The effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries: An ecological study

Background. Suicide risk in patients is markedly elevated during psychiatric inpatient care, as well as after discharge. However, it is unclear whether, and to what extent, this increased suicide risk varies between sex. Thus, the aim of this study was to analyze sex differences for suicides during and after psychiatric hospitalization in various countries. Methods. […]

Evaluation of the use of digital mental health platforms and interventions: Scoping review

Background: The increasing use of digital mental health (DMH) platforms and digital mental health interventions (DMHIs) is hindered by uncertainty over effectiveness, quality and usability. There is a need to identify the types of available evidence in this domain. Aim: This study is a scoping review identifying evaluation of the (1) DMH platform/s used; and (2) DMHI/s […]

Scoping review of postvention for mental health providers following patient suicide

Introduction As suicides among military personnel continue to climb, we sought to determine best practices for supporting military mental health clinicians following patient suicide loss (i.e., postvention). Materials and Methods We conducted a scoping review of the literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Our initial search […]

Raising capacity to address mental health concerns in Costa Rica

Background A family medicine team based out of Mayo Clinic, Rochester assembled in 2019 to provide home visits and direct care to underserved populations of patients in La Cruz, Costa Rica. In addition to the provision of direct patient care, our team was interested in conducting a community needs-based assessment to identify an area for provider […]

Joining psychiatric care and faith healing in a prayer camp in Ghana: Randomised trial

Background: Care of people with serious mental illness in prayer camps in low-income countries generates human rights concerns and ethical challenges for outcome researchers. Aims To ethically evaluate joining traditional faith healing with psychiatric care including medications (Clinical trials.gov identifier NCT02593734). Method: Residents of a Ghana prayer camp were randomly assigned to receive either indicated medication for schizophrenia […]

Association of youth suicides and county-level mental health professional shortage areas in the US

Importance: Suicide is the second leading cause of death among US adolescents. Workforce shortages of mental health professionals in the US are widespread, but the association between mental health workforce shortages and youth suicides is not well understood. Objective: To assess the association between youth suicide rates and mental health professional workforce shortages at the county level, […]

Contact with mental health services after acute care for self-harm among adults released from prison: A prospective data linkage study

Objective To determine the care pathway and rate and predictors of mental health care contact within seven days of discharge from acute care following self-harm. Method In a representative cohort of adults released from prisons in Queensland, Australia, we probabilistically linked person-level, statewide ambulance, emergency department, and hospital records, both prospectively and retrospectively, and community […]

Assessment of suicide risk in mental health practice: shifting from prediction to therapeutic assessment, formulation, and risk management

Suicide prevention in psychiatric practice has been dominated by efforts to predict risk of suicide in individual patients. However, traditional risk prediction measures have been shown repeatedly in studies from high income countries to be ineffective. Several factors might contribute to clinicians’ preoccupation with risk prediction, which can have negative effects on patient care and […]

The relationship between suicide rates and mental health provider ratio

This project is an analysis of the relationship between suicide rates and mental health provider ratio within the United States. Data from 2018 are collected for each state regarding its suicide rate, mental health provider ratio, and percent of population unable to receive treatment for mental health problems. An initial analysis is made using suicide […]

Teen depression and suicide prevention: Standard treatment guidelines 2022

Suicide is the third leading cause of adolescent mortality in India and the fifth leading cause, globally. Every hour one child dies of suicide in India. Most adolescent suicides are impulsive. They commit suicide mainly by hanging, poisoning, drowning, and self-immolation. The important causes are family problems, break-up in romantic relationships, physical and mental illness, […]

National guidelines for child and youth behavioral health crisis care

The National Guidelines for Child and Youth Behavioral Health Crisis Care offers best practices, implementation strategies, and practical guidance for the design and development of services that meet the needs of children, youth, and their families experiencing a behavioral health crisis. Additional technical guidance is provided in a companion report produced by SAMHSA in conjunction with the […]

ACT for mental health federal plan for universal mental health & substance use health: Background paper

Under the Canada Health Act, mental health care is only covered by public health insurance when it is provided by physicians and/or in hospitals, Millions of Canadians don’t have a family doctor2 and can wait months, or more, to see a psychiatrist. Family doctors face challenges in caring for patients with mental health concerns, and publicly […]

Leader perspectives on managing suicide-related events in garrison

Leaders who have personally experienced the aftermath of a suiciderelated event can provide important lessons and recommendations for military leadership and policymakers. This paper executes a thematic analysis of interviews with leaders, chaplains, and behavioral health  providers who responded to garrison suicide-related events and explores leader decision making related to memorials, investigations, and readiness.

Mental health services use and depressive symptom scores among gay and bisexual men in Canada

Purpose To evaluate the association between mental health services (MHS) use and depressive symptom scores among gay and bisexual men (GBM) and compare with heterosexual men in Canada. Methods We used data from the 2015–2016 cycles of the Canadian Community Health Survey. Depressive symptoms were assessed using the PHQ-9 questionnaire (prior two weeks). MHS consultations […]

2022 Mental Health Care System study report

The Mood Disorders Society of Canada’s primary objective in the 2022 Mental Health Care System Survey was to identify priority issues within the Canadian mental health care system that needs to be addressed. This national survey was conducted by Narrative Research, an independent firm. Specifically, the study sought to gain a better understanding of the […]

The impact of working as a peer worker in mental health services: A longitudinal mixed methods study

Background Peer workers are increasingly employed in mental health services to use their own experiences of mental distress in supporting others with similar experiences. While evidence is emerging of the benefits of peer support for people using services, the impact on peer workers is less clear. There is a lack of research that takes a […]

Returning to the emergency department: A retrospective analysis of mental health re-presentations among young people in New South Wales, Australia

Objectives: This study aimed to describe mental health emergency department (ED) presentations among young people aged 8–26 years in New South Wales, Australia, and to identify key characteristics associated with higher risk of ED mental health re-presentation. Design, setting and participants: Retrospective analysis of linked ED data records for mental health presentations between 1 January […]

Mental health provider perspectives of the COVID‑19 pandemic impact on service delivery: A focus on challenges in remote engagement, suicide risk assessment, and treatment of psychosis

Background The COVID-19 pandemic has been impacting the need, utilization, and delivery of mental health services with greater challenges being faced by clients and providers. With many clients facing reduced access to services and social isolation, a focus on suicide risk assessment and prevention is critical. Concern is particularly increased for clients with schizophrenia spectrum […]

Suicide risk before mental health treatment initiation: Implications for screening and access to care

With rising suicide rates in the United States over the past two decades, a critical need has emerged to improve interventions to prevent suicide. Previous research has indicated that the period before initiation of mental health treatment may be a particularly vulnerable time for individuals with suicidal behavior. Presence of suicide risk before treatment initiation […]

Guidance to support gender affirming care for mental health

Mental health support is something that people of all genders may need at some point in their lives. Nearly 1 in 5 people in Australia will experience some form of mental health condition in the next year, a number that is  expected to be even higher for trans and/or gender diverse people. This guide is […]

The gap between perceived mental health needs and actual service utilization in Australian adolescents

Despite being highly prevalent, adolescent mental health problems are undertreated. To better understand the mental health treatment gap, we assessed the prevalence and correlates of help seeking, including perceived need for care and access to that care. Data were drawn from Young Minds  Matter (YMM) survey—the second Australian child and adolescents survey of mental health […]

Mental health service use, suicide behavior, and emergency department visits among rural US veterans who received video-enabled tablets during the COVID-19 pandemic

Objective  To evaluate the association between the escalated distribution of the US Department of Veterans Affairs’ (VA’s) video-enabled tablets during the COVID-19 pandemic and rural veterans’ mental health service use and suicide-related outcomes. Design, Setting, and Participants  This retrospective cohort study included rural veterans who had at least 1 VA mental health care visit in calendar year […]

Exploring the Role of age and gender on the impact of client suicide in mental health practitioners

Objective: Previous research has revealed that mental health professionals (MHPs) often experience severe, yet varying, levels of short-term impact in the aftermath of client suicide. Individual differences are significant, yet what factors help explain these differences remains unclear. The current study investigated the role of the MHPs’ and the clients’ age and gender upon the impact […]