This study aimed to assess associations between characteristics of contacts with the Veterans Crisis Line (VCL) and subsequent Veterans Health Administration (VHA) mental health care use, suicide-related events (SREs), and suicide mortality from 2016 to 2023.

This retrospective cohort study used VCL user data and administrative records from the Veterans Affairs Corporate Data Warehouse for 365,222 unique veterans who contacted the VCL between January 2016 and December 2022. The authors examined relationships between VCL contact characteristics, including contact type (calls, texts, and transfers), responder-assessed suicide risk level, and day of contact, and outcomes within 12 months of VCL contact (VHA mental health care use, VHA emergency department use, SREs, all-cause mortality, and suicide-specific mortality).

High-risk users, those requiring emergency dispatch or welfare checks, and those contacting VCL on weekends were more likely than their counterparts to use mental health services and experience SREs. Users contacting the VCL by text had a lower likelihood of all-cause mortality than direct callers. Changes in user characteristics since VCL service expansion in 2016 were observed, indicating a broader demographic reach and altered risk profiles.

The findings underscore the critical role of the VCL in facilitating access to health care for veterans experiencing a crisis and the necessity of targeted interventions for high-risk groups. The evolution in VCL user profiles and contact characteristics suggests ongoing changes in veterans' needs and preferences, reinforcing the importance of continuous adaptation of suicide prevention strategies. Future evaluations should focus on longitudinal outcomes and qualitative user experiences to enhance the effectiveness of crisis intervention services for veterans.

Postpartum physical activity (PA) is crucial in supporting maternal health, contributing to mental health and well-being, weight management, and overall physical fitness. Although multiple health organizations have issued PA recommendations for postpartum women, the content and quality of these guidelines have not yet been systematically evaluated.

To evaluate the quality of published guidelines on PA for postpartum women and to summarize their recommendations to provide clearer guidance for healthcare providers and postpartum women.

Systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

Six electronic databases were searched for guidelines related to PA for postpartum women. Gray literature was also reviewed. Guidelines were included if they were developed by recognized health organizations, provided PA (including structured supervised exercises) recommendations for postpartum women, and were published or updated within the last 10 years. Data extraction and quality appraisal were independently conducted by pairs of reviewers using the Appraisal of Guidelines Research and Evaluation Tool (AGREE II).

Eighteen guidelines were included, with AGREE II scores ranging from 50% to 92%. Seven guidelines (39%) met the criteria for satisfactory methodological quality. Most guidelines recommended that postpartum women engage in at least 150 min of moderate-intensity aerobic PA per week, while the 2025 Canadian guideline supports a minimum of 120 min based on meta-analytic evidence. Common recommendations included pelvic floor muscle training, strengthening exercises, and other exercises, with advice to seek healthcare guidance for women with special conditions.

There is a universal agreement across guidelines that postpartum women should aim for at least 120-150 min of moderate-intensity PA weekly. Future research should strengthen the evidence for specific types of PA, delivery mode considerations, and implementation strategies.

International Prospective Register of Systematic Reviews: PROSPERO (CRD42023447331).

Men who have experienced military sexual trauma (MST) are at heightened risk for a broad range of health and psychosocial sequelae yet often struggle to sustain participation in mental health care. The aim of this project was to examine whether men would tolerate and potentially benefit from a trauma-focused, discussion-based group treatment related to MST.

This nonrandomized project is a mixed method analysis of clinical data collected among patients who completed treatment (n = 72) over a 6-year period (2019-2025) and reports on intervention feasibility and acceptability, posttraumatic stress disorder symptoms, recovery, and belongingness and shame.

This study provides preliminary evidence for feasibility, acceptability, and clinical benefit. Contrary to prediction, there were no significant pre- to posttreatment quantitative changes in shame or belongingness, although qualitative data suggested a different pattern of participant experience.

These findings suggest that a trauma-focused, discussion-centered group therapy approach may be relevant for men with histories of MST, a population with unique clinical distress and treatment underutilization. This alternative therapeutic approach merits additional study as an alternative approach for MST-related care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder associated with substantial academic and social impairments, yet evidence from Middle Eastern populations remains limited. This study examined demographic, clinical, academic, and social functioning profiles of Qatari youth with ADHD, with a particular focus on sex-based differences. A cross-sectional study was conducted at a tertiary service in Qatar between 2022 and 2025, involving 131 Qatari youth aged 7-17 years with a confirmed diagnosis of ADHD. Parents completed the Vanderbilt ADHD Diagnostic Parent Rating Scale, and clinical data on comorbidities, treatment, academic performance, and social functioning were extracted from medical records. Males comprised 71% of the sample. Although most clinical features were comparable between male and female ADHD patients, females demonstrated significantly greater peer relationship difficulties compared with males, suggesting a need for targeted social intervention in females. Academic impairments were also prevalent across both sexes. Findings underscored the functional impact of ADHD and the importance of culturally and gender-sensitive care.

Ventriculoperitoneal (VP) shunt surgery is a common neurosurgical procedure in pediatrics, but it carries a significant risk of surgical site infections (SSIs). Antibiotic prophylaxis is widely used to prevent SSIs, but its efficacy in this context remains unclear. This systematic review and meta-analysis aimed to summarize the existing evidence on the effectiveness of antibiotic prophylaxis in reducing infection rates in pediatric patients undergoing VP shunt surgery. A comprehensive literature search was conducted in PubMed, EMBASE, Cochrane Library, Ovid, Google Scholar, and Quality Outcome Database (QOD), from 1975 to June 2025. We included randomized controlled trials (RCTs) or observational reporting infection rates after antibiotic prophylaxis in pediatric patients (< 18 years) undergoing VP shunt surgery. Two reviewers independently performed the screening, data extraction, and quality assessment. Infection risk was reported as risk ratio (RR) and 95% confidence interval (CI). Subgroup analyses were conducted according to antibiotic type and study design. Additionally, proportional meta-analysis was conducted for the antibiotic group. We included 11 studies, eight RCTs and three retrospective cohorts, comprising 2379 patients. The pooled rate of infection among patients receiving antibiotics was 6.3%. The use of prophylactic antibiotics significantly reduced the risk of infection (RR = 0.55, 95% CI 0.38 to 0.80, P = 0.0016). Subgroup analysis showed that vancomycin was associated with a significant reduction in infection (RR = 0.51, 95% CI 0.27 to 0.94, P = 0.03), while methicillin (P = 0.052) and other antibiotics (P = 0.09) were not.

This systematic review and meta-analysis showed that antibiotic prophylaxis, particularly vancomycin, significantly reduced infection rates in pediatric patients undergoing VP shunt surgery. Given that most of the included studies were conducted before 2000 and that there was substantial heterogeneity in infection definitions as well as in the type, dose, duration, and route of antibiotic prophylaxis, the overall findings suggest a potential benefit; however, these results should be interpreted with caution and cannot be directly extrapolated to contemporary clinical practice.

• Ventriculoperitoneal shunt infection is a major complication in pediatric hydrocephalus requiring effective antimicrobial prevention and treatment strategies. • Optimal antibiotic selection for reducing shunt infection remains debated across studies.

• This meta-analysis suggests improved infection control outcomes with vancomycin-based strategies in VP shunt management. • Findings should be interpreted cautiously given study heterogeneity and limitations of available evidence.

Background/Objectives: Workplace violence (WPV) is a major occupational concern in psychiatric settings, where mental health nurses (MHNs) are consistently identified as a high-risk professional group. Within this context, sexual violence (SV) remains understudied as a distinct phenomenon and is often embedded within aggregated measures of WPV. This systematic review aimed to synthesize the available evidence on SV against MHNs working in inpatient settings by: (1) describing its prevalence, forms, and characteristics; (2) examining psychological, occupational, and physical outcomes; and (3) identifying associated risk factors. Methods: This systematic review was conducted in accordance with PRISMA guidelines and registered in PROSPERO (CRD420251103606). A literature search was performed across PubMed, CINAHL, Scopus, Web of Science, and PsycInfo, supplemented by reference list checking and citation tracking. Peer-reviewed quantitative and qualitative studies published in English or Italian were eligible if they involved MHNs working in inpatient settings and addressed SV. Study selection, data extraction, and risk-of-bias assessment were conducted independently by two reviewers. A narrative synthesis following SWiM guidance was undertaken, and the certainty of evidence for statistically significant outcomes was assessed using the GRADE approach. Results: Twenty-five studies published between 2003 and 2025 were included. Definitions of SV varied substantially. Reported prevalence ranged from 0% to 68%, with verbal sexual harassment ranging from 19.5% to 53.4%, physical sexual harassment ranging from 14% to 42.9%, and sexual assault up to 18.6%. Evidence indicated associations between SV exposure and poorer quality of life, burnout, and days lost from work. The main risk factors included gender, age, education, work experience, employment type, acute psychiatric settings, night shifts, normalization of violence, and history of physical and sexual violence. Conclusions: SV against MHNs represents a relevant issue in psychiatric settings. Findings suggest significant psychological and occupational consequences. Standardized definitions and measurement, longitudinal research, and intervention studies are needed to inform effective prevention strategies and organizational responses.

The rise in ICU survival rates has introduced new challenges related to the long-term effects of intensive care, known as Post-Intensive Care Syndrome (PICS). Nurses play a key role in these clinics; however, the nature and outcomes of their interventions remain insufficiently understood. Objectives: This review aims to identify nursing interventions for PICS in follow-up clinics. Methods: Using the JBI scoping review methodology, we searched PubMed, Web of Science and CINAHL (via EBSCOhost) in March 2025, and examined grey literature in RCAAP and Open Dissertations (through B-ON). Inclusion criteria, based on JBI's PCC (Population, Concept, Context), focused on nursing interventions for PICS for patients and families in follow-up. Studies involving children, adolescents, pregnant women, and those receiving end-of-life care were excluded. Results: Encompassing studies from 2005 to 2022 across multiple countries, this review highlights nursing interventions for post-ICU recovery. A total of 394 articles that met our search criteria were found, resulting from searches in the mentioned databases. These were initially exported to Rayyan, and 115 duplicates were removed. The 21 articles that met our inclusion criteria were fully analyzed, and those that effectively answered our questions and met our inclusion criteria were selected. In the end, 9 articles were selected, to which, after an individual analysis of their bibliographic references, 3 more were added, totaling 12 articles submitted to the final analysis. Conclusions: For patients, interventions ranged from debriefing, PICS symptom evaluation, ICU re-visits, health education, cognitive-behavioral therapy and support groups, complemented by home-based physical rehabilitation and virtual reality. Family-focused interventions centered on appointment involvement, educational sessions, patient diary review, and emotional support. These assessments and interventions address the consequences of ICU admission, with the goal of facilitating physical, mental, and emotional rehabilitation of ICU survivors. This review emphasizes the critical role of follow-up consultations in the recovery of both patients and families. A comprehensive assessment using PICS scales and the integration of families into care plans are crucial for optimizing intervention outcomes. Implications for Clinical Practice: The development of evidence-based guidelines for implementation of follow-up clinics for SPICI appointments is necessary.