Mental Health Factors Research Articles

Alcohol Dependence Among Adult Males in Chengalpattu District, South India: A Mixed Methods Study.

Introduction Post-pandemic alcohol consumption is on the rise due to people starting to adapt themselves to the practice of consuming alcoholic beverages at home. In addition to the direct effects of intoxication and addiction, estimates suggest that alcohol contributes to approximately 20-30% of global cases of oesophagal cancer, liver cancer, cirrhosis of the liver, homicide, epilepsy, and motor vehicle accidents. In India, one-fifth of alcohol consumers were found to be alcohol dependent. The study was done with the primary objective of finding out the prevalence of alcohol dependence among alcohol users and exploring the reasons for alcohol dependence among alcohol users in an urban area of Chengalpattu District, Tamil Nadu. Methodology The study design is an explanatory sequential mixed-methods study. It was done among 624 adult male alcohol consumers in the Chennai district, selected by the cluster sampling method in a community setting. The Alcohol Use Disorders Identification Test (AUDIT) was used to diagnose alcohol dependence. Using the purposive sampling method, in-depth interviews were conducted among 24 alcohol-dependent people to explore and understand their experiences, identify common themes, and provide insights into the problem. Quantitative data were analysed using Statistical Package for Social Sciences (SPSS) version 26 (IBM Corp., Armonk, NY), and qualitative data were analysed using deductive content analysis using Qualcoder software. Results The mean age of the study participants was 38±7 years. Among current alcohol consumers, 16.9% (106/624) were found to be suffering from alcohol dependence. The significant predictors of alcohol dependence were found to be unskilled occupation (adjusted odds ratio [AOR] = 2.09), having suicidal ideation (AOR = 2.4), alcohol consumption by family members (AOR = 1.90), depression (AOR = 3.98), drinking pattern-affected interpersonal relationships (AOR = 2.29), and not receiving health education about alcohol use in school/college (AOR = 1.74). The major themes and codes identified among alcohol dependents were factors related to mental health, physical health, and social factors. Conclusion This study provides essential points of reference for policymakers and primary care physicians to develop prevention strategies for people to understand and overcome the problem of alcohol addiction, and it also sheds light on the burden of alcohol dependence and their lived experiences.

Examining risk and protective factors for mental health among school-going tribal adolescents in Meghalaya, India: Insights from the communities that care youth survey [CTC-YS

Risk and protective factors play crucial roles in shaping problem behavior, substance use, and mental health outcomes among adolescents. The study aims to examine the risk and protective factors and their association with emotional and behavioral problems among school-going tribal adolescents in Meghalaya, India. This study employed a cross-sectional design, utilizing a simple random sampling method to select schools from the Ri-Bhoi district (Nongpoh town) and East Khasi Hills district (Shillong cantonment area) of Meghalaya. A total of 450 students participated in the survey, out of which 300 students belonged to tribal ethnicity. The study focused on school-going adolescents with tribal ethnicity, aged 13-19 years, encompassing both genders (male and female). Participation in the study required both parental consent and the adolescent's assent. The Communities That Care Youth Survey (CTC-YS) and the Strength and Difficulty Questionnaires (SDQ), scale were administered. The findings highlighted significant risk factors including laws and norms favorable to drug use, community disorganization, poor family management, and low school commitment. Protective factors such as opportunities for prosocial involvement were evident across all domains. Family conflict, family history of antisocial behavior, and parental overcontrol were significant contributors (P < 0.05) to total difficulty scores. Among individual risk factors, "Interaction with anti-social peers" (P = 0.009) and "Intentions to use substance" (P = 0.021) had significant associations with higher difficulty scores. The overall prevalence of mental health problems, as indicated by the total difficulty score, was 31.3% among school-going tribal adolescents. The high prevalence of mental health problems, especially among tribal adolescents, underscores the urgent need for targeted interventions. By addressing these factors, policymakers and stakeholders can work toward fostering healthier outcomes for tribal adolescents in Meghalaya and similar communities.

Understanding of Nurses as Causative Factor of Physical Health, Mental Health and Emotional Aspect of Nurses in Local Government Hospital

Nurses facilitate the entire health care journey from hospital admission to discharge. This role gives them unique perspective and power to drive positive patient outcomes. However, understaffing of nursing personnel in local government hospital is causative factor that leads to resignations, change of profession, moving to another hospital with a higher salary, and migration to other countries. Thereby intensifying the shortage in local government hospitals like Ospital ng Lungsod ng San Jose Del Monte of Bulacan. Qualitative narrative research method was used in this study. Interview guide questions were validated by experts in the academe with chosen nurse supervisors, head nurses and staff nurses as participants. The study affirmed the opinions and ideas of the nurses on understaffing in the Ospital ng Lungsod ng San Jose Del Monte, Bulacan. Moreover, this study revealed the negative effects of understaffing in the physical health, mental health and emotional challenges of nurses in the said hospital. Based on the results of the study enhancement of policies on the nurse staffing towards the well-being of nurses was framed.

Adverse and benevolent childhood experiences among adults in the United Kingdom: a latent class analysis

BackgroundAdverse childhood experiences (ACEs) are important factors for population mental and physical health. While considerable public health literature demonstrates the global relevance of ACEs, more recent research shows that benevolent childhood experiences (BCEs) might be important to consider in their direct and mitigating roles for psychological distress and other mental health outcomes. There is little evidence of latent class examinations involving both ACEs and BCEs among adults in western nations. The present study sought to replicate and extend prior literature by: (1) assessing the extent to which past latent class groupings reproduce in present samples, and (2) analyzing the association of latent classes of childhood experiences with psychological distress and suicidal thoughts and behaviours (STBs). We examined psychological distress (i.e., depression, anxiety, post-traumatic stress, general wellbeing) and STBs (i.e., suicidal ideation, self-harm ideation and behaviour, entrapment, and defeat).MethodData were drawn from two nationwide cross-sectional online survey studies in the United Kingdom. The first sample (N = 488) was drawn from a study on suicidal behaviour, and the second sample (N = 447) was from a study concerning risk for interpersonal violence.ResultsResults largely replicated an existing four class solution of childhood experiences: Class 1 (Moderate ACEs/High BCEs; 17.6%), Class 2 (High ACEs/Moderate BCEs; 15.3%), Class 3 (Low ACEs/High BCEs; 48.3%), and Class 4 (Low ACEs/Moderate BCEs; 18.8%). Class 2 (High ACEs/Moderate BCEs) was associated with consistently worse psychological distress and STBs. Classes containing high BCEs (1 and 3) were characterized by generally lower levels of psychological distress and STBs.ConclusionsResults affirm the potential value for jointly considering ACEs and BCEs to understand psychological distress and STBs. ACEs and BCEs may serve foundational roles in theories of suicide. The protective role of BCEs hypothesized in resiliency theory may be supported. Prevention practice and research implications are discussed.

Leveraging open data analytics and machine learning to improve mental health research and innovation: 2024 Inter-University Big Data Challenge ProceedingsIn partnership with Canadian Science Publishing, the Canadian Personalized Healthcare Innovation Network, and Underline.io

The National Inter-University Big Data and AI Challenge is an interdisciplinary, agile educational environment that bridges the gap between traditional coursework and real-world data science applications. The challenge provides undergraduate and graduate researchers with the unique opportunity to explore the intersection of Open Data and applied scientific research by developing and presenting their research amongst peers and professionals from academia and industry. By participating, students gain skills in uncovering hidden patterns and trends in structured and unstructured data using a wide range of data analytics tools and programming languages including Python, R, and various machine learning frameworks. They also gain extensive experience with scientific communication by compiling abstracts, manuscripts, posters, and videos which ultimately culminate in a presentation on Big Data Day. The guiding theme for the 2024 National Inter-University Big Data and AI Challenge was “Leveraging Open Data Analytics and Machine Learning to Improve Mental Health Research and Innovation”. During the 2024 event, we saw over 134 participants from over 15 different institutions and 15 different degree programs learn and utilize important techniques in analytics, artificial intelligence (AI), and machine learning (ML) in order to delve into the complexities of mental health diseases and treatments. These future leaders were tasked with using Open Data to enhance our understanding of mental health and explore areas for innovation regarding mental health practice and research, gaining critical insights into this field. Various topics were investigated, ranging from the socioeconomic determinants of mental health to differential outcomes in treatment efficacy across geographic boundaries. By applying computational thinking, students explored the interplay between mental health and external factors, ultimately contributing to the development of tailored interventions and personalized care plans. We are privileged to witness the analytical capabilities of this talented generation of students, and we are confident they will demonstrate excellence throughout their academic and professional careers. The 2024 Big Data Day, the culmination of our participants’ trailblazing research, was held at the Microsoft Headquarters in Toronto. On behalf of STEM Fellowship, we extend our sincere congratulations to all students who participated in the challenge and wish them success in their future endeavours. We also want to express our appreciation to all the STEM Fellowship volunteers who support this program. We greatly appreciate the valuable collaboration and support of our partners: Research Canada, Canadian Science Publishing, CPHIN, Underline, JMIR Publications, Overleaf.

Mental health literacy, attitude, and help seeking intention among a particularly vulnerable tribe

BackgroundMental health, when compared to physical health and wellbeing, is the most neglected area. The health status of the tribal population is in pitiable condition and is heavily influenced by its socio-cultural factors and poor health care delivery system. The study aimed to assess the knowledge, attitude, mental help seeking intention for common mental health problems and factors associated with the study variables among the tribal population. Methodology: House-to-house survey was done between January to April 2022. Data was collected using standardized tools like Mental Health Knowledge Questionnaire (MHKQ), Community Attitude towards Mentally Ill scale (CAMIS), and Mental Help Seeking Intention scale (MHSIS). ResultsOnly six participants out of 400 reported that they are aware of someone in their community suffering from mental health problems. The majority (80 %) of the participants had fairly good knowledge regarding mental health, and 68 % of them had a favorable attitude towards mentally ill. It was also found that 79.2 % of the participants hold favorable attitude with an OR = 1.40 (0.50,3.90) suggesting that there is a statistically difference in the odds of favorable attitude being present among illiterate people (p = 0.003). When comparing the odds ratio between the groups, keeping females as reference for comparison, it is evident that males OR = 0.44 (0.21,0.94) are less likely to have good knowledge. Moderately strong (statistically significant at p = .05) relationship was seen between the subscales of attitude towards mentally ill and knowledge regarding mental health among the Koraga population. ConclusionIt has been found that awareness regarding common mental disorders is increasing among the tribals, but it is not accompanied by a favorable attitude. The study concluded that interventional research is needed to reduce the stigma and the treatment gap in mental illness.

Autonomy support in higher education: a key strategy for the well-being of university students

Introduction Amid changing social dynamics, the world of higher education faces, among other challenges, the growing impact on the mental health of students. In this scenario, the Self-Determination Theory (SDT) highlights the important role of autonomy support as it generates positive effects on students' motivation and well-being. Methods The present study tests the predictive capacity of the teacher’s interpersonal style of autonomy support in a higher education institution, in relation to the satisfaction of basic psychological needs, autonomous motivation and depressive symptoms. A sample composed of 356 Spanish university students of which 237 were male (66.57%) from different grades and courses, aged between 17 and 57 years (M = 20.83; SD = 3.44), from middle socioeconomic strata, was used, and selected through purposive sampling. Results After the analysis of structural equations, the results showed that the teacher’s interpersonal style of autonomy support positively predicted the satisfaction of basic psychological needs and this the autonomous motivation; but negatively depressive symptoms. Conclusions The model describes the possible importance of promoting the teacher’s interpersonal style of autonomy support in higher education as a protective factor for well-being and mental health. These findings highlight the importance of motivational strategies that higher education teachers must implement to promote student motivation and well-being.

Mental Health and Religiosity in Older Latin American Immigrants Living in Australia

Ageing in a non-native land brings numerous challenges that may complicate adaptation and health for older Latin American immigrants in Australia. While religiosity emerges as a protective factor for mental health, there is scarce research focused on exploring the multifaceted dimensions of religiosity in this population. As part of a broad Constructivist Grounded Theory study, the aim of this qualitative descriptive analysis was to explore and understand this population’s religious practices and experiences, focusing on the impact on their mental health. Following ethical approval, 23 Spanish-speaking Latin American immigrants aged 60 and older living in Australia were interviewed. Data analysis was performed on a constant comparative basis and concurrent with data collection to understand the findings. Three key categories were identified: “Being involved in religious groups and communities,” “Connecting with God,” and “Changing how one lives one’s faith.” Regardless of their religious practices, all participants engaged in social activities that helped them integrate into their communities. Several barriers to religious practices were identified. The findings add to the field of religiosity as a protective factor in older Latin American immigrants’ mental health. Future research should identify barriers to religious practices and targeted interventions.

Prenatal determinants of anxiety symptoms in middle childhood. Evidence from Growing Up in New Zealand

BackgroundEarly life environments can have long-lasting impacts on future health and wellbeing. Maternal health during pregnancy, including experiencing stress or mood disorders, has been associated with psychopathology in later life. Anxiety disorders are one of the most prevalent mental health conditions, affecting approximately 7 % of children and adolescents globally, with a lifetime prevalence of 15–20 %. Identifying prenatal risk factors can support future and current public health interventions and maternity care. MethodsData were obtained from the Growing Up in New Zealand longitudinal study of child development. Prenatally, mothers provided sociodemographic information as well as data on their mental health, potential teratogens, and lifestyle factors such as supplement intake and exercise levels. At 8-years old, 4922 children self-completed the PROMIS-SF anxiety measure. Bivariate analyses and backward stepwise regression were used to determine the best multivariable model. ResultsSignificant prenatal predictors of anxiety symptoms at 8-years old included elevated maternal depression symptoms, body mass index in the overweight/obese range, exercise patterns, and paracetamol, anti-inflammatory and alcohol intake. LimitationsSample attrition from baseline to 8-year may have affected statistical power. To further untangle the effect of timing and duration of the exposures reported in this study, larger sample sizes would be required. ConclusionsPrenatal mental health and wellbeing was significantly associated with child anxiety symptoms at 8-years of age. This study highlights the importance of supporting expectant mothers' health and wellbeing during pregnancy to ensure children have the best opportunity to have good mental health.

The impact of Covid-19 on lifestyle and dietary habits during and after lockdown in people with neurological conditions, and their perceptions of how these changes have impacted their physical and mental health: A cross-sectional survey study

IntroductionResearch has shown that the Covid-19 pandemic may have had negative effects on lifestyle factors of people in the UK, however research is limited in terms of the impact on people living with neurological conditions such as Multiple Sclerosis (MS), Parkinson’s (PD) and spinal cord injury (SCI). This study explores the impact that the pandemic had on mental health and lifestyle factors such as dietary habits, supplement use and exercise in those with MS, PD and SCI. MethodsA cross-sectional, online, questionnaire study was carried out on a cohort of 134 people in the United Kingdom during the Covid-19 pandemic. Participants completed the questionnaire between June 2021–February 2022. Eligibility criteria included being over the age of 18 years, and declaring having been formally diagnosed with either MS (n=27, female=81%), PD (n=84, female=35%), SCI (n=23, female=61%). Results33% of participants reported an increased consumption of alcohol and 29% a decreased consumption of fruit and vegetables. However, 64% of participants reported no change in diet (p < 0.001). Vitamin D, multivitamin/minerals, probiotic and fish oil were the most commonly consumed supplements by participants. Although intake of any supplement was not significantly impacted by Covid-19 for the total cohort, by condition, and by sex, a generalised linear mixed model indicated SCI participants consumed more supplement types during Covid-19 than before (OR:1.98; 95% CI [1.04, 3.77]). Additionally, 29% of participants reported they contacted their families less than pre-pandemic (p=0.001), and 60% reported they experienced more fatigue since the pandemic. Open-ended questions added quality context to the categorical data. ConclusionThis study suggests that the impact Covid-19 has had on people with neurological conditions is complex and individual, yet the negative effects may be more pronounced than the general public. Overall, there were changes in lifestyle behaviours, some which may be detrimental to health and life quality in these already vulnerable groups. Therefore, these changes need to be considered in the aftermath of the pandemic.

Virtues as protective factors for adolescent mental health.

This paper explores the decline in adolescent mental health and the weakening of traditional moral frameworks, positing education in the virtues as protective of mental health due to the intrinsic link between moral/existential wellbeing and psychological health. By integrating character education into school curricula, a continuous "dosage" of moral guidance may be an optimal way to ensure a gradual and ever-clearer articulation of a life worth living and how to live well. The paper critiques popular clinical and positive psychological approaches to promoting wellbeing, which often miss the existential and moral dimensions of adolescent growth. The conclusion emphasizes the need for integrating moral education into mental health interventions to address the comprehensive existential and moral dimensions of adolescent development. This paper advocates for a proactive character developmental model that nurtures moral and existential growth, recognizing challenges with virtue and meta-virtue development as integral to personal and moral evolution, and enhancing the moral and psychological fortitude of adolescents.

LPS-induced whole-blood cytokine production and depressive symptoms in dementia spousal caregivers: The moderating effect of childhood trauma

Dementia spousal caregivers are at risk for adverse mental and physical health outcomes. Caregiver burden, anticipatory grief, and proinflammatory cytokine production may contribute to depressive symptoms among caregivers. People who report childhood trauma are more likely to have exaggerated stress responses that may also contribute to depressive symptoms in adulthood. This study aimed to test whether the relationship between whole-blood cytokine production and depressive symptoms is strongest in caregivers who report high levels of childhood trauma. MethodsA sample of 103 dementia spousal caregivers provided self-report data on demographics, health information, caregiver burden, anticipatory grief, and depressive symptoms. We also determined lipopolysaccharide-induced whole-blood cytokine production as the primary measure of immune cell reactivity. We measured interleukin-1β (IL-1β), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), and interleukin-10 (IL-10) and converted z-scores of each cytokine into a composite panel. We regressed depressive symptoms on proinflammatory cytokine production, caregiver burden, and anticipatory grief, adjusting for demographic and health-related covariates. ResultsWhole-blood cytokine production and childhood trauma were associated with depressive symptoms. Childhood trauma moderated the relationship between whole-blood cytokine production and depressive symptoms. Whole-blood cytokine production was only associated with depressive symptoms at mean and high levels of childhood trauma, but not at low levels of childhood trauma. The main effects of burden and anticipatory grief on depressive symptoms were strongest for caregivers reporting high levels of childhood trauma. DiscussionChildhood trauma has lasting impacts on psychosocial experiences later in life and has effects that may confer susceptibility to inflammation-related depression. Our findings contribute to ongoing efforts to identify risk factors for adverse mental health in dementia spousal caregivers.

Dealing with the challenges of the pandemic – results of a population-based survey during the second year of the COVID-19 pandemic contrasting benefits and burden

BackgroundThe pandemic and the associated consequences have been ongoing stressors with severe impacts on the population and particularly on families. Research focusing on groups dealing well with the challenges of the pandemic is scarce. Here, we aimed to identify groups being well-adjusted during the pandemic and associated predictors.MethodsA representative sample of the German population (N = 2,515, 51.6% women, 50.09 years), and a subsample of persons with children or adolescents under the age of 18 (N = 453, 60.3% women, 40.08 years) was assessed from July to October 2021. As huge differences in coping with the pandemic are seen, cluster analysis was performed.ResultsPersons in the “well-adjusted cluster” were characterized by higher quality of life, better coping with the pandemic and lower burden of the pandemic. The family subsample well-adjusted cluster was characterized by lower pandemic-associated burden, lower parental stress compared to before the pandemic and a better relationship with the child. Fewer mental health symptoms and less pandemic-associated negative impact on career predicted membership of the well-adjusted cluster in both samples. An interaction between mental health symptoms and the negative impact of COVID-19 on the career was found.ConclusionsOur results underscore the importance of mental health and work-related factors for coping with the pandemic.

National trends and ecological factors of physical activity engagement among U.S youth before and during the COVID-19 pandemic: A cohort study from 2019 to 2021

BackgroundThis study aims to investigate the trends and ecological determinants of physical activity among U.S. children and adolescents during the 2019–2021 period, encompassing the COVID-19 pandemic’s onset and subsequent years.MethodsUtilizing data from the National Survey of Children’s Health over three years, this cohort study analyzed physical activity levels and ecological determinants among 82,068 participants aged 6–17. The sample included 36,133 children (44%) and 45,935 adolescents (56%), with variables assessed by caregiver reports.ResultsThe analysis revealed a significant decline in physical activity among children from 2019 to 2020, followed by a recovery in 2021, whereas adolescents showed a continued decrease without recovery. Over the study period, children were consistently more active than adolescents. Better health status, normal weight, less screen time, stronger peer relationships, higher parental involvement, better family resilience and greater school participation were consistently correlated with increased physical activity in both age groups. Sleep duration was a predictor of activity only in children, while mental health status was solely a predictor in adolescents. Neighborhood environment consistently predicted children’s activity levels but was a significant factor for adolescents only in 2020.ConclusionsThese findings highlight the differing impacts of the pandemic on physical activity between children and adolescents, emphasizing the need for targeted public health interventions, particularly for adolescents whose activity levels have not recovered from the pandemic period. Age-specific physical activity interventions should consider sleep duration and neighborhood environmental factors when targeting children and mental health factors when focused on adolescents.

Internalized Phobia, Community Connectedness, Outness, and Mental Health Risk and Protection in LGBTQ Persons.

Community connectedness, outness, and internalized phobia are potential protective and risk factors for mental health in lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals. However, these interrelated factors have generally been examined in isolation and for the LGBTQ community in aggregate. As such, there may be undetected effects of factors on mental health for each LGBTQ group. We examined the associations between mental health (i.e., depression and anxiety) and risk/protective factors (i.e., internalized phobia, community connectedness, outness) in each LGBTQ subgroup separately. A large national U.S. sample (N = 1,030) of individuals who identified as LGBTQ completed an anonymous internet survey during fall 2019. Participants answered questionnaires about community connectedness, outness, internalized homophobia or transphobia, anxiety, and depression. On average, most subgroups reported symptoms of depression and anxiety above clinical cutoffs. Less outness and greater internalized phobia were associated with more severe depression and anxiety, but this pattern was not consistent across LGBTQ subgroups. Greater community connectedness was generally associated with more severe anxiety and depression. LGBTQ subgroups vary in how risk and protective factors relate to mental health outcomes. Our findings highlight the importance of examining LGBTQ subgroups separately and examining risk/protective factors simultaneously to identify the unique contribution of each factor. More research is needed to understand potential LGBTQ mental health risks and protective factors, and future researchers should examine the unique roles of risk and protective factors in separate LGBTQ subgroups.

Beyond the mind: Understanding the influence of mental health on youth NEET status in Europe-A systematic literature review.

In the fields of labor market and education research, there is a vast interest in mental health factors affecting unsuccessful school-to-work transitions, dropout from school and labor market disconnections for young people. Young people who are not in employment, education or training are conceived of as NEET. To get an overview we conducted a systematic review of the present literature on the influence of mental health on the likelihood of becoming NEET in Europe. A Systematic literature search was conducted in four databases on February 21, 2023, with an update on January 15, 2024. 33,314 articles were screened whereas 41 studies involving 8,914,123 individuals were included. Poor mental health such as attention deficit hyperactive disorder, autism, depression, borderline, and psychosis during childhood and adolescence is strongly associated with becoming NEET. Mental health issues, whether mild or severe, heighten significant the risk of adverse education and employment outcomes in early adulthood, extending to young individuals with personality disorders, borderline personality disorder, and psychoses. These observations inform early intervention strategies for children and young people grappling with mental health challenges. Timely treatment is essential. Future research should focus on the gap in research like specific disorders such as eating disorders and anxiety.

Suicidal ideation among non-physician hospital system staff: Prevalence and workplace correlates

BackgroundResearch suggests that healthcare workers are at greater risk for suicide than other occupations, but most published studies focus on physicians. This study examines the prevalence of suicidal ideation (SI) and associated occupational factors among a broad group of non-physician healthcare staff. MethodsAn anonymous online survey was sent to a random sample of 30 % of non-physician healthcare staff at a large urban healthcare system between September and November 2022. Weighted multivariable binary logistic regressions were conducted to determine the workplace and mental health factors associated with SI. ResultsThe 1084 respondents included nurses, administrative staff, research staff, medical assistants, nurse practitioners, physician assistants, and other roles. Of the sample, 8.8 % endorsed having SI over the prior two weeks. Results of the regression indicated that, after adjusting for demographic factors, greater odds of SI were associated with physical violence experienced from a patient or visitor (odds ratio [OR] = 2.15, 95 % confidence interval [CI] = 1.06–4.37), lower perceived leadership support (OR = 0.95, 95 % CI = 0.92–0.98), and positive screening for depression (OR = 4.66, 95 % CI = 2.45–8.86). Exploratory analysis suggests that depression may be a mediating factor between workplace stressors and SI. LimitationsLimitations include the response rate, the use of a single item to assess SI, and the cross-sectional design. ConclusionFindings suggest that workplace violence and leadership support are important occupational factors associated with SI among healthcare workers. Reducing and mitigating workplace violence, enhancing leadership support, and improving access to mental health care should be considered targets for interventions to decrease suicide risk in this population.

Risk-Taking Behavior Differs Between Older Adults with and without Mild Cognitive Impairment.

Adequately evaluating risk and making decisions is vital but understudied for older adults living independently but with compromised cognition, as seen in those with mild cognitive impairment (MCI), specifically those with amnestic MCI (aMCI) which is associated with higher risk of conversion to Alzheimer's disease. We propose to comprehensively evaluate risk-taking behaviors across domains important for everyday activities between an aMCI group and their cognitively healthy counterparts (HC). A case-control study design. Data on risk-taking behaviors via the Domain-Specific Risk-Taking Scale (DOSPERT), and candidate confounding mental health factors (i.e., neurodegeneration, depression, and fatigue) were collected. Analyses on group difference and interaction between group and confounding factors on risk-taking behaviors were conducted. The aMCI group showed a higher likelihood of risk-taking than HC (t = 4.38, df = 73, p < 0.001). Moderation analysis showed fatigue (F = 5.91, p = 0.018) and presence of depression (F = 4.52, p = 0.037), but not neurodegeneration, as significant moderators for group and DOSPERT total score, controlling for sex. In post-hoc analyses, there was a significant relationship between both fatigue (B = -7.83, SE = 3.65, t = -2.14, p = 0.036), and presence of depression (B = -20.80, SE = 9.97, t = -2.09, p = 0.041), with DOSPERT total score for HC but not for aMCI. There were no significant relationships between neurodegeneration, fatigue, or depression with any specific risk-taking domains after correction for multiple comparisons. Our results show differences in risk-taking behavior between older adults with and without intact cognition, and overall decision-making is affected by fatigue and depression in HC but not aMCI, together suggesting the importance of cognition in the ability to adjust risk-taking behaviors.

Adolescent Mental Health and Suicidal Behaviors in the Context of Expanded Supplemental Nutrition Assistance Program Eligibility

PurposeFood insecurity is a risk factor for poor mental health and suicidal behaviors among adolescents. Prior research shows that states with policies that expand Supplemental Nutrition Assistance Program (SNAP) eligibility have a lower prevalence of food insecurity. The primary aim of this study was to compare the prevalence of feelings of sadness or hopelessness, suicidal ideation, and suicide attempts among adolescents in states that had the asset test eliminated and the income limit increased for SNAP eligibility to adolescents in states that did not have either policy. MethodsUsing 2013-2021 data from state Youth Risk Behavior Surveys (N = 855,119) and the SNAP Policy Database, we conducted log-binomial regression with generalized estimating equations and adjusted for confounders. ResultsThe prevalence of persistent feelings of sadness or hopelessness was similar among adolescents in states that had the asset test eliminated only and among adolescents in states that had both the asset test eliminated and the income limit increased (i.e., both policies) compared to adolescents in states that did not have either policy. While the prevalence of suicidal thoughts was similar among adolescents in states that had the asset test eliminated only compared to adolescents in states that did not have either policy, the prevalence of suicidal thoughts (prevalence ratio = 0.91, 95% CI 0.88, 0.94) and suicide attempts (prevalence ratio = 0.82, 95% CI 0.78, 0.86) was lower among adolescents in states that had both policies compared to adolescents in states that did not have either policy. DiscussionStates with policies that expand SNAP eligibility have a lower prevalence of suicidal behaviors among adolescents.

Association of neuroticism with incident dementia, neuroimaging outcomes, and cognitive function.

Higher neuroticism might be associated with dementia risk. Here we investigated modification by genetic predisposition to dementia, mediation by mental health and vascular conditions, neuroimaging outcomes, and cognitive function. Cox proportional-hazards models were used to assess the association between neuroticism score and incident dementia over up to 15 years in 1,74,164 participants. Cross-sectional analyses on dementia-related neuroimaging outcomes and cognitive function were conducted in 39,459 dementia-free participants. Higher neuroticism was associated with an 11% higher risk of incident dementia, especially vascular dementia (15% higher risk), regardless of genetic predisposition to dementia. Mental and vascular conditions mediated the association of neuroticism with all-cause dementia and vascular dementia. Neuroticism was associated with higher cerebrovascular pathology, lower gray matter volume, and worse function across multiple cognitive domains. Neuroticism could represent a risk factor for dementia, and vascular and mental health might drive these associations. Neuroticism was associated with an increased risk of incident all-cause dementia, particularly vascular dementia. Associations were not modified by genetic predisposition to dementia. Associations were largely mediated by mental and vascular conditions. Neuroticism was associated with increased cerebrovascular pathology and lower gray matter volume. Neuroticism was associated with worse function across multiple cognitive domains.