Mental Health Of Young People Research Articles

The voices of youths in COVID-19 times: exploring young people’s emotional representations

Since the spread of the COVID-19 virus worldwide, the pandemic had psychological consequences for the entire population for various reasons including restrictions, isolation, and socioeconomic changes. Young people were particularly affected by these psychological consequences, which formed the focus of the mental health concerns voiced by the World Health Organization. This research aimed to analyze, first-hand, the primary emotions that COVID-19 evoked in young Spanish people after two years of the pandemic. Participants were recruited through a snowball sampling procedure using emails, virtual platforms of the schools, and social networks, and a google forms questionnaire was administered for data collection. A total of 479 Spanish young people (18–36 years) participated in this study. The questionnaire consisted of a free-association exercise based on the Grid Elaboration Method (GEM) to analyze the participants’ emotional representations of COVID-19. In addition, lexical analysis was used to analyze the text corpus. As a result, it could be observed that sadness was the core emotion experienced among young people, followed by fear. Specifically, emotional breakdown, fear, fatigue, and anger figured centrally in their emotional representations. Moreover, the findings revealed new patterns of self- and onward blaming towards youths. It was concluded that results of this research provide important clues for managing the mental health of young people, particularly during future pandemics.

Investigating the mood effects of nature sounds and soothing images in adolescents: A proof-of-concept randomised control pilot study

Background: High prevalence of mental health problems in adolescents indicates a need for more accessible evidence-based interventions. Connection with nature and soothing imagery based on compassion focused therapy (CFT) have both been shown to offer mood benefits, with a recent study showing that both nature related sounds and soothing images were effective in reducing negative affect and depressive mood in adults. This pilot study aimed to extend this line of research by examining whether nature related sounds and soothing images could, independently and/or collectively, improve adolescents’ mood. Methods: Our online study included 88 adolescents, aged 13-17, randomly allocated into one of three experimental conditions (viewing soothing images, listening to nature related to sounds, or combined). They also completed pre- and post-assessments of positive affect, negative affect, serenity affect, state anxiety and state depression. Symptoms of depression and anxiety were indexed at baseline using standardised self-reported measures. Results: Adolescents, regardless of group, reported an increase in serenity affect and a reduction in negative mood states across time. Additionally, these mood changes appeared to be more pronounced in those with higher levels of anxiety and depressive symptoms at baseline. Conclusions: Our findings provide preliminary evidence that, upon further research development and replication, nature related sounds and soothing images could be incorporated into therapies such as CFT to support mental health in young people. Registration: ISRCTN16916695.

The mental health impact of school bullying among young carers in Australia: a causal mediation analysis

Informal care can exert adverse effects on the mental health of young people. Bullying victimisation is an important determinant of mental disorders. Young carers are at elevated risk of bullying. We quantify the mental health effects of informal care among Australian adolescents and the extent to which these effects are transmitted through school bullying. We used data from the Longitudinal Study of Australian Children. Participants were classified as non-carers, light carers (caring for < 10 h/week) and moderate-to-heavy carers (caring for 10 + h/week). Mental health was measured using the Kessler Psychological Distress Scale (K10). Using a counterfactual approach to mediation analysis, total effects (TE) of informal care on mental health were decomposed into natural direct effects (NDE—mental health effects not transmitted through school bullying) and natural indirect effects (NIE—mental health effects transmitted through school bullying). The TE of informal caring was 0.71 (95%CI − 0.03, 1.49) for light carers and 1.72 (95%CI 0.45, 3.02) for moderate-to-heavy carers. While school bullying explained 27% of the TE among moderate-to-heavy carers (NIE: 0.46; 95%CI 0.12, 0.91) there was weak evidence of mediation for light carers. Our findings indicate that the mental health effects of moderate-to-heavy caregiving can be reduced by school bullying interventions.

Young people's future thinking and mental health: The development and validation of the Adolescent Future Thinking Rating Scale.

We aimed to develop and validate a new scale of future thinking and adolescent mental health-the Adolescent Future Thinking Rating Scale (AFTRS). A provisional AFTRS was developed from interviews with 19 adolescents. It was completed by three samples: exploratory (n=161) aged 16-21years, who also completed established measures of future thinking, cognitive risk factors, depression and anxiety; replication (n=209) aged 16-25years; and test-retest (n=102) aged 17-23years. The reliability, convergent, predictive, and discriminant validity were examined. Exploratory factor analyses identified the AFTRS-18 and AFTRS-12. Both had three sub-scales: (i) Concerns about Maladaptive Future Thinking, (ii) Future Positivity, and (iii) Ability to Visualise the Future. Established future thinking measures were combined into two factors: Negative Future Emotions (Cognitive Triad Inventory-View of Future and Beck's Hopelessness Scale) and Immediacy Preference (Consideration of Future Consequences and Quick Delay Questionnaire). The AFTRS-18 and AFTRS-12 were similarly associated with both factors and with depression/anxiety. Internal consistency and test-retest reliability were high. The AFTRS-12 and AFTRS-18 are reliable and valid measures of the three key dimensions of adolescent future thinking and mental health. The first subscale remained significant in predicting depression and anxiety after controlling for general cognitive risks.

42.4 Climate Change and Children and Young People's Mental Health: What is the Role for Child and Adolescent Psychiatrists?

42.4 Climate Change and Children and Young People's Mental Health: What is the Role for Child and Adolescent Psychiatrists?

Frequency of Narcissistic Personality Disorder in Cannabis Consumer Engineering Students

IntroductionCannabis is the most widely used illicit drug, particularly by those in their adolescence to mid-adulthood. Its effects include altered time perception, decreased concentration, and learning impairment, as well as feelings of relaxation and euphoria. This study seeks to explore the possible correlation between cannabis use and the manifestation of narcissistic personality disorder. By identifying such a relationship, early detection, and treatment of patients with this disorder may prevent future substance abuse. MethodsIn this descriptive-cross-sectional study, a sample of 100 engineering students who were cannabis consumers at (Shahid Beheshti University in Tehran) was selected using snowball sampling. After confirming cannabis use and selecting individuals based on DSM-5 criteria, their status was described, and the NPI-16 questionnaire was administered to investigate narcissistic personality disorder. The frequency of narcissistic personality disorder and its association with demographic parameters were then statistically analyzed. ResultsBased on the results obtained in the present study, the prevalence of individuals with narcissistic personality disorder was estimated to be 15%, which is higher than the general population with a prevalence of around 2%. The frequency of cannabis use was higher in men, high school graduates, and in the age range of 24–25. Additionally, in individuals with narcissistic personality disorder, the frequency of men, high school graduates, age 24, and those residing in (XXX) was higher. ConclusionsThis study suggests that cannabis consumption may be linked to a higher incidence of narcissistic personality disorder compared to the general population. Given the potential impact on young people's mental health, particularly students, it is crucial to identify individuals who may be affected and offer appropriate therapeutic and counseling services. As there are existing treatments available for substance abuse and narcissistic personality disorder, taking proactive measures to address these issues can be crucial in mitigating their effects.

Coping with climate change: The role of climate related stressors in affecting the mental health of young people in Mexico.

Young people today are predicted to experience more climate change related stressors and harms than the previous generation, yet they are often excluded from climate research, policy, and advocacy. Increasingly, this exposure is associated with experience of common mental health disorders (CMD). The VoCes-19 study collected surveys from 168,407 young people across Mexico (ages 15-24 years) through an innovative online platform, collecting information on various characteristics including CMD and experience of recent climate harms. Logistic regression models were fit to explore characteristics associated with CMD. Structural equation models were fit to explore pathways between exposure, feeling of concern about climate change, and a sense of agency (meaning the respondent felt they could help address the climate crisis) and how these relate to CMD. Of the respondents, 42% (n = 50,682) were categorized as experiencing CMD, higher among those who experienced a climate stressor (51%, n = 4,808) vs those not experiencing climate stressors (41%, n = 43,872). Adjusting for key demographic characteristics, exposure to any climate event increased the odds of CMD by 50% (Odd Ratio = 1.57; 95% Confidence Interval (CI) 1.49, 1.64), highest for heatwaves. Specific climate impacts such as housing damage, loss of or inability to work, damage to family business, leaving school and physical health affected were adversely related to CMD, though for different climate hazards. More concern and less agency were related to CMD through different pathways, particularly for those exposed to recent events. Future research regarding the cumulative exposures to climate change, not just acute events but as an ongoing crisis, and various pathways that influence the mental health and well-being of young people must be clearly understood to develop programs and policies to protect the next generation.

Report: Young people feel unsupported by kind community

Observing that many young people have returned to the classroom this fall, Lady Gaga's Born This Way Foundation has released a new report exploring young people's relationships with their schools, campuses, workplaces, classmates and co‐workers, with a particular interest in how these environments and the relationships they foster intersect with and/or impact young people's mental health.

Young People’s Mental Health Changes, Risk, and Resilience During the COVID-19 Pandemic

As young people's mental health difficulties increase, understanding risk and resilience factors under challenging circumstances becomes critical. To explore the outcomes of the COVID-19 pandemic on secondary school students' mental health difficulties, as well as the associations with individual, family, friendship, and school characteristics. For this cohort study, follow-up data from the My Resilience in Adolescence (MYRIAD) cluster randomized clinical trial were collected across 2 representative UK cohorts. Mainstream UK secondary schools with a strategy and structure to deliver social-emotional learning, with an appointed head teacher, and that were not rated "inadequate" in their latest official inspection were recruited. A total of 5663 schools were approached, 532 showed interest, and 84 consented. Cohort 1 included 12 schools and 864 students, and cohort 2 included 72 schools and 6386 students. COVID-19 was declared a pandemic after cohort 1 had completed all assessments (September 2018 to January 2020), but cohort 2 had not (September 2019 to June 2021). Cohort 2 was exposed to the COVID-19 pandemic, including 3 national lockdowns. Associations of individual, family, friendship, and school characteristics with students' mental health were explored. Changes in students' risk for depression (Center for Epidemiological Studies-Depression scale); social, emotional, and behavioral difficulties (Strengths and Difficulties Questionnaire); and mental well-being (Warwick-Edinburgh Mental Well-Being Scale). Of the 7250 participants included, the mean (SD) age was 13.7 (0.6) years, 3947 (55.4%) identified as female, and 5378 (73.1%) self-reported their race as White. Twelve schools and 769 of the 864 students (89.0%) in cohort 1 and 54 schools and 2958 of the 6386 students (46.3%) in cohort 2 provided data and were analyzed. Mental health difficulties increased in both cohorts but to a greater extent among students exposed to the pandemic, including for risk of depression (adjusted mean difference [AMD], 1.91; 95% CI, 1.07-2.76); social, emotional, and behavioral difficulties (AMD, 0.76; 95% CI, 0.33-1.18); and mental well-being (AMD, -2.08; 95% CI, -2.80 to -1.36). Positive school climate, high home connectedness, and having a friend during lockdown were protective factors during the pandemic. Female gender and initial low risk for mental health difficulties were associated with greater mental health deteriorations. Partial school attendance during lockdown was associated with better adjustment than no attendance when returning to school. This cohort study of secondary school students demonstrated that to promote mental health and adjustment, policy interventions should foster home connectedness, peer friendship, and school climate; avoid full school closures; and consider individual differences.

Exploring goal taxonomies using the goal‐based outcome tool in children and young people's mental health settings

AbstractFormulating goals in therapy may facilitate young people and parents/carers' engagement in mental health support settings. A number of goal taxonomies have been developed, which involve organising goals set at the outset of therapy into themes. Goal taxonomies are considered useful for service planning and outcome purposes. In order to build on the knowledge about what young people choose as goals, and to best support good practice, it is important to explore the links and differences between the existing goal taxonomies. A systematic review was conducted to identify goal taxonomies based on goals set using the goal‐based outcome (GBO) tool. Framework analysis was conducted to investigate the extracted goal taxonomies. Overall, four core concepts were identified: “Goals targeting specific issues, symptoms, emotions, and behaviours,” “Return and engage in activities,” “Personal growth goals” and “Interpersonal goals.” Goals regarding specific issues, personal growth and interpersonal relationships were present in most studies. Using these overarching core concepts could be useful for practitioner‐level, or service‐level organisation of goal data, for activities such as service planning and delivery.

Analysis of the Importance of Gender Identity Information and Sex Education in Social Media and School

Rose adolescents are a group of people with different behaviors that differ from their biological gender identity. But few people in society pay attention to this group. This is inseparable from the role played by the media in communication and the education of sexual knowledge. Biased general cognition will harm this group physically and psychologically, leading to social problems, such as school bullying. They need to be understood by the public, and the physical and mental health of young people also need to be protected and given attention from multiple dimensions. So, the paper will use three theories related to gender, media, and diversity, analyzing public stereotypes of gender diversity and, the social impact behind it. How does the media play an essential role in guiding public comments? What can sex education do to help? In the end, the article believes that when mass media is widespread and biased in disseminating social information, the resulting erroneous or misleading information needs to be managed and guided by the press and the family, school, and society for the mental health of young people.

The role of group memberships and school identification on student well-being.

There are widespread concerns about a decline in young people's mental health. One promising direction to address this issue involves group memberships and social identity processes. Despite progress, there are several issues in current theory and research including (1) whether the number of groups to which an individual belongs is related to more positive well-being, (2) better understanding the relationship between group memberships and social identification processes and (3) the need for more comprehensive longitudinal methods. The goal of this study was to address these issues using a three-wave longitudinal design (n = 1331) conducted with high-school students. Both the number and importance (an indicator of social identification) of student extracurricular activities (ECA) were assessed as predictors of six well-being outcomes. Importantly, we also assessed whether identification with the school as the context in which the ECAs were situated mediated this association. Results show that, generally, the number of group memberships had no direct effect on well-being, however, there was a consistent mediation via school identification. When considering number and importance of one model (comprising a subsample) importance emerged as the key predictor. Such findings advance understanding of the social identity and well-being relationship and have practical implications.

The Correlation of Virtual Conduct on Social Networks With Anxiety and School Achievement of Adolescents

Today’s generation of young people is immersed in the virtual world, which increasingly leads to a negative trend - socially isolated individuals. Recently, there has been an accelerated development of social networks that have changed the way of communication and interaction between people, which has had a special impact on young people. There are multiple attempts to reduce the time spent on social networks because of the countless consequences that arise: anxiety, depression, irritability, restlessness, frequent mood swings. Therefore, the main problem was to examine the relationship between virtual behavior on social networks with adolescent anxiety while the goal was to assess the virtual behavior of young people in relation to gender and school success as well as the relationship of virtual behavior on social networks with anxiety in raising awareness of the importance of prevention and adolescent mental health care. The research was conducted among 215 high school students, ages 15 to 19 years from the Tuzla Canton, Bosnia and Herzegovina. There were 117 male (54.42%) and 98 (45.58%) female participants. The questionnaire used to analyze virtual behavior on social networks (VPDM) is divided into six subscales (DM addiction, alienation, socializing, negative attitude, self-presentation, and virtual self). The Anxiety Rating Scale (AT 29) was used to assess anxiety. The findings show that all facets of virtual conduct on social networks are associated with anxiety. When it comes to gender differences in the examined aspects of virtual behavior, the results show that girls achieve statistically significantly higher results on the dimensions of dependence on social networks and virtual alienation compared to boys, while these gender differences did not prove to be statistically significant on other aspects of virtual behavior. In addition, with the exception of virtual alienation, the study discovered a negative relationship between academic success and features of virtual behavior. The results indicate that in order to make more rational use of social networks, strategies are needed for preventive action, the preservation of the mental health of young people and improvement of their school achievement.

Healthcare costs for young people transitioning the boundary between child/adolescent and adult mental health services in seven European countries: results from the MILESTONE study.

The boundary between services for children and adolescents and adults has been identified as problematic for young people with mental health problems. To examine the use and cost of healthcare for young people engaged in mental healthcare before and after the child/adolescent and adult service boundary. Data from 772 young people in seven European countries participating in the MILESTONE trial were analysed. We analysed and costed healthcare resources used in the 6-month period before and after the service boundary. The proportion of young people engaging with healthcare services fell substantially after crossing the service boundary (associated costs €7761 pre-boundary v. €3376 post-boundary). Pre-boundary, the main cost driver was in-patient care (approximately 50%), whereas post-boundary costs were more evenly spread between services; cost reductions were correlated with pre-boundary in-patient care. Severity was associated with substantially higher costs pre- and post-boundary, and those who were engaged specifically with mental health services after the service boundary accrued the greatest healthcare costs post-service boundary. Costs of healthcare are large in this population, but fall considerably after transition, particularly for those who were most severely ill. In part, this is likely to reflect improvement in the mental health of young people. However, qualitative evidence from the MILESTONE study suggests that lack of capacity in adult services and young people's disengagement with formal mental health services post-transition are contributing factors. Long-term data are needed to assess the adverse long-term effects on costs and health of this unmet need and disengagement.

Acceptability and Utility of a Smartphone App to Support Adolescent Mental Health (BeMe): Program Evaluation Study.

Adolescents face unprecedented mental health challenges, and technology has the opportunity to facilitate access and support digitally connected generations. The combination of digital tools and live human connection may hold particular promise for resonating with and flexibly supporting young people's mental health. This study aimed to describe the BeMe app-based platform to support adolescents' mental health and well-being and to examine app engagement, usability, and satisfaction. Adolescents in the United States, aged 13 to 20 years, were recruited via the web and enrolled between September 1 and October 31, 2022. App engagement, feature use, clinical functioning, and satisfaction with BeMe were examined for 30 days. BeMe provides content based on cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, and positive psychology; interactive activities; live text-based coaching; links to clinical services; and crisis support tools (digital and live). The average age of the sample (N=13,421) was 15.04 (SD 1.7) years, and 56.72% (7612/13,421) identified with she/her pronouns. For the subsample that completed the in-app assessments, the mean scores indicated concern for depression (8-item Patient Health Questionnaire mean 15.68/20, SD 5.9; n=239), anxiety (7-item Generalized Anxiety Disorder Questionnaire mean 13.37/17, SD 5.0; n=791), and poor well-being (World Health Organization-Five Well-being Index mean 30.15/100, SD 16.1; n=1923). Overall, the adolescents engaged with BeMe for an average of 2.38 (SD 2.7) days in 7.94 (SD 24.1) sessions and completed 11.26 (SD 19.8) activities. Most adolescents engaged with BeMe's content (12,270/13,421, 91.42%), mood ratings (13,094/13,421, 97.56%), and interactive skills (10,098/13,421, 75.24%), and almost one-fifth of the adolescents engaged with coaching (2539/13,421, 18.92%), clinical resources (2411/13,421, 17.96%), and crisis support resources (2499/13,421, 18.62%). Overall app engagement (total activities) was highest among female and gender-neutral adolescents compared with male adolescents (all P<.001) and was highest among younger adolescents (aged 13-14 years) compared with all other ages (all P<.001). Satisfaction ratings were generally high for content (eg, 158/176, 89.8% rated as helpful and 1044/1139, 91.66% improved coping self-efficacy), activities (5362/8468, 63.32% helpful and 4408/6072, 72.6% useful in coping with big feelings), and coaching (747/894, 83.6% helpful and 747/894, 83.6% improved coping self-efficacy). Engagement (total activities completed) predicted the likelihood of app satisfaction (P<.001). Many adolescents downloaded the BeMe app and completed multiple sessions and activities. Engagement with BeMe was higher among female and younger adolescents. Ratings of BeMe's content, activities, and coaching were very positive for cognitive precursors aimed at reducing depression and anxiety and improving well-being. The findings will inform future app development to promote more sustained engagement, and future evaluations will assess the effects of BeMe on changes in mental health outcomes.

Social Processes of Young Adults' Recovery and Identity Formation during Life-Disruptive Mental Distress-A Meta-Ethnography.

Young people's mental health recovery is well-explored in empirical research, yet there is a lack of meta-studies synthesizing the characteristics of young people's recovery. This meta-ethnography explores young adults' recovery during life-disruptive experiences of early psychosis or schizophrenia. Based on a systematic literature review search, 11 empirical qualitative studies were included for synthesis. Inspired by young people's prominent experience of social isolation in the included studies, we applied an interpretive lens of belonging deriving from the sociology of youth. The synthesis presents five themes: (1) expectations of progression in youth in contrast with stagnation during psychosis, (2) feeling isolated, lost and left behind, (3) young adults' recovery involves belonging with other young people, (4) forming identity positions of growth and disability during psychosis, and the summarizing line of argument, (5) navigating relational complexities in the process of recovery. While suffering from social isolation, young people's recovery is conceived as getting on with life, like any other young person involving connecting and synchronizing life rhythms with their age peers. Socializing primarily with caring adults entails being stuck in the position of a child, while connecting with young people enables the identity positions of young people. This synthesis can inspire support for young people's recovery through social inclusion in youth environments.

Barriers and facilitators of implementation of evidence-based interventions in children and youngpeople's mental health care - a systematic review.

Effective evidence-based practices (EBP) for children and young people's (CYP) mental health exist, however, there is low uptake in clinical practice and interventions do not always reach those in need. This review aimed to comprehensively identify and synthesise the barriers and facilitators to implementing EBP in CYP mental health care, mapped according to an implementation framework in order to make pragmatic recommendations for practitioners, commissioners and researchers. Following the PRISMA guidelines, an electronic search of PsycINFO, MEDLINE, CINAHL and Embase in 2021 yielded 1830 results. In total, 107 abstracts were screened, 57 of which were included for full-text review and 26 were included for data extraction and analysis. We identified a number of organisational and clinician-level barriers which impede the implementation of evidence in 'real world' practice. Barriers included lack of access to funding; poor access to resources; clinician attitudes and flexibility of EBP. Facilitators included targeted funding and access to resources; supportive staff and leadership committed to innovation and skills in the EBP. Although the process of translating research into practice is challenging and the solutions are not straightforward, we have identified a set of practical recommendations for ways in which implementation practices can improve. Researchers, commissioners, funders and practitioners can work together to improve the implementation of EBP in CYP mental health settings by ensuring funding is available, prioritise implementation beyond the end of trials, upskill staff on integrating EBP into care, ensure EBPs are flexible and are co-produced with service users. This review was registered on PROSPERO international prospective register of systematic reviews (CRD42021252995).

Clustering of diet, physical activity and sedentary behaviour and related physical and mental health outcomes: a systematic review

BackgroundPhysical activity (PA), sedentary behaviour (SB) and diet play an important role in the physical and mental health of young people. Understanding how these behaviours cluster, and the impact of clusters on health is important for the development of public health interventions. This review examines the prevalence of clusters of PA, sedentary time, and dietary behaviours, and how clusters relate to physical and mental health indicators among children, adolescents and young adults.MethodsElectronic (PubMed, Web of Science and Scopus) and manual searches were conducted for articles that were (i) observational studies including children, adolescents and/or young adults aged 5–24 years, (ii) examined the 'patterning', ‘clustering’, or ‘co-existence’ of each of PA, dietary behaviour and SB, and (iii) published in English up to and including July 2022. In addition to information on clustering, data on physical and mental health outcomes were extracted where reported. Included studies were assessed using the Cochrane risk of bias for observational studies. A narrative synthesis was conducted due to high heterogeneity. This review was registered with PROSPERO (CRD42021230976).ResultsForty-nine cross-sectional studies and four prospective cohort studies from eighteen countries reporting data from 778,415 individual participants were included. A broad range of clusters (n = 172) were found (healthy, unhealthy, and mixed). Mixed clusters were common (n = 98), and clusters of high diet quality, low PA and high SB were more prevalent in girls, while mixed clusters of high PA, high SB and low diet quality were more prevalent in boys. Unhealthy clusters comprising low moderate to vigorous PA, low consumption of fruits and vegetables, and high screen time were prevalent, particularly in those from lower socioeconomic status families. Compared to those with healthy behavioural clusters, those with unhealthy and mixed clusters had a higher adiposity, higher risk of cardiovascular disease, poorer mental health scores, and lower cardiorespiratory fitness.ConclusionsPA, SB and diet cluster in healthy, unhealthy and mixed patterns in young people that differ across sociodemographic characteristics. Unhealthy clusters are associated with poorer health outcomes. Intervention strategies targeting un-clustering multiple unhealthy behaviours should be developed and evaluated for their impact on health outcomes.

Strengthening Mental Health and Resilience Through Schools: Protocol for a Participatory Design Project.

Mental health problems are a main contributor to the global burden of disease in children and young people within urban environments. In response, the potential of both school- and sport-based mental health promotion interventions has been advocated. However, there exists limited insights into how sport-based interventions can be integrated within school environment. Moreover, there is a need to consider children and young people's specific needs, challenges, and motivations when designing novel mental health promotion interventions. The Strengthening Mental Health and Resilience Through Schools (SMARTS) project aims to co-design an evidence-informed school-sport-based mental health promotion program. Specific objectives include (1) co-designing a multicomponent program, integrating sport sessions with class-based sessions, and complementing with educational modules for teachers and parents; (2) exploring how the mental health program can be implemented most effectively within the Brussels school system; and (3) conducting preliminary process and outcome testing of the program. A participatory design framework will be adopted to develop the program. This framework involves end users throughout the entire study process, from problem identification to intervention delivery and evaluation, while at the same time ensuring program development remains directly informed by the available scientific evidence. Participant recruitment will commence in September 2023. The full project will be completed by March 2027. With this intervention, we aim to provide a direct contribution to the promotion of children and young people's mental health within the Brussels school context. At a broader level, conducting and documenting this large participatory design project can, hopefully, inspire other researchers to tailor their mental health programs to specific populations. PRR1-10.2196/49670.

Effects of racism and discrimination on mental health among young people in Victoria, Australia, during COVID‐19 lockdown

AbstractRacism and discrimination are fundamental determinants of health inequities, with young people particularly vulnerable. Since the onset of the global COVID‐19 pandemic in 2020, reports of racism and discrimination rose sharply. This study examined direct discrimination, vicarious racial discrimination, heightened vigilance, worries about experiencing racial discrimination, COVID‐19‐related stressors and their associations with young people's mental health during COVID‐19 lockdown in 2020. A community‐based, cross‐sectional online survey collected data from 363 young people aged 16–24 years living in Victoria, Australia, of whom 45.3% self‐identified as being from a multicultural background and 3.7% as Aboriginal and/or Torres Strait Islander. 73.7% reported direct discrimination, 88.9% reported vicarious racial discrimination, 84.3% reported heightened vigilance, and 62.8% reported worries about experiencing racial discrimination. Half (51.3%) of the participants experienced one or two COVID‐19‐related stressors. 53.1% of participants reported moderate‐to‐high levels of distress or negative mood state. Experiences of direct discrimination, vicarious racial discrimination, heightened vigilance, worries about experiencing racial discrimination and multiple COVID‐19‐related stressors (3+) were associated with negative mood state, after adjusting for ethnicity, age, gender and socioeconomic position. Addressing racism and discrimination is critical to addressing health inequities for young people.