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Associations between tobacco use, passive smoking and polydrug use with adolescent mental health in Thailand 烟草使用、被动吸烟和多种药物使用与泰国青少年心理健康之间的关系
IF 2.4 Q2 Medicine Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.mhp.2026.200479
Huyen-Trang Luu-Thi , Nazaf Quaiser , Vernard Indranata Pontjoharyo , Karl Peltzer
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.
本研究旨在调查泰国11-18岁青少年当前烟草使用、被动吸烟和多种药物使用(酒精、烟草和大麻)与心理健康问题之间的关系。来自泰国全球校本学生健康调查(GSHS)的三次全国横断面调查(2008年、2015年和2021年)的14,322名学生被纳入分析。结果表明,多种药物使用、烟草使用和被动吸烟与心理健康结果显著相关。相比,青少年不从事任何吸毒,青少年polydrug使用(目前的烟草使用,目前使用酒精,和当前吸食大麻)更有可能孤独(AOR = 2.58, 95% CI[1.58 - 4.22]),有焦虑(AOR = 3.67, 95% CI[2.20 - 6.14]),自杀意念(AOR = 3.91, 95% CI[2.29 - 6.68]),做了一个自杀计划(AOR = 4.12, 95% CI[2.38 - 7.12]),有一个自杀(AOR = 6.56, 95% CI[4.15 - 10.38]),并没有亲密的朋友(AOR = 1.82, 95% CI[1.05 - 3.15])。该研究表明,为了减少对心理健康的负面影响,对青少年的烟草使用、被动吸烟和多种药物使用进行有针对性的预防治疗至关重要。此外,这项研究强调了泰国吸毒青少年获得专业援助和国家自杀热线以及其他有效的心理健康预防方法的重要性。
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引用次数: 0
Co-design in preventive mental health research: Advancing evidence, equity, and engagement 预防性心理健康研究的共同设计:推进证据、公平和参与
IF 2.4 Q2 Medicine Pub Date : 2026-03-01 Epub Date: 2026-01-06 DOI: 10.1016/j.mhp.2026.200474
Lakshmi Neelakantan , Pattie P Gonsalves , Elizabeth M Westrupp
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引用次数: 0
The role of the minimum wage in the effect of unemployment on suicide: Evidence from selected countries around the world 最低工资在失业对自杀的影响中的作用:来自世界各地选定国家的证据
IF 2.4 Q2 Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-21 DOI: 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.
自杀通常是为了结束无法忍受的痛苦,包括经济上的不安全感。然而,由于担心劳动力成本和失业率,政策制定者不愿提高工资。自由主义理论对这种新古典主义观点提出了挑战,认为提高工资可能不会导致更高的失业率,而失业率是导致自杀的一个众所周知的因素。本研究考察了2000年至2019年76个国家的最低工资在失业与自杀之间关系中的作用。方法采用Driscoll-Kraay稳健标准误差固定效应、矩量-分位数回归和两阶段最小二乘(2SLS)方法。结果失业与自杀之间存在显著正相关。此外,该分析还揭示了最低工资与失业率之间的u型关系。此外,在达到某一临界值后,最低工资似乎会降低自杀率。重要的是,我们发现最低工资似乎减轻了失业对自杀的影响。然而,这一结果仅对自杀的条件分布的三个四分位数有意义。一项针对性别的分析显示,这一发现仅适用于男性自杀。与此同时,区域分析显示,只有欧洲、中亚和撒哈拉以南非洲地区表现强劲。结论提高最低工资的劳动力市场政策也可能有助于缓解失业与自杀之间的负相关关系。然而,最低工资调整应在适当的社会经济背景下实施,并进行校准,以实现预期的积极结果,同时减轻潜在的不利影响,特别是在失业和通货膨胀方面。
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引用次数: 0
Can interventions be delivered on social media platforms to promote mental health in young people? – A systematic literature review 能否在社交媒体平台上提供干预措施,以促进年轻人的心理健康?-系统的文献综述
IF 2.4 Q2 Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-14 DOI: 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.
背景:社交媒体对年轻人的日常生活至关重要,并具有作为促进心理健康平台的潜力。虽然人们对其负面影响表示担忧,但新出现的证据表明,社交媒体可以支持促进心理健康的干预措施。目的:研究通过社交媒体平台提供的干预措施是否能促进25岁以下年轻人的积极心理健康和幸福感。方法:根据Cochrane手册和PRISMA指南,本系统综述纳入了来自7个数据库和灰色文献来源的研究。符合条件的研究评估了使用社交媒体平台向25岁以下个人提供心理健康促进的干预措施。使用JBI和GRADE框架进行数据提取和偏倚风险评估。结果:在1429份确定的记录中,有6项研究符合纳入标准。干预措施的目标是减少耻辱感、寻求帮助、预防自杀和身体形象问题。平台包括Instagram、YouTube、WhatsApp和Facebook。共同设计和文化定制的干预措施显示出更大的参与度。虽然报告了在意识、态度和自我效能方面的短期改善,但方法上的局限性,如样本量小、缺乏对照组、未经验证的测量、依赖自我报告、有限的普遍性和内部效度。结论:社交媒体为促进年轻人的心理健康提供了希望,特别是当干预措施是共同设计和文化适应的时候。然而,证据仍然有限,方法上也很薄弱。未来的工作应采用稳健的研究设计,包括纵向随访,并解决代表性多样性,以更好地了解此类干预措施的有效性和可扩展性。
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引用次数: 0
COVID-19 pandemic and suicide risk among youth in the United States: A scoping review COVID-19大流行与美国青少年自杀风险:范围审查
IF 2.4 Q2 Medicine Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 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.
背景自杀是所有年龄段的一个重要的公共卫生问题,对青少年来说尤其如此。本综述的目的是识别和综合有关COVID-19大流行如何影响美国14 - 24岁青少年自杀风险的文献。方法本综述遵循PRISMA-ScR指南。检索了两个电子数据库(PubMed和PsycINFO),并纳入了2020年1月至2024年7月期间发表的符合纳入标准的研究。结果在筛选的12947篇文章中,有40篇符合入选标准。大多数符合条件的研究使用了趋势设计,时间(covid前发病与covid后发病)是最常见的大流行衡量标准。结论2019冠状病毒病大流行对青少年和初成人的自杀风险有不利影响。它阐明了预防干预措施的必要性,以减轻自杀行为在青年和青年成人当一个社区范围的危机发生。未来的研究应该利用在危机过程中跟踪同一个人的机会。
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引用次数: 0
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 澳大利亚维多利亚州地区的全社区青少年心理健康促进和自杀预防干预(Live4Life模式):混合方法实施研究的协议
IF 2.4 Q2 Medicine Pub Date : 2026-03-01 Epub Date: 2026-01-07 DOI: 10.1016/j.mhp.2026.200476
Monika Raniti , Nina Logan , Nicola Reavley , Lakshmi Neelakantan

Background

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.
背景:许多以学校为基础的心理健康和福祉干预措施在最初实施后无法持续。将这些干预措施纳入社区可促进其可持续性。然而,人们对它们的实施以及如何将其与预期的结果联系起来知之甚少。目的:本文描述了ALIVE国家心理健康研究中心的旗舰研究的协议翻译,探索Live4Life的实施,这是一项针对澳大利亚农村和地区社区的全社区青少年心理健康教育和自杀预防干预,以三个研究问题为指导:1)如何实施Live4Life ?2)影响Live4Life的实施和可持续性的社区、组织、学校和个人层面的因素是什么?3)实施因素与任何心理健康和福祉结果之间是否存在关联?这项研究是一项为期三年的大型纵向评估的一部分,该评估旨在检验Live4Life对心理健康和幸福的影响。它跟踪了一群8年级(T1)、9年级(T2)和10年级(T3)的青少年。一旦学校社区实施了Live4Life模型的所有组件,无论其实施阶段(例如,开始,建立),并与纵向评估分析(即,在T2和T3之间)同时进行,当前研究的数据收集将开始。本研究将采用混合方法趋同平行设计,使用来自调查、半结构化个人和团体访谈以及文件的定量和定性数据。指导本研究的理论框架包括行为改变联盟框架、理论领域框架和实施研究综合框架。来自澳大利亚维多利亚州五个社区的约40名参与者将从学校领导和教职员工、社区合作小组成员和学生中招募。定性数据将主要进行框架综合,定量数据将使用描述性统计进行分析。作为Live4Life的第一个实施研究,研究结果将解决在实施全社区青少年心理健康干预方面的证据差距。调查结果将广泛传播给社区、学术界、政府和公众。
{"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 ,&nbsp;Nina Logan ,&nbsp;Nicola Reavley ,&nbsp;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}
引用次数: 0
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 注册报告第一阶段:护士主导的压力管理和弹性训练计划对护理本科生的影响:一项随机等待名单对照试验的研究方案
IF 2.4 Q2 Medicine Pub Date : 2026-03-01 Epub Date: 2025-11-27 DOI: 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.
弹性是一种能够很好地适应逆境、创伤、悲剧、威胁或重大压力来源的能力,任何人都可以学习和发展这种能力。护理专业的学生必须应付学业上的压力,并且必须在临床实习和在最后一年的学习中从学生过渡到注册护士的过程中经常克服意想不到的逆境。因此,本研究旨在引入护士主导的压力管理和心理弹性训练(SMART)计划,并研究该计划在提高学生心理弹性和心理健康结果方面的有效性。方法本研究采用随机等待对照试验。400名即将毕业的护理本科生将被随机分配到等候名单控制组或干预组。他们将被要求参加三个2.5小时的面对面培训课程,每两周一次。SMART课程将由经验丰富的团队提供,包括一名经验丰富的护士教育工作者和一名认证辅导员。两组的心理弹性、压力、焦虑和抑郁症状的水平将在四个时间点使用康纳-戴维森心理弹性量表10和抑郁焦虑和压力量表21进行测量。建议项目的结果将在研究完成后分享。结论本研究旨在评估SMART计划在护理本科生中的有效性。
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引用次数: 0
Daily mindfulness meditation for improved student outcomes: An Australian primary school trial 每日正念冥想提高学生成绩:一项澳大利亚小学试验
IF 2.4 Q2 Medicine Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 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.
目的本研究旨在评估澳大利亚小学生每日正念冥想计划对情绪、行为和健康结果的影响。这项研究是在一个学期内对4.5到12岁的学生进行的。方法对初中生(n = 1312)和高中生(n = 223)进行了为期8-9周的日常干预研究,使用了微笑心灵小学计划,这是一个免费的基于正念的数字社会和情感学习计划。测量的结果包括情绪困难、行为困难、幸福感、幸福感(初中生)和正念(高中生)。结果随着时间的推移,情绪和行为困难显著减少,幸福感(初级)和正念(高级)得到改善。幸福感在第三周才有了显著的提高。大多数收益发生在第一周并保持不变,此后有有限的增量改善。低至中等基线困难的学生表现出最大的益处。每天的正念练习在情绪调节、行为功能和幸福感方面产生了微小但有意义的改善。在干预的早期效果最强,并且随着基线严重程度的变化而变化,这支持了日常正念作为学校普遍预防策略的作用。讨论了局限性和未来发展方向。
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引用次数: 0
Upstream thinking: Professionals' attitudes on mental ill-health prevention in Australia 上游思维:澳大利亚专业人员对心理疾病预防的态度
IF 2.4 Q2 Medicine Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 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.
背景:本研究的目的是探讨具有精神健康促进和预防专业知识的澳大利亚专业人员对预防精神疾病的态度以及他们对政府在这一领域采取行动的支持。方法通过澳大利亚主要的公共卫生、心理健康促进和预防会员网络招募73名具有心理健康预防和促进经验的专业人员。一项在线调查探讨了人们对预防身心健康问题的态度以及对政府行动的支持。受访者还被要求列出政府应该优先投资的领域和年龄段。结果:专业人员支持增加对精神疾病预防的支出,58.9% [95% CI: 47.2, 69.7]支持政府在精神疾病预防和治疗方面的支出相等。超过三分之一(35.6%,[95%置信区间:25.4,47,4])的人支持在预防方面的支出高于治疗。与身体健康相比,专业人员更倾向于将心理健康的责任归咎于政府而不是个人(p < 0.001, Cohen’s d - 0.51)。专业人士优先考虑在生命早期进行干预,尤其是青春期和儿童期。解决社会不平等和减少虐待和忽视儿童被列为需要政府采取行动的首要领域。结论专业人士对精神疾病预防措施的支持力度较大,政府的参与和投入也有所增加。越来越多的证据支持在生命早期采取预防干预措施,特别是针对社会决定因素的干预措施,专业意见与这些证据之间的一致性凸显了将预防作为精神卫生政策核心要素的重要性。
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引用次数: 0
Human-centered design of a digital coping intervention for children experiencing post-separation interparental conflict 以人为本的数字化应对干预设计,用于经历分离后父母间冲突的儿童
IF 2.4 Q2 Medicine Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 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.
目的暴露于高水平的分离后父母间冲突(IPC)的儿童在心理健康、行为和学业困难方面的风险较高。虽然以应对为重点的干预措施显示出希望,但广泛传播需要优化有效性、可负担性、可扩展性和参与度。本研究采用以人为中心的设计(HCD)方法,通过评估早期原型的可接受性、可用性和情境契合度,为接触IPC的儿童制定数字应对干预措施提供信息。方法对20名家庭法律专业人员、15名离异父母和11名儿童进行定性访谈;对11名儿童进行设计调查;7名专业人士,6名家长和5名孩子参与了用户测试。使用演绎和归纳编码以及主题分析相结合的方法分析数据,以确定设计优先级,结合设计决策的反馈,并评估原型模块。在各个利益相关者群体中,参与者都强调了一个值得信赖、吸引人、适合发展、适合不同家庭、对儿童安全、私密的项目的重要性。他们强调了培养儿童希望、安心、认可和授权的功能的价值,以应对和驾驭IPC。用户测试证明了原型的高可用性和可接受性,同时还确定了与清晰度、节奏和定制相关的特定改进区域。结论研究结果为持续开发数字化应对干预措施以促进IPC暴露儿童的心理健康提供了实证基础。本研究展示了HCD方法如何在法院附近的预防项目中使干预设计和预期用户的背景保持一致。
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Mental Health and Prevention
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