Significant Mental Health Issues Research Articles

Self-compassion and psychological mindedness in depressed Turkish adolescents with non-suicidal self-injury

ABSTRACT Objective Non-suicidal self-injury (NSSI) is a significant mental health issue among depressed adolescents. This study aimed to investigate roles of psychological mindedness (PM) and self-compassion among depressed Turkish adolescents with NSSI. The mediating roles of PM and self-compassion between depression severity and NSSI were evaluated. Method 119 depressed adolescents evaluated at a child psychiatry outpatient clinic in Turkey were categorised based on NSSI experience. Self-compassion and psychological mindedness scales (covering psychological interest, insight, help-seeking, and capacity for change subscales) were measured. Results PM and self-compassion scores were lower in depressed adolescents with NSSI than adolescents without NSSI. Psychological interest (Odds Ratio (OR): 0.886, Confidence Interval (CI): 0.788–0.996), capacity for change (OR: 0.902, CI: 0.815–0.998), and self-compassion (OR: 0.937, CI: 0.879–0.999) emerged as protective factors against NSSI. Also, significant indirect effects of PM and self-compassion were observed between depression severity and NSSI. Seeking psychological help related to both intrapersonal and interpersonal functions, whereas psychological interest specifically related to interpersonal functions. Conclusions PM and self-compassion appear as protective factors, with certain PM components linked to intrapersonal and interpersonal functions of NSSI. Thus, integrating interventions to boost PM and self-compassion into depression treatment strategies could be crucial.

(056) PSYCHOSOCIAL FACTORS IN NEUROPROLIFERATIVE VESTIBULODYNIA PATIENTS WHO UNDERWENT COMPLETE VESTIBULECTOMY

Abstract Introduction Neuroproliferative vestibulodynia (NPV) is characterized by severe allodynia and hyperalgesia during entry penetration. Multiple psychosocial factors may contribute to the experience of pain from NPV. Concerning psychologic factors, women afflicted with NPV report difficulty with mental health issues such as anxiety and depression, high rates of negative emotions, substantial difficulties with psychosocial adjustment, and experience suicidal ideation. Objective This study focuses on psychosocial factors identified in a cohort of patients diagnosed with NPV who underwent vestibulectomy. Methods This is a chart review of 65 patients, median age 26 years (IQR 23-31) clinically diagnosed and pathologically confirmed with NPV. They completed validated instruments administered including the Female Sexual Function Index (FSFI), Sexual Distress Scale-Revised (SDS-R), McGill Pain Questionnaire-Short Form (SF-MPQ), Perceived Stress Scale (PSS), and Patient Health Questionnaire-9 (PHQ-9). The sex therapy evaluation performed on initial patient intake assessed psychosocial issues including effect of symptoms on quality of life, self-image, past trauma, and past/current relationship(s). Patients identified as having significant psychosocial issues were advised to undergo pre-op and/or post-op therapy. Results Based on history, initial psychological assessment, and psychosocial experiences with vestibular pain, post-operative therapy was recommended to 94% of our study cohort to maximize post-operative outcome. Our study cohort exhibited high levels of anxiety (53.8%) and depression (50.8%). Sexual abuse, assault and/or incest had been experienced by 32.3%. Other psychological issues included eating disorder (10.8%), bipolar (6.2%) as well as suicidal ideation (4.6%). Problems revolving around personal relationships include panic attacks around sex/men (21.5%), not pursuing sexual relationships (9.2%), lack of attraction toward current partner (4.6%) or being attracted to unavailable people (3.1%). A total of 15.4% of this cohort had complaints of low desire and 9.2% had a history of drug or alcohol abuse. Median FSFI total score was 13/36 (<26), with distress (≥11) consistent with sexual dysfunction in 56 of 61 patients. Median FSFI pain domain was 0/6; median FSDS-R (n=61) was 35/52, indicative of significant distress; median PHQ-9 was 6.5/27 with 23 patients’ scores consistent with possible need for depression treatment based on clinical judgment and 14 patients with score consistent with warranting treatment for depression. Median PSS was 22/40 with the most common level of stress being moderate (n=54). SF-MPQ median results (n=63) were 15/33 for sensory, 3/12 for affective and 4/5 for present pain intensity. With 3-46 month follow-up, 86.3% of patients (44/51) reported improvement on the Patient Global Impression of Improvement with 72.5% (37/51) reporting significant improvement. Conclusions While NPV is a biologic diagnosis, psychological factors likely contribute to the development, continuation, and consequences of NPV. We believe that the significant mental health issues in this NPV patient population made recovery from vestibulectomy more protracted than typically experienced after surgery. Psychological therapy would be beneficial in this population and should be continued postoperatively, as needed, to address psychological concerns and enhance quality of life. Disclosure No.

Night-duty dilemmas: Health and work-life challenges for LIS professionals in Indian libraries

This study investigates the impact of 24/7 library operations on the health and work-life balance of Library and Information Science (LIS) professionals in India. Using a mixed-method approach with 52 respondents, reveals significant physical and mental health issues, sleep disruptions, and dietary challenges. Qualitative insights highlight personal and professional hurdles, gender disparities, and concerns about workload and safety. The findings underscore the need for tailored support and infrastructure improvements in continuous library settings. The study contributes to understanding the multifaceted challenges faced by LIS professionals and provides recommendations to enhance overall well-being in 24/7 operational environments.

"He Stole My Meds to Get High:" The Mental Health and Well-Being of Women Abused by Intimate Partners and Their Disability Status.

While population-based research confirms that women with disabilities abused by their intimate partners experience significant mental health issues, few studies compare this in intimate partner violence (IPV)-specific samples of women with or without disabilities and none analyze possible impacts based on disability type. This secondary mixed methods analysis examined 660 Canadian women (50.6% Indigenous, 43.1% White, and 6.1% visible minority) with respect to whether they reported having a disability that impacted their employability or daily living (291 or 44% yes; 369 or 56% said no). In the 291 women with disabilities, about one-third (30.7%) had a physical disability-only, one-quarter had a mental health disability-only, and 44.1% reported both physical and mental health disabilities. Women with mental health and both physical and mental health disabilities reported significantly more Severe Combined IPV on the Composite Abuse Scale, depression (CES-D-10; Center for Epidemiological Studies-Depression), psychological distress (Symptom Checklist Shortform-10; SCL-10; in the clinical range), PTSD symptoms (PTSD Checklist), and lower quality of life (Quality of Life Questionnaire or QoL-9) than women without disabilities. Education about disabilities is needed for IPV advocates and disability practitioners need education about IPV. Developing services specific to survivors of IPV with disabilities is recommended.

‘You don't want to be seen to be struggling’; identifying sociocultural barriers and facilitators for Irish farmers’ mental health help‐seeking

AbstractFarmers face significant mental health issues, including depression, anxiety and suicidal ideation. Additionally, rural populations widely endorse stoic values which can be a barrier to farmers’ help‐seeking. In this study, we identified sociocultural barriers and facilitators to Irish farmers’ mental health help‐seeking. We conducted 17 semi‐structured interviews with Irish farmers and three focus groups and one interview with farming stakeholders in Ireland online. Interviews and focus groups followed a conversational, semi‐structured schedule concerning Irish farmers’ help‐seeking beliefs and behaviours, and were analysed using reflexive thematic analysis. We identified three central barriers to farmers’ help‐seeking: resilience, pride in being a ‘good farmer’ and help‐seeking stigma. We also identified one central barrier/facilitator: slowly increasing mental health awareness. Across all themes, participants described Irish farmers of all genders, particularly older men, as suffering from a self‐reliant cycle of masculine stoicism. Our findings add to the growing ‘good farmer’ literature by illustrating how farmers’ health practices can be both a source of social capital and a detriment to their own health and help‐seeking.

Forensic mental health issues for women in contact with the criminal justice system.

This review demonstrates that women who encounter the Australian criminal justice system include some of the most disadvantaged and mentally unwell people in society, particularly Aboriginal women. Women in custody are a heterogeneous group and have different psychosocial needs when compared to male prisoners. The approaches to female offending must address their significant psychosocial and mental health issues at every point of contact with the criminal justice system, be culturally informed and specifically address Indigenous overrepresentation.

(097) Psychosocial Factors in PGAD/GPD Patients Who Underwent Spine Surgery for Lumbosacral Annular Tear-Induced Sacral Radiculopathy

Abstract Introduction Persistent genital arousal disorder/genito-pelvic dysesthesia (PGAD/GPD) is characterized by persistent or recurrent, unwanted or intrusive, distressing sensations of genital arousal not associated with concomitant sexual interest, thoughts, or fantasies and/or other symptoms of GPD (e.g. itching, burning, throbbing, pain) that persist for ≥3 months. Multiple psychological and medical factors may contribute to the development and maintenance of PGAD/GPD. Concerning psychologic factors, women afflicted with PGAD experience more than double the rate of suicidal ideation (54%) compared to a control group, difficulty with mental health issues such as depression, high rates of negative emotions, and substantial difficulties with psychosocial adjustment. Objective This study focuses on psychosocial factors identified in a cohort of PGAD/GPD patients diagnosed with lumbosacral annular tear-induced sacral radiculopathy. Methods Using our multidisciplinary spine-sexual medicine management algorithm, 20 patients (15 cisgendered women, 5 cisgendered men, mean age 40.3 ± 16.8 years) diagnosed with PGAD/GPD fulfilled criteria for lumbosacral annular tear-induced sacral radiculopathy. A total of 22 lumbar endoscopic spine surgery (LESS) procedures were performed in these 20 patients. Validated instruments administered included the Sexual Distress Scale-Revised, Perceived Stress Scale, and Patient Health Questionnaire-9. The sex therapy evaluation performed on initial patient intake assessed psychosocial issues including effect of symptoms on quality of life, self-image, past trauma, and current relationship(s). Patients identified as having significant psychosocial issues were advised to undergo pre-op and/or post-op therapy. Results Ninety percent of patients were advised to undergo therapy. Our study cohort exhibited high levels of anxiety, depression, and/or obsessive-compulsive disorder as well as suicidal ideation. The Sexual Distress Scale–Revised revealed significant distress in 14 patients (82%). The Perceived Stress Scale showed 2 (12%) having high stress, 12 (70%) having moderate stress, and 3 patients (18%) having low stress. As assessed by item 1 of the Patient Health Questionnaire-9, 3 patients had a score consistent with warranting treatment for depression while an additional 10 had a score consistent with the possible need for treatment based on clinical judgment. As assessed by item 2 (“How difficult is it for you to do your work, take care of things at home, or get along with other people?”), 13 (65%) reported difficulties, with 3(15%) extremely difficult, 5 (25%) very, and 5 (25%) somewhat difficult. Overall, 7 (35%) showed improvement on the Patient Global Impression of Improvement after 3 months and by one year post-operatively, 80% (16/20) reported improvement. Conclusions There are many recognized triggers for PGAD/GPD. While this subgroup was diagnosed with lumbosacral annular tear-induced sacral radiculopathy and experienced long-term alleviation of symptoms by LESS, psychological factors likely contributed to the development, continuation, and consequences of PGAD/GPD. We believe that the significant mental health issues in this PGAD/GPD patient population made recovery from LESS more protracted than typically experienced after this surgery for sciatica alone. Psychological therapy would be beneficial in this population and should be continued postoperatively, as needed, to address psychological concerns and enhance quality of life. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Eliquence.

Front and Back Covers, Volume 40, Number 1. February 2024

Front and back cover caption, volume 40 issue 1EYE IN THE SKY: ANTHROPOLOGY IN THE DRONE ERAA civilian contractor launches a V‐BAT surveillance and reconnaissance drone from the USS Rushmore in the Philippine Sea. Manufactured by the California‐based startup Shield AI, the V‐BAT takes off vertically and operates autonomously without operator guidance or GPS (global positioning system). Its ‘swarming’ capability allows for potential combat use.Drones have had a profound impact in theatres of war for decades, causing lethal outcomes for combatants and non‐combatants alike. The US‐led ‘war on terror’ in regions like Afghanistan, Pakistan and Yemen has seen drone strikes causing tens of thousands of deaths, including many civilians. Beyond the direct, destructive impact, American drone pilots report significant mental health issues like anxiety, depression and PTSD due to the nature of remote‐controlled warfare.Recent conflicts in Ukraine and Gaza have seen an expansion in the types of drones used, ranging from inexpensive commercial drones with explosives to advanced armed drones. While traditionally operated remotely, there is an increasing shift towards autonomous functioning.This escalation in drone warfare technology, particularly the development of lethal autonomous weapon systems, has led to warnings of a global AI arms race involving powers like the US, China and Russia. The concept of ‘sensor‐to‐shooter’ machine learning infrastructures by military planners underscores the ethical, moral and sociopolitical dilemmas in a world increasingly leaning towards algorithmic warfare.In this issue, Roberto González argues that anthropologists need to illuminate how drone warfare impacts societies, the effects on both operators and targeted populations and the broader sociopolitical implications of autonomous weapons. This critical, publicly oriented anthropological perspective is essential to navigating the complex interplay of technology, ethics and human values in modern warfare, offering a deeper understanding of the societal impacts of these rapidly evolving military technologies.UNRAVELLING ‘REAL’ KINSHIPThis thought‐provoking Illustration shows the contrast between the idealized concept of unilineal descent and the intricate realities of kinship in everyday life. The left side of the image displays a simplified, stylized, unilineal family tree. With its clear, vertical lines, this depiction symbolizes kinship as a straightforward, linear progression. It embodies an idealized perspective on lineage, where relationships are traced through a single ancestral line, mirroring classical kinship theory.Conversely, the right side of the image presents a more complex and interwoven family tree. This part challenges the simplistic notions of unilineal descent, revealing kinship's rich, multifaceted nature. Here, the interconnected lines represent a spectrum of relationships extending beyond mere descent, encompassing marriage, adoption, communal ties and other social bonds. These aspects are frequently marginalized in conventional kinship models but, as anthropologists know, they are essential to understanding the full scope of human connections.Sabina Cveček's insightful analysis in this issue shows how archaeologists’ interpretation of unilineal kinship systems tend to be incomplete. Her work underscores the disparity between theoretical models and the nuanced realities of kinship, prompting a call for a more dynamic interpretation of kinship as a socially constructed and evolving network. This illustration invites introspection on the diversity and complexity of kinship and advocates a more inclusive and holistic approach to studying human relationships.Cveček argues that the dichotomy between idealized models and actual kinship dynamics is a recurring theme in anthropological literature. Anthropology remains crucial in understanding the depths and dimensions of kinship systems, even in today's era of scientific advancements like ancient DNA analysis.

Using decision tree to predict non-suicidal self-injury among young adults: the role of depression, childhood maltreatment and recent bullying victimization.

Importance: Non-suicidal self-injury (NSSI) is a significant mental health issue requiring a deeper understanding of its underlying causes, such as childhood maltreatment, adult bullying victimization, and depression. Previous studies have not adequately addressed the cumulative risks of these factors on NSSI among college students. This population-based study investigates these cumulative risk factors.Design, setting, and participants: The cross-sectional study included 63 university's college students with a mean age of 19.6 years (N = 95,833).Main outcomes and measures: Two Chi-Square Automatic Interaction Detection (CHAID) decision tree models were used to classify subgroups based on childhood maltreatment and adult bullying victimization experiences and to investigate their cumulative risks of NSSI. Recursive partitioning algorithms determined each predictor variable's relative importance.Results: The CHAID model accurately predicted NSSI behaviours with an overall accuracy rate of 77.8% for individuals with clinically relevant depressive symptoms and 97.2% for those without. Among depressed individuals, childhood emotional abuse was the strongest NSSI predictor (Chi-Square, 650.747; adjusted P < .001), followed by sexual and physical abuse. For non-depressed individuals, emotional abuse in childhood was the strongest NSSI predictor (Chi-Square, 2084.171; adjusted P < .001), with sexual and verbal bullying in the past year representing the most significant proximal risks.Conclusions and relevance: Emotional abuse during childhood profoundly impacts individuals, increasing the risk of NSSI in both depressed and non-depressed individuals. Clinically relevant depressive symptoms have a moderating effect on the relationship between childhood maltreatment, adult bullying victimization, and NSSI. Identifying these factors can inform targeted interventions to prevent NSSI development among young adults.

NEIGHBORHOOD ENVIRONMENT AND DEPRESSIVE SYMPTOMS OF OLDER ADULTS IN URBAN AND RURAL CHINA : A MODEL OF SOCIAL CAPITAL

Abstract Depression is a significant mental health issue among older adults worldwide. This study aimed to examine the mechanisms linking neighborhood environment to depressive symptoms among Chinese older adults and how other levels of social environment influence this relationship. Using data from the China Family Panel Studies, mediation and moderated mediation models were tested among 3,483 urban and 3,812 rural adults aged 60+ years. Results showed that community-level social capital (trust, reciprocity, belonging) partially mediated the association between built neighborhood environment and depressive symptoms in both urban and rural areas. The indirect pathway linking neighborhood environment to fewer depressive symptoms through community social capital was more evident when older adults reported less society social capital, suggesting a compensatory relationship between these two types of social capital. However, this relationship was significant only for urban older adults. The findings highlight the importance of distinguishing different levels of older adults’ social environment. Fostering community social capital through improving neighborhood walkability, safety, and amenities could benefit older adults’ mental health. Community development efforts may play a compensatory role for urban older adults lacking societal-level social resources.

Symptoms of post traumatic stress disorder and their relationship with the fear of COVID−19 and COVID−19 burden among health care workers after the full liberalization of COVID−19 prevention and control policy in China: a cross-sectional study

BackgroundOver the past three years, the COVID-19 pandemic has brought an overwhelming impact on China’s hospital system and health care workers, which can lead to post traumatic stress disorder (PTSD) symptoms. Previous research has shown that the COVID-19 pandemic had long-term adverse effects on the mental health of health care workers. Indeed, PTSD symptoms have emerged as one of the significant mental health issues for health care workers arising from the COVID-19 pandemic. Therefore, we conducted this cross-sectional survey to investigate the prevalence of PTSD symptoms in health care workers and its relationship with the fear of COVID-19 and the COVID-19 burden after the full liberalization of COVID-19 prevention and control policy in China.MethodsThis study was conducted three years after the global COVID-19 pandemic (January 15 to January 16, 2023). This study was conducted via the Wenjuanxing platform and used the Chinese versions of the scales PC-PTSD-5, COVID-19 Anxiety Scale (FCV-19S), Social Support Scale, COVID-19 Stress Scale, GAD-2, and PHQ-2.ResultsThe prevalence of PTSD symptoms in health care workers was 24.3% (232/955). depression(P < 0.001), anxiety(P < 0.05), the fear of COVID-19(P < 0.001), and COVID-19 burden(P < 0.001) were highly correlated with PTSD symptoms in health care workers. Social support(P < 0.05) was a protective factor of PTSD symptoms.ConclusionsThis survey shows that PTSD symptoms were highly prevalent among Chinese health care workers after the COVID-19 pandemic. Governments and leaders of medical institutions should, through psychological interventions, address the current situation of PTSD symptoms among health care workers and develop targeted programs and strategies to reduce their psychological problems.

Internal migration in Chile and mental health in migrant‐sending communities

AbstractEmpirical research on migration has mostly concentrated on its economic impacts, with growing but limited focus on its mental health impacts in migrant‐sending communities. Existing studies mainly concentrate on the mental health of remaining household members, mostly establishing cross‐sectional correlations, with mixed findings depending on individual and contextual characteristics. Studies that address potential endogeneity are few and tend to find no significant causal impact of migration on the mental health of remaining family members. However, migration may affect not only the remaining household members but also the entire sending community by changing its demographic, social and economic composition. The aim of this paper is to analyse the overall impact of migration on the mental health of sending communities, considering both the impact of having a migrant family member and of living in a community experiencing net emigration. The paper addresses potential endogeneity through an instrumental variable approach, controlling for confounding factors and examines mental health outcomes beyond depression and stress, assessing also psychosocial difficulties and self‐efficacy. It uses nationally representative data from the 2017 National Health Survey in Chile, a country characterised by high internal mobility, significant mental health issues and concentration of mental healthcare provision in large urban centres. The study finds that living in net emigration municipalities increases the probability of experiencing a major depressive episode, psychosocial difficulties and low self‐efficacy. Results are robust to controlling for endogeneity using past migration rates as an instrument for current migration rates. These findings suggest that smaller, net emigration communities require policy attention, and in particular better mental healthcare provision, to avoid increasing the prevalence of mental health problems and the treatment gap between larger and smaller communities in Chile.

Twitter discussions on breastfeeding during the COVID-19 pandemic

BackgroundBreastfeeding is a critical health intervention in infants. Recent literature reported that the COVID-19 pandemic resulted in significant mental health issues in pregnant and breastfeeding women due to social isolation and lack of direct professional support. These maternal mental health issues affected infant nutrition and decreased breastfeeding rates during COVID-19. Twitter, a popular social media platform, can provide insight into public perceptions and sentiment about various health-related topics. With evidence of significant mental health issues among women during the COVID-19 pandemic, the perception of infant nutrition, specifically breastfeeding, remains unknown.MethodsWe aimed to understand public perceptions and sentiment regarding breastfeeding during the COVID-19 pandemic through Twitter analysis using natural language processing techniques. We collected and analyzed tweets related to breastfeeding and COVID-19 during the pandemic from January 2020 to May 2022. We used Python software (v3.9.0) for all data processing and analyses. We performed sentiment and emotion analysis of the tweets using natural language processing libraries and topic modeling using an unsupervised machine-learning algorithm.ResultsWe analyzed 40,628 tweets related to breastfeeding and COVID-19 generated by 28,216 users. Emotion analysis revealed predominantly “Positive emotions” regarding breastfeeding, comprising 72% of tweets. The overall tweet sentiment was positive, with a mean weekly sentiment of 0.25 throughout, and was affected by external events. Topic modeling revealed six significant themes related to breastfeeding and COVID-19. Passive immunity through breastfeeding after maternal vaccination had the highest mean positive sentiment score of 0.32.ConclusionsOur study provides insight into public perceptions and sentiment regarding breastfeeding during the COVID-19 pandemic. Contrary to other topics we explored in the context of COVID (e.g., ivermectin, disinformation), we found that breastfeeding had an overall positive sentiment during the pandemic despite the documented rise in mental health challenges in pregnant and breastfeeding mothers. The wide range of topics on Twitter related to breastfeeding provides an opportunity for active engagement by the medical community and timely dissemination of advice, support, and guidance. Future studies should leverage social media analysis to gain real-time insight into public health topics of importance in child health and apply targeted interventions.

Improving Depression Severity Prediction from Passive Sensing: Symptom-Profiling Approach.

Depression is a significant mental health issue that profoundly impacts people's lives. Diagnosing depression often involves interviews with mental health professionals and surveys, which can become cumbersome when administered continuously. Digital phenotyping offers an innovative approach for detecting and monitoring depression without requiring active user involvement. This study contributes to the detection of depression severity and depressive symptoms using mobile devices. Our proposed approach aims to distinguish between different patterns of depression and improve prediction accuracy. We conducted an experiment involving 381 participants over a period of at least three months, during which we collected comprehensive passive sensor data and Patient Health Questionnaire (PHQ-9) self-reports. To enhance the accuracy of predicting depression severity levels (classified as none/mild, moderate, or severe), we introduce a novel approach called symptom profiling. The symptom profile vector represents nine depressive symptoms and indicates both the probability of each symptom being present and its significance for an individual. We evaluated the effectiveness of the symptom-profiling method by comparing the F1 score achieved using sensor data features as inputs to machine learning models with the F1 score obtained using the symptom profile vectors as inputs. Our findings demonstrate that symptom profiling improves the F1 score by up to 0.09, with an average improvement of 0.05, resulting in a depression severity prediction with an F1 score as high as 0.86.

A hidden epidemic during COVID-19: Sleep disturbance and alcohol use among healthcare workers

Abstract Background The COVID-19 pandemic has led to significant mental health issues among healthcare workers (HCW), including depression, anxiety, and post traumatic stress disorder. Emerging studies are now showing that HCWs are facing additional mental health challenges such as insomnia and alcohol use disorder that also require urgent attention. The current study thus aimed to evaluate the prevalence and factors related to sleep disturbance and alcohol use in Australian HCWs. Methods In January 2023, 211 Australian hospital HCWs completed an online cross-sectional survey that included a modified version of the Coronavirus Health and Impact Survey, a single item measure of sleep disturbance, a single item measure of alcohol use, and a demographic measure. Missing data were imputed and analysed using adjusted multivariate regressions and relative weight analysis to determine key predictors of outcomes. Results Results show that 172 (81.5%) participants experienced sleep disturbance affecting their personal or occupational life, with 49 (23.2%) at very or extremely high levels. With alcohol use, 73 (34.6%) reported monthly intake, 58 (27.5%) reported weekly intake and 8 (3.8%) reported daily intake. Sleep disturbance was significantly associated with poor pre-covid mental health (p &amp;lt; 0.001, R2=17.66%), time spent outdoors (p &amp;lt; 0.01, R2=4.2%), poor physical health (p &amp;lt; 0.05, R2=4.9%), COVID infection worries (p &amp;lt; 0.05, R2=3.9%), and providing direct care to COVID patients (p &amp;lt; 0.05, R2=3.1%). Alcohol use was higher in physicians compared to nurses (p &amp;lt; 0.01, R2=3.1%) and associated with direct care of COVID patients (p &amp;lt; 0.05, R2=2.4%) and relationship stress (p &amp;lt; 0.05, R2=1.9%). Conclusions These findings are the first to investigate sleep disturbance and alcohol use in Australian HCWs and shows that these challenges pose a significant risk for this cohort. Findings highlight at risk groups and potential treatment targets to address these outcomes. Key messages • Sleep disturbance and alcohol use are increasingly becoming a growing concern for HCWs, indicating an urgent need for interventions and supports to prevent long term consequences. • Findings highlight 4 risk and 1 protective factor for sleep disturbance and 3 risk factors for alcohol use that can be targeted in interventions and supports for HCWs.

‘Through the unknown, remembered gate’: the Brian Nettleton lecture – Outdoors Victoria conference, 2022

AbstractThis paper is an adapted version of the Brian Nettleton Lecture given at the Outdoors Victoria Conference, 2022. It explores how the last two decades have seen an ever-accelerating Digital Revolution which has impacted on almost every aspect of human experience to the point that it is now omnipresent. Life is now mediated through the screen. As a result, children and young people have become hyper-vigilant, overly anxious, experience a sense of climate trauma, and have decreasing access to, and time spent in, the outdoors. In addition, children have just experienced two years of isolation as a result of the Covid-19 pandemic and evidence suggests that they are already experiencing significant mental health issues as a result. This paper considers the implications of this for Outdoors Victoria and Outdoor Education.

Mental health and help-seeking of parents of children with psychiatric illness

Background: A child with significant mental health problems evokes significant stress for the parent. We interviewed parents about their help-seeking experiences for the child's problem and assessed them for common mental health problems. Objectives: To study parental mental health in the presence of psychiatric illness in their child and to document pathways of care traversed before reaching the Psychiatrist Materials and Methods: After Institutional Ethics Committee's permission, we assessed the parents of 35 children coming to child psychiatry Out-patient Department. A semi-structured proforma and Depression Anxiety Stress Scale–21 (DASS-21) were used. A descriptive analysis of continuous and nominal variables was done, followed by comparative statistics. Results: Thirteen out of 35 parents (37.14%) had significant mental health problems,10 of them were moderate to severe. Distressed parent often had a child above 12 years of age (7 out of 10). Multiple nonmedical help-seeking was common. This was often due to lack of information than due to stigma. More boys than girls were seen in the patient population. Diagnoses in children varied; Neurodevelopment disorders were seen in 45.7%. We found parental mental health was worse in the case of primary psychiatric disorders in children like anxiety and mood disorders than neurodevelopment disorders. Conclusion: A significant number of parents have stress-related and neurotic symptoms after the onset of psychiatric illness in their child. Fathers who have significant mental health issues should be cared for. We can routinely screen for parental psychopathology in child psychiatric cases for better outcomes and to provide better family support.

Moderating Effect of Variables Associated with Positive Mental Health in a Mediation Model on Depression among College Students: Protocol for a Longitudinal Study.

Depression is significant mental health issue among university students and can decrease their ability to succeed academically. While various factors associated with mental health problems have been identified, researchers are increasingly exploring the role of positive mental health, such as character strengths and inner strengths, in relation to mental health problems. This study aims to build upon previous research by examining the influence of positive mental health on the mediation model of depression among students enrolled at Chiang Mai University. This study will employ an observational and longitudinal study that collects data from undergraduate students at Chiang Mai University during the 2023-2024 academic year. The primary outcome of this study will be depression. In the mediation models, insecure attachment and negative family climate will serve as predictors, while borderline personality symptoms will be the mediator. Positive mental health, including character strengths, inner strengths, and resilience, will be tested for moderation effects on the mediation models. Data will be collected at three intervals, with a three-month gap between each collection period. This study will provide insights into the positive and negative mental health outcomes of university students in Chiang Mai. Through comprehensive analysis, this study intends to offer valuable insights into both positive and negative mental health outcomes among university students in Chiang Mai. Moreover, by employing a longitudinal approach, it aims to establish a more robust understanding of the causal relationships between positive mental health, predictors, mediators, and depression. The study's limitations will also be discussed.

Psychological impact of the pandemic of covid-19

The pandemic of covid -19, caused by the Severe Acute Respiratory Syndrome Corona Virus 2(SARS-CoV-2) is not just a grave physical health crisis but it has caused significant mental health issues as well. The aim of this paper is to assess the psychological impact of the pandemic of COVID-19. In order to reduce the community transmission of the disease, countries across the world imposed lockdowns, schools were closed, infected people were isolated and other strict measures were taken to ensure social and physical distancing. These measures induced stress, anxiety tension and depression in communities. As a result lot of people developed depression, mood alterations, irritability, insomnia, posttraumatic stress disorder and emotional exhaustion. A number of mental health supporting strategies need to be adopted to reduce the psychological impact of COVID19 pandemic. Some of these strategies include providing psychological support in form of tele psychotherapy, keeping away from mis- information, engaging in physical activity, chanting, yoga and meditation etc. Vulnerable population such as elderly people especially those who are staying alone and those already suffering from preexisting mental disorder should have access to psychologists.

The knowledge and awareness of suicide and attitudes towards its risks in university students of Asir region of Saudi Arabia.

Suicide is defined as the deliberate ending of one's own life or a deadly self-injurious act with evidence of the intention to die. Suicide among youths is a significant public mental health issue. Young individuals, particularly adolescents, are naturally susceptible to mental health problems. The present study has the cross-sectional study design based on simple random sampling technique. Initially, the questionnaire was self -administered to 4353 respondents. Questionnaire with incomplete responses was discarded, and finally, a sample of 4278 was used for the analysis. The study is based in the Kingdom of Saudi Arabia, and the data was collected between the months of January 2022 and April 2022. The survey instrument used in the present study comprised of two sections. In our study, 79.5% of the respondents agreed to the statement "the ruling of suicide is the biggest factor to the low incidences of suicide in our community." Further, 66.6% of the respondents agreed that suicide is an idea or an act that a person can repel by religious practices such as prayer. A focus on suicidal behavior is a critical public health priority because although suicide is a prominent cause of mortality among teenagers; many more youths are at risk for suicide as a result of having suicidal ideation, creating suicide plans, and making an attempt. Trends in teenage suicide attempts increased overall and among numerous demographic categories.