Psychiatric readmission following inpatient discharge is common and is frequently used as an indicator of continuity and quality of care in mental health services. Although readmission is often interpreted as a marker of clinical relapse, increasing evidence suggests that psychosocial factors may contribute to post-discharge outcomes. However, evidence on these factors remains fragmented across settings, populations, and healthcare systems.This systematic review synthesised quantitative observational evidence on psychosocial factors associated with psychiatric readmission following discharge from acute inpatient mental health care. A systematic search of PubMed, Scopus, Web of Science, and APA PsycINFO was conducted from database inception in accordance with PRISMA 2020 guidelines. Eligible studies included adult psychiatric inpatients and examined at least one psychosocial factor assessed during admission or prior to discharge in relation to subsequent psychiatric readmission. Due to substantial clinical and methodological heterogeneity, findings were synthesised narratively.Fifteen studies conducted across diverse international healthcare systems were included. The most consistent findings were observed for housing instability, homelessness, and unstable residential context, which were repeatedly associated with psychiatric readmission across population-based, hospital-based, and clinical registry studies. Evidence for socioeconomic disadvantage, employment status, social integration, and social support was more heterogeneous, limited, or dependent on how these constructs were measured and adjusted for.These findings suggest that psychiatric readmission reflects not only clinical trajectories but also broader social vulnerability during the transition from inpatient to community-based care. Integrating systematic assessment of psychosocial circumstances, particularly housing instability and barriers to outpatient follow-up, into discharge planning may be important for improving continuity of care and reducing avoidable psychiatric readmissions.

Autistic people often experience mental and physical health challenges that require high-quality healthcare. However, several barriers hinder their access to healthcare, including difficulties communicating in healthcare settings. Communication-related barriers might differ between countries but have been mainly investigated in high income countries. Less is, therefore, known about the barriers to access to healthcare in middle-income countries such as Georgia.

In this study, we investigated challenges in communication between autistic people, parents and non-autistic healthcare professionals for the first time in Georgia. We report qualitative data from three focus groups comprising seven autistic participants (aged 13-29 years), two healthcare specialists (a child psychiatrist and a paediatrician), and four mothers.

The findings revealed that autistic people and parents of autistic individuals often experience communication breakdowns in healthcare settings and beyond. Limited knowledge of autism among professionals, as well as the lack of services and support remain a big problem, affecting the lives of autistic people.

These findings have implications for healthcare practice and future research and policy in Georgia and other countries with similar socio-political characteristics.

The dual-factor model of mental health suggests that positive and negative aspects are distinct, allowing adolescents to be categorized into four groups: flourishing, languishing, symptomatic but content, and troubled, based on different combinations of strengths and difficulties. However, prior research has often focused solely on emotional indicators, neglecting behavioral dimensions in both positive and negative domains. In addition, most studies have been cross-sectional, leaving it unclear whether these patterns remain stable over time or how various factors predict adolescents' subgroup trajectories. To this end, this study used composite indicators of depressive symptoms, well-being, conduct problems and prosocial behavior to examine the heterogeneous developmental trajectories of mental health during middle adolescence, while also assessing the predictive roles of stress and emotion regulation. Using five waves of longitudinal data from 1,391 Chinese adolescents and parallel-process latent class growth model, we identified four distinct trajectories: "flourishing and improving"; "emotionally adaptive but behaviorally troubled"; "emotionally troubled but behaviorally adaptive"; and "Troubled". Moreover, stress (including daily and early-life stress) and emotion regulation (including cognitive reappraisal and expressive suppression) showed distinct associations with adolescents' trajectory membership. These findings support a developmental test of the dual-factor model by showing that both emotional and behavioral domains are crucial for distinguishing the heterogeneous mental health trajectories, as positive and negative indicators demonstrate greater independence across domains than within them. In addition, they highlight subgroup-specific predictors, providing guidance for targeted interventions.

Interventions aimed at reducing restrictive practices are also designed to enhance the service experience in acute mental health units. However, people with experience of coercive engagement with these services are seldom involved as active contributors in evaluative research on interventions to reduce restrictive practices. With the meaningful involvement of lived experience practitioners, this research was aimed at examining care recipients' service experiences and perspectives on nurses' therapeutic responses during the implementation of a de-escalation intervention in three adult inpatient units within New South Wales, Australia, from March 2024 to April 2025. Nested within a larger study employing a mixed concurrent control design, this research evaluated the effectiveness and process of the Safe Steps for De-escalation through comparisons of unmatched measures of empowerment, dehumanisation, and staff actions on violence prevention across three time points, as well as through a reflective thematic analysis of semi-structured interviews. Safe Steps is a structured approach for therapeutic responding, targeting nurses' relationship-promotion behaviours to increase focus on minimising the use of restrictive practices. Eighty-six inpatients completed the unmatched measures, with nine participating in interviews following discharge. No significant changes were noted in quantitative measures over time. Five themes emerged from the qualitative analysis: (i) Clarity calms; confusion harms, (ii) Control cuts deep, (iii) Systems strain; people break, (iv) Connection is treatment in itself, and (v) Meaning-making outweighs medicine. These findings cast acute inpatient units in a light akin to a power circuit, elevating the need to make inpatient admissions more reflective of everyday life outside the units.

Engaging people with lived experience (PWLE) and family members (/F) in mental health and/or substance use health research is an increasingly common practice and has many benefits. However, challenges are also encountered; these challenges include the experience of unequal power dynamics on research teams.

This pragmatic qualitative descriptive study aimed to understand the experience of power dynamics in mental health/substance use health research engagement contexts, using an engagement framework.

Four focus group discussions were conducted with 18 PWLE/F aged 19-79 who had experience engaging in mental health and/or substance use research. A co-designed semi-structured interview guide was used. Discussions were audio recorded, transcribed, analysed using codebook thematic analysis and discussed with a Lived Experience Working Group.

Three primary themes were generated from the data: (1) Leadership, knowledge and expertise generate power. (2) Power dynamics should be acknowledged and balanced to improve research quality. (3) Power can be shared through authentic engagement practices.

While knowledge and expertise generate power, researchers are not the only ones to hold knowledge and expertise, which necessitates the sharing of power. The mitigating strategies to help research teams address power are consistent with recommendations for conducting authentic engagement as a whole. Following best practices for PWLE engagement can help balance power dynamics on engaged research teams.

All aspects of this study were guided by a Lived Experience Working Group, from the identification of the research question to the interpretation and reporting of the results. People with lived experience and family members are co-authors on this manuscript.

This study aimed to investigate the determinants of happiness among nursing students in Pakistan by examining the associations between happiness levels and demographic, psychosocial, institutional, and lifestyle factors.

A cross-sectional study was conducted with 302 nursing students between April 18^th to June 30, 2025 in the nursing colleges located in Rawalpindi and Islamabad. Data were collected using a structured questionnaire based on two sections: demographic profile and Oxford Happiness Questionnaire Short Form (OHQ-SF) to assess happiness level. Descriptive statistics, chi-square tests, and ordinal logistic regression were used for data analysis.

A total of 302 nursing students participated in the study, with the majority being female (87.4%) and single (97.7%). Happiness among students declined with academic progression, particularly in the second year (p = .003). Higher happiness was significantly associated with strong faculty support, good sleep, satisfaction with nursing education, a positive work environment, access to mental health services, and an active lifestyle (all p < .05). Ordinal regression confirmed that personal choice of profession, moderate physical activity, and part-time employment were key predictors.

The happiness among nursing students is related to individual characteristics, institutional environment, personal choice and healthy lifestyle. Therefore, there is need for nursing programs to support student autonomy, healthy lifestyles and institutional satisfaction to strengthen emotional resilience and well-being among nursing students in Pakistan.

This study aims to explore the impact of fertility stress on depressive symptoms, with a focus on analyzing the potential mediating effects of infertility stigma and family function in this process.

A cross-sectional design was employed in which 1294 female partners of infertile couples were recruited from two tertiary-grade A hospitals in Hainan Province, China. Fertility stress, depressive symptoms, infertility stigma, and family function were assessed with validated self-report questionnaires. Structural equation modeling (SEM) was used to estimate the direct effect of fertility stress and the parallel mediating effects of infertility stigma and family function.

The prevalence rate of depressive symptoms was 26.35%. The direct effect model indicated a significant positive association between fertility stress and depressive symptoms (β = 0.260, p < 0.001). The parallel mediation model revealed that infertility stigma (β = 0.176, p < 0.001) and family function (β = 0.052, p < 0.001) exerted full mediating effects. Specifically, fertility stress indirectly increased depressive symptoms by exacerbating infertility stigma; concurrently, low levels of family function exacerbated the negative impact of fertility stress on mental health.

Fertility stress not only directly affects depressive symptoms, but also indirectly exacerbates depressive symptoms by intensifying infertility stigma and impairing family function. This study provides a new perspective for understanding the mental health mechanism in female partners of infertile couples, emphasizing that psychological interventions need to simultaneously focus on reducing infertility stigma and improving family function, which may offer a basis for informing relevant clinical practices and public health policies.

From the perspective of patients' self-identity, this article explores the correlations among coping strategies of adolescent patients with depression, parents' autonomous support, and self-identity, and also examines the mediating role of coping strategies.

A total of 240 adolescent patients with depression from the First Hospital of Hebei Medical University were selected between August 2023 and July 2024. Basic information questionnaires, the Simplified Coping Style Questionnaire (SCSQ), the Parental Autonomy Support Scale (PASS), and the Self-Identity Scale (SIS) were used for the survey. Pearson correlation analysis was conducted to examine the relationships among coping styles of adolescent patients with depression, parental autonomy support, and self-identity. The SPSS macro program Process 4.1 was used to analyze the mediating role of coping styles between parental autonomy support and self-identity.

A total of 240 questionnaires were distributed in this study, and 236 valid questionnaires were collected, resulting in a recovery rate of 98.33%. The mean score for positive coping strategies among 236 adolescent patients with depression was (19.45 ± 2.68) points, while the mean score for negative coping strategies was (18.97 ± 5.04) points. The mean PASS score was (42.73 ± 9.98) points, and the mean SIS score was (48.64 ± 7.73) points. Pearson correlation analysis showed that positive coping strategies were positively correlated with parental autonomous support and self-identity (r = 0.267, 95% CI: 0.154-0.381; r = 0.207, 95% CI: 0.098-0.317). Negative coping strategies were negatively correlated with parental autonomous support and self-identity (r = －0.173, 95% CI: －0.290 to －0.054; r = －0.153, 95% CI: －0.265 to －0.039). Parental autonomous support was positively correlated with self-identity (r = 0.182, 95% CI: 0.052-0.313). The bootstrap method confirmed three mediating paths: Path 1 (parental autonomous support → positive coping → self-identity) had an effect value of 0.070 (95% CI: 0.021-0.162), accounting for 17.68% of the effect; Path 2 (parental autonomous support → negative coping → self-identity) had an effect value of 0.020 (95% CI: 0.005-0.042), accounting for 5.05% of the effect; Path 3 (parental autonomous support → positive coping → negative coping → self-identity) had an effect value of 0.017 (95% CI: 0.005-0.033), accounting for 4.29% of the effect. The 95% confidence intervals did not include 0, indicating that the indirect effects were significant.

Parental autonomous support can directly affect the self-identity of adolescent patients with depression and can also indirectly influence it through coping strategies. Positive coping strategies mediate the beneficial effect of parental autonomous support on self-identity and play a protective role.

Clinical nurses in tertiary hospitals face high emotional labor, which can deplete emotional resources and lead to occupational burnout. Emotional intelligence is a crucial psychological resource for coping with such stress. This cross-sectional study aimed to use latent profile analysis to identify emotional intelligence profiles among clinical nurses and examine factors associated with profile membership.

A cross-sectional study was conducted between December 2025 and January 2026. A convenience sample of 765 clinical nurses from two tertiary Grade A hospitals in China was recruited. Data were collected using a demographic and work-related characteristics questionnaire and the Wong and Law Emotional Intelligence Scale. Latent profile analysis was used to identify distinct emotional intelligence subgroups, and multinomial logistic regression was performed to examine factors associated with profile membership.

Three distinct latent profiles of emotional intelligence were identified among the clinical nurses: "Dysregulated Low emotional intelligence" (41.7%), "Moderate-Balanced emotional intelligence" (50.8%), and "High-Balanced emotional intelligence" (7.5%). The majority of nurses exhibited an overall moderate level of emotional intelligence. Multinomial logistic regression revealed that parental overprotection or control, personality type, involvement in department management, and job satisfaction were significant factors associated with latent profile membership.

The findings highlight the significant heterogeneity of emotional intelligence within the nursing workforce. Nursing managers may adopt differentiated management strategies and develop targeted training programs tailored to specific subgroup characteristics. Targeted support for emotional intelligence may contribute to nurses' mental wellbeing and the quality of nursing care.

Psychiatric nurses face high turnover rates and increasing levels of turnover intention. Workplace violence is associated with turnover intention among psychiatric nurses. Social exchange theory suggests that ward atmosphere and social distance may play a significant role in this process. However, the mechanisms underlying this relationship remain unclear.

To explore how workplace violence influences nurses' turnover intention through ward atmosphere and social distance, and to provide strategies for promoting nurses' wellbeing.

A questionnaire survey was conducted among 1,485 psychiatric nurses recruited through the Mental and Psychological Care Alliance from September to October 2024. Variables were measured using a demographic questionnaire, a turnover intention item, the Workplace Violence Scale, the Ward Atmosphere Scale, and the Social Distance Scale. Statistical analysis and model construction and validation were performed using SPSS 29.0 software.

Ward atmosphere was negatively correlated with turnover intention (r = -0.423), social distance (r = -0.340), and workplace violence (r = -0.307). Turnover intention was positively correlated with both social distance (r = 0.221) and workplace violence (r = 0.214). Workplace violence was positively correlated with social distance (r = 0.159). Workplace violence directly affected turnover intention among psychiatric nurses (β = 0.181, p < 0.001). The workplace violence also indirectly affects turnover intention among psychiatric nurses through the simple mediating effect of ward atmosphere (β = 0.232, p < 0.001) and social distance (β = 0.010, p < 0.001). And the sequential mediating effect of ward atmosphere and social distance between workplace violence and turnover intention is also significant (β = 0.017, p < 0.01). Additionally, that ward atmosphere and social distance totally mediated the link between workplace violence and turnover intention (indirect effect = 0.259, 95% CI: 0.207-0.313), explaining 58.863% of the total effect.

This study suggests that we should pay attention to the influencing factors of the turnover intention and take effective measures. It is imperative to mitigate the occurrence of workplace violence within the ward. Additionally, we should cultivate a positive ward atmosphere, enhance the attitudes of psychiatric nurses toward their patients, and diminish expectations of social distance. These actions may reduce nurse turnover.