Academic Pediatrics,
Journal Year:
2024,
Volume and Issue:
24(5), P. 837 - 847
Published: Feb. 2, 2024
BackgroundMental
health
disparities
were
prevalent
among
racially
and
ethnically
minoritized
youth
prior
to
the
COVID-19
pandemic.
As
complete
datasets
from
2022
become
available,
we
can
estimate
extent
which
pandemic
further
magnified
existing
inequities.Objective(s)To
quantify
in
trajectories
of
depression,
anxiety,
suicide
risk-related
diagnoses
before
after
start
pandemic,
using
an
intersectional
lens
race,
ethnicity
gender.MethodsUsing
Electronic
Medical
Record
data
one
mid-Atlantic
care
system
(2015-2022),
evaluated
changes
annual
rates
anxiety
29,117
youths,
aged
8-20
years,
graphical
analysis,
comparison
adjusted
mean
differences
(AMD)
mixed
multilevel
logistic
regression.ResultsAlmost
all
racial
gender
subgroups
had
significantly
higher
depression
compared
years
prior,
with
greatest
observed
Hispanic
Asian
females.
Suicide
increased
female
subgroups,
largest
increase
females
(AMD
4.8,
95%
CI
0.2-9.3)
Black
4.6,
2.2-6.9).ConclusionsRates
suicidal
thoughts
and/or
behaviors
young
people
continued
post-pandemic
period.
Many
pre-existing
between
especially
females,
widened,
highlighting
importance
lens.
Urgent
action
is
warranted,
including
universal
screening
pediatric
patients
for
risk,
broadening
effective
treatment
support
options
patients,
increasing
services
families.What's
NewWe
used
approach
elucidate
during
We
found
that
suicidality
period
many
widened
significantly.
JAMA Pediatrics,
Journal Year:
2024,
Volume and Issue:
178(4), P. 384 - 384
Published: Feb. 12, 2024
Importance
Youth
with
intellectual
and
developmental
disabilities
(I/DD)
are
more
likely
to
be
placed
in
foster
care
than
other
youth.
Examining
the
clinical
sociodemographic
characteristics
of
youth
I/DD
system
is
critical
for
identifying
disparities
understanding
service
needs.
Objective
To
produce
a
population-level
analysis
that
examines
differences
rates
involvement
based
on
race,
ethnicity,
age,
sex.
Design,
Setting,
Participants
This
cross-sectional
study
involved
all
individuals
21
years
younger
enrolled
Medicaid
through
2016
via
data
from
Transformed
Statistical
Information
System
(T-MSIS)
Analytic
Files
(TAF)
50
US
states
Washington,
DC.
As
key
insurer
services
care,
claims
offer
timely
analysis.
were
grouped
into
diagnostic
subgroups:
autism
spectrum
disorder
(ASD)
only,
disability
or
ASD
ID.
The
took
place
July
2022
September
2023.
Exposure
TAF
contain
enrollment
information
by
month
binary
indicator
involvement,
eligibility
files
identify
Main
Outcomes
Measures
period
prevalence
was
determined
among
subgroups
using
an
intersectional
approach
across
Logistic
regression
examined
associations
between
risk
Results
A
total
39
143
had
2016.
Black
(adjusted
odds
ratio
[aOR],
1.37;
95%
CI,
1.28-1.47)
females
(aOR,
1.18;
1.1-1.27)
increased
likelihood
involvement.
age
groups
relative
group
0
5
old.
Conclusions
Relevance
found
I/DD,
faced
higher
age.
There
urgent
need
research
focuses
addressing
system-level
factors
drive
risk.
Understanding
specific
health
needs
female
ensure
formation,
implementation,
monitoring
equitable
delivery
services.
Suicide and Life-Threatening Behavior,
Journal Year:
2024,
Volume and Issue:
54(2), P. 250 - 262
Published: Jan. 9, 2024
Abstract
Purpose
Patients
receiving
treatment
for
self‐injurious
thoughts
and
behaviors
(SITBs)
have
diverse
backgrounds,
yet
it
remains
unclear
exactly
who
is
represented
in
the
current
SITB
literature.
Methods
We
conducted
a
systematic
review
of
past
50
years
randomized
controlled
trials
(RCTs)
testing
treatments
to
evaluate
sampling
practices
reporting
sample
characteristics,
as
well
inclusion
global
populations
across
included
525
papers.
also
assessed
changes
over
five
decades
these
three
domains.
Results
RCTs
frequently
reported
age
sex
(98.6%–95.1%),
less
race
(83.4%–38.6%),
socioeconomic
status
(48.1%–46.1%)
ethnicity
(41.9%–8.1%),
rarely
LGBTQ+
(3.7%–1.6%).
U.S.‐based
featured
predominantly
White,
non‐Hispanic,
non‐LGBTQ+
samples.
Most
were
high‐income
North
American
or
European
countries.
Sample
practices,
representativeness,
modestly
inconsistently
improved
time.
Conclusions
There
has
not
been
substantial
improvement
years.
Acknowledging
being
studied
representing
research
key
connecting
advances
with
those
may
need
most.
Schizophrenia Bulletin,
Journal Year:
2024,
Volume and Issue:
50(4), P. 881 - 890
Published: Jan. 19, 2024
Abstract
Background
and
Hypothesis
Recent
research
showed
that
young
people
who
presented
to
hospital
with
self-harm
in
Finland
had
a
significantly
elevated
risk
of
later
psychosis.
We
investigated
the
prospective
relationship
between
presentation
for
psychosis
an
unprecedentedly
large
national
Swedish
cohort.
Study
Design
used
inpatient
outpatient
healthcare
registers
identify
all
individuals
born
1981
1993
were
alive
living
Sweden
on
their
12th
birthday
one
or
more
times
self-harm.
compared
them
matched
cohort,
followed
up
20
years,
cumulative
incidence
psychotic
disorders.
Furthermore,
we
examined
whether
strength
changed
over
time
by
examining
cohort
effects.
Results
In
total,
28
908
(2.0%)
without
prior
diagnosis
during
follow-up.
For
self-harm,
diagnosed
was
20.7%
at
years
follow-up
(hazard
radio
=
13.9,
95%
CI
13.3–14.6,
P-value
<5
×
10−308).
There
no
evidence
dilution
effect
time:
while
increased,
this
did
not
result
attenuation
subsequent
Conclusions
Individuals
present
teens
20s
represent
important
group
prediction
prevention.
JAMA Psychiatry,
Journal Year:
2025,
Volume and Issue:
82(3), P. 237 - 237
Published: Jan. 15, 2025
In
the
2020
Bostock
v
Clayton
County
decision,
US
Supreme
Court
extended
employment
nondiscrimination
protection
to
sexual
minority
adults.
The
health
impacts
of
this
ruling
and
similar
policies
related
orientation-based
discrimination
are
not
currently
known.
To
estimate
changes
in
mental
following
decision
among
adults
states
that
gained
(intervention
states)
compared
with
those
protections
already
place
(control
states).
This
cross-sectional
study
used
2018-2022
data
from
Behavioral
Risk
Factor
Surveillance
System
a
difference-in-differences
approach
evaluate
after
by
comparing
(aged
≥18
years
identifying
as
lesbian,
gay,
or
bisexual)
12
intervention
residing
9
control
states.
Models
were
estimated
for
all
participants
separately
employed
participants.
Data
analyzed
between
February
September
2024.
Residing
state
decision.
primary
outcome
was
number
poor
days
during
past
30
days,
secondary
severe
distress
(defined
14
more
past-month
days).
Of
597
462
(306
365
[77.7%
aged
18-64
22.3%
≥65
years;
51.7%
female]
291
097
[77.5%
22.5%
50.6%
female]),
5.1%
6.0%
self-identified
mean
(SE)
unchanged
both
(from
8.70
[0.27]
9.59
[0.24]
days;
adjusted
difference,
0.57
[95%
CI,
-1.02
2.16]
days)
8.53
[0.21]
10.15
[0.20]
1.17
-0.46
2.79]
states,
resulting
no
differential
change
2
groups
(difference-in-differences,
-0.60
95%
-1.25
0.06
Among
subset
adults,
did
7.99
[0.38]
8.83
[0.30]
0.87
-0.49
2.22]
but
increased
7.75
9.75
[0.26]
1.84
0.44-3.24]
These
findings
corresponded
significant
relative
reduction
vs
-0.97
-1.74
-0.21
Mean
rates
less
26.35%
[1.59%]
29.92%
[1.46%];
6.81%
2.20%-11.42%])
26.53%
[1.27%]
34.26%
[1.16%];
10.30%
5.99%-14.61%)
also
corresponding
-3.49%;
-6.71%
-0.27%).
show
reductions
implementation
federal
ban
on
based
orientation.
Larger
consistent
benefits
observed
workforce
underscore
importance
broadening
other
social
domains.
PLOS mental health.,
Journal Year:
2025,
Volume and Issue:
2(1), P. e0000129 - e0000129
Published: Jan. 30, 2025
In
the
United
States
(US),
lesbian,
gay,
bisexual,
transgender,
and
queer
(LGBTQ)
people
experience
disproportionate
rates
of
suicidality
associated
with
minority
stress.
This
study
aimed
to
investigate
whether
nonverbal
expressions
experienced
stigma
(i.e.,
shame)
predicted
suicidal
ideation
among
LGBTQ
individuals
a
focus
on
location-based
disparities
(comparing
those
living
in
more
rural
setting
urban
setting).
More
specifically,
we
examined
shame
three
months
later
this
relationship
was
moderated
by
region.
(
N
=
133)
from
one
rurally-situated
location
were
videorecorded
while
talking
about
time
they
felt
bad
their
identity
an
observational,
prospective
(two-time
point)
design.
Recordings
coded
for
intensity
(shoulders
slumped,
chest
narrowed).
Participants
also
completed
several
self-report
measures
including
state
at
both
recording
later.
Moderation
analyses
revealed
that
adults
settings,
shame,
increased
B
std
0.64,
p
.005),
not
case
settings
-0.08,
0.70).
Self-reported
did
predict
or
locations.
These
findings
highlight
importance
recognizing
cues
context
locations
structural
stigma)
when
assessing
mental
health
risks
shaping
interventions
populations.
BMC Psychiatry,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: Feb. 3, 2025
The
COVID-19
pandemic
has
had
a
significant
impact
on
the
physical
and
mental
health
of
human
beings.
Most
adolescents
in
mainland
China
have
been
infected
with
after
adjustment
dynamic
zero-COVID-19
policy.
This
study
aims
to
analyze
relationship
between
effect
depressive
symptoms
among
China.
school-based
repeated
cross-sectional
was
conducted
students
aged
11-19
years
from
September
October
2022
2023
Ningbo,
Zhejiang
Province,
China,
using
stratified
cluster,
multistage
sampling
method.
Data
analysis
occurred
January
June
2024.
Depression
bullying
victimization,
exclusion
cyberbullying,
were
assessed
20-item
Center
for
Epidemiological
Studies
Scale
(CES-D)
Bully/Victim
Questionnaire,
respectively.
In
first
survey
wave
during
policy
period
Mainland
10,224
participants
completed
questionnaires.
2
which
year
lifting
policy,
11,604
resulted
sample
1
2.
mean
age
15.2
(SD
=
1.7)
15.1
1.8)
prevalence
depression
higher
than
(17.0%
vs.
14.6%,
P
<
0.05).
victimization
types
school
2022.
A
total
3.2%
1.7%
experienced
(P
odds
ratio
experiencing
(CES-D
Score
≧
16)
1.18
(95%
CI,
1.10-1.28)
1.86
1.55-2.24)
times
higher,
respectively,
0.01).
mediated
regression
revealed
that
association
an
increase
symptoms,
partially
by
(total
association:β
0.175;
SE
0.038;
0.001;
direct
0.138;
0.039;
indirect
association:
a*b
0.037;
proportion
mediation:
20.88%,
0.001).
findings
this
suggest
increased
risk
or
associated
addition,
may
play
mediating
role
associations
symptoms.
These
indicated
additional
support
should
be
offered
Chinese
post-pandemic
COVID-19.
Not
applicable.
