Mental Health Support Services Research Articles

Advancing Educational accessibility and experiences: A sophisticated Chatbot integration approach

The integration of chatbots into the educational sector has ushered in a new era of learning and administrative support. This review paper explores the dynamic landscape of chatbots within educational institutes, focusing on their evolution and the emergence of innovative trends. From their early days as basic information providers to their current roles as personalized learning companions, chatbots have undergone significant transformations. The study identifies key milestones in the evolution of chatbots in education, highlighting their transition from rule-based systems to intelligent learning assistants. Moreover, this review delves into the latest trends shaping the chatbot ecosystem in education. It underscores the growing emphasis on Al-powered personalization, multimodal interfaces, and integration with Learning Management Systems (LMS) to streamline administrative tasks. Chatbots are no longer confined to text-based interactions; they now support voice and video, making education more accessible and inclusive. Additionally, they are contributing to mental health support and counseling services, addressing the well-being of students. The paper will argue that chatbots have the potential to revolutionize education by providing students with personalized learning experiences, supporting students with special needs, and promoting student engagement. However, it is important to address the ethical implications of using chatbots in education, such as privacy and bias. The paper will be of interest to educators, researchers, and policymakers who are interested in learning more about the potential of chatbots to transform education. Keywords— Deep Learning, Machine learning, NLP, Voice Assistant, Linux, Artificial Intelligence, Speech Recognition, LLMs.

Transcending technology boundaries and maintaining sense of community in virtual mental health peer support: a qualitative study with service providers and users

BackgroundThis qualitative study explores the experiences of peer support workers (PSWs) and service users (or peers) during transition from in-person to virtual mental health services. During and following the COVID-19 pandemic, the need for accessible and community-based mental health support has become increasingly important. This research aims to understand how technological factors act as bridges and boundaries to mental health peer support services. In addition, the study explores whether and how a sense of community can be built or maintained among PSWs and peers in a virtual space when connections are mediated by technology. This research fills a gap in the literature by incorporating the perspectives of service users and underscores the potential of virtual peer support beyond pandemic conditions.MethodsData collection was conducted from a community organization that offers mental health peer support services. Semi-structured interviews were conducted with 13 employees and 27 service users. Thematic analysis was employed to identify key themes and synthesize a comprehensive understanding.ResultsThe findings highlight the mental health peer support needs that were met through virtual services, the manifestation of technology-based boundaries and the steps taken to remove some of these boundaries, and the strategies employed by the organization and its members to establish and maintain a sense of community in a virtual environment marked by physical distancing and technology-mediated interrelations. The findings also reveal the importance of providing hybrid services consisting of a mixture of in person and virtual mental health support to reach a broad spectrum of service users.ConclusionsThe study contributes to the ongoing efforts to enhance community mental health services and support in the virtual realm. It shows the importance of virtual peer support in situations where in-person support is not accessible. A hybrid model combining virtual and in-person mental health support services is recommended for better accessibility to mental health support services. Moreover, the importance of organizational support and of equitable resource allocation to overcome service boundaries are discussed.

Psychiatric Diagnoses Are Associated With Postoperative Disparities in Patients Undergoing Major Colorectal Operations.

Over 50% of hospitalized patients have comorbid psychiatric diagnoses, resulting in increased risk of morbidity such as longer lengths of stay, worse health-related quality of life, and increased mortality. However, data regarding colorectal surgery postoperative outcomes in patients with psychiatric diagnoses (PD) are limited. We queried a single institution's National Surgical Quality Improvement Program from 2013-2019 for major colorectal procedures. Postsurgical outcomes for patients with and without PD were compared. Primary outcomes were prolonged length of stay (pLOS) and 30-day readmission. From a total of 1447 patients, 402 (27.8%) had PD. PD had more smokers (20.9% vs 15%) and higher mean body mass index (29.1kg/m2 vs 28.2kg/m2). Bivariate outcomes showed more surgical site infections (SSI) (10.2% vs 6.12%), reoperation (9.45% vs 6.35%), and pLOS (34.8% vs 29.0%) (all P values <.05) in the PD group. On multivariate analysis, PD had higher likelihood of reoperation (OR 1.53, 95% CI: [1.02-2.80]) and SSI (OR 1.82, 95% CI: [1.25-2.66]). Psychiatric diagnoses are a risk factor for adverse outcomes after colorectal procedures. Further studies are needed to evaluate the benefit of perioperative mental health support services for these patients.

Community integration, quality of life, thriving, and mental health among refugees and asylum seekers. A London service provider perspective.

This article explores how systemic injustices and social inequalities affect refugee and asylum seeker integration, thriving, and mental health in London. This is pertinent as the United Kingdom currently operates a 'broken' asylum system with unfair policies and a 'tough' immigration rhetoric which makes it extraordinarily difficult for asylum seekers and refugees to achieve community integration, have a good quality of life, be able to thrive, and have good health including mental health. Paradoxically, the United Kingdom Home Office also features an Indicators for Integration Framework to provide practical ways to design more effective strategies, monitor services and evaluated integration interventions. This study employed a qualitative research design including semi-structured interviews with 19 mental health and psychosocial support service providers working in third-sector organizations in London. The study results show that the current asylum system severely undermines efforts to support asylum seekers and refugees with their integration. All participants highlighted that asylum seekers and refugees lacked experienced poor quality of life and faced structural challenges to build meaningful social connections; to have access education, fair employment and good work; to achieve good mental health and wellbeing; and to be able to thrive. To improve community integration, quality of life, thriving, and mental health for asylum seekers and refugees in London and, beyond, the United Kingdom, four recommendations are made on structural and service-levels: (1) reform of the current asylum system by centering human rights; (2) implement and carry out needs assessments among asylum seekers and refugees focussing on key social determinants; (3) ensure asylum seekers and refugees benefit from the NHS Inclusion Health framework; and (4) extend the NHS Patient and Carer Race Equality framework beyond England. To be effective, all four initiatives need to be grounded in a participatory approach that meaningfully involves diverse groups of stakeholders including asylum seekers and refugees.

Navigating the High Seas of Mental Health: Exploring the Prevalence of Depression, Stress, Anxiety, and Burnout Among Indian Seafarers

The primary objective of this study is to investigate the extent to which depression, stress, anxiety, and burnout in Indian seafarers. The study collected data from 109 Indian seafarers through Google Forms from March 2023 to April 2023. Descriptive statistics and inferential statistics were used to summarize the data based on selected demographic factors. The results showed that Indian seafarers suffered from mild depression (Mean =13.54) Seafarers also suffer from moderate levels of anxiety (Mean= 10.81). The levels of stress are found to be of normal level (Mean=13.28). The average scores for the components of burnout, namely Disengagement, and Exhaustion, among seafarers are 20.03 (SD= 3.673) and 20.43 (SD= 4.051) respectively. These findings suggest that seafarers exhibit moderate levels of burnout. Also, the correlational analysis shows a positive moderate correlation between total scores of depression, anxiety, stress, and components of Burnout with a value of 0.392 at a 1 % level of significance. The study highlights the need for mental health interventions and support services for seafarers to prevent and manage mental health issues in this population.

Unravelling Causes and Mitigating Suicidal Tendencies in Male Educators in Zimbabwe's Rural Regions: A Comprehensive Analysis

This qualitative study aims to explore the underlying causes of suicidal tendencies among male educators in Zimbabwe's rural regions and identify the strengths of current interventions targeting this issue. A purposive sampling technique was employed to select 15 knowledgeable participants who possessed relevant experiences and expertise. The study employed focus group discussions to generate data, which was subsequently analysed using content thematic analysis. The research questions addressed in this study were two-fold: (1) What are the underlying causes, including work-related, psychosocial, and personal factors, that contribute to the emergence of suicidal tendencies among male educators in Zimbabwe's rural regions? (2) What are the strengths of the current interventions targeting suicidal tendencies among male educators in these regions? The analysis of the data revealed two key findings. Firstly, the study identified multiple causal factors contributing to the emergence of suicidal tendencies among male educators in Zimbabwe's rural regions. These factors encompassed work-related challenges such as heavy workload, insufficient resources, and inadequate support systems. Additionally, psychosocial factors such as stigma, social isolation, and emotional distress were identified. Personal factors like financial difficulties and relationship problems were also found to contribute to suicidal tendencies. Secondly, the study identified several strengths within the current interventions targeting suicidal tendencies among male educators in Zimbabwe's rural regions. Notably, the provision of mental health support services, including counselling and awareness campaigns, was found to be a valuable aspect of the existing interventions. Moreover, the study highlighted the significance of community involvement and collaboration between educational institutions, healthcare providers, and relevant stakeholders in addressing this critical issue. Based on the findings, two key recommendations emerge. Firstly, it is crucial to enhance the existing support systems for male educators in rural regions, focusing on addressing work-related challenges and providing adequate resources and support. This may include workload management strategies, professional development opportunities, and the establishment of comprehensive mental health support networks. Secondly, there is a need for increased awareness and de-stigmatization of mental health issues among male educators. This involves implementing targeted awareness campaigns to promote mental well-being, fostering a supportive and inclusive work environment, and encouraging open dialogue on mental health concerns.

Understanding How Contingency Staffing Programs Can Support Mental Health Services in the Veterans Health Administration.

Introduction: Beginning in 2019, the Department of Veterans Affairs (VA) prioritized improving access to care nationally to deliver virtual care and implemented 18 regionally based Clinical Resource Hubs (CRHs) to meet this priority. This observational study describes the quantity and types of care delivered by CRH Mental Health teams, and the professions of those hired to deliver it. Methods: A retrospective cohort study, based on national VA CRH mental health care utilization data and CRH staffing data for CRH's first 3 years, was conducted. Results: CRH Mental Health teams primarily used Telemental Health (TMH) to provide care (98.1% of all CRH MH encounters). The most common disorders treated included depression, post-traumatic stress disorder, and anxiety disorders. The amount of care delivered overtime steadily increased as did the racial and ethnic diversity of Veterans served. Psychologists accounted for the largest share of CRH staffing, followed by psychiatrists. Conclusions: CRH TMH delivered from a regional hub appears to be a feasible and acceptable visit modality, based on the continuously increasing CRH TMH visit rates. Our results showed that CRH TMH was predominantly used to address common mental health diagnoses, rather than serious mental illnesses. Traditionally marginalized patient populations increased over the 3-year window, suggesting that CRH TMH resources were accessible to many of these patients. Future research should assess barriers and facilitators for accessing CRH TMH, especially for difficult-to-service patient populations, and should consider whether similar results to ours occur when regional TMH is delivered to non-VA patient populations.

Problems with Students' Mental Health in the Context of Online Learning

The 21st century has witnessed a profound transformation in education, accelerated by global events and fueled by the emergence of online learning as the predominant mode of educational delivery. The COVID-19 pandemic has played a pivotal role in expediting this shift. This paper explores the intricate relationship between online learning and the mental well-being of students, dissecting five key factors that influence this dynamic. These factors encompass the complexity of navigating information in the digital age, the diminishing face-to-face interactions, dissatisfaction with academic performance, the historical backdrop of the pandemic, and the profound influence of students' personality traits. In response to these challenges, the paper offers a set of comprehensive suggestions. Digital literacy education equips students with the skills to navigate the online world responsibly. Enhancing communication and interaction fosters a sense of community in the virtual classroom. Providing academic support and setting clear learning objectives alleviates anxiety and bolsters motivation. Finally, mental health support services are essential for addressing the emotional toll of these changes on students.

Paving the way for COVID survivors' psychosocial rehabilitation: Mining topics, sentiments, and their trajectories over time from Reddit.

Objective: This study examined major themes and sentiments and their trajectories and interactions over time using subcategories of Reddit data. The aim was to facilitate decision-making for psychosocial rehabilitation. Materials and Methods: We utilized natural language processing techniques, including topic modeling and sentiment analysis, on a dataset consisting of more than 38,000 topics, comments, and posts collected from a subreddit dedicated to the experiences of people who tested positive for COVID-19. In this longitudinal exploratory analysis, we studied the dynamics between the most dominant topics and subjects' emotional states over an 18-month period. Results: Our findings highlight the evolution of the textual and sentimental status of major topics discussed by COVID survivors over an extended period of time during the pandemic. We particularly studied pre- and post-vaccination eras as a turning point in the timeline of the pandemic. The results show that not only does the relevance of topics change over time, but the emotions attached to them also vary. Major social events, such as the administration of vaccines or enforcement of nationwide policies, are also reflected through the discussions and inquiries of social media users. In particular, the emotional state (i.e., sentiments and polarity of their feelings) of those who have experienced COVID personally. Discussion: Cumulative societal knowledge regarding the COVID-19 pandemic impacts the patterns with which people discuss their experiences, concerns, and opinions. The subjects' emotional state with respect to different topics was also impacted by extraneous factors and events, such as vaccination. Conclusion: By mining major topics, sentiments, and trajectories demonstrated in COVID-19 survivors' interactions on Reddit, this study contributes to the emerging body of scholarship on COVID-19 survivors' mental health outcomes, providing insights into the design of mental health support and rehabilitation services for COVID-19 survivors.

IJCM_69A: Attitudes and perceptions among undergraduate students towards psychiatry and psychiatric illness in a medical college in Mangalore, India

Background: Mental illness poses a significant global health burden, with negative attitudes towards mental illness contributing to treatment gaps and disparities in care. Understanding the attitudes and perceptions of medical students towards psychiatry and psychiatric illness is crucial for addressing these challenges. This study aimed to assess attitudes and perceptions among undergraduate medical students in an Indian medical college, particularly focusing on the impact of clinical exposure to psychiatry. Methodology: A cross-sectional survey was conducted among 440 MBBS undergraduate students using a composite questionnaire comprising sections on demographics, attitudes towards mental illness and psychiatry, perceived need for mental health support, perceptions of treatment effectiveness, and interest in pursuing psychiatry. Data were analyzed using SPSS version 29. Results: Overall, students exhibited a negative attitude towards mental illness based on the Opinion of Mental Illness (OMI) scale, particularly in factors such as Authoritarianism, Benevolence, and Interpersonal Aetiology. However, exposure to clinical psychiatry postings led to a significant improvement in attitudes. Despite positive attitudes towards psychiatry as a specialty, attitudes towards its inclusion in the curriculum were less positive after clinical exposure. There was significant support for peer counselling among students. Conclusion: The study highlights the importance of clinical exposure in shaping attitudes towards psychiatry among medical students. Efforts should be made to address negative perceptions and enhance the integration of psychiatry in undergraduate medical education. The potential for peer counselling also signifies a need for supportive mental health services within medical colleges. Addressing these issues is essential for fostering a more positive attitude towards mental illness and psychiatry among future physicians.

Preferences for mHealth Intervention to Address Mental Health Challenges Among Men Who Have Sex With Men in Nepal: Qualitative Study.

Men who have sex with men (MSM) are disproportionately burdened by poor mental health. Despite the increasing burden, evidence-based interventions for MSM are largely nonexistent in Nepal. This study explored mental health concerns, contributing factors, barriers to mental health care and support, and preferred interventions to improve access to and use of mental health support services among MSM in Nepal. We conducted focus groups with MSM in Kathmandu, Nepal, in January 2023. In total, 28 participants took part in 5 focus group sessions. Participants discussed several topics related to the mental health issues they experienced, factors contributing to these issues, and their suggestions for potential interventions to address existing barriers. The discussions were recorded, transcribed, and analyzed using Dedoose (version 9.0.54; SocioCultural Research Consultants, LLC) software for thematic analysis. Participants reported substantial mental health problems, including anxiety, depression, suicidal ideation, and behaviors. Contributing factors included family rejection, isolation, bullying, stigma, discrimination, and fear of HIV and other sexually transmitted infections. Barriers to accessing services included cost, lack of lesbian, gay, bisexual, transgender, intersex, queer, and asexual (LGBTIQA+)-friendly providers, and the stigma associated with mental health and sexuality. Participants suggested a smartphone app with features such as a mental health screening tool, digital consultation, helpline number, directory of LGBTIQA+-friendly providers, mental health resources, and a discussion forum for peer support as potential solutions. Participants emphasized the importance of privacy and confidentiality to ensure mobile apps are safe and accessible. The findings of this study have potential transferability to other low-resource settings facing similar challenges. Intervention developers can use these findings to design tailored mobile apps to facilitate mental health care delivery and support for MSM and other marginalized groups.

Well-being of mental health workers during the Russian-Ukrainian War

Introduction: While the detrimental impact of the Russian-Ukrainian War on mental health of Ukrainian population has been well-documented, less attention has been given to mental health workers (MHWs) providing mental health support services amid the war.&#x0D; Purpose: To examine levels of domain-specific well-being in Ukrainian MHWs; identify and quantify the relative importance of factors associated with well-being; and examine interactions of risk and protective factors in relation to each well-being domain.&#x0D; Methodology: A convenience sample of 178 MHWs completed a survey that assessed their well-being, and sociodemographic, war-related, mental health, and psychosocial characteristics.&#x0D; Results: Lower levels of mental health difficulties such as anxiety and posttraumatic stress symptoms, and higher levels of psychosocial factors such as higher optimism, gratitude, and presence and search for meaning were associated with higher well-being. MHWs with high levels of protective psychosocial factors were more likely to report higher well-being even in the presence of mental health difficulties.&#x0D; Conclusions: Results of this study provide insight into the levels and correlates of multiple well-being domains among Ukrainian MHWs amid the ongoing war. They further suggest that interventions to mitigate mental health difficulties and bolster protective psychosocial factors may help promote well-being in this population

The psychological profile of Iraq: A nation haunted by decades of suffering

Abstract The article discovers the psychological profile of Iraq, looking at the profound impact of recent decades of turmoil on the psychological well-being of its citizens. Extensive conflicts, including wars, sanctions, invasions, socioeconomic problems, and internal conflicts, have led to significant mental health problems in the community, notably the Yazidi and Kurdish populations. These groups, already affected, faced collective trauma from the ISIS invasion and Anfal campaign. Despite various risk factors, mental health support services in Iraq are markedly insufficient. The main purpose of this article is to shed light on the psychological profile in recent decades, highlighting the urgent need to prioritise mental health in health and education policies. The article advocates for the crucial implementation of comprehensive mental health programmes, interventions, and awareness initiatives to effectively address the enduring psychological challenges facing the Iraqi population.

A Comprehensive Study on the Impact of COVID-19 on Secondary Education in Uganda

The impact of the COVID-19 pandemic on global education has been profound, especially in Uganda. Secondary school students in Uganda have encountered numerous challenges as a result of this crisis. This paper offers a thorough examination of the specific obstacles faced by these students, encompassing impacts on academic achievements, mental well-being, and their overall educational path. The closure of schools has disrupted the educational advancement of secondary students in Uganda, and the transition to online learning has exacerbated the digital divide due to limited access to the internet and technology resources. This scenario has led to educational disparities for students from underprivileged backgrounds. The pandemic's socioeconomic repercussions have also imposed financial burdens on students' families, compelling some students to seek employment or care for unwell relatives, thereby restricting their study time. School closures have affected students' social interactions, resulting in feelings of seclusion. The absence of peer and teacher interactions can have adverse effects on students' mental health, escalating feelings of stress, anxiety, and depression. Furthermore, the discontinuation of essential services such as school meals and healthcare support has impacted students' well-being. School meals are crucial for many students, and their unavailability due to school closures has deprived students of essential nutrition. It is imperative for the Ugandan government and educational stakeholders to enact the comprehensive strategies delineated in this research paper in pre and post-pandemic era. These will prioritize equitable access to education by supplying technology and internet connectivity to marginalized communities and ensuring that mental health support services are easily accessible to students. Finally, the various challenges faced by secondary students in Uganda during the COVID-19 crisis necessitate a collective effort from all sectors. By effectively addressing these concerns, students can receive the necessary assistance to pursue their education and excel in a post-pandemic era. Keywords: COVID-19, Student, Uganda, online learning, Academic achievement, Pandemic

Resilience processes among Ukrainian youth preparing to build resilience with peers during the Ukraine-Russia war.

The war in Ukraine significantly impacts the mental health and well-being of its youth. Like other communities affected by war, Ukraine's youth are at risk of developing psychopathological symptoms, and there is a shortage of mental health and psychosocial support services to address this. Resilience-building initiatives present an alternative approach to supporting the well-being of young people by promoting protective processes to enhance the likelihood of positive development in the context of adversity. Emerging research findings suggest that young people themselves can serve as powerful facilitators of such initiatives with one another. Yet, evidence about culturally and contextually relevant protective processes is needed to guide such interventions, especially among young people experiencing the war and working to boost resilience within their communities. In this study, we identified key protective processes Ukrainian youth depend on as they adapt to the conflict while also preparing to implement a resilience-building intervention as a facilitator. Through thematic analysis of transcripts of three training sessions with Ukrainian youth (n = 15, 100% female; aged 18-22), we identified the following themes: positive thinking, sense of control, emotion awareness and regulation, close personal relationships, and community support. Findings also highlighted the cultural and contextual nuance of these protective processes, as well as individual differences in the ways they co-occurred and manifested within each youth. Results have implications for developing tailored yet flexible resilience-building interventions that can be delivered by lay people, including youth with their peers, in Ukraine and other cultures and contexts.

Stakeholder engagement to develop a directory of COVID-19 related mental health services in Vietnam: reflections on a participatory approach

The COVID-19 pandemic led to a rise of mental health issues amongst Vietnamese communities in Vietnam and the diaspora. However, there were few resources and no directory of services available for people seeking mental health support in Vietnam. In response to this need, we initiated an engagement project to improve Vietnamese communities' access to mental health support. This project aimed to involve stakeholders in the development of a directory of resources in order to ensure that it met local needs. The phases of development included: (1) reviewing desk research findings; (2) reviewing the list of mental health support services that we could find; (3) verifying the first draft of the directory; (4) helping disseminate the directory; and (5) updating the directory. In February 2022 the first edition of the mental health directory for Vietnamese and foreigners living in Vietnam was published. In this paper we describe the iterative approach taken to developing a resource that would have maximum utility for the target communities. We describe the process of partnering with people with lived experience, community members and expert stakeholders in this process, and reflect on how this strengthened the outcomes in terms of the relevance of the output, the research uptake and the access for the wider community. We believe that it is important to publish examples of community engagement projects in order to demonstrate good practise and promote increased involvement of communities in research.

Experiences of childhood, intimate partner, non-partner, and hate crime-related violence among a sample of people living with HIV in the epicenter of the U.S. HIV epidemic.

Experiences of violence among people living with HIV (PLWH) are thought to be highly prevalent but remain inadequately captured. As a first step toward acceptable, trauma informed practices that improve engagement and retention in care for PLWH, we must acquire more comprehensive understanding of violence experiences. We examined experiences of various forms of lifetime violence: adverse childhood experiences (ACES), intimate partner violence (IPV), non-partner violence (NPV), and hate crimes among diverse sample of PLWH in Atlanta, Georgia. Cross sectional data collected from in- and out-of-care PLWH (N = 285) receiving care/support from Ryan White Clinics (RWCs), AIDS Service Organizations (ASOs), or large safety-net hospital, February 2021-December 2022. As part of larger study, participants completed interviewer-administered survey and reported on experiences of violence, both lifetime and past year. Participant characteristics and select HIV-related variables were collected to further describe the sample. Univariate and bivariate analyses assessed participant characteristics across types of violence. High prevalence of past violence experiences across all types (ACES: 100%, IPV: 88.7%, NPV: 97.5%, lifetime hate crimes 93.2%). People assigned male at birth who identified as men experienced more violence than women, with exception of non-partner forced sex. Participants identifying as gay men were more likely to have experienced violence. Among our sample of PLWH at the epicenter of the United States HIV epidemic, histories of interpersonal and community violence are common. Findings emphasize need for RWCs, ASOs, and hospital systems to be universally trained in trauma-informed approaches and have integrated onsite mental health and social support services.

Seafarers’ Wellbeing on Board: Scoping Review

The author aims at synthesising the published literature on seafarers' mental and physical health and wellbeing. The reason for this study is to reveal the published literature on the mental and physical difficulties faced by seafarers, which have gained more importance in recent years. Especially during the COVID19 pandemic and afterwards, seafarers who have been on board much longer than their contracts had to go through very difficult processes. In this paper the studies that examine the concepts affecting mental health, such as depression, anxiety, isolation, psychological well-being and stress, and physical health, such as insomnia, poor alimentation, and fatigue are included. This review covers thematic analysis, results, and literature on wellbeing of the seafarers. Findings of the studies in the existing literature reveal that ship operators need to provide access to mental health resources and support services, such as counselling, to help seafarers cope with the stress and isolation of life at sea. On the other hand, opportunities for seafarers to maintain contact with their families and support their mental health need to be ensured while they are away from home. Supporting work-life balance provides opportunities for seafarers to access internet and communication facilities, offering regular shore leave, and encouraging engagement in activities that promote mental well-being. Moreover, for physical wellbeing ship management organisations should ensure access to medical care on board apart from telehealth, including emergency medical services, to address any physical health concerns. Organisational culture will promote a workplace culture that supports seafarers' mental and physical health and encourages open communication. This study provides a foundation for future maritime research and facilitates exploration of these concepts.

Exploring the Characteristics of Men Aged 55+ Who Use Mental Health Community Care and Support Services: A Secondary Analysis of the Adult Psychiatric Morbidity Study in England.

ObjectivesThe aim of this study is to understand the demographic and situational characteristics of men over 55 who have used a community support service. Method: Hierarchical multivariable logistic regression was conducted using anonymised data from the Adult Psychiatric Morbidity Study 2014. Results: Need factors such as having a common mental disorder (CMD), poor general health and having counselling/therapy were the most relevant to use of a community support service. It was more common for older men (85+), single men, and those who reported experiencing several traumatic life events to have used a community support service. Discussion: The results are critically discussed by considering the roles of gender, ageing, and social support, which might influence the use of community support services. There is a need for more awareness of categories such as age and previous service use, and how they might influence community support help seeking.

Pornography Addiction in the Emerging Adults: The Role of Social Isolation, Self-Control and Stress Coping

Pornography is a dangerous activity that often eat deep into individual when they are deeply involved. It leads to many challenges and can affect the productivity and lifestyle of individuals. This study explored pornography addiction among emerging adults, focusing on the roles of self-control, social isolation, and stress coping on it. Using a cross-sectional study design, a total of 300 participants, consisting of 200 males and 100 females, with an average age of 22.5, were part of the study. The hypothesis posited that self-control, social isolation, and stress coping would significantly predict pornography addiction. The findings revealed a negative correlation between self-control (r=-.41, p&lt;.05), stress coping (r= -.10, p&lt;.05), and pornographic addiction. The paper concluded there is a significant positive relationship between pornography and social isolation while self -control and stress copping negatively correlated with pornographic addiction. The study recommends implementing self-control and stress coping workshops, fostering social connections, and enhancing mental health support services to effectively address and prevent pornography addiction among university students.