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Black sexually minoritized men (BSMM), Black men who identify as part of a sexual minority group, are disproportionately affected by HIV in the United States. There is a need to shift existing reductive research paradigms to focus on within-group variation, in order to include BSMM who are living with and without HIV.
Generative artificial intelligence (AI), exemplified by large language models such as ChatGPT, shows promise in mental health practice, aiding research, training and therapy. However, bias, inaccuracy and trust issues necessitate careful integration with human expertise.
Increasing inequality and social fragmentation may give rise to a collective state of despair that may not only diminish the desire to live but also dampen the drive to reproduce, resulting in shrinking fertility and population decline.
The COVID-19 pandemic has caused profound mental health problems among left-behind children (LBC). Here we discuss the challenges that LBC are facing in the post-COVID-19 era and the potential underlying mechanisms, and provide recommendations for future policy priorities.
Wastewater analysis can quantify the pharmaceuticals used to treat mental health disorders, providing data for policy development. This Comment highlights the potential of such wastewater-based epidemiology to enhance the estimation of treated mental health disorders at the community level.
We launched the ENIGMA-Neuroendocrinology working group with the aim to address knowledge gaps about the role of sex hormones in the brain, which lead to prevalent sex- and gender-based health disparities in biomedical research. We approach this by adopting a lifespan perspective to explore the interplay of hormonal dynamics and mental health in the brain.
The COVID-19 pandemic caused unprecedented developmental disruptions to children and young people. Here we address its long-term impact on children and young people, relay their views on important issues for mental health in the context of the pandemic and provide recommendations for future research priorities.
A deficit-oriented approach to describing living with schizophrenia obscures the challenges affected individuals face in being understood by others. Though symptoms of the illness complicate the development of a robust narrative self, patients still seek meaningful dialogue, and provider attitudes and practices can foster this narrative voice.
Clinical staging could be an actionable concept for behavioral and psychological symptoms of dementia (BPSD), providing clinicians with tools to navigate choices of treatment, acceptability of side effects and suitable care settings. This would pave the way for more research into tailored interventions that are much needed in high-stage BPSD.
This article explores debates in psychiatry about generalism and subspecialization, illustrating the potential benefits and issues of each in the context of service delivery and education founded on the biopsychosocial model. Recommendations are given to respond to varying global dynamics and support moves toward patient-centred care.