doi":"10.1016/j.mhp.2026.200492","DOIUrl":"10.1016/j.mhp.2026.200492","url":null,"abstract":"<div><div><strong>Background:</strong> Social media is central to young people’s daily lives and holds potential as a platform for mental health promotion. While concerns have been raised about its negative effects, emerging evidence suggests that social media can support interventions promoting psychological well-being.</div><div><strong>Objective:</strong> To examine whether interventions delivered via social media platforms can promote positive mental health and well-being in young people under 25 years old.</div><div><strong>Method:</strong> Following the Cochrane Handbook and PRISMA guidelines, this systematic review included studies from seven databases and grey literature sources. Eligible studies evaluated interventions using social media platforms to deliver mental health promotion to individuals under 25. Data extraction and risk of bias were conducted using JBI and GRADE frameworks.</div><div><strong>Results:</strong> Out of 1429 identified records, six studies met inclusion criteria. Interventions targeted stigma reduction, help-seeking, suicide prevention, and body image concerns. Platforms included Instagram, YouTube, WhatsApp, and Facebook. Co-designed and culturally tailored interventions demonstrated greater engagement. While short-term improvements in awareness, attitudes, and self-efficacy were reported, methodological limitations, such as small sample sizes, lack of control groups, unvalidated measures, and reliance on self-reports, limited generalisability and internal validity.</div><div><strong>Conclusion:</strong> Social media offers promise for promoting mental health in young people, particularly when interventions are co-designed and culturally adapted. However, evidence remains limited and methodologically weak. Future work should employ robust study designs, include longitudinal follow-ups, and address representational diversity to better understand the effectiveness and scalability of such interventions.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"41 ","pages":"Article 200492"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419822","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}
Pub Date : 2026-03-01Epub Date: 2026-01-13DOI: 10.1016/j.mhp.2026.200481
Martie P. Thompson , Justin Cole Gilbert , Savanna Kennedy , Charlie Kingree , Alex G. Langlais , Manan Roy , Sophia C. Ryan
Background
Suicide is a significant public health concern for all ages and is particularly so for youth. The goal of this scoping review was to identify and synthesize the literature on how the COVID-19 pandemic affected suicide risk among 14–24-year-olds in the United States.
Methods
This review followed the PRISMA-ScR guidelines. Two electronic databases (PubMed and PsycINFO) were searched and studies published between January 2020 and July 2024 that met inclusion criteria were included.
Results
Of the 12,947 articles that were screened, 40 met the eligibility criteria. Most of these eligible studies used a trend design, and time (pre-COVID onset versus post-COVID onset) was the most common pandemic measure.
Conclusions
This review suggests that the COVID-19 pandemic was detrimental to the suicide risk of youth and emerging adults. It elucidates the need for preventive interventions to mitigate suicidal behaviors among youth and young adults when a community-wide crisis occurs. Future research should leverage opportunities to follow the same individuals over the course of a crisis.
{"title":"COVID-19 pandemic and suicide risk among youth in the United States: A scoping review","authors":"Martie P. Thompson , Justin Cole Gilbert , Savanna Kennedy , Charlie Kingree , Alex G. Langlais , Manan Roy , Sophia C. Ryan","doi":"10.1016/j.mhp.2026.200481","DOIUrl":"10.1016/j.mhp.2026.200481","url":null,"abstract":"<div><h3>Background</h3><div>Suicide is a significant public health concern for all ages and is particularly so for youth. The goal of this scoping review was to identify and synthesize the literature on how the COVID-19 pandemic affected suicide risk among 14–24-year-olds in the United States.</div></div><div><h3>Methods</h3><div>This review followed the PRISMA-ScR guidelines. Two electronic databases (PubMed and PsycINFO) were searched and studies published between January 2020 and July 2024 that met inclusion criteria were included.</div></div><div><h3>Results</h3><div>Of the 12,947 articles that were screened, 40 met the eligibility criteria. Most of these eligible studies used a trend design, and time (pre-COVID onset versus post-COVID onset) was the most common pandemic measure.</div></div><div><h3>Conclusions</h3><div>This review suggests that the COVID-19 pandemic was detrimental to the suicide risk of youth and emerging adults. It elucidates the need for preventive interventions to mitigate suicidal behaviors among youth and young adults when a community-wide crisis occurs. Future research should leverage opportunities to follow the same individuals over the course of a crisis.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"41 ","pages":"Article 200481"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038138","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}
Many school-based mental health and wellbeing interventions are not sustained beyond initial implementation. Embedding these interventions within communities may promote their sustainability. However, relatively little is known about their implementation and how this is linked to purported outcomes.
Aim
This paper describes the protocol for a flagship study of the ALIVE National Centre for Mental Health Research Translation exploring the implementation of Live4Life, a whole-of-community youth mental health education and suicide prevention intervention for Australian rural and regional communities, guided by three research questions: 1) How is Live4Life implemented? 2) What are the community- and organisation-, school- and individual-level factors that impact the implementation and sustainability of Live4Life? and 3) Are there any associations between implementation factors and any mental health and wellbeing outcomes?
Methods
This study is part of a larger three-year longitudinal evaluation which examines the effect of Live4Life on mental health and wellbeing. It follows a cohort of adolescents when they are in Year 8 (T1), Year 9 (T2), and Year 10 (T3). Data collection for the current study will occur once school communities have implemented all components of the Live4Life model regardless of their implementation phase (e.g., beginning, established) and in parallel with the longitudinal evaluation analyses (i.e., between T2 and T3). This study will employ a mixed methods convergent parallel design using quantitative and qualitative data from surveys, semi-structured individual and group interviews, and documents. Theoretical frameworks guiding the study include the Behavior Change Consortium framework, the Theoretical Domains Framework, and the Consolidated Framework for Implementation Research. Approximately 40 participants in total from five communities in Victoria, Australia will be recruited from among school leaders and staff, community partnership group members, and students. Qualitative data will primarily undergo framework synthesis and quantitative data will be analysed using descriptive statistics.
Discussion
As the first implementation study of Live4Life, findings will address evidence gaps in implementing whole-of-community adolescent mental health interventions. Findings will be disseminated widely to communities, academic, government, and public audiences.
{"title":"A whole-of-community adolescent mental health promotion and suicide prevention intervention (the Live4Life model) in regional Victoria, Australia: protocol for a mixed-methods implementation study","authors":"Monika Raniti , Nina Logan , Nicola Reavley , Lakshmi Neelakantan","doi":"10.1016/j.mhp.2026.200476","DOIUrl":"10.1016/j.mhp.2026.200476","url":null,"abstract":"<div><h3>Background</h3><div>Many school-based mental health and wellbeing interventions are not sustained beyond initial implementation. Embedding these interventions within communities may promote their sustainability. However, relatively little is known about their implementation and how this is linked to purported outcomes.</div></div><div><h3>Aim</h3><div>This paper describes the protocol for a flagship study of the ALIVE National Centre for Mental Health Research Translation exploring the implementation of Live4Life, a whole-of-community youth mental health education and suicide prevention intervention for Australian rural and regional communities, guided by three research questions: 1) How is Live4Life implemented? 2) What are the community- and organisation-, school- and individual-level factors that impact the implementation and sustainability of Live4Life? and 3) Are there any associations between implementation factors and any mental health and wellbeing outcomes?</div></div><div><h3>Methods</h3><div>This study is part of a larger three-year longitudinal evaluation which examines the effect of Live4Life on mental health and wellbeing. It follows a cohort of adolescents when they are in Year 8 (T1), Year 9 (T2), and Year 10 (T3). Data collection for the current study will occur once school communities have implemented all components of the Live4Life model regardless of their implementation phase (e.g., beginning, established) and in parallel with the longitudinal evaluation analyses (i.e., between T2 and T3). This study will employ a mixed methods convergent parallel design using quantitative and qualitative data from surveys, semi-structured individual and group interviews, and documents. Theoretical frameworks guiding the study include the Behavior Change Consortium framework, the Theoretical Domains Framework, and the Consolidated Framework for Implementation Research. Approximately 40 participants in total from five communities in Victoria, Australia will be recruited from among school leaders and staff, community partnership group members, and students. Qualitative data will primarily undergo framework synthesis and quantitative data will be analysed using descriptive statistics.</div></div><div><h3>Discussion</h3><div>As the first implementation study of Live4Life, findings will address evidence gaps in implementing whole-of-community adolescent mental health interventions. Findings will be disseminated widely to communities, academic, government, and public audiences.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"41 ","pages":"Article 200476"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038034","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}
Pub Date : 2026-03-01Epub Date: 2025-11-27DOI: 10.1016/j.mhp.2025.200467
Julia Sze-Wing Wong , Helen Yue-Lai Chan , Iris Fung-Kam Lee , Mark Cheuk-Man Tsang , Stephanie Wai-Shun Wong , Meyrick Chum-Ming Chow
Aim
Resilience is the ability to adapt well to adversity, trauma, tragedy, threats, or significant sources of stress, and it can be learned and developed in anyone. The psychological, social, and mental health of Hong Kong youths has been substantially adversely affected by protests that arose in 2019–2020 and the social and economic impacts of the COVID-19 pandemic in 2020–2022. Nursing students must cope with academic stress and must often overcome unexpected adversity during clinical placements and in transitioning from a student to a registered nurse in their final year of study. Therefore, this study aims to introduce a nurse-led stress management and resilience training (SMART) programme for final-year nursing undergraduates and examine the effectiveness of the programme in improving the students’ resilience and mental health outcomes.
Methods
The proposed project will involve a randomised wait-list-controlled trial. Four hundred final-year nursing undergraduates will be randomly assigned to a wait-list control or intervention group. They will be required to attend three 2.5-hour face-to-face training sessions delivered biweekly. The SMART programme will be delivered by an experienced team, comprising an experienced nurse educator and a certified counsellor. The levels of resilience, stress, anxiety, and depressive symptoms of both groups will be measured using the Connor–Davidson Resilience Scale 10 and the Depression Anxiety and Stress Scale 21 at four time points.
Results
The results of the proposed project will be shared after the completion of the study.
Conclusion
This study will evaluate the effectiveness of the SMART programme among nursing undergraduates.
{"title":"Registered Report Stage I: Effects of a nurse-led stress management and resilience training programme for nursing undergraduates: A study protocol for a randomised wait-list controlled trial","authors":"Julia Sze-Wing Wong , Helen Yue-Lai Chan , Iris Fung-Kam Lee , Mark Cheuk-Man Tsang , Stephanie Wai-Shun Wong , Meyrick Chum-Ming Chow","doi":"10.1016/j.mhp.2025.200467","DOIUrl":"10.1016/j.mhp.2025.200467","url":null,"abstract":"<div><h3>Aim</h3><div>Resilience is the ability to adapt well to adversity, trauma, tragedy, threats, or significant sources of stress, and it can be learned and developed in anyone. The psychological, social, and mental health of Hong Kong youths has been substantially adversely affected by protests that arose in 2019–2020 and the social and economic impacts of the COVID-19 pandemic in 2020–2022. Nursing students must cope with academic stress and must often overcome unexpected adversity during clinical placements and in transitioning from a student to a registered nurse in their final year of study. Therefore, this study aims to introduce a nurse-led stress management and resilience training (SMART) programme for final-year nursing undergraduates and examine the effectiveness of the programme in improving the students’ resilience and mental health outcomes.</div></div><div><h3>Methods</h3><div>The proposed project will involve a randomised wait-list-controlled trial. Four hundred final-year nursing undergraduates will be randomly assigned to a wait-list control or intervention group. They will be required to attend three 2.5-hour face-to-face training sessions delivered biweekly. The SMART programme will be delivered by an experienced team, comprising an experienced nurse educator and a certified counsellor. The levels of resilience, stress, anxiety, and depressive symptoms of both groups will be measured using the Connor–Davidson Resilience Scale 10 and the Depression Anxiety and Stress Scale 21 at four time points.</div></div><div><h3>Results</h3><div>The results of the proposed project will be shared after the completion of the study.</div></div><div><h3>Conclusion</h3><div>This study will evaluate the effectiveness of the SMART programme among nursing undergraduates.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"41 ","pages":"Article 200467"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712289","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}
Pub Date : 2026-03-01Epub Date: 2026-01-22DOI: 10.1016/j.mhp.2026.200485
Peta Stapleton , Matthew D. Blanchard
Aim
This study aimed to evaluate the impact of a daily mindfulness meditation program on emotional, behavioural, and wellbeing outcomes among Australian primary school students. The study was run across a school term for students aged 4.5 to 12 years.
Method
a daily intervention study was conducted with primary school students across junior (n = 1312) and senior (n = 223) levels over 8–9 weeks using the Smiling Mind Primary School Program, a freely available digital mindfulness-based social and emotional learning program. Outcomes measured included emotional difficulties, behavioural difficulties, happiness, wellbeing (junior students), and mindfulness (senior students).
Results
Emotional and behavioural difficulties decreased significantly, and wellbeing (junior) and mindfulness (senior) improved over time. Happiness showed a significant improvement only at week 3. Most gains occurred in the first week and were maintained, with limited incremental improvements thereafter. Students with low-to-moderate baseline difficulties demonstrated the greatest benefits.
Conclusions
Daily mindfulness practice produced small but meaningful improvements in emotional regulation, behavioural functioning, and wellbeing. Effects were strongest early in the intervention and varied by baseline severity, supporting the role of daily mindfulness as a universal preventive strategy in schools. Limitations and future directions are discussed.
{"title":"Daily mindfulness meditation for improved student outcomes: An Australian primary school trial","authors":"Peta Stapleton , Matthew D. Blanchard","doi":"10.1016/j.mhp.2026.200485","DOIUrl":"10.1016/j.mhp.2026.200485","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to evaluate the impact of a daily mindfulness meditation program on emotional, behavioural, and wellbeing outcomes among Australian primary school students. The study was run across a school term for students aged 4.5 to 12 years.</div></div><div><h3>Method</h3><div>a daily intervention study was conducted with primary school students across junior (<em>n</em> = 1312) and senior (<em>n</em> = 223) levels over 8–9 weeks using the Smiling Mind Primary School Program, a freely available digital mindfulness-based social and emotional learning program. Outcomes measured included emotional difficulties, behavioural difficulties, happiness, wellbeing (junior students), and mindfulness (senior students).</div></div><div><h3>Results</h3><div>Emotional and behavioural difficulties decreased significantly, and wellbeing (junior) and mindfulness (senior) improved over time. Happiness showed a significant improvement only at week 3. Most gains occurred in the first week and were maintained, with limited incremental improvements thereafter. Students with low-to-moderate baseline difficulties demonstrated the greatest benefits.</div></div><div><h3>Conclusions</h3><div>Daily mindfulness practice produced small but meaningful improvements in emotional regulation, behavioural functioning, and wellbeing. Effects were strongest early in the intervention and varied by baseline severity, supporting the role of daily mindfulness as a universal preventive strategy in schools. Limitations and future directions are discussed.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"41 ","pages":"Article 200485"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078094","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}
Pub Date : 2026-03-01Epub Date: 2026-01-22DOI: 10.1016/j.mhp.2026.200486
Ellie Tsiamis , Nicola J Reavley , Anthony F Jorm , Stephen Carbone , Amy Morgan
Background
The aim of this study was to explore the attitudes of Australian professionals with expertise in mental health promotion and prevention towards prevention of mental ill-health and their support for government action in this area.
Methods
Seventy-three professionals with experience in mental health prevention and promotion were recruited through key public health, mental health promotion and prevention membership networks in Australia. An online survey explored attitudes towards the prevention of mental and physical health problems and support for government action. Respondents were also asked to rank the top priority areas and age groups in which the government should invest.
Results
Professionals supported increased spending on mental ill-health prevention, with 58.9% [95% CI: 47.2, 69.7] in support of the government spending equal amounts on prevention and treatment of mental ill-health. Over a third (35.6%, [95% CI: 25.4, 47,4]) supported spending more on prevention than treatment. Compared to physical health, professionals were more likely to assign responsibility for mental health to the government rather than individuals (p < 0.001, Cohen’s d – 0.51). Professionals prioritised intervening earlier in life, particularly adolescence and childhood. Addressing social inequalities and reducing child abuse and neglect were rated as the top areas requiring government action.
Conclusion
Our findings reveal strong support among professionals for mental ill-health prevention initiatives and increased government involvement and investment. The alignment between professional opinions and the growing body of evidence supporting prevention interventions earlier in life, particularly those addressing social determinants, highlights the importance of making prevention a core element of mental health policy.
{"title":"Upstream thinking: Professionals' attitudes on mental ill-health prevention in Australia","authors":"Ellie Tsiamis , Nicola J Reavley , Anthony F Jorm , Stephen Carbone , Amy Morgan","doi":"10.1016/j.mhp.2026.200486","DOIUrl":"10.1016/j.mhp.2026.200486","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study was to explore the attitudes of Australian professionals with expertise in mental health promotion and prevention towards prevention of mental ill-health and their support for government action in this area.</div></div><div><h3>Methods</h3><div>Seventy-three professionals with experience in mental health prevention and promotion were recruited through key public health, mental health promotion and prevention membership networks in Australia. An online survey explored attitudes towards the prevention of mental and physical health problems and support for government action. Respondents were also asked to rank the top priority areas and age groups in which the government should invest.</div></div><div><h3>Results</h3><div>Professionals supported increased spending on mental ill-health prevention, with 58.9% [95% CI: 47.2, 69.7] in support of the government spending equal amounts on prevention and treatment of mental ill-health. Over a third (35.6%, [95% CI: 25.4, 47,4]) supported spending more on prevention than treatment. Compared to physical health, professionals were more likely to assign responsibility for mental health to the government rather than individuals (<em>p</em> < 0.001, Cohen’s d – 0.51). Professionals prioritised intervening earlier in life, particularly adolescence and childhood. Addressing social inequalities and reducing child abuse and neglect were rated as the top areas requiring government action.</div></div><div><h3>Conclusion</h3><div>Our findings reveal strong support among professionals for mental ill-health prevention initiatives and increased government involvement and investment. The alignment between professional opinions and the growing body of evidence supporting prevention interventions earlier in life, particularly those addressing social determinants, highlights the importance of making prevention a core element of mental health policy.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"41 ","pages":"Article 200486"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078093","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}
Pub Date : 2026-03-01Epub Date: 2026-01-21DOI: 10.1016/j.mhp.2026.200484
Michelle Y. Yang , Sydney M. Parker , Karey L. O'Hara , Colleen E. Sullivan , Aaron R. Lyon
Objective
Children exposed to high levels of post-separation interparental conflict (IPC) are at elevated risk for mental health, behavioral, and academic difficulties. Although coping-focused interventions show promise, broad dissemination requires optimization for effectiveness, affordability, scalability, and engagement. This study applied a human-centered design (HCD) approach to inform the development of a digital coping intervention for children exposed to IPC by evaluating the acceptability, usability, and contextual fit of an early prototype.
Methods
We conducted qualitative interviews with 20 family law professionals, 15 separated parents, and 11 children; design surveys with 11 children; and user testing sessions with 7 professionals, 6 parents, and 5 children. Data were analyzed using a combination of deductive and inductive coding and thematic analysis to identify design priorities, incorporate feedback on design decisions, and evaluate prototype modules.
Results
Across stakeholder groups, participants emphasized the importance of a program that is trustworthy, engaging, developmentally appropriate, accessible to diverse families, and safe and private for children. They highlighted the value of features that fostered children’s feelings of hope, reassurance, validation, and empowerment to cope with and navigate IPC. User testing demonstrated high perceived usability and acceptability of the prototype, while also identifying specific areas for refinement related to clarity, pacing, and customization.
Conclusion
Findings provide an empirical foundation for the continued development of a digital coping intervention to promote mental health among children exposed to IPC. This study demonstrates how HCD methods can align intervention design and contexts of intended users in court-adjacent prevention programs.
{"title":"Human-centered design of a digital coping intervention for children experiencing post-separation interparental conflict","authors":"Michelle Y. Yang , Sydney M. Parker , Karey L. O'Hara , Colleen E. Sullivan , Aaron R. Lyon","doi":"10.1016/j.mhp.2026.200484","DOIUrl":"10.1016/j.mhp.2026.200484","url":null,"abstract":"<div><h3>Objective</h3><div>Children exposed to high levels of post-separation interparental conflict (IPC) are at elevated risk for mental health, behavioral, and academic difficulties. Although coping-focused interventions show promise, broad dissemination requires optimization for effectiveness, affordability, scalability, and engagement. This study applied a human-centered design (HCD) approach to inform the development of a digital coping intervention for children exposed to IPC by evaluating the acceptability, usability, and contextual fit of an early prototype.</div></div><div><h3>Methods</h3><div>We conducted qualitative interviews with 20 family law professionals, 15 separated parents, and 11 children; design surveys with 11 children; and user testing sessions with 7 professionals, 6 parents, and 5 children. Data were analyzed using a combination of deductive and inductive coding and thematic analysis to identify design priorities, incorporate feedback on design decisions, and evaluate prototype modules.</div></div><div><h3>Results</h3><div>Across stakeholder groups, participants emphasized the importance of a program that is trustworthy, engaging, developmentally appropriate, accessible to diverse families, and safe and private for children. They highlighted the value of features that fostered children’s feelings of hope, reassurance, validation, and empowerment to cope with and navigate IPC. User testing demonstrated high perceived usability and acceptability of the prototype, while also identifying specific areas for refinement related to clarity, pacing, and customization.</div></div><div><h3>Conclusion</h3><div>Findings provide an empirical foundation for the continued development of a digital coping intervention to promote mental health among children exposed to IPC. This study demonstrates how HCD methods can align intervention design and contexts of intended users in court-adjacent prevention programs.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"41 ","pages":"Article 200484"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147421075","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}