Prevalence of impairing behavioral health problems in ED patients and association with ED utilization.

Background and Hypothesis: It has been observed that patients with poor mental health are relatively frequent users of the Emergency Departments (ED). The objective of this study is to evaluate the prevalence of numerous behavioral health domains (depression, anxiety, PTSD, substance abuse, and suicidality) in patients presenting to the Emergency Department and the association of each of these domains with ED utilization. Experimental Design or Project Methods: This prospective study seeks to enroll a convenience sample of 1000 Englishspeaking adults presenting to IU Health Methodist and Eskenazi Emergency Departments without psychiatric chief-complaints. Patients were assessed for behavioral health problems using the CAT-MHTM, PHQ-8 and GAD-7 screening tools, which were administered via tablet device. Additionally, data on disposition medical history, discharge diagnoses, and ED utilization in the 12 months before and after enrollment from electronic medical records and data from the Indiana Network for Patient Care (INPC) will be reviewed. Results: Over the course of five weeks, 375 patients have been enrolled. Of those 59.4% were female with an overall mean age of 46.1 (SD ± 16.4); 52.9% were white and 39.8% black/African American. Among enrollees 42.2% screened positive for depression, 29.7% for anxiety, and 1.3% for suicidal ideation. Patients who screened positive for depression were predominately females (76.1% vs 23.9%), those who screened positive for anxiety were also predominately females (71.6% vs. 28.4%). However, 3 out of the 5 (60%) patients that screened positive for suicidal ideation were males. The preliminary analysis of GAD-7 showed of those enrolled 215 (57.5%) had no anxiety, 157 (42%) had mild-severe anxiety. PHQ-8 scores showed 194 (51.9%) had no depression, 178 (47.5%) had mild-severe depression. Similarly, CAT-MH results showed 216 (57.8%) had no depression, 158 (42.2%) had mild-severe depression, while 263 (70.3%) had no anxiety and 111 (29.7%) had mild-severe anxiety. Full data analysis including comparative analysis of the CAT-MH with PHQ-8 and GAD-7 scores will take place after 1000 patients have been enrolled and data has been received from the INPC. Conclusion and Potential Impact: In our sample, almost half of patients that visit the ED have screened positive for mental health problems. We believe that early identification and appropriate referral may reduce inappropriate ED utilization.

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Influence of Parental Attitude Toward Psychiatric Help on Their Children’s Suicidal Ideation: A Convenience Sample Study on One South Korean Middle School

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207656 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7656

Author(s):

Yoo Mi Jeong ◽

Hanjong Park

Keyword(s):

Mental Health ◽

Suicidal Ideation ◽

Mental Health Problems ◽

Health Problems ◽

Parental Attitude ◽

Cross Sectional ◽

Convenience Sample ◽

Children’S Depression ◽

Serial Mediation ◽

The Relationship

Depression, depression stigma, and attitude toward psychiatric help are associated factors of suicide in adolescents. As parents are the main decision-makers of receiving professional help for their children’s depression and suicide, parental factors influencing their children’s suicide should be examined. Moreover, parents’ help-seeking attitude for their own mental health problems could affect their children’s mental health problems. Therefore, this study examined the serial mediation of adolescents’ depression, depression stigma, and attitude toward psychiatric help in the relationship between parental attitude toward psychiatric help and the suicidal ideation of their children, using data of 103 parent–child pairs. A cross-sectional study was conducted by employing a self-administered survey. A serial mediation analysis was performed using Amos 25.0. Parental attitude toward psychiatric help directly and indirectly influenced children’s suicidal ideation. Children’s depression stigma, attitude toward psychiatric help, and depression mediated the relationship of parental attitude toward psychiatric help and their children’s suicidal ideation. When parents have a more positive attitude toward psychiatric help, their children’s suicidal ideation become more decreased. Enhancing only parental attitude toward psychiatric help may make a positive change on their children’s suicidal ideation. The study findings imply that when developing and applying youth suicide prevention programs, how parents affect their children’s suicidal ideation should be considered as well as adolescents’ depression stigma, attitude toward psychiatric help, and depression. Given the results of this study, healthcare providers may better evaluate the effectiveness of their intervention programs for preventing adolescents’ suicide.

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Faculty Opinions recommendation of Suicidal ideation, mental health problems, and social impairment are increased in adolescents with acne: a population-based study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.8237959.8397054 ◽

2011 ◽

Author(s):

Gabriella Fabbrocini

Keyword(s):

Mental Health ◽

Suicidal Ideation ◽

Mental Health Problems ◽

Population Based ◽

Health Problems ◽

Social Impairment ◽

Population Based Study

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From Stress to Psychopathology: Relationship with Self-Reassurance and Self-Criticism in Czech University Students

International Journal of Mental Health and Addiction ◽

10.1007/s11469-021-00516-z ◽

2021 ◽

Author(s):

Yasuhiro Kotera ◽

Jaroslava Dosedlova ◽

Denise Andrzejewski ◽

Greta Kaluzeviciute ◽

Makoto Sakai

Keyword(s):

Mental Health ◽

University Students ◽

Mental Health Problems ◽

Cross Sectional Study ◽

Health Problems ◽

Transactional Model ◽

Cross Sectional ◽

Convenience Sample ◽

Path Analyses ◽

As Stress

AbstractPsychological stress has become a major concern, potentially leading to diverse health problems including psychopathology such as depression and anxiety. Transactional Model of Stress and Coping is an established model, conceptualizing stressful experiences via person–environment relationship. This cross-sectional study aimed to explore the pathway from stress to depression/anxiety, with a focus on self-criticism (inadequate-self and hated-self) and self-reassurance (reassured-self) in Czech students who suffered from high prevalence of mental health problems. Convenience sample of 119 undergraduates completed the Depression Anxiety and Stress Scale-21 and the Forms of the Self-Criticizing/Attacking & Self-Reassuring Scale. Correlation and path analyses were conducted. The Strengthening the Reporting of Observational Studies in Epidemiology guidelines were used to aid an accurate and complete report of the study. Depression, anxiety, and stress were positively associated with inadequate-self and hated-self while negatively associated with reassured-self. Both inadequate-self and hated-self partially mediated the stress–depression and stress–anxiety relationships, whereas reassured-self only partially mediated the stress–depression relationship. Inadequate-self had greater impact on the stress–depression/anxiety pathways than hated-self and reassured-self. Findings indicate that clinical treatment may benefit from targeting the feelings of inadequacy to prevent stress progressing to psychopathology. This is particularly relevant as stress levels are rising globally. Our findings offer developments to the Transactional Model, and help practitioners and educators identify solutions to protect mental health of Czech university students.

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High HIV/STI Test Acceptance Through a Behavioral Health Encounter in Latino Immigrants with Substance Use and Mental Health Problems

AIDS and Behavior ◽

10.1007/s10461-019-02413-y ◽

2019 ◽

Vol 23 (4) ◽

pp. 835-846

Author(s):

Julie H. Levison ◽

Margarita Alegría ◽

Ye Wang ◽

Sheri L. Markle ◽

Larmiar Fuentes ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Behavioral Health ◽

Mental Health Problems ◽

Health Problems ◽

Latino Immigrants

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Is there an association between full IQ score and mental health problems in young adults? A study with a convenience sample

BMC Psychology ◽

10.1186/s40359-020-0372-2 ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

Linde Melby ◽

Marit S. Indredavik ◽

Gro Løhaugen ◽

Ann Mari Brubakk ◽

Jon Skranes ◽

...

Keyword(s):

Mental Health ◽

Young Adults ◽

Mental Health Problems ◽

Health Problems ◽

Convenience Sample

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Mental Health Problems and Related Factors in Chinese University Students During the COVID-19 Pandemic

10.21203/rs.3.rs-58137/v1 ◽

2020 ◽

Author(s):

Shuang-Jiang Zhou ◽

Meng Qi ◽

Lei-Lei Wang ◽

Xing-Jie Yang ◽

Li-Gang Zhang ◽

...

Keyword(s):

Mental Health ◽

Graduate Students ◽

Suicidal Ideation ◽

University Students ◽

Protective Factors ◽

Mental Health Problems ◽

Health Problems ◽

Anxiety Symptoms ◽

Related Factors ◽

Chinese University

Abstract Background: The coronavirus disease-2019 (COVID-19) pandemic is a serious threat to global public health, including a wide range of metal health problems. Current research focuses mainly on mental health status and related factors among Chinese university students during the COVID-19 pandemic.Methods: Data from 11133 participants was obtained through an online survey of university students in mainland China. Depressive and anxiety symptoms were assessed by the Patient Health Questionnaire-9 (PHQ-9), and the 7-item Generalized Anxiety Disorder Scale (GAD-7), respectively.Results: In total, 37.0% of the subjects were experiencing depressive symptoms, 24.9% anxiety symptoms, 20.9% comorbid depressive and anxiety symptoms, and 7.3% suicidal ideation. Multivariable logistic regression analysis revealed an increased presence of mental health problems in female students, graduate students, and those with personal COVID-19 exposure. Living with family and awareness of COVID-19 were protective factors against depressive and anxiety symptoms. In addition, male, depressive and anxiety symptoms were risk factors for suicidal ideation. Living with family, graduate students, prevention and control measures and projections of COVID-19 trends were protective factors against suicidal ideation.Conclusions: The findings underlined that the mental health of university students should be monitored, and provided important information for healthcare planning during the COVID-19 pandemic.

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Still worlds apart: flourishing in people with mental health problems

Mental Health and Social Inclusion ◽

10.1108/mhsi-05-2020-0027 ◽

2020 ◽

Vol 24 (3) ◽

pp. 163-172 ◽

Cited By ~ 1

Author(s):

Rosie Elizabeth Allen ◽

Jerome Carson ◽

Bethany Merrifield ◽

Stacey Bush

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Comparison Group ◽

Health Problems ◽

Cross Sectional ◽

Convenience Sample ◽

Content Type ◽

Five Elements ◽

Questionnaire Surveys

Purpose The purpose of this paper is to compare a group of service users with mental health problems with a community comparison group of gym attenders. Design/methodology/approach Cross-sectional questionnaire surveys were conducted at a large gym (n = 181) and two community mental health facilities (n = 127) in the Greater Manchester area using a convenience sample approach. All participants completed the PERMA Scale, a measure of flourishing. Findings Gym attenders scored significantly higher on the five elements of PERMA. Their physical health ratings were almost double. They also had significantly lower levels of negative emotions and loneliness and higher levels of overall happiness. Research limitations/implications This study only considered levels of flourishing. Previous studies of quality of life have shown similar disparities between people with mental health problems and others. Practical implications Professor Seligman has claimed that improving levels of flourishing is the main aim of positive psychology. The present study suggests this may be especially challenging for people with mental health problems. Social implications The concept of flourishing could provide a more positive non-medical focus for mental health services, in the development of what some have called positive psychiatry. This complements the current recovery model. Originality/value To the best of the authors’ knowledge, this is one of the first studies to compare flourishing levels between individuals with mental health problems and a community comparison group using the PERMA Scale.

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Longitudinal Trends of Participation in Relation to Mental Health in Children with and without Physical Difficulties

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17228551 ◽

2020 ◽

Vol 17 (22) ◽

pp. 8551

Author(s):

Ai-Wen Hwang ◽

Chia-Hsieh Chang ◽

Mats Granlund ◽

Christine Imms ◽

Chia-Ling Chen ◽

...

Keyword(s):

Mental Health ◽

Health Status ◽

Evaluation System ◽

Mental Health Problems ◽

Health Problems ◽

Mental Health Status ◽

Three Dimensions ◽

Repeated Measure ◽

Convenience Sample ◽

Over Time

Children with physical disabilities (PD) are known to have participation restrictions when in inclusive settings alongside typically developing (TD) children. The restrictions in participation over time may affect their mental health status. This study aimed to investigate the longitudinal relationship between independence in activities (capability) and frequency of attendance in activities, in relation to perceived mental health status in children with and without PD. The participants were a convenience sample of parents of 77 school children with PD and 94 TD children who completed four assessments with a one-year interval between each assessment. Parents of these children were interviewed with the Functioning Scale of the Disability Evaluation System—Child version (FUNDES-Child). Three dimensions of mental health problems—loneliness, acting upset, and acting nervous—were rated by parents with the Child Health Questionnaire (CHQ). Linear trend was tested by repeated-measure ANOVA. The results revealed different longitudinal patterns of independence and frequency of attendance over time for children with PD and TD. Frequency of attending activities may be more important than independence in performing activities for experiencing fewer mental health problems. The findings highlight the need for supporting children’s actual attendance in daily activities which may benefit their later mental health.

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