Academic Pediatrics, Год журнала: 2025, Номер unknown, С. 102833 - 102833
Опубликована: Апрель 1, 2025
Язык: Английский
Youth & Society, Год журнала: 2025, Номер unknown
Опубликована: Янв. 18, 2025
Previous studies have well-documented that adverse childhood experiences (ACEs) are associated with negative health outcomes, including suicidal thoughts and behaviors. As historically marginalized groups long experienced poorer socio-emotional outcomes due to systemic institutional racism, racial stress, related factors, surprisingly little is known about how ACEs matter across racial/ethnic adolescent groups. This study aims fill this gap by analyzing data from the 2022 Florida Youth Substance Abuse Survey (FYSAS). Utilizing logistic regression models, we investigate influence Results reveal a significant link between these indicating higher ACE scores correlate increased risk of attempts. Racial/ethnic variations in effects on suicidality observed among non-Hispanic Black Hispanic/Latinx youth. We also find despite generally experiencing fewer ACEs, Asian American youth were nearly 30% more likely than White
Язык: Английский
Процитировано
0
Nursing Reports, Год журнала: 2025, Номер 15(1), С. 29 - 29
Опубликована: Янв. 20, 2025
Background/Objectives: Decreased well-being may be a precursor to mental health challenges. Mental visits for 5–11-year-old children increased by 24% from 2019 2020. COVID-19 led record high levels of anxiety and depression in young children. This highlights the need early identification intervention decreased prevent progression potential issues. The purpose our research was develop Pediatric Well-Being Picture Scale© (PWBPS©), first picture-based screening tool ages 8–11 years, accessible regardless their literacy, language skill, developmental levels, allowing quick referral intervention. Methods: mixed-methods design included focus groups one-on-one interviews content face validity, test/retest reliability, convergent exploratory factor analysis. Subjects were recruited public elementary schools. Results: numbers participating subjects as follows: N = 17 groups; 12 interviews; 50 reliability; 237 validity. Thematic analysis resulted 10-item, 3-point Likert scale. reliability demonstrated strong correlations, with an ICC 0.823 (95% CI [0.690, 0.905]). Cronbach’s alpha all administrations 0.74, 0.84, 0.89. validity correlation validated KIDSCREEN-10. Spearman’s 0.64 [0.55, 0.71]). cutoff PWBPS© 18.5, which correlated score 22 on All items loaded one component. Conclusions: These findings demonstrate that is valid reliable, accurate assessments children’s intervention, key reducing negative effects poor well-being.
Язык: Английский
Процитировано
0
Molecular Psychiatry, Год журнала: 2025, Номер unknown
Опубликована: Фев. 24, 2025
Abstract Rising adolescent suicide rates present a growing unmet need. Childhood trauma (CT) has been associated with altered cortisol dynamics and immune cell glucocorticoid reactivity, yet their additive longer-term contributions to later outcomes are less clear. The current study compared CT scores, resting salivary free mononuclear gene expression levels of the nuclear receptor, subfamily 3, member 1 (NR3C1) coding its co-chaperons FKBP prolyl isomerase 5 (FKBP5) KIT Ligand (KITLG), between cohort adolescents presenting suicidal crisis requiring hospital treatment, matched healthy controls. scores measures were significantly among adolescents, correlated transcripts. Both explained substantial portions variance in suicidality. Long-term perturbations response elements denote dysregulated stress may possess value prediction point modifiable-risk factors prevention clinically significant suicidality during brittle period adolescence, years after childhood exposure.
Язык: Английский
Процитировано
0
JMIR Human Factors, Год журнала: 2025, Номер 12, С. e64867 - e64867
Опубликована: Фев. 26, 2025
Background Many youth with significant mental health concerns face limited access to services. Digital programs, such as mobile apps designed address issues, have the potential expand strategies for managing these conditions. However, few are specifically experiencing severe concerns, suicidal ideation. BritePath is a new app developed enhance communication and interaction between providers at risk behavior. Objective This study aims explore care providers’ opinions regarding use of Methods We conducted individual semistructured interviews 17 across 7 states. Interviews were via video, recorded, transcribed. Codes using team-based approach, discrepancies resolved through team discussions. Results Most aware in general expressed interest trying patients depression, suicidality, or both. Analyses identified 4 key themes related apps: (1) almost all viewed an adjunct to, rather than replacement for, psychotherapy visits; (2) most concerned about cost them; (3) noted challenge maintaining patient engagement over time; (4) privacy, terms both data shared developers privacy within families. additional themes: believed that safety plans could be beneficial behavior; reported BritePath’s interactive features youth; appreciated flexibility ability tailor its content needs; integrating into clinical workflows systems. Conclusions The expanding, yet there understanding how effectively integrate tools treatment. Providers increasingly referring apps, also several particularly safety.
Язык: Английский
Процитировано
0
Annals of the Academy of Medicine Singapore, Год журнала: 2025, Номер 54(2), С. 78 - 86
Опубликована: Фев. 27, 2025
The rising rate of adolescent suicide, and the burden self-harm mental health disorders, pose significant threats to Singapore's future outcomes human potential. This study sought examine risk profile healthcare utilisation patterns Singaporean adolescents who presented emergency department (ED) for suicidal or behaviour. A retrospective review medical records patients aged 10 19 years visited KK Women's Children's Hospital ED attempts from January December 2021 was conducted. total 221 were identified, with a predominance female (85.5%) over males (14.5%). mean age 14.2 ± 1.4 years. Intentional drug overdose (52.0%) most commonly used method. Significantly more females intentional paracetamol (46.6% versus [vs] 28.1%, P=0.049), whereas jumping height common among (18.8% vs 5.8%, P=0.022). frequently observed challenges stress-related emotional coping difficulties (50.7%), followed by mood anxiety symptoms (53.4%). history behaviours psychosocial factors. Within year prior their presentation, 15.4% had accessed services mild ailments, 19.5% medically unexplained symptoms, 17.2% previous suicide attempts. Most cases involved regulation difficulties, some which displayed sex-specific patterns, rather than complex psychiatric disorders. identified predictive factors can help inform National Mental Health Well-being Strategy, guide targeted transdiagnostic interventions in schools community settings.
Язык: Английский
Процитировано
0
BMC Public Health, Год журнала: 2025, Номер 25(1)
Опубликована: Апрель 8, 2025
Suicide is a serious and growing health inequity for Alaska Native (AN) youth (ages 15-24), who experience suicide rates significantly higher than the general U.S. population. In under-served, remote AN communities, building on existing local cultural resources can increase uptake of prevention behaviors like lethal means reduction, interpersonal support, postvention by family members, workers community which be important preventing in places where mental services are sparce. This study expands variables we hypothesize as reducing risk supporting wellness. These are: (1) perceived self-efficacy, (2) wellness (3) developing 'community practice' (CoP) prevention/wellness work. With convenience sample (N = 398) participants 15+) five this characterizes respondents' social roles: institutional role if they have job that includes (e.g. teachers, workers) their primary based or positioning Elder, parent). The cross-sectional analysis then explores relationship between self-efficacy CoP predictors self-reported promotion behaviors: working together with others initiatives), offering support to someone (3), access means, (4) after death community. Community roles vital, analyses detected distinct patterns linking our dependent different preventative behaviors. Findings associated (but not self-efficacy) "working together" behaviors, CoP) supportive behaviors; both Only was reduction. widens scope prevention. Promising approaches rural low-resourced communities include: engaging people (2), practice among sectors community, broadening include well
Язык: Английский
Процитировано
0
European Psychiatry, Год журнала: 2024, Номер unknown, С. 1 - 29
Опубликована: Янв. 1, 2024
An abstract is not available for this content so a preview has been provided. As you have access to content, full PDF via the ‘Save PDF’ action button.
Язык: Английский
Процитировано
4
Journal of Psychoeducational Assessment, Год журнала: 2024, Номер 42(6), С. 725 - 742
Опубликована: Март 2, 2024
The Perfectionism Social Disconnection Model (PSDM) and the Existential of Depressive Symptoms (EMPDS) are promising models perfectionism psychopathology. However, research examining suicide ideation within PSDM is scarce, no has examined as an outcome in EMPDS. Moreover, tests EMPDS have been conducted separately most using cross-sectional or two-wave longitudinal designs, which do not provide a satisfactory test mediation. In current study, we addressed these limitations by testing whether confers vulnerability to via feelings mattering anti-mattering (from PSDM) difficulty accepting past EMPDS) three-wave design two independent samples undergraduate students community adults. Participants completed measures on three occasions over 6 weeks. Findings revealed that socially prescribed indirectly predicted both samples. addition, sample only, higher anti-mattering, self-oriented mattering. Based our findings, advocate for future include EMPDS, integrate explanatory models, examine mattering-specific
Язык: Английский
Процитировано
4
Journal of the American Academy of Child & Adolescent Psychiatry, Год журнала: 2024, Номер unknown
Опубликована: Апрель 1, 2024
Язык: Английский
Процитировано
4
JAMA Network Open, Год журнала: 2024, Номер 7(8), С. e2427748 - e2427748
Опубликована: Авг. 14, 2024
Importance Depressive symptoms have increased among US adolescents since 2010. It remains unclear as to what extent this increase will persist into young adulthood, potentially turning the youth mental health crisis a adult crisis. Objective To test association between birth cohort and adolescent depressive at ages 18, 19 20, 21 22 years changes in these by cohort. Design, Setting, Participants This panel study analyzed data from Monitoring Future longitudinal survey 1990 2019, including cohorts 1972 2001. Survey respondents were recruited high schools 12th grade approximately aged 18 (at baseline) through age (during mail web follow-up). Data analysis was conducted April October 2023. Exposure score (>12 vs ≤12, with >12 representing top-decile scores) on scale examining affective items (eg, “Life often seems meaningless”). Main Outcomes Measures High (vs lower) 20 years. Results The 36 552 included 597 females (50.5%), most reported having parent who graduated college (44.8%). Among females, 19.1% (95% CI, 16.7%-21.4%) of recent (born: 1997-2001) had years, higher than any previous While prevalence declined it remained that age. males, 13.4% 11.2%-15.6%) adulthood. Males baseline 10.24 7.01-14.97) times odds 6.20 3.93-9.78) Females 9.16 6.57-12.76) 7.28 4.92-10.78) magnitude associations did not vary over time. Population attributable fractions indicated total proportion associated has increased; cohort, 55.25% 38.11%-65.13%) Conclusions Relevance found increases adolescence persisted suggesting need for primary prevention resources during
Язык: Английский
Процитировано
4