Female, woman and/or girl athletes' sport participation rates are rising and associated with high injury rates and burden. Using best-practice consensus methodology, we developed recommendations to guide injury prevention for female/woman/girl athletes. The Female/woman/girl Athlete Injury pRevention (FAIR) International Olympic Committee Consensus meeting was held from 31 March to 2 April 2025 (Lausanne, Switzerland).The FAIR Consensus followed an eight-step hybrid method. 109 authors from six continents conducted: (1) systematic reviews synthesising evidence on injury prevention strategies and modifiable risk factors for lower-extremity and upper-extremity injuries, concussions and spine/chest/abdominal/pelvic injuries/pain, (2) a scoping review synthesising dissemination and implementation (D&I) approaches; and (3) a concept mapping project generating knowledge on gender/sex-related factors for injury prevention. These projects underpinned draft recommendations subsequently voted on by a steering committee (n=24) and an external advisory committee chair over two anonymous survey rounds. Recommendations, Round 1 voting results and suggestions/dissenting comments were discussed between Round 1 and 2 voting. Consensus was defined as 'critical to include' (≥70% scored recommendation as 7-9 (9-point Likert scale, 1=not important; 9=critically important) AND ≤15% scored recommendation as 1-3).The 56 FAIR recommendations address: primary injury prevention (n=16) (policy/rules/laws=6; personal protective equipment=8; training=2); secondary injury prevention (n=4); modifiable risk factors (n=12); approaches to D&I (n=14); and promoting gender/sex-supportive environments (n=10).The FAIR Consensus informs evidence-based best practices and policy for injury prevention, approaches to implementation and creation of supportive environments for female/woman/girl athletes. Every person at all levels of sport can, and should, take responsibility for actions that positively influence female/woman/girl athlete health and safety.

Mental ill-health affects young people being marginalized to a greater extent than other young people. Nevertheless, are groups being marginalized underrepresented in health research and practice. Several models regarding youth participation have been developed, but knowledge is still lacking on how health promotion practitioners can equitably involve young people when developing health promotion efforts.

This study aims to (1) describe how participatory action research was used to develop a model for practitioners to equitably involve young people in mental health promotion initiatives and (2) present the finalized model, Steps Towards Justice.

Through a participatory action research approach, a group of practitioners constructed a model for an equitable involvement of young people in mental health promotion. The model was developed further together with focus groups of practitioners and young people.

The finalized model consists of three phases: preparing, conducting, and applying, with different steps of action to be taken in each phase. To identify inclusion and exclusion, practitioners need to be critical and aware of their own prejudice and values throughout the process. The practice of involving young people equitably also includes creating safe spaces and valuing young people of different backgrounds equally in their contribution to mental health promotion.

The model can be useful for practitioners wanting to involve young people when planning and conducting mental health promotion, for instance at schools or youth centers. It can foster the process of critical reflection around equitable practices and taking steps toward justice through concrete actions of involvement, moving beyond a vague discourse of "everyone is welcome."

Sex workers are exposed to high levels of mental health risk. Yet, the psychological effects of self-stigmatization in legalized sex work contexts remain underexplored. This study examines how different dimensions of self-stigma influence mental health outcomes among female sex workers (FSWs) in Germany, where sex work is legalized and regulated.

A cross-sectional study was conducted with 397 FSWs recruited across diverse work settings in Germany between August 2022 and October 2024. Mental health conditions were assessed using the Mini-DIPS Open Access structured interview. Self-stigmatization was measured via the Paradox of Self-Stigmatization Scale (PaSS-24), which captures three dimensions: stereotype endorsement, non-disclosure, and righteous anger. Logistic regression analyses were used to examine associations between self-stigma and four psychiatric outcomes: affective disorders, anxiety disorders, trauma-related disorders, and substance use disorders, adjusting for demographic and occupational covariates.

A high prevalence of mental health disorders was observed among participants, reflecting the categories assessed in this study (affective, anxiety, trauma-related, and substance use disorders). Emotional and behavioral dimensions of self-stigmatization, particularly concealment and emotional reactivity, showed associations with certain psychiatric outcomes. In contrast, cognitive endorsement of stereotypes showed no consistent links to mental health status in this sample.

Findings support the "Paradox of Self-Stigma" model: FSWs cognitively reject negative stereotypes yet exhibit strong emotional and behavioral responses that heighten psychological distress. Righteous anger and concealment may reflect unresolved trauma rather than resilience. Interventions should address emotional stigma responses, promote safer work environments, and support disclosure in trusted relationships. This study highlights the need for context-sensitive, multidimensional strategies to reduce stigma-related mental health burdens among sex workers in legalized systems.

During pregnancy, childbirth and postnatally, women are at their most vulnerable, requiring health and social care systems able to meet their needs. In the context of perinatal care, assessing Aboriginal women's mental health requires consideration of their whole-of-life to establish their overall social and emotional wellbeing. This requires mechanisms which respect women's cultural positioning and needs. In the Australian health care system, Aboriginal women's mental health is routinely viewed through mainstream screening and assessment tools, such as the Edinburgh Postnatal Depression Scale which does not address cultural strengths or the protective nature of being connected to culture. In the face of significant structural inequities, including in perinatal care, Aboriginal women are frequently marginalized which contributes to their disengagement from services. Despite this, women's resilience remains evident and understanding why may hold the key to better perinatal care planning. As such, the aim of this study was to explore Aboriginal women's resilience, self-efficacy and empowerment during their perinatal experiences, assessing factors contributing to their cultural strengths when addressing perinatal mental health concerns.

situated in a larger pilot implementation project, this qualitative study used an Aboriginal Participatory Action Research method and was undertaken on Whadjuk Country, Boorloo (Perth Western Australia). Aboriginal women (n = 8) were invited to participate in yarns with the study's lead Aboriginal researcher. Data was inductively and deductively analyzed, with findings interpreted through a decolonizing framework which prioritized strengths and cultural ways of being.

Six themes were identified from analysis of the qualitative data: (1) strengthening identity-reconnecting to Culture; (2) connection to kinship/family sub-theme, strong partner support; (3) connection to country; (4) connection to culture; (5) resilience and self-efficacy; and (6) women's experiences using the Baby Coming You Ready program's digital platform. Themes 1-5 clearly demonstrated women's strengths and resilience which were reported as a direct result of their culture and cultural connections; while theme 6 reported their positive experiences of using a strengths-based and culturally developed perinatal assessment platform.

The results of this study confirm the positive benefits and value of co-designing tools for use in clinical settings which incorporate the cultural determinants of health and holistic perspectives of social and emotional wellbeing when screening Aboriginal women's perinatal mental health.

Internship is an important transition stage for nursing students from school to clinical work. However, students often suffer from mental health problems such as depression, anxiety and stress during internship, which further affects the effect of internship and career choice.

This study aims to explore the mental health problems of higher vocational nursing students and its influencing factors.

This study used a cross-sectional design to investigate 432 nursing students during internship who were studying at Binzhou Polytechnic from May to June 2025. The general information questionnaire, General Self-Efficacy Scale (GSES) and Depression, Anxiety and Stress Scale (DASS-21) were used to collect data to understand the mental health status of higher vocational nursing interns and analyze the influence of different factors on mental health problems.

24.7% of the nursing interns had depression problems, 26.5% had anxiety problems, and 22.8% felt great pressure. Binary logistic regression analysis showed that internship in a tertiary grade A hospital and male students were associated with an increased risk of psychological problems (OR > 1). However, often or sometimes feeling cared for during internship, liking for the nursing profession, thinking that the nursing profession was respected, and high self-efficacy were associated with reduced risk of psychological problems (OR < 1). Conclusions: Hospital, gender, liking for the nursing profession, thinking that the nursing profession was respected, feeling cared for during internship and self-efficacy were all significantly associated with the mental health of higher vocational nursing students during internship. These findings provide a basis for the development of targeted mental health interventions to help improve the mental health of nursing students.

Faced with a declining birth rate, China urgently needs to identify effective strategies to improve residents' attitudes toward having additional children. This study investigates whether physical exercise, grounded in leisure theory and demographic principles, serves as a significant factor in promoting positive fertility attitudes.

This research employs a conceptual framework that identifies the prerequisites and inherent benefits of physical exercise. We then empirically test its influence using data from the 2023 Chinese General Social Survey (CGSS). The desire for another child is the key outcome variable, regressed on measures of sports participation. Robustness checks are conducted to address potential endogeneity, and a mediation analysis is performed to uncover the underlying pathways.

The results demonstrate that participation in sports activities substantially improves individuals' fertility attitudes. This positive effect remains robust after controlling for endogeneity. The mediation analysis reveals that the relationship is driven by two significant pathways: first, through the enhancement of physical and mental health, and second, through the strengthening of family cohesion and overall life satisfaction.

The findings confirm that physical exercise is a significant and positive predictor of fertility attitudes in China. The mechanisms operate through both bio-psychological and socio-familial channels. We conclude that public policies aimed at promoting accessible and appealing physical exercise can effectively complement existing fertility support measures, thereby providing a viable strategy to help optimize China's national population policies.

Canada's mental health crisis has worsened since the COVID-19 pandemic. Depression is particularly concerning due to its prevalence and significant effects, but racial differences in its occurrence and associated factors remain underexplored. This cross-sectional study aims to address this gap by (1) assessing the prevalence of depressive symptoms among Arab, Asian, Black, Indigenous, White, and mixed-race individuals in Canada, and (2) identifying the factors associated within these racial groups.

A nationally representative sample (N = 4220) was randomly selected from a Computer-Assisted Web Interviewing panel, ensuring racial diversity (45.45% White, 13.53% Black, 13.25% Indigenous, 11.30% Arab, 7.32% Asian). Multiple linear and logistic regression analyses examined the associations between racial discrimination, resilience, and depression, controlling for sociodemographic factors.

The prevalence of depressive and severe depressive symptoms varied significantly across racial groups: Indigenous (49.37% and 21.11%), Arab (44.23% and 17.19%), Asian (41.42% and 13.92%), Black (32.92% and 12.78%), and White (32.69% and 10.53%), χ² (6) = 88.41, p < 0.0001 and χ² (6) = 65.16, p < 0.0001. For depressive symptoms, gender differences were significant only among White (28.96% men, 35.37% women, χ² (1) = 8.92, p = 0.0028) and Indigenous (41.40% men, 54.14% women) participants, χ² (1) = 8.54, p = 0.0035 and only for Indigenous participants for severe depressive symptoms. Younger participants consistently reported higher depressive and severe depressive symptoms rates across all racial groups. Everyday racial discrimination was significantly associated with depressive symptoms among all racialized and Indigenous groups (β = 0.28-0.43, p < 0.0001). Those reporting very high levels of discrimination were 4.79-18.61 times more likely to exhibit clinically significant depressive symptoms compared to those with low discrimination (Adjusted Odds Ratio = 4.79-18.61, p < 0.0001) with similar patterns for severe depressive symptoms. Resilience was negatively associated with depressive symptoms across all groups.

This study highlights the ongoing mental health crisis in Canada, particularly among racialized and Indigenous communities, which has been exacerbated by the complex racial trauma related to the experience of racial discrimination. There is a critical need for a national mental health plan that incorporates anti-racist and culturally sensitive prevention and care to ensure equitable access to mental health services.

This study was funded by a grant from the Public Health Agency of Canada (PHAC - grant # 2324-HQ-000162).

Many women in the perinatal period present to their women's health providers with mental health concerns, which may impact the well-being of both the mother and baby. In this study, behavioral health consultants (BHCs) specially trained in the Infant Mental Health (IMH) approach, hereafter referred to as IMH-BHCs, were integrated into prenatal clinics whose patient populations include a significant proportion of Black, Indigenous, and People of Color (BIPOC) women. BIPOC women experience unique challenges in receiving culturally responsive perinatal and general healthcare. The aim of this study was to elucidate healthcare providers' perceptions of IMH-BHC clinic integration on patient and provider outcomes, assess barriers to integrating behavioral health care into obstetric care environments, and understand the impact on quality of care delivery resulting from adding behavioral health support to perinatal populations.

This was a mixed-methods study conducted in Midwestern United States (Michigan); we collected survey responses from healthcare providers (n=52) on model knowledge and satisfaction; we also conducted a qualitative analysis of in-depth interviews with a subset (n=9). One-on-one interviews were guided by an ethnographic approach and focused on gathering thoughts, attitudes, and perceptions of health providers on integrating IMH-BHCs into their practice. Analysis included individual review, open coding, and thematic analysis of transcribed interviews using a grounded theory approach.

Quantitative survey results reflected high knowledge about and engagement with the model. Survey respondents also endorsed the presence of the IMH-BHC improving scope focus and time management. Two main themes emerged with five sub-themes from our qualitative interviews. The main themes were: 1) initiation and engagement with the IMH-BHC model, and 2) evaluated effectiveness of the IMH-BHC. The sub-themes were: 1) IMH-BHC strategies to engage patients, 2) barriers to care facilitation, 3) continuity of care with IMH-BHC, 4) presence of the IMH-BHC may help aid in timely care, and 5) potential for reduction in provider workload and stress.

Overall, the integration of IMH-BHCs into clinical settings was regarded as beneficial due to decreasing provider workload, increasing accessibility to mental health services for socially marginalized populations, and enhancing patient engagement. Further research is needed to mitigate barriers to IMH-BHC integration.

This study examines the process of implementing One-at-a-Time (OAAT; i.e., single-session) therapy into child and youth addiction and mental health services in New Brunswick. The implementation process was retrospectively mapped onto implementation science frameworks. Providers were recruited to participate in research associated with the system change, and completed surveys to assess readiness for implementation. Client satisfaction and system-outcomes were measured through surveys and system indicators, respectively. Key implementation considerations included age of consent for services, implementation within an integrated service delivery model, and mapping the client journey to conceptualize changes in service delivery. Providers (N = 214) felt that OAAT therapy was acceptable and appropriate to implement into practice, and would lead to observable short-term outcomes. During the implementation (April-December 2022), 2266 sessions were delivered, resulting in a 62% waitlist reduction. Most clients who completed the satisfaction survey (N = 518) reported benefit. This study elucidates the successful implementation of OAAT therapy for children and youth, and can serve as a heuristic for comparable practice change initiatives.

The online version contains supplementary material available at 10.1007/s11469-024-01339-4.

Hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening hyperinflammatory syndrome caused by uncontrolled activation of T-lymphocytes and macrophages. It is classified as either familial (genetic) or acquired. Among acquired forms, infections are a common trigger, with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) and associated opportunistic infections frequently considered in the differential diagnosis. We report the case of a 20-year-old Hispanic male who presented with nausea and vomiting and was found to have bi-cytopenia, high ferritin level, mild splenomegaly, decreased natural killer (NK) cells, and bone marrow findings consistent with HLH. He was also diagnosed with HIV/AIDS, which was considered the underlying trigger for HLH, and was initiated on dexamethasone per HLH-2004 protocol. The patient was started on intravenous amphotericin B for disseminated histoplasmosis, along with trimethoprim-sulfamethoxazole (TMP-SMX) for Pneumocystis jirovecii pneumonia prophylaxis. Due to worsening mental status, increased amphotericin B and TMP-SMX dose for presumed central nervous system (CNS) histoplasmosis and toxoplasmosis, respectively. Brain magnetic resonance imaging (MRI) revealed multiple ring-enhancing lesions, and cerebrospinal fluid (CSF) was positive for Toxoplasma gondii. Amphotericin B was subsequently de-escalated, while TMP-SMX was continued at therapeutic dosing. The patient was co-managed in a multidisciplinary approach involving infectious disease, hematology, and neurology specialists. We conclude that early diagnosis of HLH is critical to prevent disease progression and improve patient outcomes. Identifying and treating the underlying trigger remains the cornerstone of effective management. The use of timely diagnostic tools and a multidisciplinary approach is essential to avoid delays in recognizing HLH and initiating appropriate therapy.