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  • This Comment was conducted to clarify the current number of child psychiatrists in mainland China, to analyze the reasons for the shortages and to provide constructive suggestions for solving the current shortage.

    • Zhongliang Jiang
    • Cody Abbey
    • Ying Li
  • 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.

    • John A. Schneider
    • Darnell N. Motley
    • Jade Pagkas-Bather
  • 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.

    • Michael L. Platt
    • Peter Sterling
  • 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.

    • Carina Heller
    • Claudia Barth
    • Nicole Petersen
  • 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.

    • Brian C. F. Ching
    • Valeria Parlatini
    • Emily Simonoff
  • 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.

    • Youjin Jenny Jang
    • Walid Yassin
  • 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.

    • Maarten J. A. Van Den Bossche
    • Ann T. E. Van Vré
    • Mathieu Vandenbulcke
  • 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.

    • Michael Liebrenz
    • Alexander J. Smith
    • Erich Seifritz
  • Intergenerational trauma, passed down through generations, is a significant concern for refugees and their descendants. Millions of people are forcibly displaced worldwide, with profound effects on mental and physical health. Refugees face many challenges, from acculturation to legal uncertainties, leading to a range of emotional struggles.

    • Sheikh Shoib
    • Aishatu Yusha’u Armiya’u
    • Fahimeh Saeed
  • Deciding between treatments in depression relies on trial-and-error following the stepped-care approach (escalating to more intensive treatments after treatment failures). Recent research is focused on biomarkers and precision psychiatry; however, we argue that stratified psychiatry could be a practical alternative for individuals with mental health disorders.

    • Martijn Arns
    • Sebastian Olbrich
    • Alexander T. Sack
  • Early evidence suggests psychedelics could help alleviate end-of-life anxiety and depression. Yet there has been little study or discussion of their integration into hospice and palliative care settings, where patients often have complex comorbidities and medication regimens. The authors discuss relevant clinical challenges and approaches.

    • Mason Marks
    • Brent Kious
    • I. Glenn Cohen
  • This Comment proposes to increase knowledge of the effects of urbanicity on brain and mental health by linking existing human spatial data with macroenvironmental and regional socioeconomic data. It introduces hypothesis-free models to capture the data and model life in the city and suggests refinements for future studies into conditions that will soon affect the majority of the earth’s population.

    • Gunter Schumann
  • This Comment highlights the intertwined nature of mental and brain health and disease. Common genetic, environmental and lifestyle factors contribute to psychiatric and neurological disorders, which partially share neurocognitive and pathophysiological mechanisms. A call for a more dimensional, interdisciplinary approach can accelerate the development of robust approaches to research, prevention and intervention.

    • Agustin Ibanez
    • Eduardo R. Zimmer
  • Men often experience mental health issues in silence. This Comment considers the many manifestations of silence in men’s mental illness, which serve to reduce subjective wellbeing and social/occupational functioning amid elevating suicide risk.

    • John S. Ogrodniczuk
    • John L. Oliffe
    • Simon M. Rice
  • Cases of mild or transient distress in young people are increasingly viewed as problems that require medical intervention. As CAMHS clinicians, we argue that this overmedicalization undermines the value of social support within the family and community, and funding cuts to nonmedical support services have only compounded the problem.

    • Emma Fergusson
    • Shona Reed-Purvis
    • Lucy Foulkes