Relief from stress via social protection in Senegal (RESTORE): Study protocol for a pilot feasibility cluster-randomized controlled trial of self-help plus (SH+) mental health intervention in Senegal

Children and adolescents in the Middle East and North Africa (MENA) experience a high burden of mental health problems, yet school-based services remain fragmented. Schools offer a strategic platform for prevention and early intervention, but implementation evidence in MENA is limited. We conducted a systematic review and evidence map of PreK-12 school-based mental health and related health-promoting interventions in MENA countries. Searches were conducted from database inception to August 2025. Implementation strategies were coded using the ERIC framework, and implementation outcomes were classified using Proctor's taxonomy. Twenty-four studies met inclusion criteria. Interventions included targeted mental health programs, universal promotion initiatives, health-promoting curricula with psychosocial components, and digital safety interventions. Common strategies were training school staff, cultural adaptation, and integration into existing routines. Adoption and feasibility were frequently reported; fidelity, sustainment, cost, and equity outcomes were rarely assessed. Strengthening school mental health in MENA requires policy integration, structured workforce support, equity-focused implementation metrics, and sustainable financing mechanisms. School-based mental health interventions are increasing across MENA, but systematic implementation planning is essential for long-term scale and impact.

Substance use disorders and related hospitalizations and mortality among gay, bisexual, and other men who have sex with men: A matched cohort study.

Depression and anxiety are among the most prevalent mental health disorders worldwide, yet existing diagnostic tools do not always align with contemporary classification systems such as the International Classification of Diseases-11 (ICD-11). The study aimed to evaluate the validity and reliability of the International Depression Questionnaire (IDQ) and the International Anxiety Questionnaire (IAQ) in the Turkish population. The primary objectives were to assess the psychometric properties of these new health assessment tools, the only based on the ICD-11, in a culturally diverse setting. Participants were recruited through online survey platforms and university announcements, ensuring a diverse representation of the Turkish adult population. The sample consisted of 2894 individuals (1097 male, 1797 female) aged 18-65, including university students, and community members from various socioeconomic backgrounds. Factor analysis revealed that the IDQ and IAQ maintained their original factor structures, supporting their construct validity. The internal consistency of both the IDQ and IAQ was high, with Cronbach's α coefficients exceeding the threshold of 0.70, indicating acceptable reliability. These tools can be confidently used in both clinical and research settings, facilitating better mental health assessment and intervention strategies in Turkey. The findings suggest that the Turkish versions of the IDQ and the are valid and reliable tools for assessing the severity of depression and anxiety symptoms in Turkish adults. These instruments can support both clinical and research efforts by facilitating early identification of individuals who may benefit from further psychological evaluation.

Behavioral and cognitive disorders can undermine housing stability, a key determinant of mental health recovery, with persistent disparities across demographic and socioeconomic groups. This study examined the associations of substance abuse problems (SAP) and serious mental illness/serious emotional distress (SMISED) with residential status at discharge from mental health facilities. This cross-sectional study used the utilized data from the Substance Abuse and Mental Health Services Administration (SAMHSA). Descriptive statistics were used to summarize demographic characteristics, whereas univariate and multivariable logistic regression models were employed to assess associations between the covariates and the residential outcome, adjusting for a variety of demographic characteristics. In the adjusted multivariable model, SAP was linked to 40% increased odds of non-private discharge (adjusted odds ratio [aOR]=1.40, 95% confidence interval [CI]: 1.18-165), and SMISED had about two-fold increased odds (aOR=2.10, 95% CI: 1.44-3.05) compared to discharge in private residence. For individuals with SAP, unemployed Hispanic/Latino clients showed the highest odds of non-private discharge compared to employed clients (aOR=3.74, 95% CI: 1.65-8.46). For individuals with SMISED, unemployed Black clients had approximately four-fold higher odds (aOR=4.02, 95% CI: 2.00-8.37) of non-private discharge, compared with employed clients. These findings suggest that housing stability after discharge reflects the combined effects of clinical severity and socioeconomic disadvantage, with higher risk associated with substance use, unemployment, and racial inequities. Integrated mental health and housing interventions, including culturally responsive policies, are needed to improve residential stability among vulnerable populations.

Background: Understanding the mental health challenges of refugee adolescents is critical for informing targeted educational policies and interventions. Yet few studies identify which school-based factors most strongly relate to their resilience and well-being. This study draws on a multi-informant dataset from 170 refugee students attending school in Greece, applying Bayesian variable selection to identify key predictors of mental health outcomes. Methods: We collected student ( n = 170 ), teacher ( n = 165 ) and parent/guardian ( n = 124 ) data about each student (Strengths and Difficulties Questionnaire, SDQ; Child and Youth Resilience Measure-Revised, CYRM-R); sense of belonging, school attendance. We ran two models, one based on student self-reports, the other based on teacher, parent, and guardian data. Results: The self-reported sense of belonging was the most consistent protective factor of SDQ and CYRM-R outcomes, while bullying, discrimination, and disrupted schooling were associated with greater vulnerability. In triangulated analysis, student self-reports contributed the largest share of predictive information, followed by adult reports Discussion: This study highlights the importance of centering youth perspectives in mental health assessment and intervention and the critical role of inclusive school environments and educational continuity in supporting refugee integration. The Bayesian approach offers a robust framework for guiding evidence-based interventions for supporting the integration of refugee students in host-country educational settings. • We analyzed multi-informant data on refugee adolescents’ mental health difficulties and resilience. • Sense of belonging emerged as the strongest predictor of school-based mental health and resilience. • Bullying, discrimination, and disrupted schooling were associated with increased vulnerability. • Students’ self-reports showed higher predictive validity, while teacher reports aligned more closely with outcomes than caregiver reports. • Findings underscore the importance of inclusive, student-centered school environments.

Reviewing Australian paramedic clinical practice guidelines for persons experiencing a mental health crisis.

Artificial intelligence robots for mental health applications: a scoping review.

Understanding the role of intersectional identity constructs on psychological well-being of Latino men who have sex with men (LMSM) in San Diego, California: A cross-sectional analysis of the NEXUS study

The motivations, interests and concerns of prospective peer leaders of nature-based mental health interventions

Frontline mental resilience: Lessons learned from the pandemic experience.

Depression and biological aging: Unexpected vulnerability in relatively advantaged social risk profile group.

Artificial intelligence in mental health: Knowledge mapping from traditional methods to large language models

Frontline heroes: Leveraging community health workers as first responders for climate-related digital mental health support

Depressive and anxiety symptoms are associated with adverse physical health outcomes, and a high global prevalence is burdening healthcare systems. Understanding mental health differences across age groups, genders and cultures can help in designing effective targeted interventions. This study examined (1) if depressive and anxiety symptom levels are similar in the United Kingdom (UK) and Indonesia, (2) the age-related patterns of depressive and anxiety symptoms and whether this differs between countries, and (3) if age-related patterns of depressive and anxiety symptoms differ by gender within countries. Convenience and purposeful sampling (to reduce potential age bias and enhance diversity) were used to recruit 1355 participants aged 18 to 91 from Indonesia (n=706) and the UK (n=649). Patient Health Questionnaire-9 and Generalized Anxiety Disorder Questionnaire-7 were used to measure depressive and anxiety symptoms, respectively. Depressive and anxiety symptoms were higher in the UK. The association between age and mental health symptoms showed variations in non-linear patterns between countries. In the UK, both symptoms generally declined initially, with a slight upturn in middle age before continued decline. In Indonesia, symptoms declined in middle age followed by a subsequent increase for depression, whilst anxiety remained stable in later life. Country interaction increased model fit for depressive and anxiety symptoms while gender interaction increased model fit only for anxiety symptoms in the UK. Mental health symptoms vary across age groups, genders and cultures. Understanding these variations can provide insights to inform tailored mental health interventions for vulnerable groups.

This study aimed to explore the age-specific characteristics and research trends of Behavioral Activation (BA) interventions through a Keyword Network Analysis (KNA). A comprehensive review of experimental studies applying BA was conducted, covering literature published between 2003 and 2023. Keywords were extracted by age group children and adolescents, adults, and older adults and analyzed using network metrics and cohesive structure evaluation. BA interventions were consistently associated with reductions in depression and anxiety symptoms and improvements in quality of life across all age groups. However, the focal areas of BA varied by age: in children and adolescents, BA-related keywords were linked to emotional regulation and health disparities; adult-focused studies emphasized distress management, digital healthcare integration, and overall wellbeing; among older adults, BA was associated with increased activity scheduling, greater social participation, and reduced social isolation. Across all groups, depression emerged as the most central keyword. These age-specific patterns were further clarified through cohesive structure analysis, which revealed thematic differences across developmental stages and underscored the need for age-tailored BA strategies. Specifically, BA implementation tended to emphasize emotional and social skills in adolescents, stress regulation and digital self-management in adults, and structured activity planning in older adults. Together, these findings support the potential of BA as a flexible, transdiagnostic mental health intervention that can be integrated across the lifespan.

Association between parental depression during offspring adolescence and offspring depression from adolescence to early adulthood: A prospective cohort study in China.

Cultural transformation plays a significant role in shaping mental health perceptions and care practices. However, there is a lack of standardized tools to assess this dynamic process. This scoping review aims to identify existing evidence on tools used to measure cultural transformation in mental health and adult care. Following the Joanna Briggs Institute framework and PRISMA guidelines, a comprehensive literature search was conducted across seven databases. The search yielded 1271 articles, of which 21 were selected for full review. Despite a rigorous screening process, no studies provided validated tools specifically designed to assess cultural transformation in mental health and care. This review highlights the absence of quantitative instruments capable of measuring shifts in societal values, norms, and practices, as well as their impact on mental health outcomes and care. The lack of such tools limits the ability to systematically assess how cultural transformations—such as migration, globalization, and changing societal attitudes—affect mental health treatment and care access. This gap underscores the need for future research focused on developing standardized assessment tools. These tools would facilitate the development of culturally responsive interventions and enable practitioners to better address the mental health needs of diverse populations. Additionally, cross-cultural studies and interdisciplinary collaboration are essential to ensure the robustness and applicability of these tools across diverse settings. Ultimately, bridging this gap in the literature will contribute to more effective mental health care that aligns with the dynamic nature of cultural evolution. • Scoping review maps tools for cultural transformation in mental health and care. • Across seven databases, no validated instruments were found for cultural change. • Current measures capture static culture, not evolving norms, meanings, and practices. • Evidence gap limits evaluation of stigma, access, and care during social transitions. • Calls for interdisciplinary, cross-cultural tool development for responsive care.

ABSTRACT Despite the growing prevalence of nonstandard work schedules, their association with parental mental health remains underexplored, and the mechanisms underlying gender differences are poorly understood. Using data from the French Working Conditions Survey, this study examines the associations between specific types of nonstandard schedules (night, evening, morning, Saturday, and Sunday work) and major depressive episode (MDE), and test whether social support moderates these associations. Logistic regression models were estimated separately for mothers and fathers. Results show a positive and significant association between mothers’ weekend work and MDE, while no associations were observed between father’s schedule and MDE. Social support was associated with lower odds of MDE for both mothers and fathers. Managerial support had the strongest association for fathers, whereas both managerial and family support had the largest effects for mothers. Support from colleagues was significant only for mothers, although its effect was smaller than other forms of support. However, the interaction between social support and NSWS was not statistically significant, suggesting that while social support is important for mental health overall, it may not specifically buffer the impact of NSWS. These findings highlight gender-specific dynamics and implications for targeted mental health interventions.

We argue that the forensic concept of "dangerousness" should be expanded to protect non-human animals when danger is readily foreseeable and before it materializes into substantial harm. The criminal justice approach is limited in this respect because it relies on cruelty statutes that are largely reactive, embodying the adage that "some must suffer first" before intervention can occur. We demonstrate that dangerousness principles and/or language are already embedded-often implicitly and sometimes explicitly-in at least five areas of animal law. We highlight the well-accepted "grave disability" criteria used in assessing dangerousness to self because of the parallels to the deficits noted in animal hoarding, with the main difference being the absence or presence of animals. A civil approach focused on forfeiture (and when appropriate, mental health intervention) rather than prosecution could help bridge the gap between the care animals deserve and the deficiencies that criminal law will currently tolerate.